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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Risk perception and priority setting for intervention among hepatitis C virus and environmental risks: A cross-sectional survey in the Cairo community
BMC Public Health, Volume 10, Article 773, Year 2010
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Description
Background. Hepatitis C virus (HCV) recently emerged as a major public health hazard in Egypt. However, dramatic healthcare budget constraints limit access to the costly treatment. We assessed risk perception and priority setting for intervention among HCV, unsafe water, and outdoor air pollution in Cairo city. Methods. A survey was conducted in the homes of a representative sample of household heads in Cairo city. Risk perception was assessed using the "psychometric paradigm" where health hazards are evaluated according to several attributes and then summarized by principal component analysis. Priority setting was assessed by individual ranking of interventions reducing health hazards by 50% over five years. The Condorcet method was used to aggregate individual rankings of the three interventions (main study) or two of three interventions (validation study). Explanatory factors of priority setting were explored in multivariate generalized logistic models. Results. HCV was perceived as having the most severe consequences in terms of illness and out-of-pocket costs, while outdoor air pollution was perceived as the most uncontrollable risk. In the main study (n = 2,603), improved water supply received higher priority than both improved outdoor air quality (60.1%, P < .0001) and screening and treatment of chronic hepatitis C (66.3%, P < .0001), as confirmed in the validation study (n = 1,019). Higher education, report of HCV-related diseases in the household, and perception of HCV as the most severe risk were significantly associated to setting HCV treatment as the first priority. Conclusions. The Cairo community prefers to further improving water supply as compared to improved outdoor air quality and screening and treatment of chronic hepatitis C. © 2010 Schwarzinger et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Schwarzinger, Michaël
France, Paris
Inserm
United States, Stanford
Stanford University School of Medicine
Mohamed, Mostafa K.
Egypt, Cairo
Faculty of Medicine - Ain Shams University
Gad, Rita Raafat
Egypt, Cairo
Faculty of Medicine - Ain Shams University
Dewedar, Sahar A.
Egypt, Cairo
Faculty of Medicine - Ain Shams University
Fontanet, A. L.
France, Paris
Institut Pasteur, Paris
Carrat, Fabrice
France, Paris
Inserm
France, Paris
Ap-hp Assistance Publique - Hopitaux de Paris
Luchini, Stéphane
France, Paris
Cnrs Centre National de la Recherche Scientifique
Statistics
Citations: 7
Authors: 7
Affiliations: 6
Identifiers
Doi:
10.1186/1471-2458-10-773
e-ISSN:
14712458
Research Areas
Environmental
Health System And Policy
Infectious Diseases
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Egypt