文化上适当的人际沟通策略在减少乙型肝炎和肝癌差异方面的作用。
The role of culturally appropriate interpersonal communication strategies to reduce hepatitis B and liver cancer disparities.
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
来源:
FRONTIERS IN PUBLIC HEALTH
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慢性乙型肝炎和肝细胞癌(原发性肝癌)的影响尤为严重。为这些社区开展有关乙型肝炎和肝癌的教育宣传活动对于提高与疾病相关的认识并促进健康促进行为是必要的。确定不同社区内的人际沟通 (IPC) 偏好,以便融入强调乙型肝炎与肝癌之间联系的教育活动,最终可以促进筛查、疫苗接种和与适当护理的联系。进行了 15 个焦点小组和两次关键知情者访谈参与者来自密克罗尼西亚人、中国人、苗族人、尼日利亚人、加纳人、越南人、韩国人、索马里人、埃塞俄比亚人、菲律宾人、海地人和法语西非社区。使用主题编码和分析对数据进行分析。研究结果表明,所有社区都希望以英语和母语提供材料,并强调宣传活动强调乙型肝炎和肝癌之间的联系。教育课程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)提供便利。提供准确的信息并消除有关乙型肝炎、肝癌及其联系的神话和误解是所有焦点小组确定的最大需求。这项研究通过 IPC 方法深入了解社区特定的偏好,以了解乙型肝炎和肝癌。这项研究的结果可用于设计多平台、文化和语言上适当的健康教育活动,以促进改善美国受影响严重的社区对乙型肝炎和肝癌的诊断、预防和管理。版权所有 © 2024 Zovich, Block, Borondy-Jenkins、莫拉拉斯、陈、Adedokun、华和科恩。
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.Copyright © 2024 Zovich, Block, Borondy-Jenkins, Moraras, Chen, Adedokun, Hua and Cohen.