Assessment of hepatitis-related knowledge, attitudes, and practices on quality of life with the moderating role of internalized stigma among hepatitis B-positive patients in Pakistan

ABSTRACTAim: This study aimed to assess the Pakistani hepatitis B patients’ knowledge, attitudes, and practices towards hepatitis management and the impact of self-management on the quality of life of hepatitis B patients as well as the moderating role of stigmatization.Methods: A cross-sectional st...

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Main Authors: Saba Ahmed, Rosario Yslado Méndez, Shaheryar Naveed, Shoaib Akhter, Iqra Mushtaque, Mareen A. Malik, Waqar Ahmad, Roger Norabuena Figueroa, Ammar Younas
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Health Psychology and Behavioral Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/21642850.2023.2192782
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author Saba Ahmed
Rosario Yslado Méndez
Shaheryar Naveed
Shoaib Akhter
Iqra Mushtaque
Mareen A. Malik
Waqar Ahmad
Roger Norabuena Figueroa
Ammar Younas
author_facet Saba Ahmed
Rosario Yslado Méndez
Shaheryar Naveed
Shoaib Akhter
Iqra Mushtaque
Mareen A. Malik
Waqar Ahmad
Roger Norabuena Figueroa
Ammar Younas
author_sort Saba Ahmed
collection DOAJ
description ABSTRACTAim: This study aimed to assess the Pakistani hepatitis B patients’ knowledge, attitudes, and practices towards hepatitis management and the impact of self-management on the quality of life of hepatitis B patients as well as the moderating role of stigmatization.Methods: A cross-sectional study design was used, and the data was collected from a total of 432 hepatitis B positive patients through a self-designed questionnaire. The studied subjects consisted of men (n = 205, 47%), women (n = 165, 38%), and transgender (n = 62, 14%). The obtained data were statistically analyzed using SPSS software version 26.0 for Windows.Results: The mean age of the study participants was 48. Knowledge has a significant positive relationship with hepatitis self-management and quality of life, whereas knowledge has a negative relationship with stigmatization. Furthermore, multivariate analysis revealed that men were more knowledgeable about the disease than women and transgender people (6.14 ± 2.08 vs. 3.23 ± 1.61 vs. 1.03 ± 0.73, F = 8.2**, p = .000). On the scale of attitude and practice, significant gender differences were found. Women had more experience with hepatitis self-management than men or transgender (4.21 ± 13.0 vs. 2.17 ± 6.02 vs. 0.37 ± 0.31, F = 6.21**, p = .000). The regression analysis showed that self-management has a positive association with quality of life (B = 0.36, p = .001). The moderation analysis revealed that stigmatization negatively moderates the relationship between self-management and quality of life (B = −0.53, p = .001).Conclusion: Generally, patients had good knowledge about the disease and its self-management. However, a societal and community-level awareness campaign should be organized on the quality of life and stigmatization of people with chronic illness regarding their human rights, dignity, and physical, mental, and social well-being.
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spelling doaj.art-2c157d45e2c54d0a87198e004cfca2fd2024-03-25T16:25:58ZengTaylor & Francis GroupHealth Psychology and Behavioral Medicine2164-28502023-12-0111110.1080/21642850.2023.2192782Assessment of hepatitis-related knowledge, attitudes, and practices on quality of life with the moderating role of internalized stigma among hepatitis B-positive patients in PakistanSaba Ahmed0Rosario Yslado Méndez1Shaheryar Naveed2Shoaib Akhter3Iqra Mushtaque4Mareen A. Malik5Waqar Ahmad6Roger Norabuena Figueroa7Ammar Younas8Fatima Jinnah Women University, Rawalpindi, PakistanUniversidad Nacional Santiago Antunez de Mayolo, Huaraz, PerúFatima Jinnah Women University, Rawalpindi, PakistanFatima Jinnah Women University, Rawalpindi, PakistanDepartment of Sociology, University of Layyah, Layyah, PakistanDepartment of Psychology, Quaid-e- Azam University, Islmabad, PakistanDepartment of Sociology, University of Layyah, Layyah, PakistanUniversidad Privada San Juan Bautista, Lima, PerúBusiness Law Department, Tashkent State University of Law, Tashkent, UzbekistanABSTRACTAim: This study aimed to assess the Pakistani hepatitis B patients’ knowledge, attitudes, and practices towards hepatitis management and the impact of self-management on the quality of life of hepatitis B patients as well as the moderating role of stigmatization.Methods: A cross-sectional study design was used, and the data was collected from a total of 432 hepatitis B positive patients through a self-designed questionnaire. The studied subjects consisted of men (n = 205, 47%), women (n = 165, 38%), and transgender (n = 62, 14%). The obtained data were statistically analyzed using SPSS software version 26.0 for Windows.Results: The mean age of the study participants was 48. Knowledge has a significant positive relationship with hepatitis self-management and quality of life, whereas knowledge has a negative relationship with stigmatization. Furthermore, multivariate analysis revealed that men were more knowledgeable about the disease than women and transgender people (6.14 ± 2.08 vs. 3.23 ± 1.61 vs. 1.03 ± 0.73, F = 8.2**, p = .000). On the scale of attitude and practice, significant gender differences were found. Women had more experience with hepatitis self-management than men or transgender (4.21 ± 13.0 vs. 2.17 ± 6.02 vs. 0.37 ± 0.31, F = 6.21**, p = .000). The regression analysis showed that self-management has a positive association with quality of life (B = 0.36, p = .001). The moderation analysis revealed that stigmatization negatively moderates the relationship between self-management and quality of life (B = −0.53, p = .001).Conclusion: Generally, patients had good knowledge about the disease and its self-management. However, a societal and community-level awareness campaign should be organized on the quality of life and stigmatization of people with chronic illness regarding their human rights, dignity, and physical, mental, and social well-being.https://www.tandfonline.com/doi/10.1080/21642850.2023.2192782Hepatitisknowledgemanagementquality of lifestigmatization
spellingShingle Saba Ahmed
Rosario Yslado Méndez
Shaheryar Naveed
Shoaib Akhter
Iqra Mushtaque
Mareen A. Malik
Waqar Ahmad
Roger Norabuena Figueroa
Ammar Younas
Assessment of hepatitis-related knowledge, attitudes, and practices on quality of life with the moderating role of internalized stigma among hepatitis B-positive patients in Pakistan
Health Psychology and Behavioral Medicine
Hepatitis
knowledge
management
quality of life
stigmatization
title Assessment of hepatitis-related knowledge, attitudes, and practices on quality of life with the moderating role of internalized stigma among hepatitis B-positive patients in Pakistan
title_full Assessment of hepatitis-related knowledge, attitudes, and practices on quality of life with the moderating role of internalized stigma among hepatitis B-positive patients in Pakistan
title_fullStr Assessment of hepatitis-related knowledge, attitudes, and practices on quality of life with the moderating role of internalized stigma among hepatitis B-positive patients in Pakistan
title_full_unstemmed Assessment of hepatitis-related knowledge, attitudes, and practices on quality of life with the moderating role of internalized stigma among hepatitis B-positive patients in Pakistan
title_short Assessment of hepatitis-related knowledge, attitudes, and practices on quality of life with the moderating role of internalized stigma among hepatitis B-positive patients in Pakistan
title_sort assessment of hepatitis related knowledge attitudes and practices on quality of life with the moderating role of internalized stigma among hepatitis b positive patients in pakistan
topic Hepatitis
knowledge
management
quality of life
stigmatization
url https://www.tandfonline.com/doi/10.1080/21642850.2023.2192782
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