摘要
Abstract
Objective:Currently,the infection rate of Helicobacter pylori(H.pylori)in China remains high,ranging from 40%to 50%.Its infection is associated with the occurrence and development of gastric and multisystem extragastric diseases.Although H.pylori eradication is highly cost-effective,clinical practice has shown that many people are unaware of H.pylori and some choose not to undergo eradication even when the infection is detected.This study aims to investigate the factors influencing the awareness and treatment willingness of H.pylori among the general population,providing a basis for clinicians to identify key targets for H.pylori education and improve motivation and adherence to treatment.
Methods:A self-designed questionnaire on H.pylori related knowledge and a treatment willingness scale was used.In September and October 2022,offline surveys were conducted on patients or their relatives at the Third Xiangya Hospital through convenience sampling,and online questionaries were collected through a"snowballing"method.Factors influencing the level of awareness and treatment willingness of H.pylori were determined through univariate and multivariate analysis.
Results:A total of 518 valid questionnaires were included.Among them,127 individuals(24.5%)had low awareness of H.pylori,143 individuals(27.6%)had moderate awareness,and 248 individuals(47.9%)had high awareness.Females,age≤40 years,higher level of education,students,healthcare workers,those who have been tested for H.pylori,and those whose acquaintances have been diagnosed or treated for H.pylori had higher awareness levels of H.pylori.Among all participants,77 individuals(14.9%)held an uncertain attitude or were unwilling to undergo treatment for H.pylori.Males,not being examined for H.pylori,acquaintances not being diagnosed or treated for H.pylori,and moderate to low awareness levels of H.pylori were independent risk factors influencing treatment willingness of H.pylori.Among them,low awareness level was the main factor for patients being unwilling to eradicate H.pylori.
Conclusion:There is a lack of H.pylori education.H.pylori education should be focused on males,the elderly,people with lower education level,farmers,and laborers.关键词
幽门螺杆菌/认知度/治疗意愿/问卷调查Key words
Helicobacter pylori/awareness/treatment willingness/questionnaire survey
