TY - JOUR
T1 - Patient Knowledge, Beliefs and Barriers to Hepatitis B Care
T2 - Results of a Multicenter, Multiethnic Patient Survey
AU - Mukhtar, Nizar A.
AU - Evon, Donna M.
AU - Yim, Colina
AU - Lok, Anna S.
AU - Lisha, Nadra
AU - Lisker-Melman, Mauricio
AU - Hassan, Mohamed
AU - Janssen, Harry L.A.
AU - Khalili, Mandana
N1 - Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/2
Y1 - 2021/2
N2 - Background: A greater understanding of the determinants of health behavior among those with and at-risk of chronic hepatitis B virus (HBV) infection is needed for effective design and implementation of public health initiatives. Aims: To determine factors associated with (1) willingness to accept HBV antiviral treatment and (2) satisfaction with provider communication regarding HBV care in a diverse cohort of HBV-infected patients. Methods: Using a multifaceted model of health behavior, the Health Behavior Framework, we conducted a comprehensive assessment of knowledge, attitudes, beliefs, and barriers to HBV care. Results: We enrolled 510 patients, with mean age 46 years; 53.1% men; and 71.6% Asian or Hawaiian/Pacific Islander. Patients were knowledgeable about HBV infection, but one-fifth did not think that HBV was a treatable disease; over a quarter felt it was so common among family and friends that it did not concern them, and less than half of patients believed they were likely to have liver problems or transmit HBV to others during their lifetime. Perceived susceptibility to disease risk was the only independent predictor of willingness to accept HBV treatment (β = 0.23, p = 0.0005), and contrary to expectations, having a doctor that speaks the same language was predictive of lower patient satisfaction with provider communication about their HBV care (β = − 0.65, p < 0.0001). Conclusions: Patients with greater perceived susceptibility to the health consequences of HBV infection are more likely to accept treatment, and patient–provider language concordance impacts patient satisfaction with communication regarding HBV care in an unexpected direction.
AB - Background: A greater understanding of the determinants of health behavior among those with and at-risk of chronic hepatitis B virus (HBV) infection is needed for effective design and implementation of public health initiatives. Aims: To determine factors associated with (1) willingness to accept HBV antiviral treatment and (2) satisfaction with provider communication regarding HBV care in a diverse cohort of HBV-infected patients. Methods: Using a multifaceted model of health behavior, the Health Behavior Framework, we conducted a comprehensive assessment of knowledge, attitudes, beliefs, and barriers to HBV care. Results: We enrolled 510 patients, with mean age 46 years; 53.1% men; and 71.6% Asian or Hawaiian/Pacific Islander. Patients were knowledgeable about HBV infection, but one-fifth did not think that HBV was a treatable disease; over a quarter felt it was so common among family and friends that it did not concern them, and less than half of patients believed they were likely to have liver problems or transmit HBV to others during their lifetime. Perceived susceptibility to disease risk was the only independent predictor of willingness to accept HBV treatment (β = 0.23, p = 0.0005), and contrary to expectations, having a doctor that speaks the same language was predictive of lower patient satisfaction with provider communication about their HBV care (β = − 0.65, p < 0.0001). Conclusions: Patients with greater perceived susceptibility to the health consequences of HBV infection are more likely to accept treatment, and patient–provider language concordance impacts patient satisfaction with communication regarding HBV care in an unexpected direction.
KW - HBV education
KW - HBV epidemiology
KW - HBV prevention
KW - HBV treatment
KW - Health behavior framework
UR - http://www.scopus.com/inward/record.url?scp=85083223613&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85083223613&partnerID=8YFLogxK
U2 - 10.1007/s10620-020-06224-3
DO - 10.1007/s10620-020-06224-3
M3 - Article
C2 - 32239377
AN - SCOPUS:85083223613
SN - 0163-2116
VL - 66
SP - 434
EP - 441
JO - Digestive Diseases and Sciences
JF - Digestive Diseases and Sciences
IS - 2
ER -