Bridging Gaps in Hepatitis B Virus Prevention: A Systematic Review and Meta-Analysis of Knowledge, Attitudes and Preventive Practices in Ethiopia.
Background: Hepatitis B virus (HBV) infection continues to pose a significant global health challenge, with prevention efforts heavily dependent on individuals' knowledge, attitudes, and practices. Recognizing the critical role of comprehensive data in shaping policy, we sought to pool estimates fro...
| Publicado en: | Health Services Insights Vol. 19; pp. 1 - 23 |
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| Autores principales: | , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
7/17/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195471610&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195471610 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11786329 B10H jtl: Health Services Insights issn: 11786329 maglogo: Y pubinfo: dt: 7/17/2026 vid: 19 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 195471610 195471610 195471610 10.1177/11786329261470986 195471610 ppf: 1 ppct: 22 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Bridging Gaps in Hepatitis B Virus Prevention: A Systematic Review and Meta-Analysis of Knowledge, Attitudes and Preventive Practices in Ethiopia. aug: au: Woldegeorgis, Beshada Zerfu Ekubazgi, Kinfe Woldu Urgesa, Ermiyas Abera Kassie, Gizachew Ambaw Gebrekidan, Amanuel Yosef Asgedom, Yordanos Sisay affil: Division of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia sug: subj: Hepatitis B Prevention and Control Attitude to Health Health Knowledge Health Behavior Human Systematic Review Meta Analysis Male Female PubMed Embase Descriptive Statistics Data Analysis Software Checklists Confidence Intervals Odds Ratio Illiteracy Male Female ab: Background: Hepatitis B virus (HBV) infection continues to pose a significant global health challenge, with prevention efforts heavily dependent on individuals' knowledge, attitudes, and practices. Recognizing the critical role of comprehensive data in shaping policy, we sought to pool estimates from primary studies conducted across various regions of Ethiopia. Methods: Full text studies published in English from December 31st 2010 to May 31st, 2025 were identified through searches in the PubMed, Embase, Web of Science, African Journals Online, Google Scholar, and Scopus databases using the medical subject headings and text words. The protocol was registered in the PROSPERO and the results were reported accordance with the PRISMA 2020. The heterogeneity was evaluated graphically and using statistical methods. Publication bias was assessed with a funnel plot and Egger's regression (significant at P ≤ 0.05). A random-effects meta-analysis was performed to calculate the pooled estimates. Results: The search identified 980 records and 26 studies met the eligibility criteria and were included. The pooled prevalence of a good level of knowledge, favorable attitudes, and good prevention practices was 47.45% (95% confidence interval (CI) 36.53, 58.36), 50.48% (95% CI 38.65, 62.30), and 36.22% (95% CI 27.22, 45.23), respectively. In the subgroup analysis, a good level of knowledge among barbers was only 11.14% (95% CI 8.55–13.74). Being a rural resident (pooled odds ratio (pOR) = 2.25, 95% CI 1.39, 3.63), illiterate (pOR = 2.22, 95% CI 1.30, 3.76), having poor knowledge (pOR = 2.13, 95% CI 1.56, 2.91), and having unfavorable attitudes (pOR = 3.56, 95% CI 1.17, 10.81) were significantly associated with poor HBV prevention practices. Conclusions and recommendations: The results revealed elevated gaps in knowledge, attitudes, and practices related to the prevention of HBV infection. These results highlight the urgent need to strengthen public awareness campaigns, integrate HBV modules into adult literacy programs, and develop culturally sensitive communication strategies to counter cultural myths that hinder positive attitudes and practices toward HBV prevention and care, establish mobile clinics for rural communities, promote adult education programs for rural communities in local languages. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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