GANA’NIN KUZEY BÖLGESİ’NDEKİ TAMALE’DE YETİŞKİNLER ARASINDA HEPATİT B ENFEKSİYONUNA İLİŞKİN BİLGİ DÜZEYİ VE TUTUM

Yıl 2020, Cilt: 5 Sayı: 3, 362 - 376, 02.12.2020

Abdul Ghaffar Donkor , Nimetcan Mehmet

https://doi.org/10.35232/estudamhsd.790450

Öz

Bu çalışma, Gana'nın Kuzey Bölgesi'ndeki Tamale şehrinde yaşayan yetişkinler arasında hepatit B enfeksiyonuna ilişkin bilgi düzeyleri ve tutumlarını incelemeyi amaçlamaktadır. Gana, Tamale'deki yetişkinler arasından seçilen kişilerin hepatit B enfeksiyonuna karşı bilgi düzeyi ve tutumlarını değerlendirmek için anket kullanılarak tanımlayıcı bir çalışma yapılmıştır. Çalışmaya katılmayı kabul eden kişilerden veriler toplanmıştır. Çalışma örneği 281 katılımcıdan oluşmaktadır. Katılımcıları çalışmaya dahil etmek için basit rastgele örnekleme yöntemi kullanılmıştır. Veriler SPSS 24.0 kullanılarak analiz edilmiş, çalışma bulguları metin ve tablolar kullanılarak sunulmuştur. Çalışma, katılımcıların yaklaşık olarak yarısının hepatit B enfeksiyonu hakkında yeterli bilgiye sahip olduğunu ortaya koymuştur. Enfeksiyon hakkında yeterli bilgiye sahip olanların bile bazı bilgi eksiklikleri vardır. Çalışma aynı zamanda katılımcıların %64'ünün hepatit B aşılamasına karşı iyi bir tutum sergilediğini de ortaya koymuştur. Hepatit B'ye karşı aşılama yapmayanlar, maliyeti ve aşılamanın önündeki diğer engelleri neden olarak belirtmiştir. Katılımcıların hemen hemen hepsi, hepatit B ile enfekte olduklarını fark ettiğinde tedavi için sağlık tesislerine başvuracaklarını söylemiştir. Çalışma, hepatit B'ye karşı bilgi ve tutumun yeterli olmadığını göstermektedir. Bu nedenle, hepatit B enfeksiyonuna karşı bilgi ve tutumu artırmak için halkı hepatit B enfeksiyonu hakkında daha fazla eğitmek, bunun için daha çok çaba gösterilmesi ve bu enfeksiyona karşı önlem alınması gerekmektedir.

Anahtar Kelimeler

Bilgi, tutum, hepatit B, yetişkinler, Tamale, Gana

KNOWLEDGE AND ATTITUDE TOWARDS HEPATITIS B INFECTION AMONG ADULTS IN TAMALE IN THE NORTHERN REGION OF GHANA

Öz

The study aims to investigate knowledge and attitude towards hepatitis B infection among adults in Tamale, Ghana. A cross sectional study was conducted using self-administered structured questionnaire to assess participants’ level of knowledge and attitude towards hepatitis B infection among adults in Tamale, Ghana. Data was collected from people who agreed to participate in the study. The study sample was 281 participants. Simple random sampling was used to recruit participants. Data was analysed using SPSS version 24 and study findings presented using text and tables. The study revealed that about half of the respondents had good knowledge on hepatitis B infection. There were even some knowledge gaps among the respondents who had good knowledge on the infection. The study also revealed that 63% of the respondents had good attitude towards hepatitis B vaccination. Those who did not vaccinate against hepatitis B indicated the cost and other reasons as the barrier for not vaccinating. Almost all the respondents indicated they will visit health facility for treatment in case they realise they are infected with hepatitis B. The study shows knowledge and attitude towards hepatitis B is not adequate. There is therefore the need to put in more measures to educate the public on hepatitis B in order to improve the public’s knowledge and attitude towards hepatitis B infection.

