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. 2018 Jan 15;28(5):916–922. doi: 10.1093/eurpub/cky003
Theme Corresponding quote(s)
Association of hepatitis B with sexuality ‘Hepatitis B, you would think ‘okay, how do you get that? It is sexually transmittable. That is one of the reasons, but for Moroccans it is also a reason. You can also have done that [sexual contact]. People think wrong very quickly in the Moroccan culture. People are ashamed very quickly and do not talk about such diseases [STDs]. Especially women have that’ (R5, SGM, F, 23 years)
“I think it [to have a HBV test] will be more difficult for women than for men. It is just taboo. It will not be mentioned. I think that women will not have such a test so easily unless it will be mandatory or when they will notice that their liver does not work very well at a later stage’ (R8, FGM, F, 45 years)
Association of hepatitis B with drugs ‘Hepatitis B sounds a bit scary. I thought: ‘Oh, needles.’ You immediately think about a certain community. About addicts and stuff’ (R19, SGM, F, 38 years)
‘We, our children, they never use drugs or alcohol or whatever. They do not use each other’s needles. No’ (R8, FGM, F, 45 years)
Disclosure of hepatitis B status ‘They would rather keep it [HBV status] for themselves. People are afraid for what would happen if the ‘outside world’ or doctor would know. One is also not aware of the privacy policy of different municipal organizations’ (R8, FGM, F, 45 years).

Abbreviations: HBV, hepatitis B virus; STDs, sexually transmitted diseases.