Assessing the relationship between knowledge, attitude, and practice toward hepatitis C virus among medical waste handlers in Sidama, Ethiopia: A structural equation modeling approach
{"title":"Assessing the relationship between knowledge, attitude, and practice toward hepatitis C virus among medical waste handlers in Sidama, Ethiopia: A structural equation modeling approach","authors":"Birhanu Betela Warssamo","doi":"10.1016/j.pcorm.2025.100558","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Medical waste handlers are highly exposed to hepatitis C virus. Assessing their knowledge, attitude, and practice is essential for prevention. This study examined their knowledge, attitude, and practice toward HCV using structural equation modeling.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among 282 medical waste handlers in Sidama region, Ethiopia from Oct 2021 – July 2022. Data were collected by structured questionnaire. Reliability and validity were confirmed. Descriptive statistics and structural equation modeling were performed using STATA 14 software.</div></div><div><h3>Results</h3><div>The study showed 55.1 %, 95 % CI: (50.23, 60.96) had good knowledge, 63.5 %, 95 % CI: (58.60, 65.70) had favorable attitude and 51.9 %, 95 % CI: (49.40, 55.43) had good practice. Knowledge significantly influenced both attitude and practice, while attitude had a direct effect on practice. Knowledge also exhibited a significant indirect effect (<span><math><mover><mi>β</mi><mo>^</mo></mover></math></span>= 0.11, 95 % CI= (0.008, 0.212), p = 0.035) and a total effect (<span><math><mover><mi>β</mi><mo>^</mo></mover></math></span>= 0.50, 95 % CI= (0.198, 0.802), p = 0.002) on practice through attitude. Additionally, frequency of reading newspapers, watching TV, listening to the radio, internet usage, years of experience, age, and monthly income had significant indirect and total effects on attitude through knowledge. Similarly, these variables, along with household size, had significant indirect and total effects on practice through knowledge.</div></div><div><h3>Conclusion</h3><div>Knowledge is critical to improving both attitudes and practices toward HCV prevention. Training programs, media campaigns, and socioeconomic improvements are recommended.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"41 ","pages":"Article 100558"},"PeriodicalIF":1.0000,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perioperative Care and Operating Room Management","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2405603025000998","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Medical waste handlers are highly exposed to hepatitis C virus. Assessing their knowledge, attitude, and practice is essential for prevention. This study examined their knowledge, attitude, and practice toward HCV using structural equation modeling.
Methods
A cross-sectional study was conducted among 282 medical waste handlers in Sidama region, Ethiopia from Oct 2021 – July 2022. Data were collected by structured questionnaire. Reliability and validity were confirmed. Descriptive statistics and structural equation modeling were performed using STATA 14 software.
Results
The study showed 55.1 %, 95 % CI: (50.23, 60.96) had good knowledge, 63.5 %, 95 % CI: (58.60, 65.70) had favorable attitude and 51.9 %, 95 % CI: (49.40, 55.43) had good practice. Knowledge significantly influenced both attitude and practice, while attitude had a direct effect on practice. Knowledge also exhibited a significant indirect effect (= 0.11, 95 % CI= (0.008, 0.212), p = 0.035) and a total effect (= 0.50, 95 % CI= (0.198, 0.802), p = 0.002) on practice through attitude. Additionally, frequency of reading newspapers, watching TV, listening to the radio, internet usage, years of experience, age, and monthly income had significant indirect and total effects on attitude through knowledge. Similarly, these variables, along with household size, had significant indirect and total effects on practice through knowledge.
Conclusion
Knowledge is critical to improving both attitudes and practices toward HCV prevention. Training programs, media campaigns, and socioeconomic improvements are recommended.
期刊介绍:
The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.