文化适宜的人际传播策略在减少乙型肝炎和肝癌差异中的作用

The role of culturally appropriate interpersonal communication strategies to reduce hepatitis B and liver cancer disparities

FRONTIERS IN PUBLIC HEALTH

影响因子:3.4

分区:医学3区 / 公共卫生3区

发表日期:2024

作者: Beatrice Zovich, Suzanne J Block, Fiona Borondy-Jenkins, Kate Moraras, Thomas Chen, Rukayat Adedokun, Dung Hua, Chari Cohen

DOI: 10.3389/fpubh.2024.1377096

摘要

亚洲和太平洋岛屿（API）、非洲和加勒比移民群体在美国受到慢性乙型肝炎和肝细胞癌（原发性肝癌）影响不成比例。为这些社区制定有关乙肝和肝癌的教育传播活动，旨在提高疾病认知，促进健康行为。识别不同社区中人际传播（IPC）的偏好，融入教育宣传中，强调乙肝与肝癌的关系，最终促进筛查、疫苗接种和适当的医疗链接。与来自密克罗尼西亚、中国、苗族、尼日利亚、加纳、越南、韩国、索马里、埃塞俄比亚、菲律宾、海地及法语非洲社区的参与者进行了15个焦点小组和2次关键人物访谈，采用主题编码和分析方法。结果显示，所有社区都偏好使用英语和本地语言提供材料，强调宣传应突出乙肝与肝癌的联系。教育活动应在社区组织、宗教场所及医疗机构等安全场所由信任的传递者（如患者导航员、医生和信仰领袖）主持。提供准确的信息、澄清关于乙肝、肝癌及其关系的误解，是各焦点小组的最大需求。本研究提供了社区特异性的学习偏好，可用于设计多平台、符合文化和语言的健康教育宣传，以改善高危社区的乙肝和肝癌的诊断、预防和管理。

Abstract

Asian and Pacific Islander (API), African, and Caribbean immigrant groups in the U.S. are disproportionately impacted by chronic hepatitis B and hepatocellular carcinoma (primary liver cancer). Creating educational communication campaigns about hepatitis B and liver cancer for these communities is necessary to increase disease-related awareness and prompt health-promoting behaviors. Identifying interpersonal communication (IPC) preferences within diverse communities for integration into an educational campaign that emphasizes the link between hepatitis B and liver cancer can ultimately promote uptake of screening, vaccination and linkage to appropriate care.Fifteen focus groups and two key informant interviews were conducted with participants from Micronesian, Chinese, Hmong, Nigerian, Ghanaian, Vietnamese, Korean, Somali, Ethiopian, Filipino, Haitian, and Francophone West African communities. Data were analyzed using thematic coding and analysis.Findings demonstrate that all communities preferred that materials be offered in both English and native languages and emphasized that campaigns highlight the connection between hepatitis B and liver cancer. Educational sessions should take place in settings where communities feel safe, including community-based organizations, religious establishments, and healthcare offices, and should be facilitated by trusted messengers, including patient navigators, doctors and faith leaders. Presenting accurate information and dispelling myths and misconceptions around hepatitis B, liver cancer, and their connection were the biggest needs identified across all focus groups.This study provides insight into community-specific preferences for learning about hepatitis B and liver cancer through IPC methods. The findings from this study can be used to design multi-platform, culturally and linguistically appropriate health education campaigns to facilitate improved diagnosis, prevention, and management of hepatitis B and liver cancer among heavily impacted communities in the U.S.