n Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain
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unless otherwise statedThis paper presents independent research funded by the National Institute
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AG Mann

Andrew Beharry

C Brouard

C Pope

C Schnier

C Tarrant

C Wagner von

CA O’Donnell

CK Palmer

CM Jorgensen

CW Shepard

D Aweis

D Li

D Mazza

E Franco

F Ahmed

F Goodyear-Smith

FM Averhoff

G Butt

G Uddin

GD Coronado

Graham R Foster

H Chen

H Razavi

HM Lekas

IM Jacobson

J Kue

J Naish

J Ritchie

J Wallace

JE Croker

Jessica Gomes

JH Choe

John A Owiti

JY Nazroo

K Field

KA Robb

Kamaldeep Bhui

KL Austin

L Jones

Lorna Sweeney

M Caley

M Dixon Woods

M Dixon-Woods

M Harris

M Moore

M Somerset

MM Philbin

MN Marshall

N Bansal

N Burke

N Esposito

N Mead

N Pavlin

National Institute for Health and Clinical Excellence

NE Schoenberg

P Brewin

P Fugelli

P Marcellin

P Rhodes

R Kurzban

R Weech-Maldonado

RE Barth

RW Gray

S Arthur

SA Ali

SC Davies

SJ Cotler

T Greenhalgh

Trisha Greenhalgh

TT Nguyen

V Taylor

VD Hope

World Health Organization

WR Carpenter

YJ Veen Van der

BMC Health Services Research

English

PubMed

Springer - Publisher Connector

Informing the design of a national screening and treatment programme for chronic viral hepatitis in primary care: qualitative study of at-risk immigrant communities and healthcare professionals

Crossref

Sweeney, L

Owiti, JA

Beharry, A

Bhui, K

Gomes, J

Foster, GR

Greenhalgh, T

Queen Mary Research Online

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Effective strategies are needed to provide screening and treatment for hepatitis B and C to immigrant groups in the UK at high risk of chronic infection. This study aimed to build an understanding of the knowledge, beliefs and attitudes towards these conditions and their management in a range of high-risk minority ethnic communities and health professionals, in order to inform the design of a screening and treatment programme in primary care.Qualitative data collection consisted of three sequential phases- (i) semi-structured interviews with key informants (n = 17), (ii) focus groups with people from Chinese, Pakistani, Roma, Somali, and French- and English-speaking African communities (n = 95), and (iii) semi-structured interviews with general practitioners (n = 6). Datasets from each phase were analysed using the Framework method.Key informants and general practitioners perceived that there was limited knowledge and understanding about hepatitis B and C within high-risk immigrant communities, and that chronic viral hepatitis did not typically feature in community discourses about serious illness. Many focus group participants were confused about the differences between types of viral hepatitis, held misconceptions regarding transmission, and were unaware of the asymptomatic nature of chronic infection. Most welcomed the idea of a screening programme, but key informants and focus group participants also identified numerous practical barriers to engagement with primary care-based screening and treatment; including language and communication difficulties, limited time (due to long working hours), and (for some) low levels of trust and confidence in general practice-based care. General practitioners expressed concerns about the workload implications and sustainability of screening and treating immigrant patients for chronic viral hepatitis in primary care.Strategies to reduce the burden of chronic viral hepatitis in immigrant communities will need to consider how levels of understanding about hepatitis B and C within these communities, and barriers to accessing healthcare, may affect capacity to engage with screening and treatment. Services may need to work with community groups and language support services to provide information and wider encouragement for screening. Primary care services will need ongoing consultation regarding their support needs to deliver hepatitis screening and treatment programmes

Sweeney, Lorna

Owiti, John A.

Beharry, Andrew

Bhui, Kamaldeep

Gomes, Jessica

Foster, Graham R

Greenhalgh, Patricia

Oxford University Research Archive

Informing the design of a national screening and treatment programme for chronic viral hepatitis in primary care: qualitative study of at-risk immigrant communities and healthcare professionals.

Oxford University Research Archive (ORA)

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Informing the design of a national screening and treatment programme for chronic viral hepatitis in primary care: qualitative study of at-risk immigrant communities and healthcare professionals

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