Kue Jennifer, Thorburn Sheryl, Szalacha Laura A
College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210, , ,
School of Social and Behavioral Health Sciences, College of Public Health and Human Sciences, Oregon State University, 401 Waldo Hall, Corvallis, OR 97331-6406.
Hmong Stud J. 2016;17.
The Hmong in the U.S. who emigrated from Southeast Asia, an area where hepatitis B is endemic, experience high rates of hepatitis B infection and liver cancer compared to non-Hispanic whites. This exploratory study examined the Hmong's perceptions of risk of hepatitis B infection. We interviewed 83 Hmong women and men living in Oregon. In bivariate statistical analysis, greater perceived susceptibility, lower perceived barriers, and having a healthcare provider recommendation were each significantly related to having ever been screened for hepatitis B. Logistic regression models indicated that having a recommendation by a doctor or healthcare provider was the strongest predictor of having been screened for hepatitis B, followed by education and insurance. Future interventions with the Hmong population should focus on the important role of health care providers play in raising awareness about hepatitis B infection and increasing screening uptake.
从东南亚移民到美国的苗族，东南亚是乙肝的地方性流行区，与非西班牙裔白人相比，他们感染乙肝和患肝癌的几率更高。这项探索性研究调查了苗族对乙肝感染风险的认知。我们采访了83名居住在俄勒冈州的苗族男女。在双变量统计分析中，更高的感知易感性、更低的感知障碍以及有医疗服务提供者的建议，每一项都与曾经接受过乙肝筛查显著相关。逻辑回归模型表明，有医生或医疗服务提供者的建议是接受乙肝筛查的最强预测因素，其次是教育程度和保险。未来针对苗族人群的干预措施应侧重于医疗服务提供者在提高对乙肝感染的认识和增加筛查接受率方面所发挥的重要作用。
