Taylor Victoria M, Yasui Yutaka, Burke Nancy, Nguyen Tung, Chen Anthony, Acorda Elizabeth, Choe John H, Jackson J Carey
Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, P.O. Box 19024, Seattle, WA 98109-1024, USA.
Cancer Detect Prev. 2004;28(3):170-7. doi: 10.1016/j.cdp.2004.01.003.
Vietnamese American men are over 10 times more likely to be diagnosed with liver cancer than their white counterparts. This health disparity is attributable to high rates of hepatitis B virus (HBV) infection. Our study objective was to examine factors associated with HBV testing among Vietnamese men. A population-based survey was conducted in Seattle. The questionnaire content was guided by an earlier qualitative study and the Health Behavior Framework. The survey was completed by 345 men (response rate: 80%). About one-third (34%) of the respondents reported they had not been tested for HBV. The following factors were associated (P < 0.01) with previous testing in bivariate comparisons: having a regular source of care and regular provider; knowing that HBV can be spread during childbirth; believing HBV can cause liver cancer; and doctor(s) had recommended testing as well as had asked doctor(s) for testing. Three variables were independently associated with HBV testing in a logistic regression model: regular source of care (OR = 4.5; 95% CI = 2.6-7.9), physician recommendation (OR = 2.3, 95% CI = 1.3-4.0), and knowing HBV can be spread during childbirth (OR = 2.1; 95% CI = 1.2-3.9). Low levels of HBV testing remain a public health problem in some Vietnamese American sub-groups. Health education about HBV transmission may stimulate patients to seek testing. Intervention programs should specifically target Vietnamese men without a regular source of health care and physicians who serve Vietnamese communities.
越裔美国男性被诊断出患肝癌的可能性是白人男性的10倍多。这种健康差距归因于乙肝病毒（HBV）的高感染率。我们的研究目的是调查与越裔男性乙肝检测相关的因素。在西雅图进行了一项基于人群的调查。问卷内容以早期的定性研究和健康行为框架为指导。345名男性完成了调查（回复率：80%）。约三分之一（34%）的受访者表示他们从未接受过乙肝检测。在双变量比较中，以下因素与之前的检测相关（P<0.01）：有固定的医疗保健来源和固定的医疗服务提供者；知道乙肝可在分娩期间传播；相信乙肝会导致肝癌；医生建议进行检测以及曾向医生要求进行检测。在逻辑回归模型中，有三个变量与乙肝检测独立相关：固定的医疗保健来源（比值比[OR]=4.5；95%置信区间[CI]=2.6 - 7.9）、医生建议（OR = 2.3，95% CI = 1.3 - 4.0）以及知道乙肝可在分娩期间传播（OR = 2.1；95% CI = 1.2 - 3.9）。在一些越裔美国亚群体中，乙肝检测水平较低仍然是一个公共卫生问题。关于乙肝传播的健康教育可能会促使患者寻求检测。干预项目应特别针对没有固定医疗保健来源的越裔男性以及为越裔社区服务的医生。
