Knowledge, Attitudes, and Behaviors of Chinese Hepatitis B Screening and Vaccination

Ma, Grace

doi:10.5993/ajhb.32.2.7

Cited by 41 publications

(55 citation statements)

References 6 publications

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“…53 Knowledge of specific and general medical information has been linked to health behaviors such as screening. 50,51,[54][55][56][57] Findings from the present study suggest that Chinese Americans with higher collectivism views were more willing to participate in biospecimen research compared with those with less collectivism views, although this did not remain significant in multivariate analyses. Collectivists value actions with benefits to society and social life [23][24][25][26][27][28] and so support medical research by being willing to donate blood.…”

Section: Discussioncontrasting

confidence: 63%

“…Indeed, Chinese American participants in other focus groups and key informant studies conducted by our Center expressed their desire to participate in health screenings and biospecimen banking to help their community and the next generation. 7,8,54,55,57 The measure of Yin-Yang used in this study reflects both the importance of maintaining a balance but also beliefs about western medicine and traditional health practices. 13,[31][32][33] In bivariate analyses, those with higher Yin-Yang beliefs were more unwilling to participate in biospecimen research (mean scores of 43.5 vs. 40.4, p = 0.05).…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Willingness to Participate in Biospecimen Research Among Chinese Americans

Gao

Grace

Tan

et al. 2014

Biopreservation and Biobanking

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A paucity of information exists on the recruitment of Asian Americans for biospecimen research. Although studies show that Chinese Americans are at high risk for hepatitis B virus (HBV) infection, little is known about their willingness to participate in HBV-related biospecimen research and how knowledge, attitudes, and cultural factors impact their willingness to participate. The study was guided by Community-Based Participatory Research principles. Data were derived from an assessment study on HBV-related biospecimen research participation among Chinese Americans in the Philadelphia region. The assessment was conducted with 415 Chinese Americans recruited from eight Chinese community-based organizations. Cultural beliefs, knowledge, and attitudes toward biospecimen research were examined for associations with their willingness to participate in biospecimen banking research. Overall, 192 (46.3%) of 415 participants who completed the assessment indicated they were willing to participate if they were invited to donate blood to be frozen and stored for future HBV biospecimen studies. Cultural variables significant in bivariate analysis included collectivism, knowledge about biospecimen research, and Yin-Yang beliefs. Fatalism and individualism were not associated with participation willingness. In multivariate analysis, age, health care attitudes, and trust were significantly associated with willingness to participate in biospecimen banking research. Asian American communities have little knowledge of biospecimen banking and will benefit from educational campaigns that emphasize collective benefits and attitudes towards and trust in the health care system. Understanding cultural factors is important for improving Chinese Americans' knowledge, awareness, and intentions of participation in biospecimen research. Similar efforts need to be undertaken to develop culturally appropriate educational intervention programs to increase participation in biospecimen research among other Asian American groups.

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Section: Discussioncontrasting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Factors Associated with Willingness to Participate in Biospecimen Research Among Chinese Americans

Gao

Grace

Tan

et al. 2014

Biopreservation and Biobanking

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“…Given the substantial proportion of migrants in China's urban population, HBV discrimination is an important health and social issue in China. Previous studies 4,6,13 found that knowledge about HBV was low in rural Chinese populations, Asian immigrants 18,19 and Chinese immigrants. 12,18,20 In our study, HBV-related knowledge consisted of knowledge about HBV symptoms, consequences if untreated, treatment regimes and transmission routes.…”

