A Lee|Alicia Vedio|Eva Zhi Hong Liu|J. S. Horsley|Amrita Jesurasa|Sarah Salway
Determinants of uptake of hepatitis B testing and healthcare access by migrant Chinese in the England: a qualitative study
University of Sheffield|Sheffield Teaching Hospitals NHS Foundation Trust|University of Sheffield|Sheffield City Council|University of Sheffield|University of Sheffield
global migration hepatitis b endemic countries poses significant public health challenge receiving lowprevalence countries uk chinese migrants high risk group hepatitis b however underserved population infrequently accesses healthcare study sought increase understanding determinants hepatitis b testing healthcare access among migrants chinese ethnicity living england sought obtain integrate insights different key stakeholders system conducted six focus group discussions 20 indepth interviews community members patients identifying chinese interviewed 21 clinicians nine health service commissioners data thematically analysed findings corroborated two validation workshops three thematic categories emerged knowledge awareness visibility disease health service issues low disease knowledge awareness levels among community members contributed erroneous personal risk perception suboptimal engagement services limited clinician knowledge led missed opportunities test inaccurate assessments infection risks chinese patients little social discourse considerable stigma linked disease among subsections chinese population lack visibility issue population within health system meant health needs prioritised clinicians commissioners service accessibility also affected lack language support greater use community outreach consultation aids cultural competency training locally adapted testing protocols may help hepatitis b among migrants chinese ethnicity england characterised invisible disease invisible population multimodal solutions needed tackle barriers within population health system