ArticleBMC infectious diseases2014
Health literacy in patients with chronic hepatitis B attending a tertiary hospital in Melbourne: a questionnaire based survey.
Article in BMC infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
27 citing papers in PubMed, 56 citations in OpenAlex.
- 'Teach-back' is a simple communication tool that improves disease knowledge in people with chronic hepatitis B - a pilot randomized controlled study.BMC public health · 2019Trial
- Trial
- Understanding Hepatitis B Knowledge, Attitudes, and Stigma in the Korean Community in Australia.Journal of racial and ethnic health disparities · 2025Article
- Effect of Health Literacy on Antiviral Treatment of Hepatitis B: Instrumental Variable Analysis.JMIR public health and surveillance · 2024Article
- Mental health and quality of life in patients with chronic liver disease: a single-center structural equation model.BMC gastroenterology · 2024Article
- Article
- Health workers' perspectives of hepatitis B-related stigma among Aboriginal and Torres Strait Islander people in New South Wales, Australia.Harm reduction journal · 2023Article
- A Web-Based Audio Computer-Assisted Self-interview Application With Illustrated Pictures to Administer a Hepatitis B Survey Among a Myanmar-Born Community in Perth, Australia: Development and User Acceptance Study.JMIR formative research · 2023Article
- Poor disease knowledge is associated with higher healthcare service use and costs among patients with cirrhosis: an exploratory study.BMC gastroenterology · 2022Article
- Focused Education Increases Hepatocellular Cancer Screening in Patients with Cirrhosis Regardless of Functional Health Literacy.Digestive diseases and sciences · 2021Article
- Lower household income is associated with an increased risk of hospital readmission in patients with decompensated cirrhosis.Journal of gastroenterology and hepatology · 2021Article
- Sociocultural barriers to hepatitis B health literacy in an immigrant population: a focus group study in Korean Americans.BMC public health · 2021Article
- An immunization program for US-bound refugees: Development, challenges, and opportunities 2012-present.Vaccine · 2021Article
- The Lived Experience of Chronic Hepatitis B: A Broader View of Its Impacts and Why We Need a Cure.Viruses · 2020Review
- Adherence in chronic hepatitis B: associations between medication possession ratio and adverse viral outcomes.BMC gastroenterology · 2020Article
- Health Literacy Gaps in Online Resources for Cirrhotic Patients.Journal of current surgery · 2020Article
- A crowdsourced intervention to decrease hepatitis B stigma in men who have sex with men in China: A cohort study.Journal of viral hepatitis · 2020Article
- Chronic Hepatitis B stigma in Ghana: a qualitative study with patients and providers.BMJ open · 2019Article
- Barriers to chronic Hepatitis B treatment and care in Ghana: A qualitative study with people with Hepatitis B and healthcare providers.PloS one · 2019Article
- Implementation of an Educational iPad Application for Patients With Chronic Hepatitis B.Frontiers in public health · 2019Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrent estimates suggest over 218,000 individuals in Australia are chronically infected with hepatitis B virus. The majority of these people are migrants and refugees born in hepatitis B endemic countries, where attitudes towards health, levels of education, and English proficiency can be a barrier to accessing the Australian health care system, and best managing chronic hepatitis B. This study aimed to assess the knowledge of transmission and consequences of chronic hepatitis B among these patients.
methodA prospective study was conducted between May and August 2012. Patients with chronic hepatitis B were recruited from three Royal Melbourne Hospital outpatient clinics. Two questionnaires were administered. Questionnaire 1, completed during observation of a prospective participants' consultation, documented information given to the patient by their clinician. After the consultation, Questionnaire 2 was administered to assess patient demographics, and overall knowledge of the effect, transmission and treatment of hepatitis B.
results55 participants were recruited. 93% of them were born overseas, 17% used an interpreter, and the average time since diagnosis was 9.7 years.Results from Questionnaire 1 showed that the clinician rarely discussed many concepts. Questionnaire 2 exposed considerable gaps in hepatitis B knowledge. Few participants reported a risk of cirrhosis (11%) or liver cancer (18%). There was a high awareness of transmission routes, with 89% correctly identifying sexual transmission, 93% infected blood, and 85% perinatal transmission. However, 25% of participants believed hepatitis B could be spread by sharing food, and over 50% by kissing and via mosquitoes. A knowledge score out of 12 was assessed for each participant. The average score was 7.5. Multivariate analysis found higher knowledge scores among those with a family member also diagnosed with chronic hepatitis B and those routinely seeing the same clinician (p = 0.009 and p = 0.002, respectively).
conclusionThis is the largest Australian study assessing knowledge and understanding of the effect, transmission, and treatment of hepatitis B among chronically infected individuals. The findings highlight the knowledge gaps and misconceptions held by these patients, and the need to expand education and support initiatives.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.