Formal Patient Education Improves Patient Knowledge of Hepatitis C in Vulnerable Populations
Formal Patient Education Improves Patient Knowledge of Hepatitis C in Vulnerable Populations
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DOI：
10.1007/s10620-010-1455-3
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发表时间：
2011-01-01
影响因子：
3.1
通讯作者：
Khalili, Mandana
中科院分区：
文献类型：
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作者：
Surjadi, Miranda;Torruellas, Cara;Khalili, Mandana
背景注射吸毒者（IDU）对丙型肝炎（HCV）的了解有限。包括注射吸毒者在内的弱势群体受到HCV的危害。有效的HCV教育可以潜在地减少HCV患病率及其结果在这一population.Aim的差距本研究旨在评估正式的HCV教育的影响和因素与提高HCV知识在脆弱population.Methods超过18个月，201例HCV感染者进行了2小时的标准化教育，并完成了人口统计学和教育前和教育后的问卷调查。69%为男性，平均年龄49 +/- 10岁，49%为白色（26%为AA，10%为拉丁裔），75%失业，83%为高中及以上学历，64%为IDU，7%为HIV合并感染者。在多变量分析中，至少高中教育的患者基线知识得分较高（系数7.1，p = 0.045）。非裔美国人（coef-12.3，p = 0.004）和老年患者（coef-0.7，p = 0.03）的基线知识评分较低。接受HCV教育后，总体测试成绩显著提高了14%（p = 0.0001），特别是在HCV传播（p = 0.003）、一般知识（p = 0.02）和卫生保健维护（p = 0.004）方面。结论正规的HCV知识教育能有效提高患者对HCV知识的知晓率。虽然白色种族，年轻的年龄，和高等教育的预测有更多的HCV知识教育之前，所有的患者独立的种族背景有一个显着的改善，他们的知识教育后。因此，在弱势人群中促进有效的HCV教育可能是减少HCV疾病差异的重要因素。
Background Hepatitis C (HCV) knowledge is limited in injection drug users (IDU). Vulnerable populations including IDUs are disproportionally affected by HCV. Effective HCV education can potentially reduce disparity in HCV prevalence and its outcome in this population.Aim This study aimed to assess the impact of formal HCV education and factors associated with improved HCV knowledge in the vulnerable population.Methods Over 18 months, 201 HCV-infected patients underwent a 2-h standardized education and completed demographic and pre- and post-education questionnaires.Results Patient characteristics were: 69% male, mean age 49 +/- 10, 49% White (26% AA, 10% Latino), 75% unemployed, 83% high school education and above, 64% were IDU, and 7% were HIV co-infected. On multivariate analysis, baseline knowledge scores were higher in patients with at least a high school education (coef 7.1, p = 0.045). Baseline knowledge scores were lower in African Americans (coef -12.3, p = 0.004) and older patients (coef -0.7, p = 0.03). Following HCV education, the overall test scores improved significantly by 14% (p = 0.0001) specifically in the areas of HCV transmission (p = 0.003), general knowledge (p = 0.02), and health care maintenance (p = 0.004). There was a high compliance with liver specialty clinic attendance following education.Conclusions Formal HCV education is effective in improving HCV knowledge. Although White race, younger age, and higher education were predictors of having more HCV knowledge prior to education, all patients independent of racial background had a significant improvement in their knowledge after education. Therefore, promoting effective HCV education among vulnerable populations may be an important factor in reducing the disparities in HCV disease.