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ObjectiveTo visualize the international research hotspots and frontiers of primary healthcare workers burnout during the COVID-19 pandemic based on CiteSpace. MethodsPublications from January 1 2020 to November 1 2022 were retrieved from the web of science core collection database. Annual published articles， keyword co-occurrence， cluster analysis and emergent word evolution were analyzed. Using CiteSpace 5.8.R3 and Excel 2017， visualized knowledge graphs and the data tables were generated. ResultsA total of 411 articles were included with a still upward trend. The top 4 institutions with the largest number of papers were Harvard Medical Scchool （14 studies）， University of Melbourne （11 studies）， Stanford University （9 studies）， and Monash University （9 studies）. High-frequency words of hot areas covered job satisfaction， occupational burnout， and mental health. Meanwhile the words environment （0.38） and social support （0.13） had high betweenness centrality. A total of 9 clusters were formed. Risk factors and supporting strategies were put in place most focused frontiers. ConclusionThe number of papers in the field of primary healthcare workers burnout is on the rise， the international research hotspots are expanding and the predictors of burnout are prominent. From an international perspective， the study provides further reference for Chinese primary healthcare staff job burnout research.
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ObjectiveTo understand the current status of primary healthcare workers’ knowledge of hepatitis B and their willingness to engage in non-discriminatory behaviors， to explore the factors influencing their willingness， and to provide a basis for health education on hepatitis B for primary healthcare workers in Qinghai Province. MethodsA questionnaire survey was conducted among primary healthcare institutions in eight cities （prefectures） of Qinghai Province using a combination of random sampling and convenience sampling. The questionnaire included demographic information， knowledge related to hepatitis B， and willingness to engage in non-discriminatory behaviors. ResultsA total of 393 subjects were included in the survey. The accurate awareness rate of hepatitis B transmission route among primary healthcare workers in Qinghai Province was 36.89%. Of the respondents， 46.31% were unwilling to live with family members infected with HBV or carriers， and 50.13% were unwilling to dine with friends infected with HBV or carriers. The willingness of primary healthcare workers to engage in non-discriminatory behaviors related to hepatitis B varied by different places of residence， gender， marital status and per capita household income （P<0.05）. Regarding different dimensions of HBV-related knowledge， there were significant differences in age， education level， and per capita household income for transmission route （P<0.05）. Vaccination showed significant differences based on marital status and per capita family income （P<0.05）. There were significant differences in treatment and outcome among different gender， education level， and per capita family income. Anti-discrimination policies varied significantly by place of residence， age， ethnicity， and per capita income. Multivariate logistic regression analysis showed that primary healthcare workers’ knowledge of hepatitis B transmission route was a significant factor influencing their willingness to engage in non-discriminatory behaviors （OR=0.49， 95%CI：0.29‒0.84）. ConclusionIt is essential to continuously strengthen hepatitis B health education for primary healthcare workers in western China to reduce the willingness to engage in non-discriminatory behaviors towards hepatitis B and protect the rights of HBV-infected individuals.