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Social-Cognitive and Socio-Cultural Predictors of Hepatitis B Virus-Screening in Turkish Migrants, the Netherlands

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Abstract

Hepatitis B virus (HBV) is an important health problem in the Turkish Dutch. Screening is necessary for detection and prevention of HBV. We aimed to identify social-cognitive and socio-cultural determinants of HBV-screening intention among Turkish Dutch. A cross-sectional survey was carried out amongst 335 Turkish Dutch, aged 16–40 years. Respondents showed favorable scores for the potential determinants of HBV-screening. Attitude, perceived behaviour control, social support and social norm, and the level of satisfaction with Dutch health care proved to be directly associated with screening intention. Relevant socio-cultural beliefs were shame, stigma, the association of screening with sexuality and family values. Persons with lower screening intentions had lower scores for attitude, perceived behaviour control, social support and subjective norms, but scored higher for feelings of shame and stigma regarding hepatitis B. This study shows how cultural values and social-cognitive factors are related to HBV-screening intention.

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References

  1. Hepatitis B (http://www.who.int/mediacentre/factsheets/fs204/en/).

  2. van Lier EA, Rahamat-Langendoen JC, van Vliet JA. Staat van Infectieziekten in Nederland 2006. Bilthoven RIVM: National Institute of Public Health and the Environment; 2007. p. 36.

  3. van Marrewijk CJ, Veldhuijzen IK, Conyn-van Spaendonck MA, Kooy H, van den Hof S, Dorigo-Zetsma JW. Prevalence of hepatitis B viral markers in the Dutch population: a population-based serosurveillance study (Pienter project). Bilthoven: National Institute of Public Health and the Environment; 1999.

    Google Scholar 

  4. van Steenbergen JE, Leentvaar-Kuijpers A, Baayen D, Dukers HT, van Doornum GJ, van den Hoek JA, Coutinho RA. Evaluation of the hepatitis B antenatal screening and neonatal immunization program in Amsterdam, 1993–1998. Vaccine. 2001;20(1–2):7–11.

    Article  PubMed  Google Scholar 

  5. Marschall T, Kretzschmar M, Mangen MJ, Schalm S. High impact of migration on the prevalence of chronic hepatitis B in the Netherlands. Eur J Gastroenterol Hepatol. 2008;20(12):1214–25.

    Article  PubMed  Google Scholar 

  6. Baaten GG, Sonder GJ, Dukers NH, Coutinho RA, van den Hoek JA. Population-based study on the seroprevalence of hepatitis A, B, and C virus infection in Amsterdam, 2004. J Med Virol. 2007;79(12):1802–10.

    Article  CAS  PubMed  Google Scholar 

  7. Koedijk FDH, Op de Coul ELM, van de Laar MJW. Chronische hepatitis B infecties in Nederland. Een overzicht van 2001–2003. Infect Bull. 2005;16(1):18–22.

    Google Scholar 

  8. Degertekin H, Gunes G. Horizontal transmission of hepatitis B virus in Turkey. Public Health. 2008;122(12):1315–7.

    Article  CAS  PubMed  Google Scholar 

  9. Health Council of the Netherlands. Universal vaccination against hepatitis B. Edited by Netherlands HCot. The Hague: Health Council of the Netherlands; 2001.

    Google Scholar 

  10. Betancourt H, Flynn PM. The psychology of health: physical health and the role of culture and behavior. In: Villarruel FA, Carlo G, Grau JM, Azmitia M, Cabrera NJ, Chahin TJ, editors. Handbook of US Latino psychology. Thousand Oaks, California: Sage; 2009. p. 347–361.

    Google Scholar 

  11. van der Veen YJJ, de Zwart O, Voeten HA, Mackenbach JP, Richardus JH. Hepatitis B screening in the Turkish–Dutch population in Rotterdam, the Netherlands; qualitative assessment of socio-cultural determinants. BMC Public Health. 2009;9:328.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Phalet K, Ter Wal J, Güngör D. Religieuze dimensies, etnische relaties en burgerschap: Turken en Marokkanen in Rotterdam. Den Haag: Sociaal en Cultureel Planbureau; 2004.

    Google Scholar 

  13. Shadid WAR, van Koningsveld, PS. Moslims in Nederland. Minderheden en religie in een multiculturele samenleving. Second, revised edition edition. Bohn Stafleu Van Loghum, Houten; 1997.

  14. Lukwago SN, Kreuter MW, Bucholtz DC, Holt CL, Clark EM. Development and validation of brief scales to measure collectivism, religiosity, racial pride, and time orientation in urban African American women. Fam Community Health. 2001;24(3):63–71.

    Article  CAS  PubMed  Google Scholar 

  15. Apodaca X, Woodruff SI, Candelaria J, Elder JP, Zlot A. Hispanic health program participant and nonparticipant characteristics. Am J Health Behav. 1997;21(5):356–63.

