Study On Hepatitis B Related Discrimination Attitude And Its Influencing Factors In College Students

Objective:To provide a reliable scientific basis for universities carry out comprehensive and systemic activities of Hepatitis B prevention and treatment and hearth education by investigating the attitudes of Changsha college students on chronic carriers of HBV and exploring the influencing factors of HBV discrimination.Methods:Use cross-sectional study and the multi-stage random cluster sampling methods to extract respondents randomly and give them a questionnaire. A self-designed maternal questionnaire and chronic carriers of HBV-related stigma scale in college students (HBV-SS) were used to collect data. Inputting data with Epidata3.02and analyzing them with SPSS17.0. Descriptive analysis, Chi-square Test, Fisher Exact Test, partitions of Chi-square method and binary logistic regression analysis were used to analysis the data.Results:865college students from5universities were selected.839valid questionnaires were received. The total effective rate of questionnaire is98.13%.In HBV-SS, the discrimination rates of item B1,B3, C7, D2and D5are less than10%and that of other items are more than10%. There are7items whose discrimination rate is more than20%.In this investigation, reverse entry scores of C5, D1and D2. There is1.7%to36.11%of respondents intimated that they agree the items of HBV-SS.5items with the highest agreeable number of investigator are unwilling to contact chronic carriers of HBV closely (item C2), compared with other patients with chronic disease, more afraid to reach out to chronic carriers of HBV (item C6), if my classmates are HBV carries, I will be upset (item C4), states should enact laws to require authorities to disclose the infection situations of chronic carriers of HBV (item A1) and the students who are chronic carriers of HBV should move away from dormitory (item D3). The proportion of that was36.11%,35.40%,29.32%,25.86%and25.52%.During the four dimensions of HBV-SS, discrimination rate of the discriminatory attitude dimension is the highest, it is26.94%. The discrimination rate of marked degree is the lowest, it is19.43%. The discrimination rates of stereotype dimension and dimensions are more than25%, they are25.03%and25.27%.In terms of the total scores of HBV-SS, the discrimination rate is24.91%. There are three factors (pre sources(X1), discipline(X2) and whether their acquaintances were chronic carriers of HBV(X3)) which is statistics significant about the attitude towards the hepatitis B virus carriers. Discrimination rate of college students coming from urban are higher than college students coming from rural. Discrimination rate of medical students are higher than non-medical students. Discrimination rate of college students whose acquaintances were chronic carriers of HBV are lower than others.Conclusion:The college students in Changsha have discrimination against chronic carriers of HBV, the overall discrimination rate is24.91%. The influence factors of the discrimination rate are pre sources, discipline and whether their acquaintances were chronic carriers of HBV, and so on. It is necessary to improve college students’ recognition of hepatitis B, popularize medical knowledge and carry out medical literacy.