Awareness and influencing factors of hepatitis C prevention and treatment knowledge among clinical physicians in Zhejiang Province
Objective To assess the awareness of knowledge regarding hepatitis C prevention and control among healthcare professionals in Zhejiang Province's medical institutions,with the goal of informing strategic decisions.Methods A stratified random sampling strategy was implemented to select one hospital from each of the seven municipalities in Zhejiang Province.Clinical physicians were surveyed on-site,with questionnaires covering basic demographic information and their understanding of fundamental and professional knowledge about hepatitis C.Logistic regression analysis was used to identify factors influencing awareness rates.Results A total of 1 016 clinical physicians were surveyed.The awareness rate of fundamental knowledge about hepatitis C was 87.1％.Multivariate analysis showed that physicians who had undergone hepatitis C training in the past year demonstrated a better grasp of basic knowledge compared to those who had not(aOR=0.467,95％CI:0.303-0.719).Physicians at provincial hospitals exhibited a better understanding of basic knowledge than those at county-level hospitals(aOR=0.353,95％CI:0.184-0.678).However,surgeons(aOR=1.751,95％CI:1.014-3.026)and specialists in obstetrics,gynecology,and pediatrics(aOR=1.763,95％CI:1.052-2.956)showed lower awareness than internists.Awareness of professional knowledge among clinical physicians was 23.4％,with particularly low awareness of the classification and diagnostic criteria for hepatitis C,at just 7.5％and 13.9％,respectively.Further analysis revealed that female physicians had a higher level of professional knowledge than their male counterparts(aOR=1.463,95％CI:1.029-2.081);physicians at tertiary-level hospitals were more knowledgeable than those at primary-level hospitals(aOR=2.022,95％CI:1.253-3.262);and those who had received training in the past year had a better understanding of professional knowledge(aOR=3.419,95％CI:2.477-4.720).Conclusions While clinical physicians in Zhejiang Province have a relatively strong foundation in basic hepatitis C knowledge,there is a significant gap in their professional knowledge,especially regarding diagnostic classification and criteria.Targeted training initiatives to address these deficiencies are urgently needed.
NETL
NSTL
万方数据
