Li Dorothy, Tang Taryn, Patterson Matt, Ho Michael, Heathcote Jenny, Shah Hemant
Department of Medicine, University of Toronto.
Can J Gastroenterol. 2012 Sep;26(9):597-602. doi: 10.1155/2012/705094.
Chronic hepatitis B (CHB) infection is endemic in East Asia, and those who emigrate to North America have higher rates of CHB infection when compared with the general population. To date, Chinese persons residing in Canada have not been mandated to be screened for CHB infection.
To understand factors that influence hepatitis B screening behaviour among the Chinese community in Toronto, Ontario, and to determine whether stigma acts as a barrier to screening.
Self-identified Chinese individuals at a family physician's office and at English as a second language (ESL) classes in Toronto completed a questionnaire with demographic questions, a hepatitis B virus (HBV) stigma scale and an HBV knowledge scale. Pearson product moment correlation and multiple regression techniques were used to analyze the data.
The study group included 343 individuals. Their mean (± SD) age was 48.76 ± 17.49 years and the majority were born in China (n=229 [68%]). The mean score on the HBV knowledge scale was 10.13 ± 1.76 (range 0 to 15), with higher scores indicating greater HBV knowledge. The mean score on the stigma scale was 54.60 ± 14.18 (range 20 to 100), with higher scores indicating more stigma. Being an immigrant, having a family physician and having greater knowledge of HBV were associated with increased rates of screening for this infection. In contrast, greater levels of HBV stigma were associated with decreased likelihood of screening for HBV infection.
HBV stigma is associated with reduced rates of screening for this infection.
慢性乙型肝炎（CHB）感染在东亚地区呈地方性流行，与普通人群相比，移民到北美的人感染CHB的比例更高。迄今为止，居住在加拿大的华人未被强制要求进行CHB感染筛查。
了解影响安大略省多伦多市华人社区乙型肝炎筛查行为的因素，并确定耻辱感是否是筛查的障碍。
在多伦多一家家庭医生诊所和英语作为第二语言（ESL）课程中自我认定为华人的个体完成了一份问卷，问卷内容包括人口统计学问题、乙型肝炎病毒（HBV）耻辱感量表和HBV知识量表。采用Pearson积矩相关和多元回归技术分析数据。
研究组包括343名个体。他们的平均（±标准差）年龄为48.76±17.49岁，大多数人出生在中国（n = 229 [68%]）。HBV知识量表的平均得分为10.13±1.76（范围为0至15），得分越高表明对HBV的了解越多。耻辱感量表的平均得分为54.60±14.18（范围为20至100），得分越高表明耻辱感越强。作为移民、有家庭医生以及对HBV有更多了解与这种感染的筛查率增加相关。相比之下HBV耻辱感程度越高，HBV感染筛查的可能性越低。
HBV耻辱感与这种感染的筛查率降低有关。
