在澳大利亚感染乙型肝炎病毒的中国移民的乙型肝炎相关污

StephenW

在澳大利亚感染乙型肝炎病毒的中国移民的乙型肝炎相关污名：一项定性研究
金德丰 1 , Loren Brener 1 , Carla Treloar 1 2
隶属关系
隶属关系

    1
    澳大利亚新南威尔士州悉尼新南威尔士大学艺术、设计和建筑学院健康社会研究中心。
    2
    新南威尔士大学艺术、设计和建筑学院社会政策研究中心，悉尼，澳大利亚新南威尔士。

    PMID：36068665 DOI：10.1111/hsc.13986

抽象的

在澳大利亚的中国移民在慢性乙型肝炎病毒 (PWCHB) 患者中的比例过高，但他们很难获得医疗保健。鉴于中国大陆历史上对 PWCHB 的歧视政策，本研究旨在探讨来自中国大陆的中国移民对乙型肝炎病毒 (HBV) 的污名和歧视的生活经历。 2019-2020年由一名具有中国背景的研究员进行半结构化深度访谈。通过宣传和支持团体在悉尼和墨尔本招募了 16 名感染 HBV 的中国移民。本研究定位于社会建构主义。健康污名和歧视框架为数据分析提供了信息，该框架强调了分层污名之间的相互作用。本研究揭示了 PWCHB 中 HBV 相关污名的历史、社会和文化建构，并展示了这种污名如何在中国和澳大利亚的社会生态层面表现出来。研究结果表明，与 HBV 相关的污名主要是由于对 HBV 的知识不足和对 HBV 感染的恐惧。 HBV 相关的污名主要表现在社会孤立，包括家庭和社区施加的孤立以及中国工作场所的就业限制。在澳大利亚，HBV 相关的污名与 PWCHB 的种族和文化背景有关，主要发生在社区和就业中的预期污名中。这些发现为跨领域研究和政策努力提供了重要的见解，以开发和测试更广泛地解决携带乙型肝炎病毒的中国移民的复杂生活现实的跨学科举措。

关键词：澳大利亚；中国移民；慢性乙型肝炎；歧视;乙型肝炎病毒;乙型肝炎相关的污名。

© 2022 作者。 John Wiley & Sons Ltd. 出版的社区健康和社会关怀

StephenW

Hepatitis B-related stigma among Chinese immigrants living with hepatitis B virus in Australia: A qualitative study
Defeng Jin  1 , Loren Brener  1 , Carla Treloar  1   2
Affiliations
Affiliations

    1
    Centre for Social Research in Health, Faculty of Arts, Design and Architecture, University of New South Wales, Sydney, New South Wales, Australia.
    2
    Social Policy Research Centre, Faculty of Arts, Design and Architecture, University of New South Wales, Sydney, New South Wales, Australia.

    PMID: 36068665 DOI: 10.1111/hsc.13986

Abstract

Chinese immigrants in Australia are overrepresented among people with chronic hepatitis B virus (PWCHB) but experience poor access to healthcare. Given the historical discriminatory policies against PWCHB in mainland China, this study aimed to explore the lived experiences of stigma and discrimination surrounding hepatitis B virus (HBV) among Chinese immigrants originally from mainland China. Semi-structured in-depth interviews were conducted by a researcher with a Chinese background in 2019-2020. Sixteen Chinese immigrants living with HBV were recruited across Sydney and Melbourne through advocacy and support groups. This study is positioned in social constructionism. Data analysis was informed by the Health Stigma and Discrimination Framework that highlights the interaction between layered stigmas. This study revealed the historical, social and cultural construction of HBV-related stigma among PWCHB and demonstrated how this stigma was manifested across socioecological levels in China and Australia. Findings show that HBV-related stigma has mostly been driven by knowledge deficits about HBV and fear of HBV infection. HBV-related stigma was mostly demonstrated around social isolation including isolation imposed by family and the community and employment restrictions in the Chinese workplace. In the Australian context, HBV-related stigma was related to the ethnic and cultural background of PWCHB, and primarily occurred as anticipated stigma in the community and in employment. The findings provide significant insights for crosscutting research and policy endeavours to develop and test cross-disciplinary initiatives that more broadly address the complex lived realities of Chinese immigrants living with hepatitis B virus.

Keywords: Australia; Chinese immigrants; chronic hepatitis B; discrimination; hepatitis B virus; hepatitis B-related stigma.

© 2022 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.