Sociocultural barriers to hepatitis B health literacy in an immigrant population: a focus group study in Korean Americans

Hyun, Sarah; Ko, Okhyun; Kim, Soonsik; Ventura, William R.

doi:10.1186/s12889-021-10441-4

Cited by 21 publications

(17 citation statements)

References 43 publications

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“…Among 20,574 Asian adults who received care at an urban, safety‐net hospital, only 62% underwent HBV testing, and 47% of HBV‐susceptible patients were vaccinated 94. There are many potential barriers to screening and vaccination, including patients' lack of knowledge about CHB and its complications, lack of English fluency, stigma associated with the disease, and financial and institutional barriers 95–97. Gaps in provider knowledge also represent a significant barrier to screening.…”

Section: Chronic Hepatitis Bmentioning

confidence: 99%

Health disparities in chronic liver disease

et al. 2022

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The syndemic of hazardous alcohol consumption, opioid use, and obesity has led to important changes in liver disease epidemiology that have exacerbated health disparities. Health disparities occur when plausibly avoidable health differences are experienced by socially disadvantaged populations. Highlighting health disparities, their sources, and consequences in chronic liver disease is fundamental to improving liver health outcomes.There have been large increases in alcohol use disorder in women, racial and ethnic minorities, and those experiencing poverty in the context of poor access to alcohol treatment, leading to increasing rates of alcoholassociated liver diseases. Rising rates of NAFLD and associated fibrosis have been observed in Hispanic persons, women aged > 50, and individuals experiencing food insecurity. Access to viral hepatitis screening and linkage to treatment are suboptimal for racial and ethnic minorities and individuals who are uninsured or underinsured, resulting in greater liver-related mortality and later-stage diagnoses of HCC. Data from more diverse cohorts on autoimmune and cholestatic liver diseases are lacking, supporting the need to study the contemporary epidemiology of these disorders in greater detail.Herein, we review the existing literature on racial and ethnic, gender, and socioeconomic disparities in chronic liver diseases using a social determinants of health framework to better understand how social and structural factors cause health disparities and affect chronic liver disease outcomes. We also propose potential solutions to eliminate disparities, outlining healthpolicy, health-system, community, and individual solutions to promote equity and improve health outcomes.

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Section: Chronic Hepatitis Bmentioning

confidence: 99%

Health disparities in chronic liver disease

et al. 2022

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“…43 The effect of health literacy on self-care in KIs with chronic diseases has been considered in recent studies. 29,44…”

Section: Resultsmentioning

confidence: 99%

Self-Care in Korean Immigrants with Chronic Diseases: A Concept Analysis

Kim

Choi

2023

West J Nurs Res

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Chronic illnesses among Korean immigrants (KIs) in the United States have been rapidly increasing, yet the concept of chronic disease self-care in this group has not been delineated. The aim of this study was to review previous research on self-care among KIs with chronic diseases and describe the concept in cultural context. Using Rodgers’ Evolutionary Method, a total of 24 articles were analyzed. The definition and conceptual model of self-care in KIs with chronic diseases were proposed. The antecedents included knowledge and health literacy; social and family support; resources; patient-health care provider partnership; and elimination of cultural misbeliefs and disclosure of the disease. The attributes of the concept were aging well with diseases; treatment adherence; control and restriction; the acculturation process; care built on traditional Korean gender roles; and maintenance of mental health. The consequences involved positive physiological outcomes; self-efficacy; quality of life; and reducing worry about becoming a burden to the family. While the studied concept encompassed universal characteristics of chronic disease self-care, distinctive cultural features emerged. The findings contribute to a better understanding of chronic illness self-care in this population and the development of culturally sensitive and practical self-care interventions for KIs with chronic diseases.

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“…Lack of health literacy is particularly apparent in vulnerable and underserved populations such as immigrant populations, Mexican Americans, and African Americans, who already disproportionately bear the burden of chronic HBV and HCC[ 69 , 70 ]. Increasing social awareness of risk factors and protective factors of chronic HBV can be an avenue to improve health literacy.…”

Section: Methods To Address Disparitiesmentioning

confidence: 99%

Epidemiologic and socioeconomic factors impacting hepatitis B virus and related hepatocellular carcinoma

Gnyawali¹,

Pusateri²,

Nickerson³

et al. 2022

WJG

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Chronic Hepatitis B is a highly prevalent disease worldwide and is estimated to cause more than 800000 annual deaths from complications such as cirrhosis and hepatocellular carcinoma (HCC). Although universal hepatitis B vaccination programs may have reduced the incidence and prevalence of chronic hepatitis B and related HCC, the disease still imposes a significant healthcare burden in many endemic regions such as Africa and the Asia-Pacific region. This is especially concerning given the global underdiagnosis of hepatitis B and the limited availability of vaccination, screening, and treatment in low-resource regions. Demographics including male gender, older age, ethnicity, and geographic location as well as low socioeconomic status are more heavily impacted by chronic hepatitis B and related HCC. Methods to mitigate this impact include increasing screening in high-risk groups according to national guidelines, increasing awareness and health literacy in vulnerable populations, and developing more robust vaccination programs in under-served regions.

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Sociocultural barriers to hepatitis B health literacy in an immigrant population: a focus group study in Korean Americans

Cited by 21 publications

References 43 publications

Health disparities in chronic liver disease

Health disparities in chronic liver disease

Self-Care in Korean Immigrants with Chronic Diseases: A Concept Analysis

Epidemiologic and socioeconomic factors impacting hepatitis B virus and related hepatocellular carcinoma

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