Understanding Perceptions of Hepatitis C and Its Management Among People with Experience of Incarceration in Quebec, Canada: A Qualitative Study Guided by the Common Sense Self-Regulation Model
Hepatitis C virus (HCV) disproportionately affects certain sub-populations, including people with experience of incarceration (PWEI). Little is known about how perceptions of HCV and treatment have changed despite simplifications in testing and treatment in carceral settings. Nineteen semi-structure...
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2024-12-01
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| Online Access: | https://www.mdpi.com/1999-4915/16/12/1910 |
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| author | Andrea Mambro Sameh Mortazhejri David Ortiz-Paredes Andrea Patey Guillaume Fontaine Camille Dussault Joseph Cox Jeremy M. Grimshaw Justin Presseau Nadine Kronfli |
| author_facet | Andrea Mambro Sameh Mortazhejri David Ortiz-Paredes Andrea Patey Guillaume Fontaine Camille Dussault Joseph Cox Jeremy M. Grimshaw Justin Presseau Nadine Kronfli |
| author_sort | Andrea Mambro |
| collection | DOAJ |
| description | Hepatitis C virus (HCV) disproportionately affects certain sub-populations, including people with experience of incarceration (PWEI). Little is known about how perceptions of HCV and treatment have changed despite simplifications in testing and treatment in carceral settings. Nineteen semi-structured interviews were conducted with people living with or having a history of HCV infection released from Quebec provincial prison. Interviews were guided by the Common Sense Self-Regulation Model (CS-SRM) and aimed to explore cognitive and emotional representations of HCV and coping strategies. Among the 19 participants, seven (37%) were diagnosed with HCV in prison and 14 (74%) had previously received HCV treatment. Participants’ HCV illness perceptions were influenced by fear (of HCV transmission, death, and the well-being of family) and stigma (related to HCV, injection drug use, and incarceration). While some sought education and social and professional support, others self-isolated or engaged in high-risk behaviors to cope. Despite advances in HCV treatment, PWEI continue to experience various forms of stigma and fear surrounding their HCV diagnosis, resulting in delayed HCV care. These findings provide insights into how prison-based healthcare providers can better utilize HCV illness perceptions to evaluate willingness to engage in HCV care among PWEI. |
| format | Article |
| id | doaj-art-1e8c9cee32cd4516a6f13d2e33e274d1 |
| institution | DOAJ |
| issn | 1999-4915 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Viruses |
| spelling | doaj-art-1e8c9cee32cd4516a6f13d2e33e274d12025-08-20T02:56:51ZengMDPI AGViruses1999-49152024-12-011612191010.3390/v16121910Understanding Perceptions of Hepatitis C and Its Management Among People with Experience of Incarceration in Quebec, Canada: A Qualitative Study Guided by the Common Sense Self-Regulation ModelAndrea Mambro0Sameh Mortazhejri1David Ortiz-Paredes2Andrea Patey3Guillaume Fontaine4Camille Dussault5Joseph Cox6Jeremy M. Grimshaw7Justin Presseau8Nadine Kronfli9Centre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, CanadaCentre for Implementation Research, Methodological and Implementation Research, Ottawa Hospital Research Institute, Ottawa, CanadaCentre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, CanadaCentre for Implementation Research, Methodological and Implementation Research, Ottawa Hospital Research Institute, Ottawa, CanadaCentre for Implementation Research, Methodological and Implementation Research, Ottawa Hospital Research Institute, Ottawa, CanadaCentre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, CanadaCentre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, CanadaCentre for Implementation Research, Methodological and Implementation Research, Ottawa Hospital Research Institute, Ottawa, CanadaCentre for Implementation Research, Methodological and Implementation Research, Ottawa Hospital Research Institute, Ottawa, CanadaCentre for Outcomes Research and Evaluation, Research Institute of the McGill University Health Centre, Montreal, CanadaHepatitis C virus (HCV) disproportionately affects certain sub-populations, including people with experience of incarceration (PWEI). Little is known about how perceptions of HCV and treatment have changed despite simplifications in testing and treatment in carceral settings. Nineteen semi-structured interviews were conducted with people living with or having a history of HCV infection released from Quebec provincial prison. Interviews were guided by the Common Sense Self-Regulation Model (CS-SRM) and aimed to explore cognitive and emotional representations of HCV and coping strategies. Among the 19 participants, seven (37%) were diagnosed with HCV in prison and 14 (74%) had previously received HCV treatment. Participants’ HCV illness perceptions were influenced by fear (of HCV transmission, death, and the well-being of family) and stigma (related to HCV, injection drug use, and incarceration). While some sought education and social and professional support, others self-isolated or engaged in high-risk behaviors to cope. Despite advances in HCV treatment, PWEI continue to experience various forms of stigma and fear surrounding their HCV diagnosis, resulting in delayed HCV care. These findings provide insights into how prison-based healthcare providers can better utilize HCV illness perceptions to evaluate willingness to engage in HCV care among PWEI.https://www.mdpi.com/1999-4915/16/12/1910people with experience of incarcerationhepatitis C virusCS-SRMqualitative researchimplementation science |
| spellingShingle | Andrea Mambro Sameh Mortazhejri David Ortiz-Paredes Andrea Patey Guillaume Fontaine Camille Dussault Joseph Cox Jeremy M. Grimshaw Justin Presseau Nadine Kronfli Understanding Perceptions of Hepatitis C and Its Management Among People with Experience of Incarceration in Quebec, Canada: A Qualitative Study Guided by the Common Sense Self-Regulation Model Viruses people with experience of incarceration hepatitis C virus CS-SRM qualitative research implementation science |
| title | Understanding Perceptions of Hepatitis C and Its Management Among People with Experience of Incarceration in Quebec, Canada: A Qualitative Study Guided by the Common Sense Self-Regulation Model |
| title_full | Understanding Perceptions of Hepatitis C and Its Management Among People with Experience of Incarceration in Quebec, Canada: A Qualitative Study Guided by the Common Sense Self-Regulation Model |
| title_fullStr | Understanding Perceptions of Hepatitis C and Its Management Among People with Experience of Incarceration in Quebec, Canada: A Qualitative Study Guided by the Common Sense Self-Regulation Model |
| title_full_unstemmed | Understanding Perceptions of Hepatitis C and Its Management Among People with Experience of Incarceration in Quebec, Canada: A Qualitative Study Guided by the Common Sense Self-Regulation Model |
| title_short | Understanding Perceptions of Hepatitis C and Its Management Among People with Experience of Incarceration in Quebec, Canada: A Qualitative Study Guided by the Common Sense Self-Regulation Model |
| title_sort | understanding perceptions of hepatitis c and its management among people with experience of incarceration in quebec canada a qualitative study guided by the common sense self regulation model |
| topic | people with experience of incarceration hepatitis C virus CS-SRM qualitative research implementation science |
| url | https://www.mdpi.com/1999-4915/16/12/1910 |
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