Knowledge, attitudes and practice of primary health care physicians towards hepatitis B virus in Al-Jouf province, Saudi Arabia

BMC Research Notes

Ahmad H Al-Hazmi¹ 

[1]Department of Family Medicine, College of Medicine, AlJouf University, King Khalid road, Al-Jouf, P.O. Box 2014, Sakaka 75741, Saudi Arabia

关键词: Saudi Arabia;    Primary health care;    Knowledge;    Hepatitis B;    Continuity of care;    Attitudes;   

Others  :  1132807
DOI  :  10.1186/1756-0500-7-288

 received in 2013-11-27, accepted in 2014-05-02,  发布年份 2014

【 摘 要 】

Background

Primary health care (PHC) physicians will be in the forefront of managing hepatitis B (HBV) patients. In Saudi Arabia, very little is known about knowledge, attitudes, and practice of PHC physicians towards HBV. This study aimed to assess the same parameters.

Methods

During April 2012, a cross-sectional survey of 180 practitioners aged 38.1 ± 10.3 years was carried out in the primary health care centers (PHCCs) in AlJouf Province of Saudi Arabia. The physicians were asked to fill a valid questionnaire containing their sociodemographic data, and well-modified questions regarding their knowledge base, attitudes, and practice towards HBV. Data was processed and analyzed using SPSS (version 17) program, the level of significance was set at P < 0.05.

Result

Response rate 88.3% yielded 159 questionnaires for analysis. Majority of the physicians surveyed 128 (80.6%) believed that PHC physicians are capable to achieve a major role in the management of HBV. 119 (74.8%) physicians surveyed were willing to manage HBV patients and 127 (79.9%) believed that vaccination is the most effective means to prevent HBV. There was a statistical significant correlation between physicians’ qualifications and continuity of care for HBV patients (32.8% vs 23.4%; p = 0.006), while continuality of care was more frequent among physicians with higher degrees compared to graduate physicians. Only 69 (43.4%) physicians were able to interpret HBV seromarkers. The vast majority of the physicians 142 (89.3%) were willing to subscribe in regular training programs about HBV.

Conclusion

Suitable attitudes with lack of knowledge are found, and practice of our physicians with regard to this significant health issue appeared inappropriate. More education focusing on HBV is recommended.

【 授权许可】

   
2014 Al-Hazmi; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Nwokediuko SC: Chronic hepatitis B: management challenges in resource-poor countries. Hepat Mon 2011, 11:786-793.
• [2]Gujral H, Collantes RS: Understanding viral hepatitis: a guide for primary care. Nurse Pract 2009, 34:23-31.
• [3]Wilkins T, Zimmerman D, Schade RR: Hepatitis B: diagnosis and treatment. Am Fam Physician 2010, 81:965-972.
• [4]Leung CM, Wong WH, Chan KH, Lai LS, Luk YW, Lai JY, Yeung YW, Hui WH: Public awareness of hepatitis B infection: a population-based telephone survey in Hong Kong. Hong Kong Med J 2010, 16:463-469.
• [5]Causse X, Delaunet A, Si Ahmed SN: Anaes practice guidelines for vaccination against hepatitis B virus: impact on general practitioners. Gastroenterol Clin Biol 2009, 33:1166-1170.
• [6]Abedi F, Madani H, Asadi A, Nejatizadeh A: Significance of blood-related high-risk behaviors and horizontal transmission of hepatitis B virus in Iran. Arch Virol 2011, 156:629-635.
• [7]Mohamed R, Desmond P, Suh DJ, Amarapurkar D, Gane E, Guangbi Y, Hou JL, Jafri W, Lai CL, Lee CH, Lee SD, Lim SG, Guan R, Phiet PH, Piratvisuth T, Sollano J, Wu JC: Practical difficulties in the management of hepatitis B in the Asia-Pacific region. J Gastroenterol Hepatol 2004, 19:958-969.
• [8]Tsai N: Diagnosis and management of chronic hepatitis B in the primary care setting. Postgrad Med 2006, 119:28-36.
• [9]Mostert MC, Richardus JH, De Man RA: Referral of chronic hepatitis B patients from primary to specialist care: making a simple guideline work. J Hepatol 2004, 41:1026-1030.
• [10]Dev A, Nguyen JH, Munafo L, Hardie E, Iacono L: Chronic hepatitis B - a clinical audit of GP management. Aust Fam Physician 2011, 40:533-538.
• [11]Peksen Y, Canbaz S, Leblebicioglu H, Sunbul M, Esen S, Sunter AT: Primary care physicians’ approach to diagnosis and treatment of hepatitis B and hepatitis C patients. BMC Gastroenterol 2004, 4:1-6. BioMed Central Full Text
• [12]Alrowaily MA, Abolfotouh MA, Ferwanah MS: Hepatitis B virus sero-prevalence among pregnant females in Saudi Arabia. Saudi J Gastroenterol 2008, 14:70-72.
• [13]Weinbaum CM, Williams I, Mast EE, Wang SA, Finelli L, Wasley A, Neitzel SM, Ward JW, Centers for Disease Control and Prevention (CDC): Recommendations for identification and public health management of persons with chronic hepatitis B virus infection. MMWR Recomm Rep 2008, 57:1-20.
• [14]Veldhuijzen IK, Mostert MC, Niesters HG, Richardus JH, De Man RA: Accuracy of a referral guideline for patients with chronic hepatitis B in primary care to select patients eligible for evaluation by a specialist. Gut 2007, 56:1027-1028.
• [15]Guirgis M, Yan K, Bu YM, Zekry A: General practitioners’ knowledge and management of viral hepatitis in the migrant population. Intern Med J 2012, 42:497-504.
• [16]Sinha S, Kumar M: Pregnancy and chronic hepatitis B virus infection. Hepatol Res 2010, 40:31-48.
• [17]Pronczuk J, Moy G, Vallenas C: Breast milk: an optimal food. Environ Health Perspect 2004, 112:A722-A723.
• [18]Aggarwal R, Ranjan P: Preventing and treating hepatitis B infection. BMJ 2004, 329:1080-1086.
• [19]Gupta S, Altice FL: Hepatitis B virus infection in US correctional facilities: a review of diagnosis, management, and public health implications. J Urban Health 2009, 86:263-279.