School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China.
Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China.
Int J Environ Res Public Health. 2019 Jan 15;16(2):231. doi: 10.3390/ijerph16020231.
Objective viral hepatitis is a big challenge in China. However, few studies have focused on mapping the difficulties from a broader view. This study aimed to identify the barriers to the prevention and control of hepatitis B and hepatitis C in communities from the perspectives of hepatitis patients, residents, and healthcare providers. A total of 26 participants were recruited through purposive sampling. Data were collected by in-depth face-to-face interviews from September 2015 to May 2016 in two communities from Chongqing and Chengdu, China. A thematic framework was applied to analyze the qualitative data from the interviews. The critical factors of barriers to hepatitis prevention and control in the districts included poor cognition of residents regarding hepatitis B and hepatitis C, severe stigma in society, inadequate health education, and the provision of unsatisfactory medical services. Strengthening health education and improving services for treating patients with hepatitis are suggested to make further progress. A substantial gap remains between the need and currently available services for hepatitis patients and residents. Delivering quality prevention and control health services, improving health education, and reducing stigma in society are recommended to improve the prevention and control program for hepatitis B and C in communities.
目标性病毒性肝炎是中国面临的一大挑战。然而，很少有研究从更广泛的角度来关注描绘其中的困难。本研究旨在从乙肝和丙肝患者、居民和医疗服务提供者的角度出发，确定社区内乙肝和丙肝防控工作的障碍。通过目的性抽样，共招募了 26 名参与者。2015 年 9 月至 2016 年 5 月期间，在中国重庆和成都的两个社区中，通过深入的面对面访谈收集数据。采用主题框架分析访谈的定性数据。该地区乙肝防控工作的障碍的关键因素包括居民对乙肝和丙肝的认知较差、社会严重污名化、健康教育不足以及医疗服务提供不满意。建议加强对居民的健康教育和改善对肝炎患者的医疗服务，以取得进一步进展。乙肝患者和居民的需求与现有服务之间仍存在巨大差距。建议提供优质的防控卫生服务、改善健康教育和减少社会污名化，以改善社区乙肝和丙肝的防控工作。
