社会文化因素在亚裔美国人乙肝筛查中的作用。
Role of sociocultural factors in hepatitis B screening among Asian Americans.
作者信息
Ma Grace X, Lee Sunmin, Wang Min, Tan Yin, Gao Wanzhen, Ma Xiang, Lai Philip, Toubbeh Jamil I
机构信息
Department of Public Health, Center for Asian Health, Temple University, Philadelphia, PA, USA.
出版信息
South Med J. 2011 Jul;104(7):466-72. doi: 10.1097/SMJ.0b013e31821f8ab0.
Abstract
OBJECTIVE
To apply the proposed Sociocultural Health Behavior Model to determine association of factors related to hepatitis B virus (HBV) screening among Asian Americans.
METHODS
A cross-sectional design of 1312 Asian men and women 18 years and older. The frequency distribution analysis and chi square analysis were used for the initial screening of the following variables: access/satisfaction with health care, enabling, predisposing, cultural, and health belief factors. Univariate and multivariate analyses were conducted on factors for HBV screening using logistic regression analysis.
RESULTS
Correlates to HBV screening included demographics, cultural factors, enabling factors, and family/social support factors. Enabling factors were more likely to be associated with HBV screening.
CONCLUSION
The model highlights the role sociocultural factors play in HBV screening. Findings reinforce the need for HBV screening programs and indicate programs could be more effective if they included these components and were sensitive to ethnic and cultural factors.
摘要
目的
应用所提出的社会文化健康行为模型来确定与亚裔美国人乙肝病毒（HBV）筛查相关的因素之间的关联。
方法
对1312名18岁及以上的亚裔男性和女性进行横断面设计。频率分布分析和卡方分析用于对以下变量进行初步筛选：获得医疗保健的机会/满意度、促成因素、易患因素、文化因素和健康信念因素。使用逻辑回归分析对HBV筛查的因素进行单变量和多变量分析。
结果
与HBV筛查相关的因素包括人口统计学、文化因素、促成因素以及家庭/社会支持因素。促成因素更有可能与HBV筛查相关。
结论
该模型突出了社会文化因素在HBV筛查中所起的作用。研究结果强化了开展HBV筛查项目的必要性，并表明如果这些项目包含这些组成部分且对种族和文化因素敏感，可能会更有效。
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本文引用的文献
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J Immigr Minor Health. 2012 Oct;14(5):858-68. doi: 10.1007/s10903-011-9523-0.
2
Hepatitis B and liver cancer knowledge and practices among healthcare and public health professionals in China: a cross-sectional study.中国医护人员和公共卫生专业人员对乙型肝炎和肝癌的知识及实践情况：一项横断面研究。
BMC Public Health. 2010 Feb 25;10:98. doi: 10.1186/1471-2458-10-98.
3
National Institutes of Health consensus development conference statement: management of hepatitis B.美国国立卫生研究院共识发展会议声明：乙型肝炎的管理
Hepatology. 2009 May;49(5 Suppl):S4-S12. doi: 10.1002/hep.22946.
4
Cancer screening behaviors and barriers in Asian Americans.亚裔美国人的癌症筛查行为与障碍
Am J Health Behav. 2009 Nov-Dec;33(6):650-60. doi: 10.5993/ajhb.33.6.3.
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Asian Pac J Cancer Prev. 2008 Oct-Dec;9(4):605-13.
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J Hepatol. 2008 Feb;48(2):335-52. doi: 10.1016/j.jhep.2007.11.011. Epub 2007 Dec 4.
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10
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