Risk perceptions and barriers to Hepatitis B screening and vaccination among Vietnamese immigrants.
Risk perceptions and barriers to Hepatitis B screening and vaccination among Vietnamese immigrants.
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DOI：
10.1007/s10903-006-9028-4
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发表时间：
2007-07-01
影响因子：
1.9
通讯作者：
Siu, Philip
中科院分区：
文献类型：
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作者：
Ma, Grace X;Fang, Carolyn Y;Siu, Philip
乙肝病毒(乙肝)感染在肝癌的发生发展中起主要作用，占肝癌病例的近80%。在所有族裔中，越南男性的肝癌发病率最高，在越南移民中，乙肝病毒感染是一个严重和普遍的健康问题。在健康信念模型框架的指导下，本研究的目的是评估越南成年人样本中感知的风险水平、严重性、障碍和益处，以及与实际筛查和疫苗接种行为相关的行动线索。这项研究包括居住在宾夕法尼亚州和新泽西州的359名越南成年人。大多数参与者是移民(98.1%)，他们的社会经济和教育地位较低。只有8.8%的参与者报告接受了筛查，7.3%的参与者接种了乙肝疫苗。接受过筛查的参与者报告说，与那些没有接受筛查的人相比，他们感觉风险更高，认为乙肝病毒感染更有可能导致肝癌和死亡。此外，接受过筛查的参与者报告说，与未筛查的参与者相比，他们感觉到的障碍更少，行动的线索更多。与接种疫苗的参与者相比，未接种疫苗的参与者更有可能报告感觉健康，并且缺乏关于哪里可以获得乙肝病毒检测的知识作为障碍。多因素Logistic回归分析显示，知觉障碍与筛查行为和接种行为呈负相关。这些结果表明，针对越南裔美国人的基于社区的、文化上适当的干预措施应该直接解决筛查和疫苗接种的障碍，以提高这一服务不足的人群的筛查和疫苗接种率。
Hepatitis B (HBV) infection plays a primary role in the development of liver cancer, contributing to nearly 80% of liver cancer cases. Vietnamese males have the highest incidence of liver cancer of any ethnic group, and HBV infection is a serious and prevalent health problem among Vietnamese immigrants. Guided by the Health Belief Model framework, the purpose of the present study was to assess levels of perceived risk, severity, barriers and benefits, and cues to action in HBV screening and vaccination in relation to actual screening and vaccination behavior in a sample of Vietnamese adults. The study consisted of 359 Vietnamese adults residing in Pennsylvania and New Jersey. The majority of participants were immigrants (98.1%) and had low socio-economic and educational status. Only 8.8% of participants reported being screened and 7.3% vaccinated for HBV. Participants who had been screened reported feeling at higher risk and perceived HBV infection to be more likely to lead to liver cancer and death than those who had not been screened. In addition, participants who had been screened reported fewer perceived barriers and more cues to action than unscreened participants. Compared to participants who had been vaccinated, unvaccinated participants were more likely to report feeling healthy and a lack of knowledge about where to obtain HBV testing as barriers. Multivariate logistic regression analyses indicated that perceived barriers were negatively associated with screening behavior as well as vaccination behavior. These results suggest that community-based, culturally appropriate interventions for Vietnamese Americans should directly address barriers to screening and vaccination in order to enhance screening and vaccination rates in this underserved population.