Sriphanlop Pathu, Jandorf Lina, Kairouz Clement, Thelemaque Linda, Shankar Hari, Perumalswami Ponni
Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Division of Liver Diseases, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Am J Health Behav. 2014 Sep;38(5):745-54. doi: 10.5993/AJHB.38.5.12.
To understand factors that US Africans identify as barriers and facilitators for accessing hepatitis B (HBV) screening.
In-depth interviews were conducted and guided by the PEN-3 model to elicit culturally driven information in minority communities.
Interviews were conducted with 22 US Africans. Salient themes that emerged were HBV knowledge, complexity of the US medical system, unaccustomed to preventive care, language and health literacy, availability and accessibility of screening, fear of disclosure, reliance on faith community, stigma of HBV, primacy towards a higher power on illnesses, and social systems influences.
Findings were consistent with other at-risk populations, however, emphasis on privacy and fear of disclosure are distinct to Africans. This reinforces the need for a culturally targeted intervention for this at-risk population.
了解美国非洲裔群体认为的乙肝（HBV）筛查的障碍和促进因素。
采用PEN-3模型进行深入访谈，以获取少数族裔社区中受文化驱动的信息。
对22名美国非洲裔群体进行了访谈。出现的突出主题包括乙肝知识、美国医疗系统的复杂性、不习惯预防性护理、语言和健康素养、筛查的可及性、对信息披露的担忧、对宗教社区的依赖、乙肝的污名化、对疾病中更高力量的重视以及社会系统的影响。
研究结果与其他高危人群一致，然而，对隐私的强调和对信息披露的担忧在非洲裔群体中较为独特。这强化了针对这一高危人群进行文化针对性干预的必要性。
