{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T21:39:22Z","timestamp":1774906762361,"version":"3.50.1"},"reference-count":25,"publisher":"CSIRO Publishing","issue":"6","license":[{"start":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T00:00:00Z","timestamp":1755302400000},"content-version":"vor","delay-in-days":1055,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mother-to-child transmission (MTCT) of hepatitis B can be prevented with targeted interventions; however, MTCT continues to occur in Australia and globally. This qualitative research investigated how mothers with chronic hepatitis B (CHB) understand and experience interventions for the prevention of MTCT of CHB (PMTCT-CHB) in Victoria, Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi-structured interviews were conducted with women with CHB. Participants were recruited through purposive and snowballing sampling. Interviews explored the women\u2019s experience of care for themselves and their infants aimed at PMTCT-CHB. Interviews were conducted over the phone with a qualified interpreter where required. The consolidated criteria for reporting qualitative research framework was used with data thematically analysed. This study was co-designed with mothers with CHB through a Community Advisory Group established for this research; coordinated and supported by LiverWELL and the researchers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen women were interviewed. Although most women understood the purpose of hepatitis B vaccination, there were significant gaps in information and education provided to mothers regarding PMTCT-CHB. These gaps included understanding of the extent of protection of vaccination, breastfeeding with CHB, post-vaccination testing for infants and lack of clarity of the woman\u2019s own hepatitis B status. There was notable fear and worry associated with hepatitis B transmission, with emotional support for mothers identified as a major gap in service delivery. Additionally, some women experienced stigma and discrimination due to their hepatitis B and refugee status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study explored how mothers with CHB understand and experience interventions to prevent MTCT. Our findings reveal substantial gaps in delivery of information and care in the context of PMTCT-CHB in Victoria. Our findings can support development of evidence-based interventions and systems to improve healthcare for mothers with CHB and their infants, and thereby reduce possible CHB transmission and other negative outcomes, including stigma and discrimination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/py22014","type":"journal-article","created":{"date-parts":[[2022,9,25]],"date-time":"2022-09-25T23:07:12Z","timestamp":1664147232000},"page":"514-521","source":"Crossref","is-referenced-by-count":3,"title":["Women with hepatitis B: how mothers with chronic hepatitis B understand and experience the prevention of mother-to-child transmission interventions in Victoria, Australia"],"prefix":"10.1071","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3124-0982","authenticated-orcid":true,"given":"Nafisa","family":"Yussf","sequence":"first","affiliation":[{"name":"AWHO Collaborating Centre for Viral Hepatitis, Doherty Institute for Infection and Immunity, Melbourne, Vic. 3000, Australia."},{"name":"BDepartment of Infectious Diseases, University of Melbourne, Melbourne, Vic. 3000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Wallace","sequence":"additional","affiliation":[{"name":"CBurnet Institute, Melbourne, Vic. 3004, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meg","family":"Perrier","sequence":"additional","affiliation":[{"name":"DLiverWELL, Melbourne, Vic. 3051, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Romero","sequence":"additional","affiliation":[{"name":"AWHO Collaborating Centre for Viral Hepatitis, Doherty Institute for Infection and Immunity, Melbourne, Vic. 3000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Cowie","sequence":"additional","affiliation":[{"name":"AWHO Collaborating Centre for Viral Hepatitis, Doherty Institute for Infection and Immunity, Melbourne, Vic. 3000, Australia."},{"name":"BDepartment of Infectious Diseases, University of Melbourne, Melbourne, Vic. 3000, Australia."},{"name":"ERoyal Melbourne Hospital, Melbourne, Vic. 3000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Allard","sequence":"additional","affiliation":[{"name":"AWHO Collaborating Centre for Viral Hepatitis, Doherty Institute for Infection and Immunity, Melbourne, Vic. 3000, Australia."},{"name":"BDepartment of Infectious Diseases, University of Melbourne, Melbourne, Vic. 3000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2022,9,26]]},"reference":[{"issue":"2","key":"2025102822084091000_R1","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1071\/PY17099","article-title":"Knowing and telling: how African-Australians living with chronic hepatitis B understand hepatocellular carcinoma risk and surveillance.","volume":"24","author":"Allard","year":"2018","journal-title":"Australian Journal of Primary Health"},{"issue":"3","key":"2025102822084091000_R2","doi-asserted-by":"publisher","first-page":"103","DOI":"10.5694\/mja2.51114","article-title":"Time for universal hepatitis B screening for Australian adults.","volume":"215","author":"Allard","year":"2021","journal-title":"Medical Journal of Australia"},{"key":"2025102822084091000_R3"},{"key":"2025102822084091000_R4"},{"key":"2025102822084091000_R5","doi-asserted-by":"publisher","first-page":"97","DOI":"10.7326\/0003-4819-155-2-201107190-00005","article-title":"Low health literacy and health outcomes: an updated systematic review.","volume":"155","author":"Berkman","year":"2011","journal-title":"Annals of Internal Medicine"},{"key":"2025102822084091000_R6","article-title":"Demarginalizing the intersection of race and sex: a black feminist critique of antidiscrimination doctrine, feminist theory and antiracist politics.","volume":"1989","author":"Crenshaw","year":"1989","journal-title":"University of Chicago Legal Forum"},{"key":"2025102822084091000_R7","unstructured":"Deng A (2021) Uptake of perinatal immunoprophylaxis for infants born to women with a record of hepatitis B in Victoria (2009\u20132017). 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