在文化上适当的人际交往策略减少乙型肝炎和肝癌差异的作用
The role of culturally appropriate interpersonal communication strategies to reduce hepatitis B and liver cancer disparities
影响因子:3.40000
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
摘要
美国的亚洲和太平洋岛民（API），非洲和加勒比移民群体受到慢性乙型肝炎和肝细胞癌（原发性肝癌）的影响不成比例的。为了提高与疾病相关的意识和迅速促进健康的行为，为这些社区开展有关丙型肝炎和肝癌的教育交流运动是必要的。 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,菲律宾，海地和法语西非社区。使用主题编码和分析对数据进行了分析。调查表明，所有社区都倾向于以英语和母语提供材料，并强调运动强调了丙型肝炎与肝癌之间的联系。教育会议应在社区感到安全的环境中进行，包括社区组织，宗教机构和医疗保健办公室，并应由值得信赖的使者（包括患者导航员，医生和信仰领袖）促进。介绍肝炎，肝癌及其联系的准确信息，消除神话和误解是所有焦点小组中确定的最大需求。这项研究提供了对通过IPC方法学习肝炎和肝癌的社区特异性偏好的见解。这项研究的发现可用于设计多平台，在文化和语言上适当的健康教育运动，以促进美国肝炎B和肝癌的改善，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.