Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study
Issued Date
2022-02-01
Resource Type
ISSN
13520504
eISSN
13652893
Scopus ID
2-s2.0-85119960296
Pubmed ID
34817896
Journal Title
Journal of Viral Hepatitis
Volume
29
Issue
2
Start Page
156
End Page
170
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Viral Hepatitis Vol.29 No.2 (2022) , 156-170
Suggested Citation
Lee M.H., Ahn S.H., Chan H.L.Y., Choudhry A., Alvani Gani R., Mohamed R., Ong J.P., Shukla A., Tan C.K., Tanwandee T., Thuy P.T.T., Neo B.L., Tsang V., Youn J., Singh S. Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study. Journal of Viral Hepatitis Vol.29 No.2 (2022) , 156-170. 170. doi:10.1111/jvh.13636 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85033
Title
Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study
Author's Affiliation
Siriraj Hospital
National Yang Ming Chiao Tung University
Kantar Health
University of the Philippines College of Medicine
Seth GS Medical College and KEM Hospital
Universitas Indonesia
Universiti Malaya
Singapore General Hospital
Yonsei University College of Medicine
Chinese University of Hong Kong
Hepatology Department in Ho Chi Minh Medic Medical Center
Gilead Sciences
Chaudhry Hospital
National Yang Ming Chiao Tung University
Kantar Health
University of the Philippines College of Medicine
Seth GS Medical College and KEM Hospital
Universitas Indonesia
Universiti Malaya
Singapore General Hospital
Yonsei University College of Medicine
Chinese University of Hong Kong
Hepatology Department in Ho Chi Minh Medic Medical Center
Gilead Sciences
Chaudhry Hospital
Other Contributor(s)
Abstract
There are limited data to provide better understanding of the knowledge/awareness of general population towards liver health in Asia. We sought to identify the knowledge gaps and attitudes towards liver health and liver diseases as well as evaluate associated individual-level and macro-level factors based on contextual analysis. An online survey assessing knowledge, awareness and attitudes towards liver health and disease was conducted among 7500 respondents across 11 countries/territories in Asia. A liver index was created to measure the respondents’ knowledge level and the degree of awareness and attitudes. Multilevel logistic regression was performed to identify individual factors and contextual effects that were associated with liver index. The overall liver index (0–100-point scale) was 62.4 with 6 countries/territories’ liver indices greater than this. In the multilevel model, the inclusion of geographical information could explain for 9.6% of the variation. Residing in a country/territory with higher HBV prevalence (80% IOR: 1.20–2.79) or higher HCV death rate (80% IOR: 1.35–3.13) increased the individual probability of obtaining a high overall liver index. Individual factors like age, gender, education, household income, disease history and health screening behaviour were also associated with liver index (all p-values<0.001). The overall liver index was positively associated with the two macro-level factors viz. HBV prevalence and HCV death rate. There is a need to formulate policies especially in regions of lower HBV prevalence and HCV death rate to further improve the knowledge, awareness and attitudes of the general public towards liver diseases.