BMC Public Health
Volume 9, 2009

Hepatitis B screening in the Turkish-Dutch population in Rotterdam, the Netherlands; Qualitative assessment of socio-cultural determinants (Article) (Open Access)

Van Der Veen Y.J.J. , De Zwart O. , Voeten H.A. , MacKenbach J.P. , Richardus J.H.
  • a Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
  • b Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands, Division of Infectious Diseases Control, Municipal Public Health Service, Rotterdam Area, Netherlands
  • c Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands, Division of Infectious Diseases Control, Municipal Public Health Service, Rotterdam Area, Netherlands
  • d Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands
  • e Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands, Division of Infectious Diseases Control, Municipal Public Health Service, Rotterdam Area, Netherlands

Abstract

Background. Hepatitis B is an important health problem in the Turkish community in the Netherlands. Increased voluntary screening is necessary in this community, to detect individuals eligible for treatment and to prevent further transmission of the disease. Methods. We investigated socio-cultural determinants associated with hepatitis B screening in male and female, first and second generation Turkish migrants, by means of Focus Group Discussions. Results. Socio-cultural themes related to hepatitis B screening were identified; these were social norm, social support, sensitivity regarding sexuality, reputation, responsiveness to authority, religious responsibility, cleanliness and religious doctrine regarding health and disease, and the perceived efficacy of Dutch health care services. Motivating factors were the (religious) responsibility for one's health, the perceived obligation when being invited for screening, and social support to get tested for hepatitis B. Perceived barriers were the association of hepatitis B screening with STDs or sexual activity, the perception of low control over one's health, and the perceived low efficacy of the Dutch health care services. Reputation could act as either a motivator or barrier. Conclusion. This study identified relevant socio-cultural themes related to hepatitis B screening, which may serve to customize interventions aimed at the promotion of voluntary hepatitis B screening in the Turkish-Dutch population in the Netherlands. © 2009 van der Veen et al.

Author Keywords

[No Keywords available]

Index Keywords

information processing Netherlands cultural anthropology sexual behavior mass screening psychological aspect methodology sex ratio human middle aged statistics health service Turkey (republic) controlled study Aged screening test social support ethnology religion sexually transmitted disease Young Adult Humans Adolescent male female Socioeconomic Factors socioeconomics qualitative analysis questionnaire cultural factor Health Knowledge, Attitudes, Practice Article Questionnaires adult major clinical study migration Turkey turkey (bird) Emigration and Immigration Transients and Migrants social class hepatitis B attitude to health Focus Groups Culture
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-70350350320&doi=10.1186%2f1471-2458-9-328&partnerID=40&md5=ddbe74f022aeb53770dcf7deca0b3a02
DOI: 10.1186/1471-2458-9-328
ISSN: 14712458
Cited by: 20
Original Language: English