Akosionu Odichinma, Virnig Beth, Call Kathleen T, Yuan Jian-Min, Chanthanouvong Sunny, Nguyen Ruby H N
Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, 55454, USA.
University of Pittsburgh Cancer Institute, Pittsburgh, PA, 15232, USA.
J Immigr Minor Health. 2016 Feb;18(1):277-81. doi: 10.1007/s10903-015-0160-x.
Liver cancer incidence is increasing among Asian Americans. Laotians in the US have greater risk of liver cancer death compared to other Asian American groups. However, ethnicity is not the only disparity; Laotian men are at increased risk of liver cancer compared to Laotian women. Use of hepatitis B virus (HBV) vaccination and screening is low among Laotians. The impact of gender differences in attitudes and beliefs concerning HBV vaccination and screening is unknown. This secondary analysis of a cross-sectional community-based participatory research study. Although men were more likely to believe that infection with HBV is preventable, and treatable, causes liver cancer, and that healthy persons should be vaccinated, of those who thought people should get vaccinated, women were four times more likely to receive vaccine than men (adj. OR 4.0, CI 1.2-19). Understanding and addressing gender differences may increase HBV screening and vaccination uptake, thus reducing disparities within the Laotian community.
肝癌发病率在亚裔美国人中呈上升趋势。与其他亚裔美国人群体相比，美国的老挝人肝癌死亡风险更高。然而，种族并非唯一的差异因素；老挝男性患肝癌的风险高于老挝女性。老挝人对乙肝病毒（HBV）疫苗接种和筛查的使用率较低。关于HBV疫苗接种和筛查的态度及信念方面的性别差异影响尚不清楚。这是一项基于社区参与性横断面研究的二次分析。尽管男性更有可能认为HBV感染是可预防、可治疗的，会导致肝癌，且健康人应该接种疫苗，但在那些认为人们应该接种疫苗的人中，女性接种疫苗的可能性是男性的四倍（校正比值比4.0，可信区间1.2 - 19）。了解并解决性别差异可能会提高HBV筛查和疫苗接种率，从而减少老挝社区内的差异。
