Wu Charlotte A, Lin Steven Y, So Samuel K, Chang Ellen T
Asian Liver Center, Stanford University, Stanford, CA 94305, USA.
Asian Pac J Cancer Prev. 2007 Jan-Mar;8(1):127-34.
Chronic hepatitis B virus (HBV) infection causes liver cancer and disproportionately affects the Asian community in the U.S. In order to advance HBV and liver cancer awareness and prevention, it is important to identify existing gaps in knowledge and preventive practices among Asian Americans. Therefore, the authors administered a written questionnaire to 199 adults in the Asian-American community of the San Francisco Bay Area, California. Although the majority of adults had at least a college education, knowledge regarding HBV transmission, prevention, symptoms, risks, and occurrence was low. Fewer than 60% reported having been tested for HBV, only 31% reported having been vaccinated against HBV, and only 44% reported having had their children vaccinated. Asians, especially those born in China or Southeast Asia, had significantly poorer knowledge regarding HBV and liver cancer than non-Asians. Those with higher knowledge levels were significantly more likely to have been tested for HBV and to have had their children vaccinated. Younger adults, women, Caucasians, more highly educated individuals, those not born in China or Hong Kong, and those with a personal or family history of liver disease were more likely to have taken preventive action against HBV. Our results suggest that HBV and liver cancer knowledge among Asian Americans, especially Chinese Americans, is poor, and that better knowledge is associated with increased preventive practices. Thus, there is a need for increased HBV education and improved community-based interventions to prevent HBV-related liver disease in the high-risk Asian-American community.
慢性乙型肝炎病毒（HBV）感染会引发肝癌，且对美国亚裔群体的影响尤为严重。为了提高对HBV和肝癌的认知及预防水平，识别亚裔美国人在知识和预防措施方面存在的现有差距至关重要。因此，作者对加利福尼亚州旧金山湾区亚裔美国人社区的199名成年人进行了问卷调查。尽管大多数成年人至少拥有大学学历，但他们对HBV传播、预防、症状、风险和发病情况的了解程度较低。不到60%的人报告曾接受过HBV检测，只有31%的人报告接种过HBV疫苗，只有44%的人报告为其子女接种过疫苗。与非亚裔相比，亚裔，尤其是那些在中国或东南亚出生的人，对HBV和肝癌的了解明显更差。知识水平较高的人接受HBV检测和为子女接种疫苗的可能性显著更高。年轻人、女性、白种人、受教育程度更高的人、非在中国或香港出生的人以及有个人或家族肝病病史的人更有可能采取预防HBV的措施。我们的研究结果表明，亚裔美国人，尤其是华裔美国人，对HBV和肝癌的了解较差，而更多的知识与更多的预防措施相关。因此，有必要加强HBV教育，并改善基于社区的干预措施，以预防高危亚裔美国人社区中与HBV相关的肝病。
