Document Detail

Effects of a brief educational program on knowledge and willingness to accept treatment among patients with hepatitis C at inner-city hospitals.
MedLine Citation:
PMID:  17696047     Owner:  NLM     Status:  MEDLINE    
Hepatitis C is the most common cause of chronic liver disease in the United States. The prevalence of HCV infection is higher in African Americans and Hispanics than among non-Hispanic whites. African Americans not only have a high prevalence of HCV but they also show lower response rates to treatment with pegylated interferon and Ribavirin. Studies have shown that HCV patients often have low levels of knowledge about the disease, including knowledge about modes of transmission and available treatment options. This study was based in two inner-city hospitals in Brooklyn, New York, Kings County Medical Center and The University Hospital of Brooklyn. The goal of this study was to evaluate the change in knowledge of patients with HCV and their willingness to accept treatment after a single session of on-site education which was delivered as part of a clinic visit. Our patients were from minority ethnic groups, with the majority being African Americans. There was a substantially low knowledge among patients with HCV about the etiologic agent being a virus amongst the twenty five patients who completed the study. After the educational intervention there was an increase in knowledge about risk factors for transmitting HCV, such as unprotected sexual intercourse (100% vs. 88% at baseline), tattooing and body piercing (88% vs. 64% at baseline), and sharing personal items like razors. Knowledge of the risk of developing liver cancer in patients with HCV also increased substantially (96% vs. 77% at baseline). There was a marked increase in the expressed willingness to accept treatment (88% vs. 41% baseline). The results of the educational intervention were very encouraging. These results have implication in setting up a structured educational intervention in liver clinics for HCV patients.
Kapil Gupta; Denise Romney; Muriel Briggs; Karen Benker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of community health     Volume:  32     ISSN:  0094-5145     ISO Abbreviation:  J Community Health     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-16     Completed Date:  2007-10-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7600747     Medline TA:  J Community Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  221-30     Citation Subset:  IM    
Department of Preventive Medicine and Community Health, Division of Hepatology, SUNY Downstate Medical Center, 450 Clarkson Avenue, Box 43, Brooklyn, NY 11203, USA.
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MeSH Terms
African Americans / psychology*
Asian Americans / psychology
Follow-Up Studies
Health Knowledge, Attitudes, Practice*
Hepatitis C, Chronic / ethnology*,  psychology,  therapy
Hispanic Americans / psychology
Hospitals, Urban / statistics & numerical data
Middle Aged
Minority Groups / psychology*
New York City / epidemiology
Patient Acceptance of Health Care / ethnology*,  statistics & numerical data
Patient Education as Topic / methods*
Program Evaluation
Risk Factors
Sexual Behavior
Substance Abuse, Intravenous / complications
Tattooing / adverse effects

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