Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room # 708, Baltimore, MD 21205, USA.
J Immigr Minor Health. 2013 Aug;15(4):779-87. doi: 10.1007/s10903-012-9753-9.
This study examines how different information sources relate to Health Belief Model constructs, hepatitis B virus (HBV) knowledge, and HBV screening. The Maryland Asian American Liver Cancer Education Program administered a survey of 877 Asian immigrants. The most common sources of information identified by the multiple-answer questions were newspapers (39.8 %), physicians (39.3 %), friends (33.8 %), TV (31.7 %), and the Internet (29.5 %). Path analyses-controlling for age, sex, educational level, English proficiency, proportion of life in U.S., health insurance coverage, and family history of HBV infection-showed that learning about HBV from physicians had the strongest direct effect; friends had a marginal indirect effect. Perceived risk, benefits, and severity played limited roles in mediation effects. Path analysis results differed by ethnicity. Physician-based HBV screening intervention would be effective, but should be complemented with community health campaigns through popular information sources for the uninsured.
本研究探讨了不同信息来源与健康信念模型结构、乙型肝炎病毒 (HBV) 知识和 HBV 筛查之间的关系。马里兰州亚裔美国人肝癌教育计划对 877 名亚裔移民进行了调查。多项选择题中最常见的信息来源是报纸 (39.8%)、医生 (39.3%)、朋友 (33.8%)、电视 (31.7%) 和互联网 (29.5%)。路径分析——控制年龄、性别、教育水平、英语水平、在美国生活的比例、医疗保险覆盖范围和 HBV 感染家族史——表明，从医生那里了解 HBV 具有最强的直接影响；朋友有一个边缘的间接影响。感知风险、收益和严重程度在中介效应中作用有限。路径分析结果因族裔而异。基于医生的 HBV 筛查干预措施将是有效的，但应通过针对未保险人群的流行信息来源补充社区卫生宣传活动。
