Knowledge, attitudes, and behaviors of hepatitis B screening and vaccination and liver cancer risks among Vietnamese Americans

Knowledge, attitudes, and behaviors of hepatitis B screening and vaccination and liver cancer risks among Vietnamese Americans
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DOI:
10.1353/hpu.2007.0013
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发表时间:
2007-02-01
影响因子:
1.4
通讯作者:
Khanh, Che
Khanh, Che
中科院分区:
医学4区
文献类型:
--
作者:
Ma, Grace X.;Shive, Steven E.;Khanh, Che

文献摘要

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B型肝炎病毒(HBV)感染是亚裔美国人的一个严重健康问题。与其他种族和族裔群体相比,越南裔美国人受肝癌的影响不成比例。在所有种族群体中,越南男性的肝癌发病率最高;越南男性的肝癌发病率比白色男性高11倍。近80%的肝癌归因于HBV。本研究测量了与HBV筛查和疫苗接种相关的知识、态度和行为。这项研究是在大费城和新泽西地区的256名越南裔美国人中进行的,其中有大量服务不足,社会经济地位低,英语水平有限的新移民。参与者是从越南社区组织招募的。总体而言,46.3%的样本听说过HBV或知道筛查(32.6%)或疫苗接种(35.5%)的可用性,而7.5%的样本曾经接受过筛查,6.3%的样本接种过疫苗。对越南裔美国人和卫生保健提供者采取以社区为基础、文化上适当的干预措施,应提高筛查和疫苗接种率。
Hepatitis B Virus (HBV) infection is a serious health problem among Asian Americans. Vietnamese Americans are disproportionately affected by liver cancer compared with other racial and ethnic groups. Vietnamese males have the highest incidence of liver cancer of any racial group; incidence of liver cancer among Vietnamese males is 11 times higher than among White males. Nearly 80% of liver cancer is attributed to HBV. This study measured knowledge, attitudes, and behaviors related to HBV screening and vaccination. The study was conducted among 256 Vietnamese Americans in the greater Philadelphia and New Jersey area, with a large number of underserved, recent immigrants with low socioeconomic status and limited English proficiency. Participants were recruited from Vietnamese community-based organizations. Overall, 46.3% of the sample had heard of HBV or knew about the availability of screening (32.6%) or vaccination (35.5%) while 7.5% were ever screened and 6.3% had been vaccinated. Community-based, culturally appropriate interventions for Vietnamese Americans and health care providers should increase screening and vaccination rates.