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Published in: BMC Infectious Diseases 1/2013

Open Access 01-12-2013 | Research article

Public awareness of three major infectious diseases in rural Zhejiang province, China: a cross-sectional study

Authors: He Liu, Mei Li, Mingjuan Jin, Fangyuan Jing, Hui Wang, Kun Chen

Published in: BMC Infectious Diseases | Issue 1/2013

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Abstract

Background

This study aimed to investigate the level of awareness of and factors associated with major infectious diseases in rural China and to provide the most recent baseline data for the prevention and control of these diseases.

Methods

This cross-sectional study was carried out in Zhejiang province between December 2010 and April 2011. Participants were recruited from 36 villages and interviewed by doctors from the community health service using a structured questionnaire.

Results

The study sample consisted of 36,377 subjects aged 15 to 80 years old. Study results showed that knowledge of HIV was adequate in 44.21% of rural residents; knowledge of TB was adequate in 52.66% of respondents; and knowledge of HBV was adequate in 60.18% of respondents. People in older age groups and with lower education levels were more likely to have low levels of awareness of these three infectious diseases. Participants in the farming industry had poorer awareness of HIV and HBV, while students and factory workers knew little of TB. The proportions of people reporting being fully satisfied with the control policies for HIV, TB and HBV were 37.70%, 34.25% and 36.12%, respectively.

