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An Intersectional Approach to Hepatitis B

Author

Listed:
  • Christopher Lemoh

    (Department of Medicine, Melbourne Medical School, The University of Melbourne, Parkville, VIC 3010, Australia)

  • Yinzong Xiao

    (Burnet Institute, Melbourne, VIC 3004, Australia)

  • Lien Tran

    (Department of Medicine, Melbourne Medical School, The University of Melbourne, Parkville, VIC 3010, Australia
    WHO Collaborating Centre for Viral Hepatitis, Peter Doherty Institute for Infection and Immunity, Parkville, VIC 3010, Australia)

  • Nafisa Yussf

    (WHO Collaborating Centre for Viral Hepatitis, Peter Doherty Institute for Infection and Immunity, Parkville, VIC 3010, Australia
    Department of Infectious Diseases, The University of Melbourne, Melbourne, VIC 3004, Australia)

  • Piergiorgio Moro

    (Centre for Culture, Ethnicity and Health, North Richmond Community Health, Richmond, VIC 3121, Australia)

  • Sophie Dutertre

    (Centre for Culture, Ethnicity and Health, North Richmond Community Health, Richmond, VIC 3121, Australia)

  • Jack Wallace

    (Burnet Institute, Melbourne, VIC 3004, Australia
    Centre for Social Research in Health, University of New South Wales, Kensington, NSW 2052, Australia)

Abstract

Hepatitis B is a chronic condition, primarily associated with hepatitis B viral infection in early life. The failure of prevention and appropriate management can lead to subsequent liver cirrhosis and cancer. Hepatitis B most commonly affects people born in Asia and Sub-Saharan Africa and their global diasporas. The physical, psychological, and social impacts of hepatitis B are strongly influenced by sex and gender. Inequities in access to timely, sensitive diagnosis and effective management arise from interactions between structural inequalities related to race, ethnicity, Indigenous/settler status, class, and geography. The biomedical response to hepatitis B has led to advances in prevention, diagnosis, and treatment, but many affected communities have explanatory health belief models that differ from that of biomedicine. We argue that an intersectional approach, led by affected people and communities, can integrate biomedicine with the lived experience and social context that give purpose to and shape all personal, communal, clinical, and public health responses to hepatitis B. This approach has the potential to enable a consciously equitable, effective response to the biopsychosocial complexities of hepatitis B, improve the health and wellbeing of people living with hepatitis B, and reduce hepatitis B-associated mortality.

Suggested Citation

  • Christopher Lemoh & Yinzong Xiao & Lien Tran & Nafisa Yussf & Piergiorgio Moro & Sophie Dutertre & Jack Wallace, 2023. "An Intersectional Approach to Hepatitis B," IJERPH, MDPI, vol. 20(6), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:4879-:d:1093308
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    References listed on IDEAS

    as
    1. Thi Thu Le Pham & Janneke Berecki-Gisolf & Angela Clapperton & Kerry S. O’Brien & Sara Liu & Katharine Gibson, 2021. "Definitions of Culturally and Linguistically Diverse (CALD) : A Literature Review of Epidemiological Research in Australia," IJERPH, MDPI, vol. 18(2), pages 1-23, January.
    2. Richard Madden & Nicola Fortune & Julie Gordon, 2022. "Health Statistics in Australia: What We Know and Do Not Know," IJERPH, MDPI, vol. 19(9), pages 1-12, April.
    Full references (including those not matched with items on IDEAS)

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