Evidence map›Paper›PMID 31640692›Full record

ArticleBMC health services research2019

Stigma among healthcare workers towards hepatitis B infection in Bangalore, India: a qualitative study.

F C van der Scheun, M C M Nagelkerke, A Kilaru, V Shridhar, R Prasad, T S van der Werf

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Review
  2. Preventive strategies for chronic liver disease: A critical review of awareness, vaccine and screening programmes.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Social challenges experienced by Hepatitis B patients: A mixed method study.Journal of family medicine and primary care · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

F C van der ScheunUniversity of Groningen, Faculty of Medical Sciences, Antonius Deusinglaan 1, 9713, AV, Groningen, the Netherlands. f.vanderscheun@gmail.com.
M C M NagelkerkeUniversity of Groningen, Faculty of Medical Sciences, Antonius Deusinglaan 1, 9713, AV, Groningen, the Netherlands.
A KilaruPCMH Restore Health Center, Bangalore, India.
V ShridharPCMH Restore Health Center, Bangalore, India.
R PrasadPCMH Restore Health Center, Bangalore, India.
T S van der WerfUniversity of Groningen, Faculty of Medical Sciences, Antonius Deusinglaan 1, 9713, AV, Groningen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith about 50 million people infected with hepatitis B (HBV) in India the burden of disease is high. Stigma has been identified to have a major negative impact on screening, diagnosis and treatment of hepatitis B patients. The aim of this study was to assess the stigma in nurses and physicians in Bangalore, India; studies on stigma in HBV have only been published outside of India.

methodsSemi-structured in-depth-interviews were conducted in the period of March 20th and April 16th 2018 to study stigma and other problems in the care of hepatitis B patients. Stigma was pragmatically defined as a mark of disgrace associated with having a hepatitis B infection. Thirty physicians and nurses in different clinics and hospitals across the city of Bangalore were selected by purposeful sampling and snowball effect until theoretical saturation was reached.

resultsThe following themes were identified during the interviews: feelings when treating a patient; pregnancy and marriage; confidentiality; morality; improvement in care and the difference with HIV. The most stigma was discovered in the theme morality. The majority of our participants mentioned lack of awareness as biggest obstacle in health care of hepatitis B patients.

conclusionsThis is the first qualitative study in India exploring hepatitis B stigma among health care workers. Stigma was found in certain themes, such as morality. Though, no unwillingness to treat was found. There was a general lack of awareness amongst patients according to our participants and could jeopardize proper treatment. These results will further help in developing strategies to tackle hepatitis B in India.

Indexed as

Attitude of Health PersonnelSocial StigmaHealth PersonnelHepatitis BHumansIndiaQualitative ResearchAwarenessBangaloreDoctorsHepatitis BHIVIndiaNursesQualitativeStigma

Identifiers

PMID31640692
PMCPMC6805630

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.