Lee Haeok, Fawcett Jacqueline, Kim Deogwoon, Yang Jin Hyang
College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA.
Department of Nursing, University of Massachusetts Boston, Boston, MA, USA.
Asia Pac J Oncol Nurs. 2016 Oct-Dec;3(4):324-334. doi: 10.4103/2347-5625.195896.
Although remarkable progress in the pharmacological components of the prevention and treatment of hepatitis B virus (HBV) and liver cancer has been achieved, HBV-related stigma is recognized as a major barrier to HBV management. The purpose of this Revised Social Network Model (rSNM)-guided review was to examine the existing research literature about HBV-related stigma among Asians and Asian immigrants residing in other countries.
A scoping review of literature was conducted to determine the depth and breadth of literature. Totally, 21 publications were identified. The review findings were linked with the concepts of rSNM to demonstrate how individual factors and sociocultural contexts shape and affect the experience of HBV-related stigma.
Most studies were quantitative cross-sectional surveys or qualitative methods research that had been conducted among Chinese in China and in the USA. The three concepts in rSNM that have been identified as important to stigma experience are individual factors, sociocultural factors, and health behaviors. The major factors of most studies were on knowledge and attitudes toward HBV; only three studies focused on stigma as the primary purpose of the research. Few studies focused on the measurement of stigma, conceptual aspects of stigma, or interventions to alleviate the experience of being stigmatized.
The scoping review revealed the existing depth and breadth of literature about HBV-related stigma. Gaps in the literature include lack of research address group-specific HBV-related stigma instruments and linkages between stigma and stigma-related factors.
尽管在乙肝病毒（HBV）预防和治疗的药理学成分方面已取得显著进展，但HBV相关的污名被认为是HBV管理的主要障碍。本修订社会网络模型（rSNM）指导的综述旨在审视关于居住在其他国家的亚洲人和亚洲移民中HBV相关污名的现有研究文献。
进行文献的范围综述以确定文献的深度和广度。共识别出21篇出版物。综述结果与rSNM的概念相联系，以展示个体因素和社会文化背景如何塑造和影响HBV相关污名的体验。
大多数研究是在中国和美国的中国人中进行的定量横断面调查或定性方法研究。rSNM中被确定为对污名体验重要的三个概念是个体因素、社会文化因素和健康行为。大多数研究的主要因素是对HBV的知识和态度；只有三项研究将污名作为研究的主要目的。很少有研究关注污名的测量、污名的概念方面或减轻被污名化体验的干预措施。
范围综述揭示了关于HBV相关污名的现有文献深度和广度。文献中的差距包括缺乏针对特定群体的HBV相关污名工具的研究以及污名与污名相关因素之间的联系。
