The role of stigma and trauma in hepatitis C virus treatment in veterans: Applying the common‐sense model

Hepatitis C Virus (HCV), a blood borne pathogen capable of causing severe liver disease, disproportionately affects veterans in the United States. While there are antiviral medications to treat HCV, stigma and trauma in this population may lead to avoidance of care. Those veterans who do undergo tre...

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Bibliographic Details
Published in:Public health Nursing 2019-11, Vol.36 (6), p.829-835
Main Authors: Garvey, Casey M., Jones, Rachel
Format: Article
Language:English
Subjects:
Antiviral Agents - therapeutic use
Antiviral drugs
Common‐Sense Model
conceptual framework
decision‐making
Female
health beliefs
Hepacivirus - drug effects
Hepatitis
Hepatitis C
Hepatitis C - drug therapy
Hepatitis C - psychology
Humans
Illnesses
Liver diseases
Male
Middle Aged
Nursing
Patient Compliance - psychology
psychological trauma
Representations
Social Stigma
Stigma
Trauma
United States
veterans
Veterans - psychology
Viruses
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Summary:Hepatitis C Virus (HCV), a blood borne pathogen capable of causing severe liver disease, disproportionately affects veterans in the United States. While there are antiviral medications to treat HCV, stigma and trauma in this population may lead to avoidance of care. Those veterans who do undergo treatment have certain illness representations about HCV and its treatment. They undergo treatment even while facing stigma and trauma. The Common‐Sense Model may be useful in elucidating how such representations, when matched to an appropriate illness prototype, may inform an action plan of how to respond to HCV. An exploration of the illness representations among veterans with HCV, and the effects of stigma and trauma on these representations, may help to explain how they exercise the choice to undergo treatment and may inform interventions to encourage treatment in veterans who have yet to do so.
ISSN:0737-1209
1525-1446
DOI:10.1111/phn.12665