Conclusions

The level of awareness of HIV, TB and HBV is still low among rural residents. Further national disease control plans for major infectious diseases should emphasise effective and comprehensive health education campaigns to increase public awareness of these diseases in rural areas of China.
Literature
2.
go back to reference China’s Ministry of Health: China tuberculosis prevention and control plan: guideline for programme implement. 2002, Beijing, China: MoH China’s Ministry of Health: China tuberculosis prevention and control plan: guideline for programme implement. 2002, Beijing, China: MoH
3.
go back to reference You J, Sriplung H, Geater A, Chongsuvivatwong V, Zhuang L, Chen HY, Yu L, Tang BZ, Huang JH: Effect of viral load on T-lymphocyte failure in patients with chronic hepatitis B. World J Gastroenterol. 2008, 14 (7): 1112-1119. 10.3748/wjg.14.1112.CrossRefPubMedPubMedCentral You J, Sriplung H, Geater A, Chongsuvivatwong V, Zhuang L, Chen HY, Yu L, Tang BZ, Huang JH: Effect of viral load on T-lymphocyte failure in patients with chronic hepatitis B. World J Gastroenterol. 2008, 14 (7): 1112-1119. 10.3748/wjg.14.1112.CrossRefPubMedPubMedCentral
4.
go back to reference Wang L, Wu XP, Zhang W, Zhu DH, Wang Y, Li YP, Tian Y, Li RC, Li Z, Zhu X: Evaluation of genetic susceptibility loci for chronic hepatitis B in Chinese: two independent case–control studies. PLoS One. 2011, 6 (3): e17608-10.1371/journal.pone.0017608.CrossRefPubMedPubMedCentral Wang L, Wu XP, Zhang W, Zhu DH, Wang Y, Li YP, Tian Y, Li RC, Li Z, Zhu X: Evaluation of genetic susceptibility loci for chronic hepatitis B in Chinese: two independent case–control studies. PLoS One. 2011, 6 (3): e17608-10.1371/journal.pone.0017608.CrossRefPubMedPubMedCentral
5.
go back to reference Jia Z, Wang L, Chen RY, Li D, Wang L, Qin Q, Ding Z, Ding G, Zang C, Wang N: Tracking the evolution of HIV/AIDS in China from 1989–2009 to inform future prevention and control efforts. PLoS One. 2011, 6 (10): e25671-10.1371/journal.pone.0025671.CrossRefPubMedPubMedCentral Jia Z, Wang L, Chen RY, Li D, Wang L, Qin Q, Ding Z, Ding G, Zang C, Wang N: Tracking the evolution of HIV/AIDS in China from 1989–2009 to inform future prevention and control efforts. PLoS One. 2011, 6 (10): e25671-10.1371/journal.pone.0025671.CrossRefPubMedPubMedCentral
6.
go back to reference China’s Ministry of Health: National "Twelfth Five-Year" Plan for HIV/AIDS prevention and control plan. 2011, Beijing, China: MoH China’s Ministry of Health: National "Twelfth Five-Year" Plan for HIV/AIDS prevention and control plan. 2011, Beijing, China: MoH
7.
go back to reference China’s Ministry of Health: National Heptitis B Prevention and Control Plan (2006–2010). 2006, Beijing, China: MoH China’s Ministry of Health: National Heptitis B Prevention and Control Plan (2006–2010). 2006, Beijing, China: MoH
8.
go back to reference China’s Ministry of Health: National Tuberculosis Prevention and Control Plan (2011–2015). 2011, Beijing, China: MoH China’s Ministry of Health: National Tuberculosis Prevention and Control Plan (2011–2015). 2011, Beijing, China: MoH
9.
go back to reference Lu SH, Tian BC, Kang XP, Zhang W, Meng XP, Zhang JB, Lo SK: Public awareness of tuberculosis in China: a national survey of 69 253 subjects. Int J Tuberc Lung Dis. 2009, 13 (12): 1493-1499.PubMed Lu SH, Tian BC, Kang XP, Zhang W, Meng XP, Zhang JB, Lo SK: Public awareness of tuberculosis in China: a national survey of 69 253 subjects. Int J Tuberc Lung Dis. 2009, 13 (12): 1493-1499.PubMed
10.
go back to reference Choi KH, Lui H, Guo Y, Han L, Mandel JS: Lack of HIV testing and awareness of HIV infection among men who have sex with men, Beijing, China. AIDS Educ Prev. 2006, 18 (1): 33-43. 10.1521/aeap.2006.18.1.33.CrossRefPubMed Choi KH, Lui H, Guo Y, Han L, Mandel JS: Lack of HIV testing and awareness of HIV infection among men who have sex with men, Beijing, China. AIDS Educ Prev. 2006, 18 (1): 33-43. 10.1521/aeap.2006.18.1.33.CrossRefPubMed
11.
go back to reference Chan OK, Lao TT, Suen SS, Lau TK, Leung TY: Knowledge on hepatitis B infection among pregnant women in a high endemicity area. Patient Educ Couns. 2011, 85 (3): 516-520. 10.1016/j.pec.2010.11.006.CrossRefPubMed Chan OK, Lao TT, Suen SS, Lau TK, Leung TY: Knowledge on hepatitis B infection among pregnant women in a high endemicity area. Patient Educ Couns. 2011, 85 (3): 516-520. 10.1016/j.pec.2010.11.006.CrossRefPubMed
12.
go back to reference Chao J, Chang ET, So SK: Hepatitis B and liver cancer knowledge and practices among healthcare and public health professionals in China: a cross-sectional study. BMC Public Health. 2010, 10: 98-10.1186/1471-2458-10-98.CrossRefPubMedPubMedCentral Chao J, Chang ET, So SK: Hepatitis B and liver cancer knowledge and practices among healthcare and public health professionals in China: a cross-sectional study. BMC Public Health. 2010, 10: 98-10.1186/1471-2458-10-98.CrossRefPubMedPubMedCentral
