Improving uptake of hepatitis B and hepatitis C testing in South Asian migrants in community and faith settings using educational interventions—A prospective descriptive study

Claire Kelly, Marinos Pericleous, Ayesha Ahmed, Tushna Vandrevala, Jane Hendy, Shuja Shafi, Simon S. Skene, Sumita Verma, Chantal Edge, Margot Nicholls, Charles Gore, Simon de Lusignan, Aftab Ala*

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    1 Citation (Scopus)

    Abstract

    Background: Chronic viral hepatitis (CVH) is a leading contributor to the UK liver disease epidemic, with global migration from high prevalence areas (e.g., South Asia). Despite international guidance for testing high-risk groups in line with elimination targets, there is no consensus on how to achieve this. The objectives of this study were to assess the following: (1) the feasibility of recruiting South Asian migrants to view an educational film on CVH, (2) the effectiveness of the film in promoting testing and increasing knowledge of CVH, and (3) the methodological issues relevant to scale-up to a randomized controlled trial. Methods: South Asian migrants were recruited to view the film (intervention) in community venues (primary care, religious, community), with dried blood spot CVH testing offered immediately afterwards. Pre/post-film questionnaires assessed the effectiveness of the intervention. Results: Two hundred and nineteen first-generation migrants ≥18 years of age (53% female) were recruited to view the film at the following sites: religious, n = 112 (51%), community n = 98 (45%), and primary care, n = 9 (4%). One hundred and eighty-four (84%) underwent CVH testing; hepatitis B core antibody or hepatitis C antibody positivity demonstrated exposure in 8.5%. Pre-intervention (n = 173, 79%) and post-intervention (n = 154, 70%) questionnaires were completed. Conclusions: This study demonstrated the feasibility of recruiting first-generation migrants to view a community-based educational film promoting CVH testing in this higher risk group, confirming the value of developing interventions to facilitate the global World Health Organization plan for targeted case finding and elimination, and a future randomized controlled trial. We highlight the importance of culturally relevant interventions including faith and culturally sensitive settings, which appear to minimize logistical issues and effectively engage minority groups, allowing ease of access to individuals ‘at risk’.

    Original languageEnglish
    Pages (from-to)264-272
    Number of pages9
    JournalInternational Journal of Infectious Diseases
    Volume100
    DOIs
    Publication statusPublished - Nov 2020

    Bibliographical note

    Funding Information:
    This study was supported by the National Institute for Health Research (NIHR), Research for Patient Benefit stream ( PB-PG-1013-32094). The views expressed are those of the authors and not necessarily those of the National Health Service (NHS), NIHR, or the Department of Health. The sponsor had no role or involvement in the study with respect to manuscript writing, data collection and analysis, interpretation of the data, writing of the manuscript, or in the decision to submit.

    Publisher Copyright:
    © 2020

    Keywords

    • Case-finding
    • Intervention
    • Migrant
    • South Asian
    • Viral hepatitis

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