Preprint Communication Version 1 Preserved in Portico This version is not peer-reviewed

Chronic Viral Hepatitis in Children: Socio-Economic Implications in Romania

Version 1 : Received: 18 May 2023 / Approved: 19 May 2023 / Online: 19 May 2023 (05:07:14 CEST)

How to cite: Dijmărescu, I.; Coroleuca, A.; Dijmarescu, A.D. Chronic Viral Hepatitis in Children: Socio-Economic Implications in Romania. Preprints 2023, 2023051381. https://doi.org/10.20944/preprints202305.1381.v1 Dijmărescu, I.; Coroleuca, A.; Dijmarescu, A.D. Chronic Viral Hepatitis in Children: Socio-Economic Implications in Romania. Preprints 2023, 2023051381. https://doi.org/10.20944/preprints202305.1381.v1

Abstract

In the present research, chronic viral hepatitis in children is approached from a multidisciplinary point of view, considering social status, economic and medical aspects. We conducted a 4-year observational prospective study. A questionnaire regarding the socio-economic status of pediatric patients diagnosed with chronic viral hepatitis B or C was applied. In total, 159 patients were included, 52 % from urban areas, 2.5 % coming from centres for abandoned children. Among 119 school-aged children, 66% were attending classes. All patients are registered with a general practitioner. Regarding the monthly income per family, 49% had less than 1000 RON (5 RON = 1$), of which 17% had no income, 28% had an income ranging between 1000 and 2000 RON and in only 23% of cases the income exceeded 2000 RON (5% had more than 4000 RON). There were between 3 and 12 members per family. Concerning parents` educational level, the average years of study for mothers was 7.8, while for fathers, it was 8.2. For 17 % of children, at least one of the parents was illiterate, and for 5.6 %, both parents were illiterate. For a third of patients, both parents were unemployed. Regarding social living conditions, 38.4% did not have water facilities or sewerage, and 32 % used personal objects (scissors, nail clippers) in common. The socio-economic level can have a significant impact on disease epidemiology (infectiousness) and access to treatment, and it is tightly related to educational level and access to information, which are critical factors in disease prevention through general and specific measures and in disease management (treating infected patients and limiting the transmission).

Keywords

chronic viral hepatitis; socio-economic status; children

Subject

Public Health and Healthcare, Public Health and Health Services

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