American Journal of Nursing Research
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American Journal of Nursing Research. 2020, 8(1), 60-71
DOI: 10.12691/ajnr-8-1-7
Open AccessArticle

Effect of Health Educational Guideline for Barbers about Hepatitis B and C in Port Said City

Mona Abd-El Sabour Hassan1, , Magda Ali Mohamed1 and Ateya Megahed Ibrahim1

1Family and Community Health Nursing, Faculty of Nursing, Port Said University

Pub. Date: November 25, 2019

Cite this paper:
Mona Abd-El Sabour Hassan, Magda Ali Mohamed and Ateya Megahed Ibrahim. Effect of Health Educational Guideline for Barbers about Hepatitis B and C in Port Said City. American Journal of Nursing Research. 2020; 8(1):60-71. doi: 10.12691/ajnr-8-1-7


Background: Hepatitis B and hepatitis C have some common epidemiological characteristics, and have infected millions of people throughout the world. During haircut, shave, or pedicure, barbers may accidentally expose to their clients' blood, transmit their own infection to them, or transmit the infection from one client to another. Aim: to evaluate the effect of health educational guidelines for barbers about hepatitis B and C in Port Said City. Design: A quasi-experimental research design with pre-post-test was utilized for this study. Sample size: It was carried on 245 barbers; 187 males and 58 females. Setting: the study was conducted at all certified barbers shops (82 shops) located in Port Said city. Tools: Three tools were used to collect data, knowledge of barber about HCV and HBV questionnaire, observational checklist for barbers ’practice regarding HCV and HBV & barbers' attitude scale. Results: 78 % of the study group had poor total level of knowledge, 97.3% had unsatisfactory total practice as well as 95.2% had total negative attitude before conducting the educational guidelines. A highly statistically significant improvement was detected after implementation of the guidelines in their total level of good knowledge (80.7%), satisfactory practice (94.6%) and positive attitude (97.8%). There was a statistically significant positive correlation between the study group's total knowledge score and total practice score. Conclusion: More than three quarters of the study group had poor total knowledge, most of them had negative attitude as well as unsatisfactory total practice regarding HCV and HBV before application of the educational guidelines, a remarkable improvement in knowledge, practice and attitude after implementation of the health educational guidelines, had been detected with highly statistically significant differences between pre and post phases. Also the implementation of the educational guidelines had been the most predictor variable. Recommendation; More educational programs for improving knowledge, practices and healthy attitude of barbers should be integrated into their training programs, evaluation of the long-term effects of such education programs are also recommended. Replication of similar specific studies using large probability samples at different settings is highly recommended.

