Journal of Community Health

, Volume 40, Issue 1, pp 175–184

Adapting the Andersen Model to a Francophone West African Immigrant Population: Hepatitis B Screening and Linkage to Care in New York City

  • Demetri A. Blanas
  • Kim Nichols
  • Mulusew Bekele
  • Hari Shankar
  • Saba Bekele
  • Lina Jandorf
  • Saria Izzeldin
  • Daouda Ndiaye
  • Adama Traore
  • Motahar Bassam
  • Ponni V. Perumalswami
Original Paper

DOI: 10.1007/s10900-014-9916-9

Cite this article as:
Blanas, D.A., Nichols, K., Bekele, M. et al. J Community Health (2015) 40: 175. doi:10.1007/s10900-014-9916-9

Abstract

Hepatitis B virus (HBV) is highly endemic in West Africa and immigration from this region to the United States has greatly increased over the past quarter century. Using the Andersen Model as a conceptual framework, this study qualitatively examines francophone West African immigrants’ perceptions of factors affecting access to HBV screening and linkage-to-care in New York City. Four focus groups were conducted with 39 purposefully selected participants. The focus groups were conducted in French, audio-recorded, translated into English, transcribed, analyzed, and coded for major themes. Participants identified increasing knowledge of HBV and opportunities to access care in a culturally-sensitive manner that decreases fatalism and avoids generating stigma as priorities. They also emphasized the importance of engaging religious establishments and social networks and employing the Internet to disseminate HBV-relevant information. Cost and health insurance are identified as future challenges that will need to be addressed in a health care environment in which undocumented immigrants are ineligible for health insurance. The qualitative analysis in this study highlights the recursive and interdependent nature of the Andersen Model, and a modification of the model is proposed that is intended to inform examinations of other minority communities’ access to health care.

Keywords

Hepatitis BImmigrationWest AfricaQualitative research

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Demetri A. Blanas
    • 1
  • Kim Nichols
    • 2
  • Mulusew Bekele
    • 2
  • Hari Shankar
    • 3
  • Saba Bekele
    • 4
  • Lina Jandorf
    • 5
  • Saria Izzeldin
    • 6
  • Daouda Ndiaye
    • 2
  • Adama Traore
    • 2
  • Motahar Bassam
    • 7
  • Ponni V. Perumalswami
    • 8
  1. 1.Institute for Family HealthHarlem Residency in Family MedicineNew YorkUSA
  2. 2.African Services CommitteeNew YorkUSA
  3. 3.Hospital of the University of PennsylvaniaPhiladelphiaUSA
  4. 4.Saint Barnabas HospitalNew YorkUSA
  5. 5.Department of Oncologic SciencesIcahn School of Medicine at Mount SinaiNew YorkUSA
  6. 6.University of Virginia School of MedicineCharlottesvilleUSA
  7. 7.Howard UniversityWashingtonUSA
  8. 8.Division of Liver DiseasesIcahn School of Medicine at Mount SinaiNew YorkUSA