Anahtar Kelimeler

Knowledge, attitude, hepatits B, adults, Tamale, Gana

Kaynakça

• 1. World Health Organisation. Hepatitis B Key facts. 2018 March, 20. Available from: http://www.who.int/en/news-room/fact-sheets/detail/hepatitis-b. 2017
• 2. World Health Organisation. Hepatitis B Key facts. 2020 October, 23. Available from: https://www.who.int/news-room/fact-sheets/detail/hepatitis-b. 2020
• 3. African Health Observatory. Hepatitis B, a silent killer in Africa and worldwide. 2018, April 30. Available from: http://www.aho.afro.who.int/en/blog/2014/07/28/hepatitis-silent-killer-african-region-and-worldwide
• 4. Owusu-Ansah T. Viral Hepatitis in Ghana: The role of the government. 2018, March 20. Available from: http://www.ghanaweb.com/GhanaHomePage/NewsArchive/Viral-Hepati tis-In-Ghana- The-Role-Of The-Government-222118
• 5. Schweitzer A, Hor JJ, Mikolajczyk RT, Krause G, & Ott JJ. Estimations of worldwide prevalence of chronic hepatitis B virus infection: a systematic review of data published between 1965 and 2013, Lancet. 2015;386(No. 10003):1546–55.
• 6. GhanaWeb. Ghana rated high risk for hepatitis b and c. http://www. ghanaweb.com/GhanaHomePage/health/Ghana-rated-high-risk for- Hepatitis-B-C-280781, 2013. 20th March 2018.
• 7. Teye J. Ghana risks losing productive youth to hepatitis-medical professor. 2018, March 20. Available from: http://www.myjoyonline.com/lifestyle/2015/September-15th/ghana-riskslosing-productive-youth-to-hepatitis-medical-professor.php (2015).
• 8. Beutels, P. Economic evaluations of hepatitis B immunization: A global review of recent studies (1994–2000), Health Econ. 2001;10:751–74.
• 9. GHS 2015 annual report. Ghana health services, Ghana Demographic and Health Survey, 2014.
• 10. Sami SM, Salama II, Elmosalami DM, Abdel-Latif GA, Abdel Hamid AT. Knowledge of and risky behaviours towards hepatitis B virus infection among Egyptian school children, Arab Journal of Gastroenterology. 2015;16:94-8.
• 11. Ul Haq N, Hassali MA., Shafie AA, Saleem F, Farooqui M, & Aljadhey H. A cross sectional assessment of knowledge, attitude and practice towards Hepatitis B among healthy population of Quetta, Pakistan, BMC Public Health, 2012, 12:692.
• 12. Ngaira JAM, Kimotho J, Mirigi I, Osman S, Ng’ang’a Z, Lwembe R, Ochwoto M. Prevalence, awareness and risk factors associated with Hepatitis B infection among pregnant women attending the antenatal clinic at Mbagathi District Hospital in Nairobi, Kenya, Pan African Medical Journal, 2016; 24:315.
• 13. Adjei CA, Asamoah R, Atibila F, Ti-enkawol GN, Ansah-Nyarko M. Mother-to-child transmission of hepatitis B: extent of knowledge of physicians and midwives in Eastern region of Ghana, BMC Public Health, 2016;16:537.
• 14. Bladh F, Ohlson E. (2015). Knowledge about hepatitis B and attitudes towards hepatitis B vaccination among university students in Thailand. Department of Public Health and Caring Science, undergraduate project. Ho Chi Minh City, Uppsala Universitet 2015.
• 15. Abdulai MA, Baiden F, Adjei G, Owusu-Agyei S. Low level of Hepatitis B knowledge and awareness among pregnant women in the Kintampo North Municipality: implications for effective disease control, Ghana medical journal. 2016;50(3)157-62.
• 16. Brouard C, Gautier A, Saboni L, Jestin C, Semaille C, Beltzer N. Hepatitis B knowledge, perceptions and practices in the French general population: the room for improvement, BMC Public Health. 2013;13:576.
• 17. Hyun S, Lee S, William RV, Joseph M. Knowledge, awareness, and prevention of hepatitis b virus infection among Korean American parents, J Immigrant Minority Health, 2017, doi 10.1007/s10903-017-0609-1
