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Disparities in hepatitis B virus healthcare Check for updates service access among marginalised poor populations: a mixed-method systematic review

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Infectious Diseases of Poverty 2024年第4期13卷 95-95页

作者： Caixia Li dejina thapa Qian Mi Yuanxiu Gao Xia Fu The Department of Nursing The Eighth Affiliated Hospital Sun Yat-sen University Shenzhen China Nepal Health Research Council Kathmandu Nepal The School of Nursing Guangdong Pharmaceutical University Guangzhou China

Background Marginalised poor populations,characterised by poverty and social exclusion,suffer disproportionately from hepatitis B virus(HBV)infections and encounter substantial disparities in access to *** has further exacerbated the global HBV burden and precluded progress towards HBV *** mixed-method systematic review aimed to synthesise their utilisation and influencing factors in HBV healthcare services,including screening,vaccination,treatment,and *** Eleven databases were searched from their inception to May 4,*** and qualitative stud-ies examining the factors influencing HBV healthcare access among marginalised poor populations were included.A meta-analysis was conducted to synthesise the pooled rates of HBV healthcare *** factors influencing utilisation were integrated and visualised using a health disparity research *** Twenty-one studies were included involving 13,171 marginalised poor individuals:sex workers,rural migrant workers,irregular immigrants,homeless adults,and underprivileged *** utilisation of HBV healthcare ranged from 1.5%to 27.5%.Meta-analysis showed that the pooled rate of at least one dose of the HBV vaccine barely reached 37%(95%confidence interval:0.26-0.49).Fifty-one influencing factors were identifed,with sociocultural factors(n=19)being the most frequently reported,followed by behavioural(n=14)and healthcare system fac-tors(n=11).Socio-cultural barriers included immigration status,prison history,illegal work,and HBV *** domain factors,including previous testing for sexually transmitted diseases,residential drug treatment,and problem-solving coping,facilitated HBV healthcare access,whereas hostility coping exerted negative *** system facilitators comprised HBV health literacy,beliefs,and physician recommendations,whereas barriers included service inaccessibility and insurance *** biolo

关键词： Hepatitis B virus Health disparity Marginalised poor Poverty Systematic review

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