Taylor Victoria M, Talbot Jocelyn, Do H Hoai, Liu Qi, Yasui Yutaka, Jackson J Carey, Bastani Roshan
Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Asian Pac J Cancer Prev. 2011;12(4):957-61.
Liver cancer occurs more frequently among Americans of Southeast Asian descent than any other group. This health disparity can be attributed to high rates of hepatitis B virus (HBV) infection. We examined HBV awareness, knowledge about HBV transmission, HBV testing levels, and HBV vaccination levels among Cambodian Americans.
A population-based survey was conducted in metropolitan Seattle during 2010. The study sample included 667 individuals. We created a composite knowledge score (0-9) by summing the number of correct answers to survey items addressing HBV transmission. Data were analyzed using Generalized Estimating Equations.
Seventy-eight percent of the study group had heard of HBV (before it was described to them). The proportions who knew that HBV cannot be spread by eating food prepared by an infected person, can be spread during childbirth, and can be spread during sexual intercourse were only 33%, 69%, and 72%, respectively. The mean knowledge score was 5.5 (standard deviation 1.7). Fifty percent of the survey respondents had been tested and 52% had been vaccinated. HBV awareness, higher knowledge scores, and vaccination were all associated (p<0.05) with younger age, higher educational level, younger age at immigration, and greater English proficiency.
Our study findings confirm the need for Khmer language HBV programs for less acculturated and educated members of the Cambodian community. Such programs should aim to increase HBV testing rates, HBV vaccination rates among individuals who remain susceptible to infection, and levels of knowledge about routes of hepatitis B transmission.
在美国，东南亚裔美国人患肝癌的频率高于其他任何群体。这种健康差异可归因于乙肝病毒（HBV）的高感染率。我们调查了美籍柬埔寨人对HBV的知晓情况、关于HBV传播的知识、HBV检测水平和HBV疫苗接种水平。
2010年在西雅图市区进行了一项基于人群的调查。研究样本包括667人。我们通过对关于HBV传播的调查项目的正确答案数量求和，创建了一个综合知识得分（0 - 9分）。使用广义估计方程对数据进行分析。
78%的研究组人员听说过HBV（在向他们描述之前）。知道HBV不会通过食用感染者准备的食物传播、可在分娩期间传播以及可在性交期间传播的比例分别仅为33%、69%和72%。平均知识得分为5.5（标准差1.7）。50%的调查受访者接受过检测，52%的人接种过疫苗。HBV知晓情况、较高的知识得分和疫苗接种都与较年轻的年龄、较高的教育水平、较年轻的移民年龄以及较高的英语水平相关（p<0.05）。
我们的研究结果证实，对于柬埔寨社区中文化适应程度较低和受教育程度较低的成员，需要开展高棉语的HBV项目。此类项目应旨在提高HBV检测率、提高仍易感染个体的HBV疫苗接种率以及关于乙肝传播途径的知识水平。
