Correlates of hepatitis B testing among Chinese Americans

Correlates of hepatitis B testing among Chinese Americans
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DOI:
10.1007/s10900-007-9060-x
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发表时间:
2007-12-01
影响因子:
5.9
通讯作者:
Hislop, T. Gregory
Hislop, T. Gregory
中科院分区:
医学4区
文献类型:
--
作者:
Coronado, Gloria D.;Taylor, Victoria M.;Hislop, T. Gregory

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美籍华人被诊断为肝细胞癌(HCC)的可能性是白人的10倍。亚洲移民中约80%的HCC与乙型肝炎病毒(HBV)感染有关。我们使用来自西雅图中国居民面对面访谈的数据来检查与HBV检测相关的因素。该调查由206名男性和236名女性完成(配合率:58%)。不到一半(48%)的应答者接受了乙肝病毒检测。与曾经在双变量比较中进行测试相关的因素(p < 0.01)包括:知道中国人比白人更容易感染HBV;个体可以终生感染乙肝病毒;HBV感染可导致肝癌;不相信HBV可以通过积极的态度来预防;让家人、朋友或医生建议进行检测;要求医生检查的;而且不需要翻译服务。在多元回归分析中,以下因素与检测独立相关:相信中国人比白人更容易感染HBV (p = 0.004),医生建议检测(p = 0.004)
Chinese Americans are 10 times more likely to be diagnosed with hepatocellular carcinoma (HCC) than their white counterparts. About 80% of HCC's among Asian immigrants are associated with hepatitis B virus (HBV) infection. We used data from in-person interviews of Chinese residents in Seattle to examine factors associated with HBV testing. The survey was completed by 206 men and 236 women (cooperation rate: 58%). Less than one-half (48%) of respondents had been tested for HBV. Factors associated (p < 0.01) with ever having tested in bivariate comparisons included knowing that Chinese are more likely to be infected with HBV than Whites; individuals can be infected with HBV for life; HBV infection can cause liver cancer; not believing that HBV can be prevented by having a positive attitude; having a family member, friend, or medical doctor recommend testing; asking for testing from a medical doctor; and not needing interpreter services. In multiple regression analyses, the following factors were independently associated with testing: believing that Chinese were more likely than Whites to get HBV (p = 0.004), having a doctor recommend testing (p