13.
14.
go back to reference Cassino L, Torres C, Mbayed V, Laufer N, Campos RH, Quarleri J: Comparative analysis of hepatitis B virus genotype a molecular evolution in patients infected with HBV and in patients co-infected with HBV and HIV. J Med Virol. 2012, 84 (4): 562-569. 10.1002/jmv.23233.CrossRefPubMed Cassino L, Torres C, Mbayed V, Laufer N, Campos RH, Quarleri J: Comparative analysis of hepatitis B virus genotype a molecular evolution in patients infected with HBV and in patients co-infected with HBV and HIV. J Med Virol. 2012, 84 (4): 562-569. 10.1002/jmv.23233.CrossRefPubMed
15.
go back to reference Cheung J, Lee TK, Teh CZ, Wang CY, Kwan WC, Yoshida EM: Cross-sectional study of hepatitis B awareness among Chinese and Southeast Asian Canadians in the Vancouver-Richmond community. Can J Gastroenterol. 2005, 19 (4): 245-249.CrossRefPubMed Cheung J, Lee TK, Teh CZ, Wang CY, Kwan WC, Yoshida EM: Cross-sectional study of hepatitis B awareness among Chinese and Southeast Asian Canadians in the Vancouver-Richmond community. Can J Gastroenterol. 2005, 19 (4): 245-249.CrossRefPubMed
16.
go back to reference Yadav SB, Makwana NR, Vadera BN, Dhaduk KM, Gandha KM: Awareness of HIV/AIDS among rural youth in India: a community based cross-sectional study. J Infect Dev Ctries. 2011, 5 (10): 711-716.PubMed Yadav SB, Makwana NR, Vadera BN, Dhaduk KM, Gandha KM: Awareness of HIV/AIDS among rural youth in India: a community based cross-sectional study. J Infect Dev Ctries. 2011, 5 (10): 711-716.PubMed
17.
go back to reference Chen J, Choe MK, Chen S, Zhang S: The effects of individual- and community-level knowledge, beliefs, and fear on stigmatization of people living with HIV/AIDS in China. AIDS Care. 2007, 19 (5): 666-673. 10.1080/09540120600988517.CrossRefPubMed Chen J, Choe MK, Chen S, Zhang S: The effects of individual- and community-level knowledge, beliefs, and fear on stigmatization of people living with HIV/AIDS in China. AIDS Care. 2007, 19 (5): 666-673. 10.1080/09540120600988517.CrossRefPubMed
18.
go back to reference Sudha RT, Vijay DT, Lakshmi V: Awareness, attitudes, and beliefs of the general public towards HIV/AIDS in Hyderabad, a capital city from South India. Indian J Med Sci. 2005, 59 (7): 307-316. 10.4103/0019-5359.16506.CrossRefPubMed Sudha RT, Vijay DT, Lakshmi V: Awareness, attitudes, and beliefs of the general public towards HIV/AIDS in Hyderabad, a capital city from South India. Indian J Med Sci. 2005, 59 (7): 307-316. 10.4103/0019-5359.16506.CrossRefPubMed
19.
go back to reference Chen J, Choe MK, Chen S, Zhang S: Community environment and HIV/AIDS-related stigma in China. AIDS Educ Prev. 2005, 17 (1): 1-11. 10.1521/aeap.17.1.1.58689.CrossRefPubMed Chen J, Choe MK, Chen S, Zhang S: Community environment and HIV/AIDS-related stigma in China. AIDS Educ Prev. 2005, 17 (1): 1-11. 10.1521/aeap.17.1.1.58689.CrossRefPubMed
20.
go back to reference Lau JT, Tsui HY: Discriminatory attitudes towards people living with HIV/AIDS and associated factors: a population based study in the Chinese general population. Sex Transm Infect. 2005, 81 (2): 113-119. 10.1136/sti.2004.011767.CrossRefPubMedPubMedCentral Lau JT, Tsui HY: Discriminatory attitudes towards people living with HIV/AIDS and associated factors: a population based study in the Chinese general population. Sex Transm Infect. 2005, 81 (2): 113-119. 10.1136/sti.2004.011767.CrossRefPubMedPubMedCentral
21.
go back to reference Li L, Liang LJ, Lin C, Wu Z, Wen Y: Individual attitudes and perceived social norms: Reports on HIV/AIDS-related stigma among service providers in China. Int J Psychol. 2009, 44 (6): 443-450. 10.1080/00207590802644774.CrossRefPubMedPubMedCentral Li L, Liang LJ, Lin C, Wu Z, Wen Y: Individual attitudes and perceived social norms: Reports on HIV/AIDS-related stigma among service providers in China. Int J Psychol. 2009, 44 (6): 443-450. 10.1080/00207590802644774.CrossRefPubMedPubMedCentral
22.
go back to reference Unnikrishnan B, Mithra PP, T R, B R: Awareness and Attitude of the General Public Toward HIV/AIDS in Coastal Karnataka. Indian J Community Med. 2010, 35 (1): 142-146. 10.4103/0970-0218.62580.CrossRefPubMedPubMedCentral Unnikrishnan B, Mithra PP, T R, B R: Awareness and Attitude of the General Public Toward HIV/AIDS in Coastal Karnataka. Indian J Community Med. 2010, 35 (1): 142-146. 10.4103/0970-0218.62580.CrossRefPubMedPubMedCentral
23.
