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The impact of disease-related knowledge on perceptions of stigma among patients with Hepatitis C Virus (HCV) infection.
Saine, M Elle; Szymczak, Julia E; Moore, Tyler M; Bamford, Laura P; Barg, Frances K; Forde, Kimberly A; Schnittker, Jason; Holmes, John H; Mitra, Nandita; Lo Re, Vincent.
Afiliación
  • Saine ME; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America.
  • Szymczak JE; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, United States of America.
  • Moore TM; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America.
  • Bamford LP; Department of Psychiatry, Brain Behavior Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America.
  • Barg FK; Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California San Diego School of Medicine, San Diego, California, United States of America.
  • Forde KA; Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States of America.
  • Schnittker J; Department of Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States of America.
  • Holmes JH; Section of Hepatology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, United States of America.
  • Mitra N; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA, United States of America.
  • Lo Re V; Department of Sociology, University of Pennsylvania, Philadelphia, PA, United States of America.
PLoS One ; 16(10): e0258143, 2021.
Article en En | MEDLINE | ID: mdl-34610030
Most patients with hepatitis C virus (HCV) infection perceive some degree of disease-related stigma. Misunderstandings about diseases may contribute to disease-related stigma. The objective of this study was to evaluate patient-level knowledge about HCV infection transmission and natural history and its association with HCV-related stigma among HCV-infected patients. We conducted a cross-sectional survey study among 265 patients with HCV in Philadelphia using the HCV Stigma Scale and the National Health and Nutrition Examination Survey (NHANES) Hepatitis C Follow-up Survey (2001-2008). The association between HCV knowledge and HCV-related stigma was evaluated via linear regression. Overall knowledge about HCV transmission and natural history was high, with >80% of participants answering ≥9 of 11 items correctly (median number of correct responses, 9 [82%]), HCV-related knowledge was similar between HIV/HCV-coinfected and HCV-monoinfected participants (p = 0.30). A higher level of HCV-related knowledge was associated with greater perceived HCV-related stigma (ß, 2.34 ([95% CI, 0.51-4.17]; p = 0.013). Results were similar after adjusting for age, race, ethnicity, HIV status, education level, stage of HCV management, time since diagnosis, and history of injection drug use. In this study, increased HCV-related knowledge was associated with greater perceptions of HCV stigma. Clinicians may consider allotting time to address common misconceptions about HCV when educating patients about HCV infection, which may counterbalance the stigmatizing impact of greater HCV-related knowledge.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estereotipo / Conocimientos, Actitudes y Práctica en Salud / Educación del Paciente como Asunto / Hepatitis C Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estereotipo / Conocimientos, Actitudes y Práctica en Salud / Educación del Paciente como Asunto / Hepatitis C Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: America do norte Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos