Hepatitis B in Moroccan-Dutch: a qualitative study into determinants of screening participation
| Autor: | Nora Hamdiui, Mart L Stein, Ytje J J van der Veen, Maria E T C van den Muijsenbergh, Jim E van Steenbergen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice Epidemiologic Factors 030503 health policy & services Public Health Environmental and Occupational Health virus diseases Emigrants and Immigrants Middle Aged Hepatitis B digestive system diseases Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences Morocco 0302 clinical medicine Surveys and Questionnaires Ethnicity Prevalence Humans Mass Screening Female 030212 general & internal medicine 0305 other medical science Qualitative Research Netherlands |
| Zdroj: | European Journal of Public Health, 28, 5, pp. 916-922 European Journal of Public Health, 28, 916-922 |
| ISSN: | 1101-1262 |
| Popis: | Contains fulltext : 196772.pdf (Publisher’s version ) (Open Access) Background: Chronic hepatitis B (HBV) leads to an increased risk for liver cirrhosis and liver cancer. In the Netherlands, chronic HBV prevalence in the general population is 0.20%, but 3.77% in first generation immigrants. Our aim was to identify determinants associated with the intention to participate in HBV testing among first generation Moroccan immigrants, one of the two largest immigrant groups targeted for screening. Methods: Semi-structured interviews were held with first (n = 9) and second generation (n = 10) Moroccan-Dutch immigrants, since second generation immigrants frequently act as their parents' brokers in healthcare. Results: Most participants had little knowledge about hepatitis B, but had a positive attitude towards screening. Facilitators for screening intention were perceived susceptibility to and severity of disease, positive attitude regarding prevention, wishing to know their hepatitis B status and to prevent potential hepatitis B transmission to others. Additional cultural facilitators included fear (of developing cancer), and existing high health care utilization; a religious facilitator was the responsibility for one's own health and that of others. Barriers included lack of awareness and knowledge, practical issues, not having symptoms, negative attitude regarding prevention, fear about the test result and low-risk perception. A cultural barrier was shame and stigma, and a religious barrier was fatalism. Conclusion: We identified important facilitators and barriers, which we found, can be interpreted differently. Specific and accurate information should be provided, accompanied by strategies to address shame and stigma, in which Islamic religious leaders could play a role in bringing information across. 7 p. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|