Sante Publique
Volume 24, Issue 4, 2012, Pages 303-315
Health professionals' perceptions and screening for hepatitis B and C among migrants: A qualitative study in Côte-d'Or, France [Représentations des professionnels et dépistage des hépatites B et C chez les migrants : Une étude qualitative en Côte-d'Or] (Article)
Enel C.* ,
Minello A. ,
Hillon P.
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a
Registre des Hépatites Virales de Côte-d'Or et du Doubs, Faculté de Medicine, L'Université de Bourgogne, 7 bd Jeanne d'Arc, 21034 Dijon Cedex, France
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b
U866 Inserm et Service Hépatogastroentérologie, CHU du Bocage, 14 rue Gaffarel, 21079 Dijon Cedex, France
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c
Faculté de Medicine, L'Université de Bourgogne, 7 bd Jeanne d'Arc, 21034 Dijon Cedex, France
Abstract
Hepatitis B and C continue to be major public health problems in France, particularly among migrants. The fact of being born in hepatitis B and C-endemic countries or of being a long-term resident of these countries are common risk factors, especially in the case of hepatitis B. Screening for both types of infection remains low among migrants. The main purpose of this study was to examine perceptions of the risk of viral hepatitis B and C in migrants among health professionals in Côte-d'Or (Burgundy, France) and to understand the factors promoting or hindering screening. The paper presents the results of a qualitative study based on face-to-face interviews with 23 healthcare providers and 8 social workers. The participating health professionals were interviewed about their involvement in the fight against hepatitis B and C and their perceptions of the risk of infection among migrants. The interviews conducted with social workers focused mostly on the conditions of social and health support provided to migrants. The study found that hepatitis B and C screening among migrants was associated with HIV screening. Screening was found to be associated with formalities relating to the legal and administrative status of migrants, the type of accommodation or housing, health professionals' knowledge of the risk factors associated with the epidemiological and social/health context in the countries of origin, and their own involvement in humanitarian aid. Migrants seeking political asylum and living in reception centers were found to be more likely to undergo screening. The findings suggest that awareness of the importance of systematic screening for hepatitis B and C in migrants from hepatitis B and C-endemic areas needs to be promoted among social workers and health professionals, as recommended by the National Prevention and Control Program (2009-2012).
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Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84870885764&partnerID=40&md5=ab334835c987395601ecdabb1179b9d5
ISSN: 09953914
Cited by: 5
Original Language: French