Correlates of Hepatitis B Virus Health‐Related Behaviors of Korean Americans: A Situation‐Specific Nursing Theory

Lee, Haeok; Fawcett, Jacqueline; Yang, Jin; Hann, Hie‐Won

doi:10.1111/j.1547-5069.2012.01468.x

Cited by 26 publications

(19 citation statements)

References 17 publications

(90 reference statements)

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“…Western medical terminology and physician practice are socially constructed norms that are not typically understood or engaged by either CAs or KAs. Intercultural communication barriers between Asian American patients and health care providers are well-documented and commonly reported, particularly among both old and new generations of Asian American refugees and immigrants (Lee et al, 2012; Stewart & Bennett, 1991, Wright, 2010). The findings point to the fact that problems of intercultural health communication within the health care system can lead to unequal access to health information as well as inadequate participation in health care decision making among AAPIs, particularly among refugee and immigrant generations.…”

Section: Discussionmentioning

confidence: 99%

“…The NEM explains how individuals come to recognize and respond to health problems and use healthcare services (Pescosolido, 1992). The revised NEM conceptualizes that health care decisions are made within social context of interactive social process that is influenced by the factors of sociocultural and individual level factors rather than by a deterministic response (Lee, et al, 2012). …”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…KAs reported relatively high levels of education, but not comparable levels of professional jobs. Studies of KAs have revealed that 30% to 40% are self-employed (Lee et al, 2007; Lee et al, 2012; Min, 2011) which explains their relatively low rate of health insurance between 42% and 51% (Brown, Ojeda, Wyn, & Levan, 2000; Lee et al, 2007). …”

Section: Literature Reviewmentioning

confidence: 99%

“…Understanding key factors of HBV infection prevention in a culturally relevant social context is essential to inform the development and implementation of interventions to improve HBV prevention and liver cancer prevention behavior (Lee, Fawcett, Yang, & Hann, 2012). …”

Section: Introductionmentioning

confidence: 99%

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HBV-related health behaviors in a socio-cultural context: Perspectives from Khmers and Koreans

Lee

Kiang

Chea³

et al. 2014

Applied Nursing Research

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Purpose To explore factors influencing health and health care within the sociocultural context of Cambodian Americans (CAs or Khmers) and Korean Americans (KA) and to examine intergroup similarities and differences between CAs and KAs, focusing on hepatitis B virus (HBV) and liver cancer prevention behaviors. Methods The study used a qualitative design guided by the revised Network Episode Model (NEM) and informed by ethnographic analysis. Focus group interviews with key informants among CA community health leaders (CHLs, n=14) and individual interviews with key informants of KA CHLs (n=9) were audiotaped and transcribed. Results Three categories that influenced HBV and liver cancer prevention emerged from both CAs and KAs: the socio-cultural, individual, and behavioral. Four additional sub-categories (sub-themes) of sociocultural were identified as socio-history, socio-medicine, socio-linguistic, and socio-health resources. Both CAs and KAs, however, have low levels of knowledge and significant misunderstandings about HBV infection. Conclusions The study identifies and compares the social-cultural determinant for HBV and liver cancer and highlights the factors of education, intercultural communication, and interactions within socio-cultural contexts of CA and KA subgroups. In general, conceptual overlaps are apparent between Khmers (from now on, the terms, CA and Khmer, will be used interchangeably) and Koreans except for the sub-theme of socio-history. However, differences in concept-specific attributes point to the need to account for differing conceptualizations and implications of specific ethnic groups’ sociocultural contexts, and to design contextually-relevant outreach and educational interventions for targeted AAPI subgroups.

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Section: Discussionmentioning

confidence: 99%

Section: Conceptual Frameworkmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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HBV-related health behaviors in a socio-cultural context: Perspectives from Khmers and Koreans

Lee

Kiang

Chea³

et al. 2014

Applied Nursing Research

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“…Health-related behaviors are action taken by a person which affect his or her health status. [2021] Illness experience refers to the individual's experience of HBV infection, and HBV-related stigma is considered a part of the HBV illness experience. Stigmatization and stigma-related factors were extracted from the studies, and the findings were categorized as stigma experiences (such as social exclusion or discrimination) that caused from individual and sociocultural factors and resulted in health behavioral changes.…”

Section: Introductionmentioning

confidence: 99%

Correlates of hepatitis B virus-related stigmatization experienced by Asians: A scoping review of literature

Lee

Fawcett

Kim

et al. 2016

Asia-Pacific Journal of Oncology Nursing

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Objective:Although remarkable progress in the pharmacological components of the prevention and treatment of hepatitis B virus (HBV) and liver cancer has been achieved, HBV-related stigma is recognized as a major barrier to HBV management. The purpose of this Revised Social Network Model (rSNM)-guided review was to examine the existing research literature about HBV-related stigma among Asians and Asian immigrants residing in other countries.Methods:A scoping review of literature was conducted to determine the depth and breadth of literature. Totally, 21 publications were identified. The review findings were linked with the concepts of rSNM to demonstrate how individual factors and sociocultural contexts shape and affect the experience of HBV-related stigma.Results:Most studies were quantitative cross-sectional surveys or qualitative methods research that had been conducted among Chinese in China and in the USA. The three concepts in rSNM that have been identified as important to stigma experience are individual factors, sociocultural factors, and health behaviors. The major factors of most studies were on knowledge and attitudes toward HBV; only three studies focused on stigma as the primary purpose of the research. Few studies focused on the measurement of stigma, conceptual aspects of stigma, or interventions to alleviate the experience of being stigmatized.Conclusions:The scoping review revealed the existing depth and breadth of literature about HBV-related stigma. Gaps in the literature include lack of research address group-specific HBV-related stigma instruments and linkages between stigma and stigma-related factors.

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Development of a Situation-Specific Theory of Cervical Cancer Prevention Behaviors of Malawian Women

Lee

Mtengezo²,

Kim

et al. 2021

Situation Specific Theories: Development, Utilization, and Evaluation in Nursing

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Correlates of Hepatitis B Virus Health‐Related Behaviors of Korean Americans: A Situation‐Specific Nursing Theory

Cited by 26 publications

References 17 publications

HBV-related health behaviors in a socio-cultural context: Perspectives from Khmers and Koreans

HBV-related health behaviors in a socio-cultural context: Perspectives from Khmers and Koreans

Correlates of hepatitis B virus-related stigmatization experienced by Asians: A scoping review of literature

Development of a Situation-Specific Theory of Cervical Cancer Prevention Behaviors of Malawian Women

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