Section: Discussionmentioning

confidence: 96%

Hepatitis B discrimination in everyday life by rural migrant workers in Beijing

Leng

Wangen

et al. 2016

Human Vaccines & Immunotherapeutics

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Background: In China, the hepatitis B virus (HBV) is a particularly challenging public health issue, with an estimated 90 million chronic hepatitis B carriers accounting for almost 7% of the population. Healthrelated discrimination can serve as a barrier to prevention and care for infectious diseases, such as HBV, degrade the HBV sufferers' quality of life and limit HBV patients' employment opportunities. While rural migrants account for up to 40% of the total urban population in the developed cities in China, there has been no study of the discrimination behavior of rural migrant workers toward HBV carriers.Objective: This study evaluates the discrimination behavior of rural migrant workers toward HBV carriers and patients and proposes public policy recommendations to address discrimination and stigma.Methods: The sample comprised 903 rural adults, aged over 18 years old, who migrated to Beijing. Using a face-to-face interview, we surveyed rural migrants' demographic characteristics, knowledge of HBV and discrimination against HBV carriers. Descriptive statistics were used to characterize the study population, HBV stigma and knowledge of HBV. Three discrimination levels (no-mild, medium and severe discrimination) were modeled using multiple logistic regression.Results: Rural migrants to Beijing had a mean age of 36 years, were overwhelmingly married (91.58%), mostly with a junior high school or lower education (78.05%) and mainly engaged as temporary workers (42.52%) or self-employed (33.78%). Only 30.56% reported that they had been vaccinated against HBV. On the 0-10 discrimination scale, rural migrants rated 6.24, with only 4.54% displaying no sign of HBV-related discrimination. The high discrimination score occurred alongside a low mean knowledge of HBV (7.61 on the 1-22 ranking of HBV knowledge). Multiple logistic regression results suggest an inverse relationship between discrimination levels and HBV knowledge, especially knowledge about treatment and transmission routes. The "fear of being infected with HBV" and being HBV vaccinated was positively associated with HBV-related discrimination. Unemployed rural migrants were more likely to exhibit severe HBV-related discrimination than other occupational groups. Personal attributes, such as gender, age, marital status and education level were not associated with the level of discrimination.Conclusions: Knowledge of HBV, its transmission and treatment, and the fear of HBV infection were key features in understanding HBV discrimination by rural migrant workers. To reduce discrimination, HBV public health education campaigns need to focus on both knowledge about HBV and the fear of HBV infection. Such campaigns should target rural migrant subgroups, such as unemployed rural migrant workers.

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“…Patients' understanding of transmission and disease treatment has been found to deviate from clinical knowledge and recommendations. 22,[41][42][43][44] Continuing medical education (CME) for providers in HBV transmission might serve to bridge the gaps.…”

Section: Discussionmentioning

confidence: 99%

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

Hwang

Roundtree

Engebretson³

et al. 2010

J GEN INTERN MED

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BACKGROUND: Physicians can play a significant role in helping to decrease the hepatitis B virus (HBV) burden among Asian Americans. Few studies have described knowledge and practice patterns in the medical community among different provider types regarding HBV and liver cancer.OBJECTIVE: Our study explores the HBV beliefs, attitudes and practice patterns of medical providers serving Asian American communities. DESIGN:We conducted three focus groups with primary care providers, liver specialists, and other providers predominantly serving Asian American community. We asked about practices and barriers to appropriate medical care and outreach. PARTICIPANTS:We moderated three focus groups with 23 participants, 18 of whom completed and returned demographic surveys. Twelve were of Asian ethnicity and 13 spoke English as a second language. Only eight screened at least half of their patients, most (72%) using the hepatitis B surface antigen test. APPROACH: We used grounded theory methods to analyze focus group transcripts.RESULTS: Participants frequently discussed cultural and financial barriers to hepatitis care. They admitted reluctance to screen for HBV because patients might be unwilling or unable to afford treatment. Cultural differences were discussed most by primary care providers; best methods of outreach were discussed most by liver specialists; and alternative medicine was discussed most by acupuncturists and other providers.CONCLUSIONS: More resources are needed to lower financial barriers complicating HBV care and encourage providing guideline-recommended screenings. Other providers can help promote HBV screening and increase community and cultural awareness.

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Knowledge, Attitudes, and Behaviors of Chinese Hepatitis B Screening and Vaccination

Cited by 41 publications

References 6 publications

Factors Associated with Willingness to Participate in Biospecimen Research Among Chinese Americans

Factors Associated with Willingness to Participate in Biospecimen Research Among Chinese Americans

Hepatitis B discrimination in everyday life by rural migrant workers in Beijing

Medical Care of Hepatitis B among Asian American Populations: Perspectives from Three Provider Groups

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