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

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

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

Suggested Citation

  • Kanica Kaushal & Manoj Kumar Sharma & Priyanka Aggarwal & Smriti Singh & Sumridhi Gautam & Anamika Tomar & Guresh Kumar & Siddhesh Mhatre, 2025. "Education as a predictor of liver testing behaviour: Insights from a large-scale MASLD awareness survey in India," PLOS ONE, Public Library of Science, vol. 20(11), pages 1-13, November.
    • Handle: RePEc:plo:pone00:0335857
    DOI: 10.1371/journal.pone.0335857
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