Evidence map›Paper›PMID 42521397›Full record

ArticleInternational journal of nursing sciences2026

A multi-domain qualitative study on factors influencing access to preventive hepatitis B care among rural population.

Caixia Li, Mi Zhong, Gengyang Yuan, Shujuan Liu, Shuangshuang Wen, Xiaofei Tian, Dorothy Ngo Sheung Chan, Xia Fu

Abstract read
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Article in International journal of nursing sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Caixia LiDepartment of Nursing, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Mi ZhongDepartment of Infectious Diseases, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Gengyang YuanDepartment of Nursing, the Affiliated Hospital of Guizhou Medical University, Guizhou, China.
Shujuan LiuDepartment of Infectious Diseases, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Shuangshuang WenLiCun Community Health Care Service Station, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Xiaofei TianDepartment of Nursing, the Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Dorothy Ngo Sheung ChanNethersole School of Nursing, the Chinese University of Hong Kong, Hong Kong, China.
Xia FuDepartment of Nursing, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China. Electronic address: fuxia5@mail.sysu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to explore barriers precluding hepatitis B virus (HBV) preventive care among the rural population.

methodsGuided by the National Institute on Minority Health and Health Disparities framework, this qualitative study applied an interpretative phenomenological approach. Participants (n = 34) were recruited from three healthcare settings in southern China from May 2024 to January 2025. Data from semi-structured interviews were analyzed using interpretative phenomenological analysis.

resultsBarriers spanned four domains with 11 subthemes. 1) Behavioral: the last-resort paradigm in healthcare utilization, reliance on folk remedies, and intergenerational silence in familial HBV prevention; 2) Physical environment: remote residence from healthcare facilities and compound vulnerabilities in living and working environments; 3) Sociocultural: social marginalization stemming from HBV discrimination, fatalistic resignation towards health, and the myth of the hardy survivor; and 4) Healthcare system: misperceptions, underestimated needs, and access barriers related to labor, mobility, and misaligned healthcare insurance policy.

conclusionsThese barriers perpetuate late HBV diagnosis, low vaccine uptake, and poor treatment adherence among the rural population. This highlights the need for mobile health services to overcome geographic barriers; culturally appropriate interventions to dismantle misinformation, HBV discrimination, and myths; and policies to reduce financial burden and improve insurance coverage, thereby making HBV preventive care accessible for this marginalized group.

Indexed as

Health Services AccessibilityHepatitis BRural PopulationAdultChinaFemaleHumansMaleMiddle AgedQualitative ResearchHepatitis B virusInfluencing factorsPreventive careRural populationService access

Identifiers

PMID42521397
PMCPMC13424730

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.