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Barriers to Hepatitis B Screening and Prevention for African Immigrant Populations in the United States: A Qualitative Study

Chronic hepatitis B infection (HBV) disproportionately affects African Immigrant (AI) communities in the U.S., with a reported infection rate of 15%. HBV screening rates within these communities are low. This study sought to better understand the socio-cultural determinants associated with low HBV s...

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Detalles Bibliográficos
Autores principales: Freeland, Catherine, Bodor, Sierra, Perera, Udara, Cohen, Chari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150884/
https://www.ncbi.nlm.nih.gov/pubmed/32168926
http://dx.doi.org/10.3390/v12030305
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author Freeland, Catherine
Bodor, Sierra
Perera, Udara
Cohen, Chari
author_facet Freeland, Catherine
Bodor, Sierra
Perera, Udara
Cohen, Chari
author_sort Freeland, Catherine
collection PubMed
description Chronic hepatitis B infection (HBV) disproportionately affects African Immigrant (AI) communities in the U.S., with a reported infection rate of 15%. HBV screening rates within these communities are low. This study sought to better understand the socio-cultural determinants associated with low HBV screening among AI communities and identify potential strategies to help inform the development of effective HBV education and screening interventions. Seventeen in-depth interviews were conducted with community health experts working in AI communities throughout the U.S. Interviews explored the potential impact of culture, perception of health, awareness of HBV, religious practices, current screening practice, provider relationship, and behaviors towards general prevention. Interview data were analyzed using thematic analysis. Religious preferences and cultural norms affect health care access, perceptions towards prevention, awareness of HBV, and contribute to myths and stigma within this population. Participants reported a lack of HBV knowledge and awareness and barriers to health care access including, cost, language, racism, understanding of Western Medicine, and usage of traditional medicine. This study elucidates the role of religious and cultural beliefs as barriers to HBV screening and care. Results can contribute to public health efforts to increase awareness, screening and vaccination efforts within AI communities.
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spelling pubmed-71508842020-04-20 Barriers to Hepatitis B Screening and Prevention for African Immigrant Populations in the United States: A Qualitative Study Freeland, Catherine Bodor, Sierra Perera, Udara Cohen, Chari Viruses Article Chronic hepatitis B infection (HBV) disproportionately affects African Immigrant (AI) communities in the U.S., with a reported infection rate of 15%. HBV screening rates within these communities are low. This study sought to better understand the socio-cultural determinants associated with low HBV screening among AI communities and identify potential strategies to help inform the development of effective HBV education and screening interventions. Seventeen in-depth interviews were conducted with community health experts working in AI communities throughout the U.S. Interviews explored the potential impact of culture, perception of health, awareness of HBV, religious practices, current screening practice, provider relationship, and behaviors towards general prevention. Interview data were analyzed using thematic analysis. Religious preferences and cultural norms affect health care access, perceptions towards prevention, awareness of HBV, and contribute to myths and stigma within this population. Participants reported a lack of HBV knowledge and awareness and barriers to health care access including, cost, language, racism, understanding of Western Medicine, and usage of traditional medicine. This study elucidates the role of religious and cultural beliefs as barriers to HBV screening and care. Results can contribute to public health efforts to increase awareness, screening and vaccination efforts within AI communities. MDPI 2020-03-11 /pmc/articles/PMC7150884/ /pubmed/32168926 http://dx.doi.org/10.3390/v12030305 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Freeland, Catherine
Bodor, Sierra
Perera, Udara
Cohen, Chari
Barriers to Hepatitis B Screening and Prevention for African Immigrant Populations in the United States: A Qualitative Study
title Barriers to Hepatitis B Screening and Prevention for African Immigrant Populations in the United States: A Qualitative Study
title_full Barriers to Hepatitis B Screening and Prevention for African Immigrant Populations in the United States: A Qualitative Study
title_fullStr Barriers to Hepatitis B Screening and Prevention for African Immigrant Populations in the United States: A Qualitative Study
title_full_unstemmed Barriers to Hepatitis B Screening and Prevention for African Immigrant Populations in the United States: A Qualitative Study
title_short Barriers to Hepatitis B Screening and Prevention for African Immigrant Populations in the United States: A Qualitative Study
title_sort barriers to hepatitis b screening and prevention for african immigrant populations in the united states: a qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7150884/
https://www.ncbi.nlm.nih.gov/pubmed/32168926
http://dx.doi.org/10.3390/v12030305
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