Awareness of hepatitis C knowledge and its influencing factors among three key populations in Kunming
Objective To investigate the awareness of hepatitis C(HCV)and its influencing factors among drug users,female sex workers(FSWs),and men who have sex with men(MSM)in Kunming.Methods A questionnaire survey assessing HCV prevention and treatment knowledge was conducted as part of the 2021-2022 HIV sentinel surveillance in Kunming.Descriptive epidemiological methods were employed to analyze the survey results.Results 2 344 individuals participated in the survey,including 654 drug users,1 282 FSWs,and 408 MSM.The overall awareness rate for HCV was 60.2%among drug users,85.6%among FSWs,and 97.5%among MSM.The awareness rate among drug users was significantly lower than that of FSWs(OR=3.938,95%CI:3.157-4.918)and MSM(OR=26.264,95%CI:13.755-50.148).Gender and education level were influencing factors for HCV awareness among drug users,with females being more likely to be aware of HCV than males(OR=19.423,95%CI:10.786-34.975).Additionally,individuals with a high school education or above were more like to have higher awareness than those with junior high school education or below(OR=2.091,95%CI:1.245-3.512).Among FSWs,factors such as age,activity area,and prior HCV testing history influenced awareness,with individuals aged 50 years and above less likely to be aware of HCV compared to those under 50(OR=0.233,95%CI:0.129-0.419).FSWs active in urban areas(OR=4.147,95%CI:2.547-6.752)and agricultural counties(OR=3.573,95%CI:1.684-7.583)demonstrated higher awareness compared to those in suburban areas.Those with no prior HCV testing(OR=0.370,95%CI:0.230-0.596)or those uncertain about prior testing(OR=0.035,95%CI:0.007-0.172)had lower awareness.Among MSM,education level was an influencing factor;those having a high school education or above had greater HCV knowledge than those with junior high school education or below(OR=9.048,95%CI:2.159-37.912).Conclusions Awareness of HCV prevention and treatment is relatively high among MSM and FSWs in Kunming.Future efforts should focus on promoting HCV knowledge among drug users,particularly among males,as well as older and less-educated individuals.Enhanced outreach regarding HCV transmission routes,treatment options,and intensified screening efforts are crucial for raising awareness,reducing infection rates,and preventing further transmission of HCV.