Barbers Educational Guidelines Hepatitis B and C

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[1]  Mohamoud Y, Mumtaz G, Riome S, Miller DeWolfe and Abu-Raddad L, (2012): The epidemiology of hepatitis C virus in Egypt: A systematic review and data synthesis, Bio-Medical Center of Infectious Diseases; pp 13: 288.
[2]  Shah, H., Dar, M., Jamil, A., Atif, I., Ali, R., Sindhu, A., &Usmani, A. (2015). Knowledge, Attitudes, and Practices of the Hepatitis B and C among Barbers of Urban and Rural Areas of Rawalpindiand Islamabad. J Ayub Med Coll Abbottabad; 27(4): 832-736.
[3]  Franco E, Bagnato B, Marino MG, Meleleo C, Serino L, Zaratti L.(2012). Hepatitis B: Epidemiology and prevention in developing countries. World J Hepatol. 4(3):74-80.
[4]  Elizabeth, W.,& Ramsey, C. (2011). Global Epidemiology of Hepatitis B Virus (HBV) Infection. NAJMS 4(1): 7-13.
[5]  Messina, J., Humphreys, I., Flaxman, A., Brown, A., Cooke, G., Pybus, O., Barnes, E. (2015). Global Distribution and Prevalence of Hepatitis C Virus Genotypes. Hepatology; 61(1): 77-87.
[6]  Daka, D. (2017). Barber’s knowledge and practice of biological hazards in relation to their occupation: A case of Hawassa Town, Southern Ethiopia. J. Public Health Epidemiol. 9(8): 219-225.
[7]  Waheed, Y., Sher, Z., &Qadri, I. (2011). Role of Potash Alum in Hepatitis C virus Transmission at Barber's Shop. Virol. J; 8(1): 211.
[8]  Petruzziello A, Marigliano S, Loquercio G, Cozzolino A, Cacciapuoti C. Global epidemiology of hepatitis C virus infection: An up-date of the distribution and circulation of hepatitis C virus genotypes. World J Gastroenterology. 2016; 22(34): 7824-40.
[9]  Shalaby S, Kabbash IA, El Saleet G, Mansour N, Omar A, El NawawyA. Hepatitis B and C viral infection: prevalence, knowledge, attitude and practice among barbers and clients in Gharbia governorate, Egypt, East Mediterr Health J 2012; 16 (1): 10-7.
[10]  Khosravanifard B, Rakhshan V, Najafi-salehi L, Sherafat S. Tehran D.’ knowledge and attitudes towards hepatitis B and their willingness to treat simulated hepatitis B positive patients. EMHJ. 2014; 20 (8):498-507.
[11]  Biadgelegn, F., Belyhun, Y., Anagaw, B., Woldeyohannes, D.,Moges, F., Bekele, A., &Mulu, A. (2012). Potential risk of HIV transmission in barbering practice in Ethiopia: from public health and microbiological perspectives. BMC Public Health. 12(707):1-14.
[12]  Mele, A. (2010). Beauty treatments and risk of parenterally transmitted hepatitis: results from the hepatitis surveillance system in Italy. Scandinavian Journal of Infectious Diseases; 27(5): 441- 444.
[13]  Mariano, A. (2011). Role of beauty treatment in the spread of parenterally transmitted hepatitis viruses in Italy. Journal Medical Virology; 74 (67): 216-220.
[14]  World Health Organization (2011). Weekly epidemiological record. Bulletin of the World Health Organisation, 276 (181), 12-13.
[15]  Mutocheluh, M., & Kwarteng, K. (2015). Knowledge and occupational hazards of barbers in the transmission of hepatitis B and C was low in Kumasi, Ghana. Pan Afr Med J; 20 (260): 1-7.
[16]  Dahlström, E., & Viberg, E. F. (2013). Knowledge about hepatitis B virus infection and attitudes towards hepatitis B virus vaccination among Vietnamese university students in Ho Chi Minh City. Retrieved from diva portal organization:
[17]  Aluko, O., Adebayo, A., Adebisi, T., Ewegbemi, M., Abidoye, A., &Popoola, B. (2016). Knowledge, attitudes and perceptions of occupational hazards and safety practices in Nigerian healthcare workers. BMC Res Notes; 9 (71): 1-14.
[18]  Razavi H, Elkhoury AC, Elbasha E, Estes C, Pasini K, Poynard T, et al. Chronic hepatitis C virus (HCV) disease burden and cost in the United States. Hepatology (Baltimore, Md). 2013; 57(6): 2164-70.
[19]  Mohamoud Y, Mumtaz G, Riome S, Miller DeWolfe and Abu-Raddad L, (2012): The epidemiology of hepatitis C virus in Egypt: A systematic review and data synthesis, Bio-Medical Center of Infectious Diseases; pp 13: 288.
[20]  WHO. Hepatitis C fact sheet no. 164 [updated July 2015]. 2016. 5.
[21]  Abdelrahim, S., Mohamed, M., Ahmed, S., & Zakria, M. (2015). Sero-prevalence, Knowledge, Attitude and Practices among Barbers and Their Customers Regarding HCV and HBV in Assiut District, Egypt.IOSR Journal of Nursing and Health Science. 4(3): 19-30.
[22]  Abubakar, A., Dangana, I., John, B., Gobir, A., Ibrahim, M., Umar, A., Bashir, S., Shehu, A. (2017). Perceptions and practices related to health hazards of patronizing traditional nail cutters and barbers among market men in Samaru – North Western Nigeria. Sub-Saharan African Journal of Medicine. 4(2): 37-42.
[23]  Al-Thaqafy M, Balkhy H, Memish Z, Makhdom Y, Ibrahim A, Al-Amri A and Al-Thaqafi A, (2009): Improvement of the low knowledge, attitude and practice of hepatitis B virus infection among Saudi National Guard personnel after educational intervention, BMC research notes, pp 5:597.
[24]  Khairkhah, T., Shamsa, A., Roohi, A., Khoshnoodi, J., V and Rajabpour, F., Tabrizi, M., Zarei, S., Golsaz-Shirazi, F., & Shokri, F. (2016). Analysis of Knowledge, Attitudes, and Prevalence of Hepatitis B and C Seromarkers Among Barbers in Tehran. Hepat Mon; 16(9):1-8.
