Hislop T Gregory, Teh Chong, Low Angeline, Tu Shin-Ping, Yasui Yutaka, Coronado Gloria D, Li Lin Li, Taylor Vicky M
Cancer Control Research, BC Cancer Agency, Vancouver, BC, Canada.
Asian Pac J Cancer Prev. 2007 Jan-Mar;8(1):39-44.
Liver cancer, a significant health problem in Chinese, can be controlled through HBV blood testing, vaccination, and community education about HBV. The PRECEDE framework has been very helpful in identifying factors associated with health practices.
The objective was to identify factors associated with HBV testing in Chinese Canadians, using the PRECEDE framework.
Five hundred and thirty-three randomly selected Chinese Canadian adults were interviewed about HBV blood testing practices. Factors were grouped as predisposing, reinforcing and enabling.
Fifty-five percent had received HBV blood testing. Several predisposing factors, all reinforcing factors and one enabling factor were associated with HBV testing in bivariate analysis. A physician's recommendation for testing was the strongest factor associated with testing in multiple logistic regression analysis (OR=4.4, p<0.0001).
Many Chinese Canadian adults in Vancouver have not been tested for HBV. Continuing educational efforts are needed and the PRECEDE framework can inform the development of health education interventions.
肝癌是中国一个重大的健康问题，可通过乙肝病毒血液检测、疫苗接种以及关于乙肝病毒的社区教育来加以控制。PRECEDE框架在识别与健康行为相关的因素方面非常有用。
运用PRECEDE框架识别加拿大华裔人群中与乙肝病毒检测相关的因素。
对533名随机选取的加拿大华裔成年人进行了关于乙肝病毒血液检测行为的访谈。将相关因素分为诱发因素、强化因素和促成因素。
55%的人接受过乙肝病毒血液检测。在双变量分析中，若干诱发因素、所有强化因素以及一个促成因素与乙肝病毒检测相关。在多元逻辑回归分析中，医生的检测建议是与检测相关的最强因素（比值比=4.4，p<0.0001）。
温哥华的许多加拿大华裔成年人尚未接受乙肝病毒检测。需要持续开展教育工作，且PRECEDE框架可为健康教育干预措施的制定提供参考。
