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Education as a predictor of liver testing behaviour: Insights from a large-scale MASLD awareness survey in India

Kanica Kaushal, Manoj Kumar Sharma, Priyanka Aggarwal, Smriti Singh, Sumridhi Gautam, Anamika Tomar, Guresh Kumar and Siddhesh Mhatre

PLOS ONE, 2025, vol. 20, issue 11, 1-13

Abstract: Introduction: Metabolic dysfunction-associated steatotic liver disease (MASLD) is a growing public health concern, yet awareness remains low. This study aimed to assess MASLD awareness and identify predictors of liver testing behavior in Jaipur, India. Methods: A cross-sectional survey of 2,102 adults was conducted from October 2023 to March 2024. Participants completed a questionnaire assessing liver health knowledge, awareness, and testing history. Logistic regression analyzed predictors of liver testing. Results: Only 5.9% of participants had heard of fatty liver disease, with 94.0% completely unaware. Knowledge of liver functions was extremely low, with only 14.9% recognizing food digestion as a liver function. The liver testing rate was 1.8% overall. Education emerged as the strongest predictor of testing behavior, with graduates and above 8.35 times more likely to be tested than non-graduates (OR=8.35, 95% CI: 3.80–18.37, p

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0335857

DOI: 10.1371/journal.pone.0335857

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