[25]  Jokhio, A., Bhatti, T., &Memon, M. (2010). Knowledge, attitudes and practices of barbers about hepatitis B and C transmission in Hyderabad, Pakistan. East Mediterr Health J; 16(10): 1079-84.
[26]  Aziz, S., Atif, I., Sadiq, T., & Rashid, F. (2016). Knowledge, Attitude and Practices of Barbers about Hepatitis B&C Transmission in Islamabad. JIIMC; 11(3):103-107.
[27]  Abbasi, I. Fatmi, Z., Kadir, M., & Sathiakumar, N. (2014). Prevalence of hepatitis B virus infection among barbers and their knowledge, attitude and practices in the district of Sukkur, Sindh. Int J Occup Med Environ Health; 27(5): 757-765.
[28]  Mahmood, H., & Hassan, E. (2018). Assessment Barbers Knowledge is and Practice's About Hepatitis Virus in Mosul City. Mosul Journal of Nursing; 11(6):488-493.
[29]  Abdullah, L., Anfal, A., Sarah, A., Shatha, A., Wafaa, J., Hatim, A., & Salman, L. (2017). Knowledge and practices of beauty shop workers regarding blood borne diseases in Abha and Khamis Mushait: a cross sectional study. International Journal of Advanced Research; 5(6): 330-336.
[30]  Krishanani, M., Ali, F., Khuwaja, A., Qidwai, W., & Ali, B. (2014). Educational Intervention among Barbers to Improve Their Knowledge regarding HIV/AIDS: A Pilot Study from a South Asian Country. J Health Popul Nutr; 32(3): 386-390.
[31]  Amodio, E., Benedetto, M., Gennaro, L., Maida, C., & Romano, N. (2009). Knowledge, attitudes and risk of HIV, HBV and HCV infections in hairdressers of Palermo city (South Italy).The European Journal of Public Health; 20(4):433-7.
[32]  Alemairy, A., Ahmed, H., Swareldahab, Z., Saad, F., Alaimeri, A., Alemairy, A. & Elhassan, M. (2016). HIV, HBV and HCV Knowledge and Practice among Barbers and Women Hairdressers (coiffeurs): A Cross Sectional Study in Khartoum State. American Journal of Epidemiology and Infectious Disease; 4(5), 84-90.
[33]  Ataei, B. &Shirani, K. (2012). Evaluation of knowledge and practice of hairdressers in men's beauty salons in Isfahan about hepatitis B, hepatitis C, and AIDS in 2010 and 2011. Advanced Biomedical Research; 1(4):1-6.
[34]  Hakim, S., & Abdel-Hamid, M. (2019). Occupational health risks of hairdressers: knowledge, practice, and self- reported symptoms. Egyptian Journal of Occupational Medicine; 43 (1): 161-174.
[35]  Almasi, A., Mohamadi, M., Poursadeghiyan, M., Sohrabi, Y., Mohamadi, S., &Komijani, M. (2016). Knowledge, Attitude and Performance of Female Barbers in Relation to Job's Environmental Health: A Case Study of Malayer City. Iranian Journal of Health, Safety & Environment; 3(3): 573-577.
[36]  Almasi, A., Dargahi, A., Mohammadi, M., Amirian, F., Shokri, A., & Tabandeh, L. (2016). Comparative study of awareness, attitude, and performance of hairdressers in west regions of Iran in terms of personal hygiene, decontamination of tools and devices, and general status of building. Journal of Chemical and Pharmaceutical Sciences; 9 (4):3065-3062.
[37]  Nassaji et al., (2015).The Effects of Interventional Health Education on the Conditions of Hairdressing Salons and Hairdressers Behaviors. Middle East J Rehabil Health; 2(1):1-6.
[38]  Hussain, I., Bilal, K., Afzal, M., & Arshad, U. (2018). Knowledge and practices regarding hepatitis B virus infection and its prevalence among barbers of rural area of Rahim Yar Khan. JSZMC; 9(2):1423-1426.
[39]  Eyo, U., & Ukpe, E. (2016). Knowledge, Attitudes and Practices of Hand Washing Towards the Prevention of Transmissible Diseases among Hair Dressers in Uyo Metropolis of AkwaIbom State. European Journal of Business and Management; 8 (22): 223-232.
[40]  Wakjira, A. (2017). Assessment on Knowledge, Attitude and Practice with Regard to the Transmission and Prevention of HIV/AIDS among Barbers and Beauty Salon Workers in Hossana Town, Ethiopia. JBR Journal of Clinical Diagnosis and Research; 5(1): 1-8.
[41]  Ismail, M. (2017). Knowledge, attitudes and practices among male hairdressers towards HIV/AIDS. Ejpmr; 4 (5): 6-10.
[42]  Jabari, (2016). From the Bench to the Barbershop: Community Engagement to Raise Awareness about CA-MRSA and HCV. Prog Community Health Partnersh; 10(3): 413-423.
[43]  Haughtigan, K., Main, E., Underwood, T., & Watkins, C. (2017). Occupational Skin Disease Prevention an Educational Intervention for Hairdresser Cosmetology Students. Workplace Health Saf; 65(11):539-545.
[44]  Bregnhøj, A., Menné, T., Johansen, J., & Søsted, H. (2012). Prevention of hand eczema among Danish hairdressing apprentices: an intervention study. Occup Environ Med; 69(5): 310-6.
[45]  Abdolahi, A., Anaraki, R., Khodabakhshi, M., &Behnampoor, N. (2013). Determination of Knowledge, attitude and performance (KAP) of Golestan university medical science nurses about hospital infection control. Journal of Gorgan University Medical Science; 5 (11): 80-86.
[46]  Ghiasi, M., zadeh, M., Khamirchi, R., Akabery, A. (2008).Survey of acknowledge attitude and performance of Sabzevar barber relation to hepatitis B in 2008. Journal of Sabzevar University; 14(3, 4): 2-9.
[47]  Bawany, F., Khan, M., Shoaib, A., Naeem, M., Kazi, A., Shehzad, A. (2014).Knowledge and Practices of Barbers Regarding HIV Transmission in Karachi: A Cross Sectional Study. J community health; 39 (1):1-5.