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Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study

Authors
 Mei Hsuan Lee  ;  Sang Hoon Ahn  ;  Henry L Y Chan  ;  Asad Choudhry  ;  Rino Alvani Gani  ;  Rosmawati Mohamed  ;  Janus P Ong  ;  Akash Shukla  ;  Chee Kiat Tan  ;  Tawesak Tanwandee  ;  Pham Thi Thu Thuy  ;  Boon Leong Neo  ;  Venus Tsang  ;  Jin Youn  ;  Shikha Singh 
Citation
 JOURNAL OF VIRAL HEPATITIS, Vol.29(2) : 156-170, 2022-02 
Journal Title
JOURNAL OF VIRAL HEPATITIS
ISSN
 1352-0504 
Issue Date
2022-02
MeSH
Asia ; Health Knowledge, Attitudes, Practice* ; Humans ; Liver Diseases* / epidemiology ; Mass Screening ; Surveys and Questionnaires
Keywords
Asia ; liver health ; policy ; public health ; viral hepatitis
Abstract
There are limited data to provide better understanding of the knowledge/awareness of general population towards liver health in Asia. We sought to identify the knowledge gaps and attitudes towards liver health and liver diseases as well as evaluate associated individual-level and macro-level factors based on contextual analysis. An online survey assessing knowledge, awareness and attitudes towards liver health and disease was conducted among 7500 respondents across 11 countries/territories in Asia. A liver index was created to measure the respondents' knowledge level and the degree of awareness and attitudes. Multilevel logistic regression was performed to identify individual factors and contextual effects that were associated with liver index. The overall liver index (0-100-point scale) was 62.4 with 6 countries/territories' liver indices greater than this. In the multilevel model, the inclusion of geographical information could explain for 9.6% of the variation. Residing in a country/territory with higher HBV prevalence (80% IOR: 1.20-2.79) or higher HCV death rate (80% IOR: 1.35-3.13) increased the individual probability of obtaining a high overall liver index. Individual factors like age, gender, education, household income, disease history and health screening behaviour were also associated with liver index (all p-values<0.001). The overall liver index was positively associated with the two macro-level factors viz. HBV prevalence and HCV death rate. There is a need to formulate policies especially in regions of lower HBV prevalence and HCV death rate to
Full Text
https://onlinelibrary.wiley.com/doi/10.1111/jvh.13636
DOI
10.1111/jvh.13636
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Ahn, Sang Hoon(안상훈) ORCID logo https://orcid.org/0000-0002-3629-4624
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/188565
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