Lay Beliefs About Hepatitis Among North American Chinese: Implications for Hepatitis Prevention

Chen, Hueifang; Tu, Shin Ping; Teh, Chong; Yip, Mei Po; Choe, John H.; Hislop, T. Gregory; Taylor, Victoria M.; Thompson, Beti

doi:10.1007/s10900-005-9000-6

Cited by 41 publications

(54 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We used findings from an earlier qualitative study to develop culturally and linguistically appropriate materials for use in the hepatitis B lay health worker intervention 24. These materials included a video (available in Cantonese, Mandarin, and with English sub-titles) and a pamphlet (with simplified Chinese, traditional Chinese, and English text).…”

Section: Methodsmentioning

confidence: 99%

Evaluation of a Hepatitis B Lay Health Worker Intervention for Chinese Americans and Canadians

Taylor

Hislop

et al. 2009

J Community Health

Self Cite

View full text Add to dashboard Cite

Hepatitis B testing is recommended for immigrants from countries where hepatitis B infection is endemic. However, only about one-half of Chinese in North America have received hepatitis B testing. We conducted a randomized controlled trial to evaluate the effectiveness of a hepatitis B lay health worker intervention for Chinese Americans/Canadians. Four hundred and sixty individuals who had never been tested for hepatitis B were identified from community-based surveys of Chinese conducted in Seattle, Washington, and Vancouver, British Columbia. These individuals were randomly assigned to receive a hepatitis B lay health worker intervention or a direct mailing of physical activity educational materials. Follow-up surveys were completed six months after randomization. Self-reported hepatitis B testing was verified through medical records review. A total of 319 individuals responded to the follow-up survey (69% response rate). Medical records data verified hepatitis B testing since randomization for nine (6%) of the 142 experimental group participants and three (2%) of the 177 control group participants (p=0.04). At follow-up, a higher proportion of individuals in the experimental arm than individuals in the control arm knew that hepatitis B can be spread by razors (p<0.001) and during sexual intercourse (p=0.07). Our findings suggest that lay health worker interventions can impact hepatitis B-related knowledge. However, our hepatitis B lay health worker intervention had a very limited impact on hepatitis B testing completion. NIH Public Access

show abstract

Section: Methodsmentioning

confidence: 99%

Evaluation of a Hepatitis B Lay Health Worker Intervention for Chinese Americans and Canadians

Taylor

Hislop

et al. 2009

J Community Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Recent studies corroborated our findings. 20 Choe and associates 11 found that limited English fluency is a barrier to understanding FOBT instructions and physician recommendations. Similarly, Cambodians and Vietnamese who did not read a newspaper in English or watch TV in English were more likely to never get screened versus those who do read and watch TV in English.…”

Section: Acculturationmentioning

confidence: 99%

Factors Associated with Colorectal Cancer Screening Among Cambodians, Vietnamese, Koreans and Chinese Living in the United States

Grace¹,

Wang²,

Toubbeh³

et al. 2012

N A J Med Sci

View full text Add to dashboard Cite

The purpose of this community-based participatory study was to identify factors associated with colorectal cancer (CRC) screening compliance and non-compliance among Cambodians, Vietnamese, Koreans and Chinese men and women 50 years and older living in the United States. A cross-sectional design was used in the study. The completed sample included 815 Asian Americans which included Cambodians (N=215), Vietnamese (N=195), Koreans (N=94) and Chinese (N=311). A 95-item questionnaire was developed and pilot tested for content validity and reliability. An in-person data collection approach was utilized and participants were given choice in responding in English or their native language. Of the 815 participants, 79.1% (N=645) reported never-screened, 7.9% (N=64), non-compliance, and 13.0% (N=106) compliance. Education was significantly associated with never-screened for CRC for Vietnamese and Chinese; employment status for Cambodians and Koreans; lack of health insurance for Cambodians, Korean and Chinese; English fluency and years lived in the U.S. for Vietnamese, Koreans, and Chinese. Less acculturated Asian Americans were more likely to be never screened, but differentially across ethnic subgroups. Barriers to screening included lack of knowledge, language, transportation, and time. Increased culturally-targeted public awareness and education programs are needed to improve CRC screening and compliance among high risk Asian American ethnic subgroups.

show abstract

“…Generally, compared with Whites, Asian Americans experience more barriers to care, including language disparity, financial limitations, and unawareness of prevalence. Studies have suggested that cost, lack of insurance, poor patient-doctor communication, inconvenience, and low levels of HBV knowledge, screening, and vaccination impact HBV attitudes and behavior in Chinese communities [14, 16, 18, 19, 20, 21, 22, 23, 24]. Previous experience with HBV, skepticism about the possibility of recovery, and information gaps impact Korean communities [25, 26].…”

Section: Introductionmentioning

confidence: 99%

Attitudes Toward Hepatitis B Virus among Vietnamese, Chinese and Korean Americans in the Houston Area, Texas

2012

View full text Add to dashboard Cite

Objectives We explored attitudes about prevention, screening and treatment of hepatitis B virus (HBV) infection in Chinese, Korean and Vietnamese communities. Methods 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. Results 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. Conclusions 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.

show abstract

Lay Beliefs About Hepatitis Among North American Chinese: Implications for Hepatitis Prevention

Cited by 41 publications

References 27 publications

Evaluation of a Hepatitis B Lay Health Worker Intervention for Chinese Americans and Canadians

Evaluation of a Hepatitis B Lay Health Worker Intervention for Chinese Americans and Canadians

Factors Associated with Colorectal Cancer Screening Among Cambodians, Vietnamese, Koreans and Chinese Living in the United States

Attitudes Toward Hepatitis B Virus among Vietnamese, Chinese and Korean Americans in the Houston Area, Texas

Contact Info

Product

Resources

About