Using an intersectionality lens to explore barriers and enablers to hepatitis C point-of-care testing: a qualitative study among people who inject drugs and service providers.
Background: Hepatitis C virus (HCV) infection is a significant global health burden, particularly among people who inject drugs. Rapid point-of-care HCV testing has emerged as a promising approach to improve HCV detection and linkage to care in harm reduction organizations such as needle and syringe...
| Publicado en: | International Journal for Equity in Health Vol. 23; no. 1; pp. 1 - 25 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
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BioMed Central
6/17/2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177949602&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177949602 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14759276 1CR4 jtl: International Journal for Equity in Health issn: 14759276 maglogo: N pubinfo: dt: 6/17/2024 vid: 23 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 177949602 177949602 177949602 10.1186/s12939-024-02209-0 177949602 ppf: 1 ppct: 24 formats: tig: atl: Using an intersectionality lens to explore barriers and enablers to hepatitis C point-of-care testing: a qualitative study among people who inject drugs and service providers. aug: au: Fontaine, Guillaume Presseau, Justin Bruneau, Julie Etherington, Cole Thomas, Isabella M. Hung, Jui-Hsia Cleo van Allen, Zack Patey, Andrea M. Kareem, Ayesha Mortazhejri, Sameh Høj, Stine Bordier Boyer-Legault, Geneviève Grimshaw, Jeremy M. affil: https://ror.org/05jtef216 Centre for Implementation Research, Clinical Epidemiology Program, Ottawa Hospital Research Institute, 501 Smyth Road, K1H 8L6, Ottawa, ON, Canada sug: subj: Intersectionality Hepatitis C Prevention and Control Point-of-Care Testing Persons Who Use Intravenous Drugs Health Services Accessibility Community Health Services Needle Exchange Programs Human Qualitative Studies Semi-Structured Interview Sexually Transmitted Diseases Prevention and Control Blood-Borne Infections Prevention and Control Harm Reduction Conceptual Framework Funding Source Implementation Science ab: Background: Hepatitis C virus (HCV) infection is a significant global health burden, particularly among people who inject drugs. Rapid point-of-care HCV testing has emerged as a promising approach to improve HCV detection and linkage to care in harm reduction organizations such as needle and syringe programs. The objective of this study was to use an intersectionality lens to explore the barriers and enablers to point-of-care HCV testing in a needle and syringe program. Methods: A qualitative study was conducted using semi-structured interviews with clients (people who inject drugs) and service providers in a large community organization focused on the prevention of sexually transmitted and blood borne infections and harm reduction in Montreal, Canada. An intersectionality lens was used alongside the Theoretical Domains Framework to guide the formulation of research questions as well as data collection, analysis, and interpretation. Results: We interviewed 27 participants (15 clients, 12 providers). For clients, four themes emerged: (1) understanding and perceptions of HCV testing, (2) the role of an accessible and inclusive environment, (3) the interplay of emotions and motivations in decision-making, and (4) the impact of intersectional stigma related to HCV, behaviors, and identities. For providers, five themes emerged: (1) knowledge, skills, and confidence for HCV testing, (2) professional roles and their intersection with identity and lived experience, (3) resources and integration of services, (4) social and emotional factors, and (5) behavioral regulation and incentives for HCV testing. Intersectional stigma amplified access, emotional and informational barriers to HCV care for clients. In contrast, identity and lived experience acted as powerful enablers for providers in the provision of HCV care. Conclusion: The application of an intersectionality lens provides a nuanced understanding of multilevel barriers and enablers to point-of-care HCV testing. Findings underscore the need for tailored strategies that address stigma, improve provider roles and communication, and foster an inclusive environment for equitable HCV care. Using an intersectionality lens in implementation research can offer valuable insights, guiding the design of equity-focused implementation strategies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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