Chu Janet N, Le Phuoc V, Kennedy Chris J, McPhee Stephen J, Wong Ching, Stewart Susan L, Nguyen Tung T
Division of General Internal Medicine, Department of Medicine, UCSF Medical Center, University of California, San Francisco, 1545 Divisadero Street, San Francisco, CA, 94143, USA.
Asian American Research Center on Health, San Francisco, CA, USA.
J Immigr Minor Health. 2017 Aug;19(4):801-808. doi: 10.1007/s10903-016-0526-8.
Vietnamese Americans have high rates of hepatitis B virus (HBV) infection but low rates of knowledge and screening. A population-based survey conducted in 2011 of Vietnamese Americans in two geographic areas (n = 1666) was analyzed. The outcome variables were having heard of HBV and a score summarizing knowledge of HBV transmission. Most respondents (86.0%) had heard of HBV. Correct knowledge of transmission ranged from 59.5% for sex, 68.1% for sharing toothbrushes, 78.6% for during birth, and 85.0% for sharing needles. In multivariable analyses, factors associated with having heard of HBV and higher knowledge included Northern California residence, longer U.S. residence, higher education, family history of HBV, and discussing HBV with family/friends. Higher income was associated with having heard of HBV. English fluency and being U.S.-born were associated with higher knowledge. Interventions to increase knowledge of HBV transmission are needed to decrease this health disparity among Vietnamese Americans.
美籍越南人乙肝病毒（HBV）感染率高，但相关知识知晓率和筛查率低。对2011年在两个地理区域开展的一项针对美籍越南人的基于人群的调查（n = 1666）进行了分析。结果变量为是否听说过乙肝病毒以及一个总结乙肝病毒传播知识的分数。大多数受访者（86.0%）听说过乙肝病毒。关于传播途径的正确知晓率分别为：性行为传播59.5%、共用牙刷传播68.1%、母婴传播78.6%、共用针头传播85.0%。在多变量分析中，与听说过乙肝病毒以及知识水平较高相关的因素包括居住在北加利福尼亚、在美国居住时间较长、受教育程度较高、有乙肝家族史以及与家人/朋友讨论过乙肝病毒。较高收入与听说过乙肝病毒相关。英语流利程度和在美国出生与知识水平较高相关。需要采取干预措施来提高对乙肝病毒传播的认识，以减少美籍越南人之间的这种健康差距。
