van der Veen Y J J, van Empelen P, Looman C W N, Richardus J H
Division of Infectious Diseases Control, Municipal Public Health Service GGD Rotterdam-Rijnmond, Rotterdam, the Netherlands,
J Immigr Minor Health. 2014 Oct;16(5):811-21. doi: 10.1007/s10903-013-9872-y.
Hepatitis B virus (HBV) is an important health problem in the Turkish Dutch. Screening is necessary for detection and prevention of HBV. We aimed to identify social-cognitive and socio-cultural determinants of HBV-screening intention among Turkish Dutch. A cross-sectional survey was carried out amongst 335 Turkish Dutch, aged 16-40 years. Respondents showed favorable scores for the potential determinants of HBV-screening. Attitude, perceived behaviour control, social support and social norm, and the level of satisfaction with Dutch health care proved to be directly associated with screening intention. Relevant socio-cultural beliefs were shame, stigma, the association of screening with sexuality and family values. Persons with lower screening intentions had lower scores for attitude, perceived behaviour control, social support and subjective norms, but scored higher for feelings of shame and stigma regarding hepatitis B. This study shows how cultural values and social-cognitive factors are related to HBV-screening intention.
乙型肝炎病毒（HBV）是荷兰裔土耳其人面临的一个重要健康问题。进行筛查对于检测和预防HBV很有必要。我们旨在确定荷兰裔土耳其人进行HBV筛查意愿的社会认知和社会文化决定因素。对335名年龄在16至40岁之间的荷兰裔土耳其人进行了一项横断面调查。受访者对HBV筛查的潜在决定因素给出了积极的分数。态度、感知行为控制、社会支持和社会规范，以及对荷兰医疗保健的满意度被证明与筛查意愿直接相关。相关的社会文化观念包括羞耻感、污名化、将筛查与性行为和家庭价值观联系起来。筛查意愿较低的人在态度、感知行为控制、社会支持和主观规范方面得分较低，但在对乙型肝炎的羞耻感和污名化感受方面得分较高。这项研究表明了文化价值观和社会认知因素与HBV筛查意愿之间的关系。
