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Fitting Health Care to People: Understanding and Adapting to the Epidemiology and Health Literacy of People Affected by Viral Hepatitis from Culturally and Linguistically Diverse Migrant Backgrounds.
- Source :
- Journal of Immigrant & Minority Health; Oct2022, Vol. 24 Issue 5, p1196-1205, 10p
- Publication Year :
- 2022
-
Abstract
- This study explored the epidemiology and health literacy of people affected by viral hepatitis (VH) from migrant culturally and linguistically diverse (CALD) backgrounds attending a community-based general practitioner and specialty hepatology shared-care (HEPREACH) clinic in Brisbane, Australia. Patient-reported data on health literacy and clinical information from adult patients (n = 66) of CALD background recruited from the liver clinic were analyzed. Health literacy was assessed using a 5-question, 12-point scale. Variance weighted multiple linear regression was used to identify factors associated with knowledge about VH. About three-quarters of patients (74.2%) were diagnosed with hepatitis B. The median knowledge score was 7.8 (interquartile range [IQR] 6‒9). One in five patients did not understand the infective nature of VH, 30.3% did not understand mother-to-child transmission risk, and 30–40% of patients thought activities such as kissing, sharing food or mosquito bites could spread VH. Only 6% of patients understood the risk of liver cancer and the need for regular screening. Higher educational level (secondary, β = 4.8, p < 0.0001 or tertiary, β = 8.1, p < 0.0001 vs. primary) was associated with better knowledge, and transition through a refugee camp (vs. not, β = − 1.2, p = 0.028) and country of diagnosis (overseas vs. Australia, β = − 1.9, p = 0.016) were associated with poorer knowledge. Country of origin, refugee status and opportunities for tertiary education impact patients' understanding of VH. Ensuring delivery of culturally appropriate care and education is critical to improve knowledge, reduce misconceptions to improve care and outcomes for VH in CALD migrant communities. [ABSTRACT FROM AUTHOR]
- Subjects :
- IMMIGRANTS
HEPATITIS B
BITES & stings
LIVER tumors
CONFIDENCE intervals
VIRAL hepatitis
LINGUISTICS
MULTIPLE regression analysis
MULTIVARIATE analysis
CULTURAL pluralism
CLINICS
EARLY detection of cancer
TERTIARY care
REGRESSION analysis
FIBROSIS
HEALTH literacy
SURVEYS
RISK assessment
FOOD
DESCRIPTIVE statistics
REFUGEE camps
HEALTH care teams
GENOTYPES
RESEARCH funding
DATA analysis software
VERTICAL transmission (Communicable diseases)
MOSQUITOES
EDUCATIONAL attainment
LONGITUDINAL method
DISEASE risk factors
INFECTIOUS disease transmission
Subjects
Details
- Language :
- English
- ISSN :
- 15571912
- Volume :
- 24
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Immigrant & Minority Health
- Publication Type :
- Academic Journal
- Accession number :
- 158609988
- Full Text :
- https://doi.org/10.1007/s10903-021-01305-5