Attitudes toward hepatitis B virus among Vietnamese, Chinese and Korean Americans in the Houston area, Texas.
Attitudes toward hepatitis B virus among Vietnamese, Chinese and Korean Americans in the Houston area, Texas.
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DOI：
10.1007/s10900-012-9543-2
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发表时间：
2012-10
影响因子：
5.9
通讯作者：
Suarez-Almazor ME
中科院分区：
文献类型：
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作者：
Hwang JP;Roundtree AK;Suarez-Almazor ME
我们探讨了中国、韩国和越南社区对预防、筛查和治疗B型肝炎病毒（HBV）感染的态度。我们使用定性方法在12个焦点小组（n=113）的成年人谁自我报告他们的种族是中国，韩国，或越南。我们使用扎根理论（即，共同编码者之间就反复出现的、新出现的主题建立共识）进行分析。饮食、营养、疲劳和压力被误认为是HBV的原因。改善卫生、饮食、锻炼和整体方法被错误地认为是可行的HBV预防方法。常见的筛查问题包括不提供测试和不了解测试结果。与会者分享了使用补充和替代药物的原因-当西医失败或变得负担不起。参与者从医疗服务提供者和社区成员以及互联网上寻求信息。出现的许多态度和意见可能会阻止参与HBV筛查，预防和治疗，因为社区成员可能会将其纳入医疗决策，选择替代但无效的预防和治疗方法，并低估筛查的好处。有必要在传统和新媒体上进行更多的患者教育，以澄清传播、筛查和治疗方面的误解。
We explored attitudes about prevention, screening and treatment of hepatitis B virus (HBV) infection in Chinese, Korean and Vietnamese communities. We use qualitative methods in 12 focus groups (n=113) of adults who self-reported their ethnicity to be Chinese, Korean, or Vietnamese. We use grounded theory (i.e., consensus-building between co-coders about recurring, emerging themes) for analysis. Diet, nutrition, fatigue and stress were misidentified as HBV causes. Improving hygiene, diet, exercise, and holistic methods were misidentified as viable HBV prevention methods. Common screening problems included not affording test and not understanding test results. Participants shared reasons for using complementary and alternative medicine—when Western medicine fails or becomes unaffordable. Participants sought information from medical providers and fellow community members, but also from the internet. Many of the attitudes and opinions that emerged may deter participation in HBV screening, prevention and treatment, insofar as community members may factor them into healthcare decision-making, choose alternative but ineffective methods of prevention and treatment, and undervalue the benefits of screening. More patient education in both traditional and new media is necessary for clarifying transmission, screening and treatment misunderstandings.