Hepatitis B screening among Chinese Americans: a structural equation modeling analysis.
Hepatitis B screening among Chinese Americans: a structural equation modeling analysis.
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乙型肝炎筛查中国人：一种结构方程建模分析。
DOI：
10.1186/s12879-015-0854-7
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发表时间：
2015-03-08
影响因子：
3.7
通讯作者：
Wang MQ
中科院分区：
文献类型：
--
作者：
Ma GX;Zhang GY;Zhai S;Ma X;Tan Y;Shive SE;Wang MQ
B型肝炎病毒（HBV）不成比例地影响来自中国等流行地区的新移民。未经治疗的感染会增加包括癌症在内的肝脏疾病的健康风险。然而，大多数感染者并不知道他们的疾病限制了预防和早期治疗的选择。本研究的目的是评估一个启发式模式，以确定因素，有助于B型肝炎（HBV）的筛查在美国华人。横断面设计包括924名18岁及以上的中国男性和女性，其中718人有完整的数据进行最终分析。验证性因素分析验证了概念指标，包括获得/满意度与卫生保健和使能，诱发，文化和健康信念因素。结构方程模型用于确定B型肝炎筛查的直接和间接预测因素。双变量分析显示，从未接受过HBV筛查的中国受访者更有可能年龄在40岁以下（69.8%），男性（69.2%），高中以下教育程度（76.4%），在美国居住时间不到6年（72.8%），没有健康保险（79.2%）。最终的模型确定了有利因素（有健康保险，生病时可以去的初级卫生保健提供者以及去年更频繁地去看医生）作为HBV筛查的最强预测因素（系数= 0.470，t = 7.618，p < .001）。易感因素（教育变量）也与HBV筛查显著相关。文化因素和对医疗保健的满意度与乙肝病毒筛查相关，只有通过他们的显着关系，使因素。经检验的理论模型显示出预测华裔美国人HBV检测的前景。通过扩大保险选择和提高卫生系统的文化敏感性来增加获得医疗保健的机会，对于像中国人这样的新移民进行HBV筛查至关重要。然而，这些战略与卫生和公众服务部的《预防和治疗病毒性肝炎行动计划》是一致的。实施以社区为基础的战略，如与相关社区组织合作，对于实现HBV政策目标非常重要。本文的在线版本（doi：10.1186/s12879-015-0854-7）包含补充材料，可供授权用户使用。
Hepatitis B Virus (HBV) disproportionately affects new immigrants from endemic regions such as China. Untreated infections increase health risks for liver diseases including cancer. Yet most of those infected are unaware of their disease limiting prevention and early treatment options. The purpose of this community based study was to evaluate a heuristic model identifying factors contributing to Hepatitis B (HBV) screening among Chinese Americans. A cross-sectional design included a sample of 924 Chinese men and women 18 years of age and older of which 718 had complete data for final analysis. Confirmatory factor analysis verified conceptual indicators including access/satisfaction with health care and enabling, predisposing, cultural, and health belief factors. Structural equation modeling was used to identify direct and indirect predictors of Hepatitis B screening. Bivariate analysis revealed that Chinese respondents who were never screened for HBV were significantly more likely to be below age 40 (69.8%), male (69.2%), had less than a high school education (76.4%), with less than 6 years living in the US (72.8%) and had no health insurance (79.2%). The final model identified enabling factors (having health insurance, a primary health care provider to go to when sick and more frequent visits to a doctor in the last year) as the strongest predictor of HBV screening (coefficient = 0.470, t = 7.618, p < .001). Predisposing factors (education variables) were also significantly related to HBV screening. Cultural factors and Satisfaction with Health care were associated with HBV screening only through their significant relationships with enabling factors. The tested theoretical model shows promise in predicting HBV testing among Chinese Americans. Increasing access to health care by expanding insurance options and improving culturally sensitivity in health systems are critical to reach new immigrants like Chinese for HBV screening. Yet such strategies are consistent with DHHS Action plan for the Prevention and Treatment of Viral Hepatitis. Implementing community-based strategies like partnering with relevant Community-Based Organizations are important for meeting HBV policy targets. The online version of this article (doi:10.1186/s12879-015-0854-7) contains supplementary material, which is available to authorized users.
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影响因子：
5.9
作者：
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通讯作者：
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影响因子：
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