go back to reference Sun LN, Sun YH, Zhang DD, Zhao Q, Wang FS, Niu JJ, Gong L: Study on HIV related stigma and discrimination among people living with HIV/AIDS and their family members. Zhonghua Liu Xing Bing Xue Za Zhi. 2010, 31 (11): 1219-1222.PubMed Sun LN, Sun YH, Zhang DD, Zhao Q, Wang FS, Niu JJ, Gong L: Study on HIV related stigma and discrimination among people living with HIV/AIDS and their family members. Zhonghua Liu Xing Bing Xue Za Zhi. 2010, 31 (11): 1219-1222.PubMed
24.
go back to reference Marks SM, Deluca N, Walton W: Knowledge, attitudes and risk perceptions about tuberculosis: US National Health Interview Survey. Int J Tuberc Lung Dis. 2008, 12 (11): 1261-1267.PubMed Marks SM, Deluca N, Walton W: Knowledge, attitudes and risk perceptions about tuberculosis: US National Health Interview Survey. Int J Tuberc Lung Dis. 2008, 12 (11): 1261-1267.PubMed
25.
go back to reference Taylor VM, Tu SP, Woodall E, Acorda E, Chen H, Choe J, Li L, Yasui Y, Hislop TG: Hepatitis B knowledge and practices among Chinese immigrants to the United States. Asian Pac J Cancer Prev. 2006, 7 (2): 313-317.PubMed Taylor VM, Tu SP, Woodall E, Acorda E, Chen H, Choe J, Li L, Yasui Y, Hislop TG: Hepatitis B knowledge and practices among Chinese immigrants to the United States. Asian Pac J Cancer Prev. 2006, 7 (2): 313-317.PubMed
26.
go back to reference Hislop TG, Teh C, Low A, Li L, Tu SP, Yasui Y, Taylor VM: Hepatitis B knowledge, testing and vaccination levels in Chinese immigrants to British Columbia, Canada. Can J Public Health. 2007, 98 (2): 125-129.PubMed Hislop TG, Teh C, Low A, Li L, Tu SP, Yasui Y, Taylor VM: Hepatitis B knowledge, testing and vaccination levels in Chinese immigrants to British Columbia, Canada. Can J Public Health. 2007, 98 (2): 125-129.PubMed
27.
go back to reference Liang X, Bi S, Yang W, Wang L, Cui G, Cui F, Zhang Y, Liu J, Gong X, Chen Y: Epidemiological serosurvey of hepatitis B in China–declining HBV prevalence due to hepatitis B vaccination. Vaccine. 2009, 27 (47): 6550-6557. 10.1016/j.vaccine.2009.08.048.CrossRefPubMed Liang X, Bi S, Yang W, Wang L, Cui G, Cui F, Zhang Y, Liu J, Gong X, Chen Y: Epidemiological serosurvey of hepatitis B in China–declining HBV prevalence due to hepatitis B vaccination. Vaccine. 2009, 27 (47): 6550-6557. 10.1016/j.vaccine.2009.08.048.CrossRefPubMed
28.
go back to reference Carcinoma A, PWPoPoH: Prevention of hepatocellular carcinoma in the Asia-Pacific region: consensus statements. J Gastroenterol Hepatol. 2010, 25 (4): 657-663.CrossRef Carcinoma A, PWPoPoH: Prevention of hepatocellular carcinoma in the Asia-Pacific region: consensus statements. J Gastroenterol Hepatol. 2010, 25 (4): 657-663.CrossRef
29.
go back to reference Clayton S, Yang H, Guan J, Lin Z, Wang R: Hepatitis B control in China: knowledge and practices among village doctors. Am J Public Health. 1993, 83 (12): 1685-1688. 10.2105/AJPH.83.12.1685.CrossRefPubMedPubMedCentral Clayton S, Yang H, Guan J, Lin Z, Wang R: Hepatitis B control in China: knowledge and practices among village doctors. Am J Public Health. 1993, 83 (12): 1685-1688. 10.2105/AJPH.83.12.1685.CrossRefPubMedPubMedCentral
30.
go back to reference Zhang X, Miege P, Zhang Y: Decentralization of the provision of health services to people living with HIV/AIDS in rural China: the case of three counties. Health Res Policy Syst. 2011, 9: 9-10.1186/1478-4505-9-9.CrossRefPubMedPubMedCentral Zhang X, Miege P, Zhang Y: Decentralization of the provision of health services to people living with HIV/AIDS in rural China: the case of three counties. Health Res Policy Syst. 2011, 9: 9-10.1186/1478-4505-9-9.CrossRefPubMedPubMedCentral
31.
go back to reference Wu Z, Sullivan SG, Wang Y, Rotheram-Borus MJ, Detels R: Evolution of China’s response to HIV/AIDS. Lancet. 2007, 369 (9562): 679-690. 10.1016/S0140-6736(07)60315-8.CrossRefPubMed Wu Z, Sullivan SG, Wang Y, Rotheram-Borus MJ, Detels R: Evolution of China’s response to HIV/AIDS. Lancet. 2007, 369 (9562): 679-690. 10.1016/S0140-6736(07)60315-8.CrossRefPubMed
32.
go back to reference Gai R, Xu L, Wang X, Liu Z, Cheng J, Zhou C, Liu J, Zhang H, Li H, Kuroiwa C: The role of village doctors on tuberculosis control and the DOTS strategy in Shandong Province, China. Biosci Trends. 2008, 2 (5): 181-186.PubMed Gai R, Xu L, Wang X, Liu Z, Cheng J, Zhou C, Liu J, Zhang H, Li H, Kuroiwa C: The role of village doctors on tuberculosis control and the DOTS strategy in Shandong Province, China. Biosci Trends. 2008, 2 (5): 181-186.PubMed
Metadata
Title
Public awareness of three major infectious diseases in rural Zhejiang province, China: a cross-sectional study
Authors
He Liu
Mei Li
Mingjuan Jin
Fangyuan Jing
Hui Wang
Kun Chen
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2013
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/1471-2334-13-192

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