    Google Scholar 

  16. Elder JP, Ayala GX, Parra-Medina D, Talavera GA. Health communication in the Latino community: issues and approaches. Annu Rev Public Health. 2009;30:227–51.

    Article  PubMed  Google Scholar 

  17. Bereket T, Adam BD. Navigating Islam and same-sex liaisons among men in Turkey. J Homosex. 2008;55(2):204–22.

    Article  PubMed  Google Scholar 

  18. Cunningham SD, Tschann J, Gurvey JE, Fortenberry JD, Ellen JM. Attitudes about sexual disclosure and perceptions of stigma and shame. Sex Transm Infect. 2002;78(5):334–8.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  19. Marsiglia FF, Kulis S, Hecht ML, Sills S. Ethnicity and ethnic identity as predictors of drug norms and drug use among preadolescents in the US Southwest. Subst Use Misuse. 2004;39(7):1061–94.

    Article  PubMed Central  PubMed  Google Scholar 

  20. Love AS, Yin Z, Codina E, Zapata JT. Ethnic identity and risky health behaviors in school-age Mexican–American children. Psychol Rep. 2006;98(3):735–44.

    Article  PubMed  Google Scholar 

  21. Phinney JS. The multigroup ethnic identity measure; a new scale for use with diverse groups. J Adolesc Res. 1992;7(2):156–76.

    Article  Google Scholar 

  22. Schwartz SJ, Zamboanga BL, Jarvis LH. Ethnic identity and acculturation in Hispanic early adolescents: mediated relationships to academic grades, prosocial behaviors, and externalizing symptoms. Cultur Divers Ethnic Minor Psychol. 2007;13(4):364–73.

    Article  PubMed  Google Scholar 

  23. van Wieringen JC, Harmsen JA, Bruijnzeels MA. Intercultural communication in general practice. Eur J Public Health. 2002;12(1):63–8.

    Article  PubMed  Google Scholar 

  24. Borde T, David M, Kentenich H. What Turkish-speaking women expect in a German hospital and how satisfied they are with health care during their stay in a gynaecological hospital in Berlin-a comparative approach. Gesundheitswesen. 2002;64(8–9):476–85.

    Article  CAS  PubMed  Google Scholar 

  25. Webb TL, Sheeran P. Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychol Bull. 2006;132(2):249–68.

    Article  PubMed  Google Scholar 

  26. Janz N, Becker MH. The health belief model: a decade later. Health Educ Q. 1984;11:1–47.

    Article  CAS  PubMed  Google Scholar 

  27. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211.

    Article  Google Scholar 

  28. de Vries H, Mudde A, Leijs I, Charlton A, Vartiainen E, Buijs G, Clemente MP, Storm H, Gonzalez Navarro A, Nebot M, et al. The European Smoking prevention Framework Approach (EFSA): an example of integral prevention. Health Educ Res. 2003;18(5):611–26.

    Article  PubMed  Google Scholar 

  29. Fishbein M, Ajzen I. Predicting and changing behavior; the reasoned action approach. New York: Psychology Press; Taylor and Francis Group; 2010.

    Google Scholar 

  30. Harrison JA, Mullen PD, Green LW. A meta-analysis of studies of the health belief model with adults. Health Educ Res. 1992;7(1):107–16.

    Article  CAS  PubMed  Google Scholar 

  31. Milne S, Orbell S, Sheeran P. Combining motivational and volitional interventions to promote exercise participation: protection motivation theory and implementation intentions. Br J Health Psychol. 2002;7(Pt 2):163–84.

    Article  PubMed  Google Scholar 

  32. French DP, Cooke R, McLean N, Williams M, Sutton S. What do people think about when they answer theory of planned behaviour questionnaires? A ‘think aloud’ study. J Health Psychol. 2007;12(4):672–87.

    Article  PubMed  Google Scholar 

  33. Fishbein M. The role of theory in HIV prevention. AIDS Care. 2000;12(3):273–8.

    Article  CAS  PubMed  Google Scholar 

  34. Heaney CAI, Israel BA. Social networks and social support. In: Glanz K, Rimer BK, Lewis FM, editors. Health behavior and health education; Theory, research and practice. 3rd ed. Jossey-Bass, San Francisco; 2002.

  35. Van Buren LP, Joosten-van Zwanenburg E. Health survey amongst Turks and Moroccans aged 16–84 in Rotterdam in 2003/2004; study into the effect of research method on response and representativity and information about health, well-being, life-style and health care use. Rotterdam: Municipal Public Health Services; 2007. p. 79.

    Google Scholar 

  36. Willis GB. Cognitive interviewing, questionnaire design: a training manual. In: Edited by Office of Research and Methodology. Md working paper series, no 7. National Center for Health Statistics, Hyattsville;1999.

