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The Lived Experience of Chronic Hepatitis B: A Broader View of Its Impacts and Why We Need a Cure
Thomas Tu1, Joan M Block2, Su Wang3,4
1Storr Liver Centre, Westmead Clinical School and Westmead Institute for Medical Research, Faculty of Medicine and Health, The University of Sydney, Westmead, NSW 2145, Australia.
Insights
Chronic hepatitis B (CHB) causes significant psychosocial harms, including fear, stigma, and financial instability, impacting diagnosis and treatment. A cure for hepatitis B virus infection is crucial to alleviate these lifelong burdens.
Area of Science:
- Hepatology
- Public Health
- Psychosocial Medicine
Background:
- Chronic hepatitis B (CHB) is a prevalent, incurable liver disease with severe physical complications like cirrhosis and cancer.
- Societal impacts of CHB are recognized, but often focus narrowly on mortality, morbidity, and economic factors.
- Individuals with CHB often experience lifelong asymptomatic infection, yet face significant, underappreciated psychosocial burdens.
Purpose of the Study:
- To review the wide-ranging psychosocial harms associated with chronic hepatitis B.
- To emphasize how these psychosocial factors influence patient diagnosis, management, and treatment.
- To highlight the role of the research community in mitigating these impacts and advocate for a cure.
Main Methods:
- Literature review of psychosocial impacts of CHB.
- Analysis of the interplay between psychosocial factors and clinical management.
- Discussion of research community's role and potential solutions.
Main Results:
- Psychosocial harms include fear, anxiety, financial instability, stigma, discrimination, and social rejection.
- These impacts significantly affect patient engagement in diagnosis, management, and treatment of CHB.
- A cure for hepatitis B virus (HBV) infection is identified as a key factor in alleviating psychosocial burdens.
Conclusions:
- Greater recognition of the full spectrum of CHB impacts, including psychosocial aspects, is essential.
- Addressing psychosocial harms is critical for delivering effective and meaningful results for the global CHB community.
- Research efforts should focus on developing a cure for HBV to mitigate lifelong patient suffering.
Abstract:
Chronic hepatitis B (CHB) is one of the most widespread liver diseases in the world. It is currently incurable and can lead to liver cirrhosis and cancer. The considerable impacts on society caused by CHB through patient mortality, morbidity, and economic loss are well-recognised in the field. This is, however, a narrow view of the harms, given that people living with CHB can be asymptomatic for the majority of their life-long infection. Of less-appreciated importance are the psychosocial harms, which can continue throughout an affected person's lifetime. Here we review the broad range of these impacts, which include fear and anxiety; financial loss and instability; stigma and discrimination; and rejection by society. Importantly, these directly affect patient diagnosis, management, and treatment. Further, we highlight the roles that the research community can play in taking these factors into account and mitigating them. In particular, the development of a cure for hepatitis B virus infection would alleviate many of the psychosocial impacts of CHB. We conclude that there should be a greater recognition of the full impacts associated with CHB to bring meaningful, effective, and deliverable results to the global community living with hepatitis B.
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