越南裔美国人中乙肝病毒筛查行为的社会心理预测因素
Psychosocial Predictors of HBV Screening Behavior among Vietnamese Americans.
作者信息
Lee Minsun, Zhu Lin, Wang Min Qi, Wei Zhengyu, Tan Yin, Nguyen Minhhuyen T, Ogunwobi Olorunseun O, Ma Grace X
机构信息
Postdoctoral Associate, Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.
Professor, Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD.
出版信息
Am J Health Behav. 2017 Sep 1;41(5):561-570. doi: 10.5993/AJHB.41.5.5.
OBJECTIVE
We evaluated the influence of psychosocial factors on HBV screening.
METHODS
Sample consisted of 1716 Vietnamese participants in our previous HBV intervention trial, recruited from 36 community-based organizations in Pennsylvania, New Jersey, and New York City between 2009 and 2014. Using the Health Belief Model and Social Cognitive Theory, we measured self-efficacy, knowledge, perceived barriers, perceived benefits, perceived severity, and risk susceptibility. Analysis of covariance was used to compare pre- and post-intervention changes of psychosocial variables. Structural equation modeling was used to explore the direct and indirect effects of the psychosocial variables on HBV screening.
RESULTS
Knowledge, self-efficacy, perceived benefits, and perceived barriers were directly associated with HBV screening; knowledge had the strongest effect. Perceived severity and risk susceptibility had indirect association with HBV screening through other variables. Indirect paths among the 6 psychosocial variables were also identified.
CONCLUSION
To promote HBV screening among Vietnamese Americans, intervention efforts should focus on increasing knowledge, self-efficacy, and perceived benefits, decreasing perceived barriers, and accounting for the dynamic cognitive processing.
目的
我们评估了社会心理因素对乙肝病毒（HBV）筛查的影响。
方法
样本包括1716名参与我们之前HBV干预试验的越南裔参与者，他们于2009年至2014年间从宾夕法尼亚州、新泽西州和纽约市的36个社区组织招募而来。我们运用健康信念模型和社会认知理论，测量了自我效能感、知识水平、感知障碍、感知益处、感知严重性和风险易感性。协方差分析用于比较干预前后社会心理变量的变化。结构方程模型用于探究社会心理变量对HBV筛查的直接和间接影响。
结果
知识水平、自我效能感、感知益处和感知障碍与HBV筛查直接相关；知识水平的影响最强。感知严重性和风险易感性通过其他变量与HBV筛查存在间接关联。还确定了6个社会心理变量之间的间接路径。
结论
为促进美籍越南人进行HBV筛查，干预措施应侧重于增加知识、自我效能感和感知益处，减少感知障碍，并考虑动态认知过程。
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