{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T14:56:24Z","timestamp":1780671384656,"version":"3.54.1"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T00:00:00Z","timestamp":1717545600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003323","name":"Agence Nationale de Recherches sur le Sida et les H\u00e9patites Virales","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003323","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Viral Hepatitis"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This paper investigates linkage to care following community\u2010based screening for hepatitis B virus (HBV) in rural Senegal. HBV\u2010positive participants who completed a biological and clinical examination to assess liver disease and treatment eligibility were referred to a regional hospital (if eligible for treatment), invited to join the Sen\u2010B research cohort study (adults with detectable viral load) or referred to their local health centre (all others). Logistic regressions were conducted to investigate factors associated with (i) uptake of the scheduled post\u2010screening examination, and (ii) HBV management initiation. Obstacles to HBV management were identified using thematic analysis of in\u2010depth patient interviews. Of the 206 HBV\u2010positive participants, 163 (79.1%) underwent the examination; 47 of the 163 (28.8%) initiated HBV management. Women, people not migrating for &gt;6\u2009months\/year, individuals living in households with more agricultural and monetary resources, with other HBV\u2010positive participants, and beneficiaries of the national cash transfer program, were all more likely to undergo the examination. The likelihood of joining the Sen\u2010B cohort increased with household monetary resources, but decreased with agricultural resources. Initiation of HBV management in local health centre was higher among participants with a non\u2010agricultural economic activity. Individuals reported wariness and confusion about HBV management content and rationale at various stages of the care continuum, in particular with respect to venous blood sampling and management without treatment. In conclusion, HBV community\u2010based test\u2010and\u2010treat strategies are feasible, but early loss to follow\u2010up must be addressed through simplified, affordable management and community support and sensitization.<\/jats:p>","DOI":"10.1111\/jvh.13977","type":"journal-article","created":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T12:12:40Z","timestamp":1717589560000},"page":"544-556","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Investigating linkage to care following community\u2010based screening for hepatitis B virus in rural Senegal: A mixed methods study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9005-240X","authenticated-orcid":false,"given":"Marion","family":"Coste","sequence":"first","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences \u00c9conomiques &amp; Sociales de la Sant\u00e9 &amp; Traitement de l'Information M\u00e9dicale  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4924-6912","authenticated-orcid":false,"given":"Assane","family":"Diouf","sequence":"additional","affiliation":[{"name":"Campus International IRD\u2010UCAD de l'IRD, UMR VITROME, IRD\u2010Univ., AP\u2010HM, SSA, IHU\u2010M\u00e9diterran\u00e9e Infection  Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5845-5004","authenticated-orcid":false,"given":"Cilor","family":"Ndong","sequence":"additional","affiliation":[{"name":"Department of Anthropology Universit\u00e9 Cheikh Anta Diop  Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8425-6592","authenticated-orcid":false,"given":"Aissatou","family":"Diouf","sequence":"additional","affiliation":[{"name":"Centre R\u00e9gional de Recherche et de Formation \u00e0 la Prise en Charge Clinique de Fann  Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8895-5909","authenticated-orcid":false,"given":"Lauren","family":"P\u00e9ri\u00e8res","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences \u00c9conomiques &amp; Sociales de la Sant\u00e9 &amp; Traitement de l'Information M\u00e9dicale  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4161-6285","authenticated-orcid":false,"given":"Marie Lib\u00e9r\u00e9e","family":"Nishimwe","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences \u00c9conomiques &amp; Sociales de la Sant\u00e9 &amp; Traitement de l'Information M\u00e9dicale  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7366-4040","authenticated-orcid":false,"given":"Morgane","family":"Bureau","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences \u00c9conomiques &amp; Sociales de la Sant\u00e9 &amp; Traitement de l'Information M\u00e9dicale  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9432-6956","authenticated-orcid":false,"given":"Assane","family":"Ndiaye","sequence":"additional","affiliation":[{"name":"Campus International IRD\u2010UCAD de l'IRD, UMR VITROME, IRD\u2010Univ., AP\u2010HM, SSA, IHU\u2010M\u00e9diterran\u00e9e Infection  Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2219-1475","authenticated-orcid":false,"given":"Gwena\u00eblle","family":"Maradan","sequence":"additional","affiliation":[{"name":"ORS PACA, Observatoire R\u00e9gional de la Sant\u00e9 Provence\u2010Alpes\u2010C\u00f4te d'Azur  Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0792-6722","authenticated-orcid":false,"given":"Aldiouma","family":"Diallo","sequence":"additional","affiliation":[{"name":"Centre R\u00e9gional de Recherche et de Formation \u00e0 la Prise en Charge Clinique de Fann  Dakar Senegal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7567-5200","authenticated-orcid":false,"given":"Sylvie","family":"Boyer","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, INSERM, IRD, SESSTIM, Sciences \u00c9conomiques &amp; 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