Kue Jennifer, Thorburn Sheryl
College of Nursing, The Ohio State University, Columbus, OH 43210, USA.
J Health Care Poor Underserved. 2013 May;24(2):566-78. doi: 10.1353/hpu.2013.0081.
We examined Hmong women and men's knowledge of hepatitis B and their screening and vaccination behavior. In-depth interviews were conducted with Hmong in Oregon aged 18 and older (n=83). Independent samples t-test was used to assess mean differences in knowledge by demographic characteristics. Qualitative data were analyzed using content analysis. Most participants had heard of hepatitis B (96.4%). Fifty-three percent of participants had been screened, and half had been vaccinated (50.6%). Transmission knowledge was significantly higher among younger participants, those born in the U.S., and those who reported seeking preventive care. Sequelae knowledge was significantly higher among those who sought preventive care. Transmission and sequelae knowledge were not associated with screening and vaccination. Qualitative data showed that, of those hepatitis B positive participants, most did not have a comprehensive understanding of their illness. Intervention strategies should address knowledge deficits and improve health literacy, especially among Hmong who have hepatitis B.
我们调查了苗族女性和男性对乙型肝炎的了解情况以及他们的筛查和疫苗接种行为。对俄勒冈州18岁及以上的苗族人群（n = 83）进行了深入访谈。采用独立样本t检验评估不同人口统计学特征人群在知识方面的平均差异。使用内容分析法对定性数据进行分析。大多数参与者听说过乙型肝炎（96.4%）。53%的参与者接受过筛查，一半人接种过疫苗（50.6%）。在年轻参与者、在美国出生的参与者以及报告寻求预防性护理的参与者中，传播知识显著更高。在寻求预防性护理的人群中，后遗症知识显著更高。传播和后遗症知识与筛查和疫苗接种无关。定性数据显示，在那些乙型肝炎呈阳性的参与者中，大多数人对自己的病情没有全面的了解。干预策略应解决知识缺陷并提高健康素养，尤其是在患有乙型肝炎的苗族人群中。
