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加纳北部托伦地区成年人对乙型肝炎病毒感染预防的态度的知识和预测因素。

Knowledge and predictors of attitudes of hepatitis B virus infection prevention among adults in Tolon, Northern Ghana.

机构信息

Department of Social and Behavioral Change, School of Public Health, University for Development Studies, Tamale, Northern Region, Ghana.

Department of Epidemiology, Biostatistics and Disease Control, School of Public Health, University for Development Studies, Tamale, Northern Region, Ghana.

出版信息

J Infect Dev Ctries. 2023 Aug 31;17(8):1152-1159. doi: 10.3855/jidc.17127.

Abstract

INTRODUCTION

Viral hepatitis is one of the major public health concerns, targeted for eradication by 2030. Though previous research has concentrated largely on pregnant women and urban areas, rural populations are reported to be greatly affected in northern Ghana. This study determined knowledge and predictors of attitudes toward hepatitis B virus (HBV) infection prevention among adults in Tolon District, Northern Ghana.

METHODOLOGY

This was a population-based cross-sectional descriptive study with a quantitative approach. A multistage stratified random sampling technique was used to select 195 adults. Data were analysed using SPSS version 26. Composite scores were generated for knowledge and attitude levels. At 0.05 precision level, multiple linear regression was performed to determine predictors of respondents' attitudes.

RESULTS

The overall knowledge level (48.7%) of participants on HBV infection was average, with the majority (67.0%) demonstrating unsatisfactory attitudes towards the prevention. The regression equation was statistically significant (F (3,191) = 61.051), p < 0.001. About half (49%) of the variance in attitude was explained by the independent variables. Participants predicted attitude score was determined as 3.784 - 0.040 (age) + 0.435 (knowledge), where age was measured in years and knowledge was measured as scores on a continuous variable scale.

CONCLUSIONS

Knowledge levels are sub-optimal with unsatisfactory attitudes toward HBV infection prevention in the study setting. Participants' age and knowledge of HBV are significant predictors of attitudes toward its prevention. There is a need to increase access to formal education and health promotion programs in the district, to complement government efforts to attain Sustainable Development Goal 3 (SDG-3).

摘要

引言

病毒性肝炎是主要的公共卫生关注点之一,目标是在 2030 年消除该疾病。尽管之前的研究主要集中在孕妇和城市地区,但据报道,加纳北部的农村人口受到的影响更大。本研究旨在确定托龙区(加纳北部)成年人对乙型肝炎病毒(HBV)感染预防的知识和态度及其预测因素。

方法

这是一项基于人群的横断面描述性研究,采用定量方法。使用多阶段分层随机抽样技术选择了 195 名成年人。使用 SPSS 版本 26 分析数据。为知识和态度水平生成综合得分。在 0.05 精度水平下,进行多元线性回归分析以确定受访者态度的预测因素。

结果

参与者对 HBV 感染的总体知识水平(48.7%)处于中等水平,大多数人(67.0%)对预防措施的态度不佳。回归方程具有统计学意义(F(3,191)=61.051),p<0.001。独立变量解释了态度方差的近一半(49%)。参与者预测的态度得分为 3.784-0.040(年龄)+0.435(知识),其中年龄以年为单位,知识以连续变量量表上的分数来衡量。

结论

在研究环境中,知识水平较低,对 HBV 感染预防的态度不佳。参与者的年龄和 HBV 知识是其对预防 HBV 感染态度的重要预测因素。需要增加该地区获得正规教育和健康促进计划的机会,以补充政府实现可持续发展目标 3(SDG-3)的努力。

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