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Development of an evidence-based hepatitis C education program to enhance public health literacy in the Australian prison sector: The Hepatitis in Prisons Education program (HepPEd).
Sheehan, Yumi; Lafferty, Lise; Tedla, Nicodemus; Byrne, Marianne; Dawson, Olivia; Stewart, Sami; Leber, Bianca; Habraken, Nikitah; Lloyd, Andrew R.
Afiliación
  • Sheehan Y; The Kirby Institute, University of New South Wales, Sydney, Australia. Electronic address: ysheehan@kirby.unsw.edu.au.
  • Lafferty L; The Kirby Institute, University of New South Wales, Sydney, Australia; Centre for Social Research in Health, University of New South Wales, Sydney, Australia.
  • Tedla N; School of Biomedical Sciences, University of New South Wales, Sydney, Australia.
  • Byrne M; The Kirby Institute, University of New South Wales, Sydney, Australia.
  • Dawson O; ASHM, Australia.
  • Stewart S; ASHM, Australia.
  • Leber B; ASHM, Australia.
  • Habraken N; ASHM, Australia.
  • Lloyd AR; The Kirby Institute, University of New South Wales, Sydney, Australia.
Int J Drug Policy ; 129: 104461, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38971019
ABSTRACT

BACKGROUND:

Australia's prisons have a high chronic hepatitis C (HCV) prevalence (8 %). Antiviral therapies and prison-based hepatitis services are available, but only a minority of those eligible are being treated. Improving the HCV public health literacy of the prison sector via targeted education may overcome key barriers to scale-up treatment. This paper describes the i) HCV public health literacy of the prison setting; ii) barriers and solutions for HCV education and service engagement; iii) HCV education program co-design and development processes; and iv) HepPEd resources.

METHODS:

A national needs assessment was conducted to analyse the HCV public health literacy of the target audience groups in the prisons (healthcare providers; custodial officers; people in prison) to inform development of a prison-specific HCV education program (HepPEd). Structured interviews were conducted with key informants (n = 40). Three National Steering Committees, one for each target group, were convened to co-design and develop HepPEd.

RESULTS:

Only healthcare providers involved with hepatitis care were considered to have 'good' to 'very good' HCV health literacy (including knowledge, attitudes, and capabilities), with all other groups considered less favourably. Key barriers identified included being time poor (healthcare providers), poor motivation (custodial officers) and stigma (people in prison). Peer education delivery was considered a key facilitator for custodial officers and people in prison. A suite of multi-modal resources addressing the perceived gaps in HCV health literacy was developed, with a broad theme of 'Let's talk about hep C'. Delivery of HepPEd was designed to overcome key barriers and utilise facilitators for each group.

CONCLUSIONS:

Significant gaps in HCV health literacy were perceived amongst the target audience groups. The comprehensive co-design and development processes utilised in HepPEd suggest the program will be well-placed to improve the HCV public health literacy of the prison sector and thereby enhance HCV testing and treatment rates amongst people in prison.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prisiones / Prisioneros / Conocimientos, Actitudes y Práctica en Salud / Educación en Salud / Alfabetización en Salud Límite: Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Int J Drug Policy Asunto de la revista: SAUDE PUBLICA / TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prisiones / Prisioneros / Conocimientos, Actitudes y Práctica en Salud / Educación en Salud / Alfabetización en Salud Límite: Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Int J Drug Policy Asunto de la revista: SAUDE PUBLICA / TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos