Cross-sectional study of hepatitis B awareness among Chinese and Southeast Asian Canadians in the Vancouver-Richmond community
Cross-sectional study of hepatitis B awareness among Chinese and Southeast Asian Canadians in the Vancouver-Richmond community
复制标题
DOI：
10.1155/2005/583406
复制
发表时间：
2005-04-01
影响因子：
2.7
通讯作者：
Yoshida, EM
中科院分区：
文献类型：
--
作者：
Cheung, J;Lee, TK;Yoshida, EM
背景：B型肝炎（HBV）在亚洲是一种地方性疾病，是发病率和死亡率的主要原因。不列颠哥伦比亚省是加拿大所有省份中华人和东南亚人比例最高的省份。本研究的目的是评估程度的关注和知识的HBV在这个高风险的community.METHODS：两个大型的亚洲商业中心，里士满，不列颠哥伦比亚省未选定的顾客进行了调查。研究的变量是人口统计学、对HBV的关注、HBV知识水平和对HBV相关肝硬化或肝细胞癌（HCC）的认识。结果：共1008人参加了调查。排除了15项不完整的调查。只有7.7%的人认为HBV不是社区关注的问题。只有13%的受访者认为社区中的HBV教育是足够的。社区健康教育的主要来源是医生办公室（56.3%）和媒体（49.1%）。很多人表示他们“意识到”了乙型肝炎病毒（68%），但超过60%的人不知道乙型肝炎病毒可能导致肝细胞癌或肝硬化，只有61.3%的人对乙型肝炎病毒的知识达到了“合理”的水平。年龄、文化程度和使用健康教育媒体的情况与HBV相关知识的知晓率有显著性差异（P <0.001）。HBV可能导致HCC和肝硬化的意识与年龄（P < 0.001）、教育程度（P=0.006）和出生地（P=0.001）显著相关。项目应针对年轻、受教育程度较低的成年人，并详细说明HBV的潜在严重健康后果。公共教育的载体应包括医生办公室和当地媒体。
BACKGROUND: Hepatitis B (HBV) is endemic and a leading cause of morbidity and mortality in Asia. British Columbia has the highest proportion of Chinese and Southeast Asians among all Canadian provinces. The present study was designed to evaluate the degree of concern for and knowledge of HBV in this high risk community.METHODS: Unselected patrons of two large Asian commercial centres in Richmond, British Columbia were surveyed. The variables studied were population demographics, concern for HBV, level of HBV` knowledge and awareness of HBV-related cirrhosis or hepatocellular carcinoma (HCC). Associations were assessed using chi(2) testing and multiple logistic regression analysis.RESULTS: A total of 1008 individuals participated in the survey. Fifteen incomplete surveys were excluded. Only 7.7% felt that HBV was not a concern for the community. Only 13% of respondents felt that HBV education was adequate in the community. The main sources of community health education were their doctor's office (56.3%) and media (49.1%). A high number stated they were '' aware '' of HBV (68%) but over 60% were unaware that HBV could cause HCC or cirrhosis and only 61.3% scored a 'reasonable' level of HBV knowledge. Higher HBV knowledge was significantly associated with increasing age (P < 0.001), higher education (P < 0.001) and the use of media for health education (P < 0.001). Awareness that HBV may cause HCC and cirrhosis was significantly associated with age (P < 0.001), education (P=0.006) and birthplace (P=0.001).INTERPRETATION: HBV education is necessary in this local Asian community. Programs should target younger, less educated adults and elaborate on the potential serious health consequences of HBV. Vehicles for public education should include the physicians' offices and local media.