Objective To evaluate the extent to which clinical doctors in Hebei Province have mastered the knowledge associated with the prevention and control of viral hepatitis C and its influencing factors, and supply a scientific basis to further improve and perfect the prevention and control strategies of hepatitis C. Methods The on-site investigation adopted the "Questionnaire on Hepatitis C Prevention and Treatment Knowledge for Clinical Doctors" devised by the National AIDS Prevention and Control Center. Its components involved demographic traits, fundamental prevention and treatment knowledge, diagnosis and treatment standards, as well as case reporting requirements, and others. Categorical variables were described using proportions and rates.The influencing factors of awareness of hepatitis C knowledge were studied by using the χ2 test and multivariable logistic regression method. Results This survey obtained 2 858 questionnaires in total, and every single one of them was valid. The awareness rate of basic knowledge and professional knowledge was 95.31% (2 724/2 858) and 14.49% (414/2 858), respectively.In terms of basic knowledge content, the correct answer rate for "Hepatitis C can be cured" was the lowest, at 86.28%, while the correct answer rates for other questions were all above 90%. Regarding professional knowledge, 50% (8/16) of the questions had a correct answer rate below 50%. Among these, the question on "Diagnostic basis for diagnosing hepatitis C" had the lowest correct answer rate, at 13.89%. The educational background, department, hospital level and type of clinical doctor, as well as whether they have received hepatitis C knowledge training in the past year, all have an impact on their knowledge of hepatitis C. Doctors with a master’s degree or above had higher knowledge levels than those with a master’s degree or below (OR=2.324, 95% CI:1.706-3.166). Doctors in infectious diseases had higher knowledge levels than those in non-infectious diseases such as internal medicine (OR=0.275, 95% CI: 0.159-0.475). Doctors in tertiary hospitals had higher knowledge levels than those in secondary and lower-level hospitals (OR=1.462, 95% CI: 1.044-2.048). Doctors in provincial hospitals were better than those in county and municipal hospitals (OR=2.869, 95% CI: 1.978-4.161). Doctors who have received prevention and treatment knowledge training in the past year were higher than those who have not received training (OR=3.144, 95% CI: 2.386-4.143). Conclusion While many clinical doctors in Hebei Province have mastered the fundamental knowledge about hepatitis C prevention and treatment quite well, the level of their professional knowledge needs to be improved. Attention should be paid to strengthening the training on diagnosis, treatment and case reporting, etc. At the same time, differentiated training programs should be formulated for different groups to effectively improve the diagnosis and treatment level of clinicians.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |