Barriers and opportunities for hepatitis B testing and contact tracing in a UK Somali population: a qualitative study

European Journal of Public Health
Alexandra CochraneJeremy P Horwood

Abstract

Chronic hepatitis B virus (HBV) infection frequently causes liver disease, and early identification can improve outcome. The burden of chronic HBV infection in many economically developed nations lies in migrant populations. Targeted HBV testing of migrants, and contact tracing for those diagnosed, are public health objectives but uptake has been fragmentary. This qualitative study aimed to investigate understanding of hepatitis B and response to testing and contact tracing amongst people of Somali ethnicity living in Bristol, UK. The views of 30 people of Somali ethnicity living in Bristol were explored through focus groups and semi-structured interviews. Transcripts of audio-recorded interviews and focus groups were imported into NVivo10 and inductive thematic analysis undertaken. Most participants lacked awareness of hepatitis B, and often co-identified hepatitis B with 'jaundice'. There were frequent misconceptions regarding transmission, natural history and diagnosis, with hepatitis B commonly viewed as a relatively trivial, short lived, symptomatic disease. Hepatitis B was generally not stigmatised. Lack of understanding of the disease was cited as the major barrier to targeted testing and contact tracing. These findings ...Continue Reading

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Citations

Dec 6, 2017·World Journal of Gastroenterology : WJG·Raissa DjoufackDahlene Fusco
Dec 7, 2018·Wellcome Open Research·Jolynne MokayaPhilippa C Matthews
Oct 13, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Charlotte LeeMonica Lakhanpaul
Feb 3, 2019·International Journal of Environmental Research and Public Health·Thieu Van LeRoger C M Ho
Feb 4, 2021·International Journal of STD & AIDS·Sam KingJenny Dalrymple

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