HIV and HCV health beliefs in an inner-city community
HIV and HCV health beliefs in an inner-city community
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DOI：
10.1111/j.1365-2893.2010.01383.x
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发表时间：
2011-11-01
影响因子：
2.5
通讯作者：
Kronish, I. M.
中科院分区：
文献类型：
--
作者：
Krauskopf, K.;McGinn, T. G.;Kronish, I. M.
丙型肝炎病毒(丙型肝炎病毒)的慢性感染比人类免疫缺陷病毒(HIV)感染更普遍，但分配给艾滋病毒的公共卫生资源比分配给丙型肝炎病毒的更多。考虑到共同的风险因素和流行病学，我们比较了高危社区中关于艾滋病毒和丙型肝炎病毒的健康信念的准确性。在2002至2003年间，我们对纽约一家初级保健诊所的患者样本进行了随机调查。这项调查被组织为自我调节常识模型的领域：原因(共用针头)、时间线/结果(“终生留在体内”、“致癌原因”)和可控性(“我可以避免这种疾病”，“药物可以治愈这种疾病”)。我们比较了关于艾滋病毒和丙型肝炎的信念的准确性差异，并使用多变量线性回归来确定与信念的相对准确性相关的因素。122名受试者完成了调查(应答率为42%)。平均总体健康信念准确率：艾滋病毒为12/15(80%)，丙型肝炎为9/15(60%)(P<；0.001)。信念的准确性在所有领域都有显著差异。在病因领域，60%的人准确地认为共用针头是丙型肝炎病毒的危险因素，相比之下，92%的人认为共用针头是感染艾滋病毒的危险因素(P<；0.001)。在时间线/后果领域，42%的人准确地认为丙型肝炎病毒会导致终身感染，而认为艾滋病毒会导致终生感染(P<；0.001)。在可控性范围内，25%的人准确地相信丙型肝炎病毒有潜在的治愈方法。多变量线性回归显示，女性性别与更高的艾滋病毒健康信念准确性显著相关。因此，研究参与者对丙型肝炎病毒的准确健康信念明显低于对艾滋病毒的准确健康信念。针对不准确的目标可能会改进公共卫生干预措施，以促进更健康的行为和更好的丙型肝炎结果。
Chronic infection with the hepatitis C virus (HCV) is more prevalent than human immunodeficiency virus (HIV) infection, but more public health resources are allocated to HIV than to HCV. Given shared risk factors and epidemiology, we compared accuracy of health beliefs about HIV and HCV in an at-risk community. Between 2002 and 2003, we surveyed a random patient sample at a primary care clinic in New York. The survey was organized as domains of Common Sense Model of Self-Regulation: causes ('sharing needles'), timeline/consequences ('remains in body for life', 'causes cancer') and controllability ('I can avoid this illness', 'medications may cure this illness'). We compared differences in accuracy of beliefs about HIV and HCV and used multivariable linear regression to identify factors associated with relative accuracy of beliefs. One hundred and twenty-two subjects completed the survey (response rate 42%). Mean overall health belief accuracy was 12/15 questions (80%) for HIV vs 9/15 (60%) for HCV (P < 0.001). Belief accuracy was significantly different across all domains. Within the causes domain, 60% accurately believed sharing needles a risk factor for HCV compared to 92% for HIV (P < 0.001). Within the timeline/consequences domain, 42% accurately believed HCV results in lifelong infection compared to 89% for HIV (P < 0.001). Within the controllability domain, 25% accurately believed that there is a potential cure for HCV. Multivariable linear regression revealed female gender as significantly associated with greater health belief accuracy for HIV. Thus, study participants had significantly less accurate health beliefs about HCV than about HIV. Targeting inaccuracies might improve public health interventions to foster healthier behaviours and better hepatitis C outcomes.