• 18. Han Z, Yin Y, Zhang Y, Ehrhardt S, Thio CL Nelson KE, Bai1 X, Hou1 H. Knowledge of and attitudes towards hepatitis B and its transmission from mother to child among pregnant women in Guangdong Province, China, PLoS ONE, 2017, 12(6):e0178671.
• 19. Mtengezo J, Lee H, Ngoma J, Kim S, Aronowitz T, DeMarco R, Shi L. Knowledge and attitudes toward HIV, hepatitis b virus, and hepatitis c virus infection among health-care workers in Malawi, Asia-Pacific Journal of Oncology Nursing. 2016; 3:344-51.
• 20. Shah SA, Chen K., Marneni S, Benchekroune G, Ariganjoye R, Purswani M, Adeniyi AO, Bainbridge R,Timoney MT, Hagmann S. Hepatitis B awareness and knowledge in hepatitis B surface antigen-positive parturient immigrant women from West Africa in the Bronx, New York, Journal of Immigrant and Minority Health. 2013:9914-5. doi: 10.1007/ s10903- 013-9914-5.
• 21. Ganczak M, Dmytrzyk-Daniło G, Korzen M, Drozd-Dabrowska M, Szych Z. Prevalence of HBV infection and knowledge of hepatitis B among patients attending primary care clinics in Poland, J Community Health. 2016; 41:635–44.
• 22. Abongwa LE, Sunjo NS & Afah NG.(2016). Assessment of knowledge, attitude and practice towards hepatitis b among two rural communities of the Anglophone regions in Cameroon, IRA-International Journal of Applied Sciences. 2016; 4(3):490-505.
• 23. Yuan YL, Wei WC, Lei W, Yang XX, Li FW, Jun LF, Fu SW. A survey of knowledge about hepatitis B among new military recruits in China, Military Medical Research. 2017; 4:2.
• 24. Ul Haq N, Hassali MA., Shafie AA, Saleem F, Farooqui M, & Aljadhey H. A cross sectional assessment of knowledge, attitude and practice towards Hepatitis B among healthy population of Quetta, Pakistan, BMC Public Health. 2012; 12:692.
• 25. Vaseem NB, Pankaj KG, Arvind KS, Madhusudan S. Assessment of knowledge, attitude and practice about hepatitis B among clinicians & medical students: A cross sectional study, National Journal of Community Medicine. 2015; 6(3):415-22. 26. Ganczak M, Dmytrzyk-Daniło G, Korzen M, Drozd Dabrowska M, Szych Z. Prevalence of HBV infection and knowledge of hepatitis B among patients attending primary care clinics in Poland, J Community Health. 2016; 41:635–44.
• 27. Gürakar M, Malik M, Keskin O, İdilman R. Public awareness of hepatitis B infection in Turkey as a model of universal effectiveness in health care policy. Turk J Gastroenterol. 2014; 25: 304-8.
• 28. Mkandawire P, Richmond C, Dixon J, Luginaah I.N and Tobias J. Hepatitis B in Ghana's upper west region: a hidden epidemic in need of national policy attention, Health & place. 2013; 23: 89-96.
• 29. Adoba P, Boadu SK, Agbodzakey H, Somuah D, Ephraim RKD, Odame EA. High prevalence of hepatitis B and poor knowledge on hepatitis B and C viral infections among barbers: a cross-sectional study of the Obuasi municipality, Ghana, BMC Public Health, 2015, 15:1041.
• 30. Adeyemi AB, Enabor OO, Ugwu IA, Bello FA, Olayemi OO. Knowledge of hepatitis B virus infection, access to screening and vaccination among pregnant women in Ibadan, Nigeria, Journal of Obstetrics and Gynaecology. 2013; 33:155–9.
• 31. Adekanle O, Ndububa DA, Olowookere SA, Ijarotimi O, Ijadunola KT. Knowledge of hepatitis B virus infection, immunization with hepatitis b vaccine, risk perception, and challenges to control hepatitis among hospital workers in a Nigerian tertiary hospital, Hindawi Publishing Corporation, 2015, doi.org/10.1155/2015/439867.
• 32. Mutocheluh M, Kwarteng K. Knowledge and occupational hazards of barbers in the transmission of hepatitis B and C was low in Kumasi, Ghana, Pan African Medical Journal. 2015; 20:260.
• 33. Ghana Statistical Service, 2010 Population and Housing Census, 2010.