Knowledge and perceptions of hepatitis c infection and pesticides use in two rural villages in EgyptReport as inadecuate

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BMC Public Health

, 14:501

Chronic Disease epidemiology


BackgroundHepatocellular carcinoma HCC, one of the most fatal types of malignancy, is increasing worldwide, and particularly in Egypt where there is a confluence of its contributing factors, including high prevalence of hepatitis C virus HCV infection, widespread use of pesticides, and diets that are contaminated by aflatoxin B1 AFB1 in rural areas. We investigated knowledge, attitudes, and prevention practices related to HCV infection and pesticides use in rural Egypt, where over half of the population resides and agriculture is the predominant occupation.

MethodsFrom two rural villages we recruited 67 residents aged 18–80 years, who completed a 40-item survey that included questions about demographics, knowledge of and protective measures relevant to pesticides use in the home and in agriculture, awareness and perceptions of HCV infection and its treatment and prevention.

ResultsAmong the 67 study participants, gender distribution was equal, the mean age was 47.2, and one third never attended school. More than 50% reported using pesticides at home, but fewer reported having some knowledge about its health effects. Twelve participants were agricultural workers, and 11 of them applied pesticides in the field and knew about their toxicity; however only one person was correctly using the appropriate protective equipment. Among all the participants, 52 did not know what causes HCV infection, and 42 of those who knew it was a virus mentioned incorrect modes of transmission; and 30 did not know the disease manifestations.

ConclusionIn rural Egypt, there is a significant lack of knowledge of HCV infection and its transmission mode and limited use of protective measures against pesticides despite familiarity with these chemicals.

KeywordsHCV Pesticides Liver cancer Hepatocellular carcinoma Knowledge AbbreviationsHBVHepatitis B virus

HCVHepatitis C virus

HCCHepatocellular carcinoma

MENAMiddle East and North Africa.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-14-501 contains supplementary material, which is available to authorized users.

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Author: Doa’a A Saleh - Sania Amr - Irene A Jillson - Judy Huei-yu Wang - Walaa A Khairy - Christopher A Loffredo



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