Salient themes that
emerged were HBV knowledge, complexity
of the US medical system, unaccustomed
to preventive care, language and
health literacy, availability and accessibility
of screening, fear of disclosure,
reliance on faith community, stigma of
HBV, primacy towards a higher power
on illnesses, and social systems influences.
Conclusions: Findings were consistent
with other at-risk populations,
however, emphasis on privacy and fear
of disclosure are distinct to Africans.
This reinforces the need for a culturally
targeted intervention for this at-risk
population.