Out of sight, into mind: a socioecological model-informed qualitative study on barriers and facilitators to hepatitis B care among West African immigrants in the Bronx, New York.

Autor: Coe JE; Department of Medicine, Division of Infectious Diseases, Montefiore Medical Center/Albert Einstein College of Medicine, 111 East 210th Street, Bronx, New York, 10467, United States., Birnbaum J; Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, New York, 10461, United States., Omarufilo F; Department of Medicine, Division of Hepatology, Montefiore Medical Center/Albert Einstein College of Medicine, 111 East 210th Street, Bronx, New York, 10467, United States., Sigal SH; Department of Medicine, NYU Grossman Long Island School of Medicine, 1111 Franklin Avenue, Garden City, New York, 11530, United States., Akiyama MJ; Department of Medicine, Division of Infectious Diseases, Montefiore Medical Center/Albert Einstein College of Medicine, 111 East 210th Street, Bronx, New York, 10467, United States. matthew.akiyama@einsteinmed.edu.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2024 Oct 28; Vol. 24 (1), pp. 2985. Date of Electronic Publication: 2024 Oct 28.
DOI: 10.1186/s12889-024-20358-3
Abstrakt: Background: There is a high burden of hepatitis B virus (HBV) in West Africa. Over the past 20 years, West African immigration to the United States (U.S.) has been increasing. Prevalence of HBV infection in West Africa has been reported to be as high as 5-10%.
Methods: We sought to understand knowledge and attitudes of and barriers and facilitators to HBV screening, vaccination, and treatment in a cohort of West African immigrants in the Bronx living with or at risk for HBV through a series of one-on-one qualitative interviews. We interviewed 23 West African immigrants and analyzed transcripts for recurring themes using Applied Thematic Analysis. We situated our analysis in the socioecological model (SEM) and adhered to the consolidated criteria for reporting qualitative research (COREQ).
Results: Multiple themes emerged, most prominently themes relating to HBV knowledge/awareness, trust in U.S. healthcare providers and the U.S. healthcare system, positive social support improving healthcare access, knowledge sharing, stigma towards those with HBV, issues concerning immigration status, insurance status, and access to healthcare services.
Conclusion: Raising awareness of HBV, addressing social and structural barriers such as stigma and health insurance, and improving access to culturally sensitive programs among West African communities are needed to increase HBV screening, vaccination, and linkage to care.
(© 2024. The Author(s).)
Databáze: MEDLINE
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