  37. Flay BR, Hu FB, Siddiqui O, Day LE, Hedeker D, Petraitis J, Richardson J, Sussman S. Differential influence of parental smoking and friends’ smoking on adolescent initiation and escalation of smoking. J Health Soc Behav. 1994;35(3):248–65.

    Article  CAS  PubMed  Google Scholar 

  38. Kocken P, van Dorst A, Schaalma H. The relevance of cultural factors in predicting condom-use intentions among immigrants from the Netherlands Antilles. Health Educ Res. 2006;21(2):230–8.

    Article  PubMed  Google Scholar 

  39. Fishbein M, Ajzen I. Belief, attitude, attention and behavior. New York: Wiley; 1975.

    Google Scholar 

  40. MacKenzie JE, Hobfoll SE, Ennis N, Kay J, Jackson A, Lavin J. Reducing AIDS risk among inner-city women: a review of the Collectivist Empowerment AIDS Prevention (CE-AP) Program. J Eur Acad Dermatol Venereol. 1999;13(3):166–74.

    Article  CAS  PubMed  Google Scholar 

  41. Kreuter MW, Sugg-Skinner C, Holt CL, Clark EM, Haire-Joshu D, Fu Q, Booker AC, Steger-May K, Bucholtz D. Cultural tailoring for mammography and fruit and vegetable intake among low-income African–American women in urban public health centers. Prev Med. 2005;41(1):53–62.

    Article  PubMed  Google Scholar 

  42. Everaert HA, Lamur HE. Alles wat geheim is, is lekker. Seksuele relaties en beschermingsgedrag van Turkse mannen. Het Spinhuis, Amsterdam;1993.

  43. Koedijk FD, Op de Coul EL, Boot HJ, van de Laar MJ. Hepatitis B surveillance in the Netherlands, 2002–2005: acute infection is mainly via sexual contact while chronic infection is via vertical transmission through mothers from endemic regions. Ned Tijdschr Geneeskd. 2007;151(43):2389–94.

    CAS  PubMed  Google Scholar 

  44. Fortenberry JD, McFarlane M, Bleakley A, Bull S, Fishbein M, Grimley DM, Malotte CK, Stoner BP. Relationships of stigma and shame to gonorrhea and HIV screening. Am J Public Health. 2002;92(3):378–81.

    Article  PubMed Central  PubMed  Google Scholar 

  45. van der Veen YJJ, Voeten HACM, Zwart O de, Richardus JH. Hepatitis B test-rates, awareness and knowledge among the Turkish–Dutch population in Rotterdam, The Netherlands. (in preparation, submitted 2008).

  46. Matin M, LeBaron S. Attitudes toward cervical cancer screening among Muslim women: a pilot study. Women Health. 2004;39(3):63–77.

    Article  PubMed  Google Scholar 

  47. Hjelm K, Bard K, Nyberg P, Apelqvist J. Religious and cultural distance in beliefs about health and illness in women with diabetes mellitus of different origin living in Sweden. Int J Nurs Stud. 2003;40(6):627–43.

    Article  PubMed  Google Scholar 

  48. Lamkaddem M, Spreeuwenberg PM, Deville WL, Foets M, Groenewegen PP. Changes in health and primary health care use of Moroccan and Turkish migrants between 2001 and 2005: a longitudinal study. BMC Public Health. 2008;8:40.

    Article  PubMed Central  PubMed  Google Scholar 

  49. Dagevos J, Schellingerhout R. Sociaal-culturele integratie: contacten, cultuur en oriëntatie op de eigen groep. In: Dagevos J, Gijsberts M, van Praag C, editors. Rapportage minderheden 2003. Den Haag: Sociaal en Cultureel Planbureau; 2003. p. 317–62.

    Google Scholar 

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Acknowledgments

This study was supported by ZonMW, the Netherlands organization for health research and development (grant number 71100005) and was conducted within the Huisman Research Centre for Infectious Diseases and Public Health and CEPHIR, Centre for Effective Public Health in the larger Rotterdam area.

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Authors and Affiliations

  1. Division of Infectious Diseases Control, Municipal Public Health Service GGD Rotterdam-Rijnmond, Rotterdam, the Netherlands

    Y. J. J. van der Veen & J. H. Richardus

  2. Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, the Netherlands

    Y. J. J. van der Veen, P. van Empelen, C. W. N. Looman & J. H. Richardus

  3. TNO Quality of Life, Leiden, the Netherlands

    P. van Empelen

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  1. Y. J. J. van der Veen
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Correspondence to Y. J. J. van der Veen.

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van der Veen, Y.J.J., van Empelen, P., Looman, C.W.N. et al. Social-Cognitive and Socio-Cultural Predictors of Hepatitis B Virus-Screening in Turkish Migrants, the Netherlands. J Immigrant Minority Health 16, 811–821 (2014). https://doi.org/10.1007/s10903-013-9872-y

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