Soe Kyi Pyar, Pan-Ngum Wirichada, Nontprasert Apichart, Kittitrakul Chatporn, Oam Navuddh, Thong Vo Duy, Tangkijvanich Pisit, Leowattana Wattana, Poovorawan Kittiyod
Department of Clinical Tropical Medicine, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Department of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
J Infect Dev Ctries. 2019 Jul 31;13(7):656-664. doi: 10.3855/jidc.10479.
The prevalence of hepatitis B virus (HBV) infection in Southeast Asia is high. Awareness and early detection are essential for timely prevention and treatment.
We examined the awareness of, knowledge about, practices and views on treatment for HBV infection in Southeast Asia. A cross-sectional survey was conducted from December 2016 to February 2017 among individuals from six nations in Southeast Asia-Myanmar, Thailand, Vietnam, Cambodia, the Philippines, and Singapore. The study population comprised healthcare and non-healthcare personnel.
In total, 799 healthcare personnel and 1079 non-healthcare personnel completed an online survey. The prevalence of the awareness of their own HBV infection status and risk of this regionally endemic infection was 85.6% (684/799) among healthcare personnel and 54.0% (583/1079) among non-healthcare personnel. Similarly, 85.9% of healthcare personnel and 45.5% of non-healthcare personnel had good knowledge about disease transmission, complications, and the need for treatment, and 76.6% of healthcare personnel and 39.8% of non-healthcare personnel followed good HBV infection-prevention practices. Overall, 90.6% found the idea of treatment acceptable. Awareness had a significant impact on both knowledge and practice scores among both healthcare personnel and non-healthcare personnel (p < 0.01) but without statistically significant differences in treatment acceptance between the two groups (p = 0.61).
Awareness of HBV infection was relatively low among non-healthcare personnel in Southeast Asian populations. The provision of additional hepatitis B awareness campaigns is crucial to eliminating viral hepatitis in the region.
东南亚地区乙型肝炎病毒（HBV）感染率很高。提高认识和早期检测对于及时预防和治疗至关重要。
我们调查了东南亚地区对HBV感染的认识、相关知识、做法以及对治疗的看法。2016年12月至2017年2月，对来自东南亚六个国家（缅甸、泰国、越南、柬埔寨、菲律宾和新加坡）的个人进行了横断面调查。研究人群包括医疗保健人员和非医疗保健人员。
共有799名医疗保健人员和1079名非医疗保健人员完成了在线调查。医疗保健人员中了解自身HBV感染状况及该地区地方性感染风险的比例为85.6%（684/799），非医疗保健人员中这一比例为54.0%（583/1079）。同样，85.9%的医疗保健人员和45.5%的非医疗保健人员对疾病传播、并发症及治疗需求有充分了解，76.6%的医疗保健人员和39.8%的非医疗保健人员采取了良好的HBV感染预防措施。总体而言，90.6%的人认为治疗方案是可以接受的。认识程度对医疗保健人员和非医疗保健人员的知识及实践得分均有显著影响（p < 0.01），但两组在治疗接受度方面无统计学显著差异（p = 0.61）。
东南亚人群中非医疗保健人员对HBV感染的认识相对较低。开展更多的乙型肝炎宣传活动对于该地区消除病毒性肝炎至关重要。
