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. 2018 Jan 15;28(5):916–922. doi: 10.1093/eurpub/cky003
Theme Corresponding quote(s)
Awareness and knowledge ‘It often is ignorance. You do not know what it is, you have no symptoms, and you do not know where it may lead to’ (R2, FGM, M, 52 years)
‘It [HBV] should be more known. More information should inform people. That is necessary, because nobody talks about it’ (R4, FGM, F, 47 years)
‘Medical knowledge is often lacking’ (R12, SGM, M, 20 years)
‘People are not educated, so it [HBV] will be swept under the carpet. Look: Only people who know a bit more and have knowledge about the human body will think: Yes, it should go the right way, because our health comes first’ (R8, FGM, F, 45 years)
‘I would not just do a test, just like that. As long as I feel nothing, have nothing, and perceive nothing, then I am not having a test’ (R2, FGM, M, 52 years)
‘It’s as if you are searching for a disease. If you are going to test all kind of things, you are 100% sure that you are going to find something’ (R4, FGM, F, 47 years)
‘It is basically just like AIDS and that kind of things. It [AIDS] is of course much larger and much more aggressive, much more in the media, but actually, it is all a bit the same. Our culture has a bit of shame for it [STDs]’ (R17, FGM, F, 46 years)
Cultural aspects “For Moroccans, all diseases are taboo. You have cancer, it is taboo. You have diabetes, it is taboo. They do not want to express it. They do not want to tell it. It does not matter what type of disease it is. It will not be mentioned’ (R1, FGM, F, 45 years)
‘Moroccans often like to go to the doctor. I think they would like to have the test. Especially when you tell them, you can develop cancer. What Moroccans really do not want to hear, is cancer. So, if you say cancer, they will experience stress and say: Please test me’ (R6, SGM, M, 21 years).
Religion ‘A Moroccan who lives according to the Islam says ‘Listen, I will take it all for granted. I will not have myself tested. Or I do not want any medications.’ Another would say: ‘Listen, Allah has created people to cure each other, so you should also accept those medications or let yourself be treated by the concerned expert’ (R16, SGM, M, age unknown)

Abbreviations: AIDS, acquired immune deficiency syndrome; HBV, hepatitis B virus; STDs, sexually transmitted diseases.