Evidence map›Paper›PMID 38772585›Full record

ArticleBMJ open2024

Barriers to accessing hepatitis B medication: a qualitative study from the USA and Canada.

Michaela Jackson, Yasmin Ibrahim, Catherine Freeland, Sophie Jacob, Beatrice Zovich, Chari Cohen

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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.

Michaela JacksonHepatitis B Foundation, Doylestown, Pennsylvania, USA michaela.jackson@hepb.org.ORCID 0009-0000-4750-3754
Yasmin IbrahimHepatitis B Foundation, Doylestown, Pennsylvania, USA.
Catherine FreelandHepatitis B Foundation, Doylestown, Pennsylvania, USA.
Sophie JacobHepatitis B Foundation, Doylestown, Pennsylvania, USA.
Beatrice ZovichHepatitis B Foundation, Doylestown, Pennsylvania, USA.
Chari CohenHepatitis B Foundation, Doylestown, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo collect and document the numerous barriers that people living with hepatitis B (PLHB) encounter when trying to access their hepatitis B virus (HBV) medications.

designResearchers collected qualitative data through 24 online interviews. The semistructured interview questions focused on the impact that HBV has on different aspects of daily life (physical, emotional and social), personal experiences managing their infection, HBV treatment experiences and interactions with healthcare providers.

settingAll interviews occurred over Zoom.

participantsThe participant cohort consisted of 12 males and 12 females. 63% of all participants represented communities of colour (37% white, 17% black/African/African American and 46% Asian/Asian American). Most of the participants were on antiviral treatment at the time of the study (62%). Participants were PLHB (self-reported), ≥18 years old, living in the USA or Canada and spoke English.

resultsParticipants reported several barriers to accessing medicine among PLHB including financial barriers, health insurance and pharmacy preauthorisation process and other intangible barriers like lack of access to reliable patient-friendly information and stigma. The identified barriers to accessing HBV medication impacted patients' continuity of care.

conclusionsAccess to medicine is essential to improving health outcomes. PLHB experience significant barriers to accessing HBV antivirals at different levels. Patient-related, physician-related and healthcare system barriers were identified as themes contributing to antiviral access challenges. More research is needed to identify strategies to improve access to HBV medications.

Indexed as

Antiviral AgentsHealth Services AccessibilityHepatitis BQualitative ResearchAdultAgedCanadaFemaleHepatitis B, ChronicHumansInterviews as TopicMaleMiddle AgedSocial StigmaUnited StatesYoung AdultAntiviral Agentschronic diseaseinfectious diseasesmedication adherencequalitative researchquality of life

Identifiers

PMID38772585
PMCPMC11110584

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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 OpenQuestion graph.