Barriers faced by migrants in accessing healthcare for viral hepatitis infection

Guirgis, Marianne; Nusair, F.; Bu, Y. M.; Yan, Kenneth; Zekry, Amany

doi:10.1111/j.1445-5994.2011.02647.x

Cited by 63 publications

(54 citation statements)

References 21 publications

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“…This was demonstrated in an Australian study, where lack of knowledge about antiviral treatment was identified as a major obstacle to accessing healthcare among migrants. 19 Misunderstanding about the transmission of hepatitis B through sharing food and utensils was identified among participants and reflects the findings of other studies. [16][17][18] In a health professionals are a trusted source of information for people with CHB.…”

Section: Discussionmentioning

confidence: 82%

“…[16][17][18] In a health professionals are a trusted source of information for people with CHB. 16,19 Educating people with CHB was identified by Australian GPs as an important responsibility in their clinical management 20 although systemic barriers have been identified in providing this support, given GPs' busy schedules and workloads, 21,22 and hepatitis B knowledge gaps among some GPs. 21,23 A study from one tertiary hospital liver clinic reported that clinicians did not provide detailed information about hepatitis B during most ongoing monitoring consultations.…”

Section: Discussionmentioning

confidence: 99%

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Hepatitis B knowledge and associated factors among people with chronic hepatitis B

Hajarizadeh

Wallace

Richmond

et al. 2015

Australian and New Zealand Journal of Public Health

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Abstract:Objective: To assess hepatitis B knowledge among people with chronic hepatitis B (CHB) in Australia.Methods: People with CHB in three Australian jurisdictions completed a self-administered questionaire, including 24 hepatitis B knowledge questions across four domains: transmission; natural history; epidemiology and prevention; and clinical management.Results: Ninety-three people completed the survey. Mean age was 45 years, 43% were women and 93% were born overseas (75% from Asia). Mean total knowledge score was 55 out of 100 with 17 participants (18%) scoring ≥75 (defined as a high knowledge). Clinical management scored the lowest (median: 25) and natural history scored the highest (median: 80). In adjusted linear regression, tertiary education (vs. secondary and under) was associated with higher knowledge score (β: 11.95; 95%CI: 2.45, 21.44; p=0.01). In adjusted logistic regression, very good English proficiency (vs. limited/no proficiency) was associated with high knowledge (OR: 7.65; 95%CI: 1. 94, 30.19; p<0.01). Participants reporting hepatitis B-related anxiety demonstrated a significantly higher knowledge score compared to those reporting no such anxiety (β: 15.11; 95%CI: 4.40, 25.81; p<0.01). Conclusions and implications:Hepatitis B-related knowledge gaps were identified among people with CHB. Interventions to improve knowledge should focus on people with low levels of academic education and limited English proficiency.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Hepatitis B knowledge and associated factors among people with chronic hepatitis B

Hajarizadeh

Wallace

Richmond

et al. 2015

Australian and New Zealand Journal of Public Health

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“…Chinese people in China and in the USA were the most studied groups. [242526272829303132333435] The participants were HBV-infected patients, members of the general community, health-care providers, or community leaders [Tables 1 and 2]. All participants were adults.…”

Section: Resultsmentioning

confidence: 99%

Correlates of hepatitis B virus-related stigmatization experienced by Asians: A scoping review of literature

Lee

Fawcett

Kim

et al. 2016

Asia-Pacific Journal of Oncology Nursing

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Objective:Although remarkable progress in the pharmacological components of the prevention and treatment of hepatitis B virus (HBV) and liver cancer has been achieved, HBV-related stigma is recognized as a major barrier to HBV management. The purpose of this Revised Social Network Model (rSNM)-guided review was to examine the existing research literature about HBV-related stigma among Asians and Asian immigrants residing in other countries.Methods:A scoping review of literature was conducted to determine the depth and breadth of literature. Totally, 21 publications were identified. The review findings were linked with the concepts of rSNM to demonstrate how individual factors and sociocultural contexts shape and affect the experience of HBV-related stigma.Results:Most studies were quantitative cross-sectional surveys or qualitative methods research that had been conducted among Chinese in China and in the USA. The three concepts in rSNM that have been identified as important to stigma experience are individual factors, sociocultural factors, and health behaviors. The major factors of most studies were on knowledge and attitudes toward HBV; only three studies focused on stigma as the primary purpose of the research. Few studies focused on the measurement of stigma, conceptual aspects of stigma, or interventions to alleviate the experience of being stigmatized.Conclusions:The scoping review revealed the existing depth and breadth of literature about HBV-related stigma. Gaps in the literature include lack of research address group-specific HBV-related stigma instruments and linkages between stigma and stigma-related factors.

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“…Access to high-quality health care remains a fundamental problem for international migrants. They encounter a number of barriers, which include language difficulties [4–6], cultural differences [4, 7], economic barriers [5, 7], legal problems [8, 9], and social isolation [5, 6]. A majority of the migrant health research has been focused in Western settings; little is known about how international migrants access health services in Asian countries [10].…”

Section: Introductionmentioning

confidence: 99%

Health Care Experiences and Perceived Barriers to Health Care Access: A Qualitative Study Among African Migrants in Guangzhou, Guangdong Province, China

Lin

Brown

et al. 2014

J Immigrant Minority Health

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Guangzhou, one of China's largest cities and a main trading port in South China, has attracted many African businessmen and traders migrating to the city for financial gains. Previous research has explored the cultural and economic roles of this newly emerging population; however, little is known about their health care experiences while in China. Semi-structured interviews and focus groups were used to assess health care experiences and perceived barriers to health care access among African migrants in Guangzhou, China. Overall, African migrants experienced various barriers to accessing health care and were dissatisfied with local health services. The principal barriers to care reported included affordability, legal issues, language barriers, and cultural differences. Facing multiple barriers, African migrants have limited access to care in Guangzhou. Local health settings are not accustomed to the African migrant population, suggesting that providing linguistically and culturally appropriate services may improve access to care for the migrants.

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Barriers faced by migrants in accessing healthcare for viral hepatitis infection

Cited by 63 publications

References 21 publications

Hepatitis B knowledge and associated factors among people with chronic hepatitis B

Hepatitis B knowledge and associated factors among people with chronic hepatitis B

Correlates of hepatitis B virus-related stigmatization experienced by Asians: A scoping review of literature

Health Care Experiences and Perceived Barriers to Health Care Access: A Qualitative Study Among African Migrants in Guangzhou, Guangdong Province, China

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