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Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study

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...

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Main Authors:	Lee, Mei Hsuan, Ahn, Sang Hoon, Chan, Henry L. Y., Choudhry, Asad, Gani, Rino Alvani, Mohamed, Rosmawati, Ong, Janus P., Shukla, Akash, Tan, Chee Kiat, Tanwandee, Tawesak, Thuy, Pham Thi Thu, Neo, Boon Leong, Tsang, Venus, Youn, Jin, Singh, Shikha
Format:	Article
Published:	Wiley 2022
Subjects:	R Medicine R Medicine (General) RA Public aspects of medicine RC Internal medicine
Online Access:	http://eprints.um.edu.my/33671/
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spelling	my.um.eprints.336712022-07-25T07:12:38Z http://eprints.um.edu.my/33671/ Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study Lee, Mei Hsuan Ahn, Sang Hoon Chan, Henry L. Y. Choudhry, Asad Gani, Rino Alvani Mohamed, Rosmawati Ong, Janus P. Shukla, Akash Tan, Chee Kiat Tanwandee, Tawesak Thuy, Pham Thi Thu Neo, Boon Leong Tsang, Venus Youn, Jin Singh, Shikha R Medicine R Medicine (General) RA Public aspects of medicine RC Internal medicine 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. Wiley 2022-02 Article PeerReviewed Lee, Mei Hsuan and Ahn, Sang Hoon and Chan, Henry L. Y. and Choudhry, Asad and Gani, Rino Alvani and Mohamed, Rosmawati and Ong, Janus P. and Shukla, Akash and Tan, Chee Kiat and Tanwandee, Tawesak and Thuy, Pham Thi Thu and Neo, Boon Leong and Tsang, Venus and Youn, Jin and Singh, Shikha (2022) Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study. Journal of Viral Hepatitis, 29 (2). pp. 156-170. ISSN 1352-0504, DOI https://doi.org/10.1111/jvh.13636 <https://doi.org/10.1111/jvh.13636>. 10.1111/jvh.13636
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	R Medicine R Medicine (General) RA Public aspects of medicine RC Internal medicine
spellingShingle	R Medicine R Medicine (General) RA Public aspects of medicine RC Internal medicine Lee, Mei Hsuan Ahn, Sang Hoon Chan, Henry L. Y. Choudhry, Asad Gani, Rino Alvani Mohamed, Rosmawati Ong, Janus P. Shukla, Akash Tan, Chee Kiat Tanwandee, Tawesak Thuy, Pham Thi Thu Neo, Boon Leong Tsang, Venus Youn, Jin Singh, Shikha Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study
description	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.
format	Article
author	Lee, Mei Hsuan Ahn, Sang Hoon Chan, Henry L. Y. Choudhry, Asad Gani, Rino Alvani Mohamed, Rosmawati Ong, Janus P. Shukla, Akash Tan, Chee Kiat Tanwandee, Tawesak Thuy, Pham Thi Thu Neo, Boon Leong Tsang, Venus Youn, Jin Singh, Shikha
author_facet	Lee, Mei Hsuan Ahn, Sang Hoon Chan, Henry L. Y. Choudhry, Asad Gani, Rino Alvani Mohamed, Rosmawati Ong, Janus P. Shukla, Akash Tan, Chee Kiat Tanwandee, Tawesak Thuy, Pham Thi Thu Neo, Boon Leong Tsang, Venus Youn, Jin Singh, Shikha
author_sort	Lee, Mei Hsuan
title	Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study
title_short	Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study
title_full	Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study
title_fullStr	Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study
title_full_unstemmed	Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study
title_sort	contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: a large-scale asian study
publisher	Wiley
publishDate	2022
url	http://eprints.um.edu.my/33671/
_version_	1739828468291469312
score	13.211869

Contextual and individual factors associated with knowledge, awareness and attitude on liver diseases: A large-scale Asian study

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