评估圣地亚哥的夏威夷原住民和太平洋岛民的乙型肝炎知识。
Assessing Hepatitis B Knowledge Among Native Hawaiians and Pacific Islanders in San Diego.
机构信息
San Diego School of Medicine, University of California, 11381 Zapata Ave. Apt. 24 La Jolla, San Diego, CA, 92126, USA.
University of California San Diego, La Jolla, San Diego, CA, USA.
出版信息
J Immigr Minor Health. 2021 Dec;23(6):1193-1197. doi: 10.1007/s10903-021-01236-1. Epub 2021 Jul 13.
BACKGROUND
Asian-Americans and Pacific Islanders comprise 6% of the U.S. population, but 50% of chronic hepatitis B cases and have a cancer mortality that is 60% higher than non-Hispanic Whites. The objective of this study was to assess knowledge of HBV transmission, symptoms/sequelae and treatment among NHPIs in San Diego.
METHODS
Self-administered surveys were distributed using convenience sampling at the 24th Annual Pacific Islander Festival in San Diego in 2018.
RESULTS
Overall knowledge scores were low (mean: 9.8 out of 28) among participants. Compared to U.S.- born (mean: 11.6), participants born in Pacific Island countries and territories (mean: 8.5) had lower knowledge scores (p = 0.017) and lower self-reported vaccination rates (50% vaccinated vs 27%, respectively, p = 0.025).
DISCUSSION
Lack of HBV knowledge, low vaccination rates and the discordance between knowledge and behavior regarding HBV vaccination elicits an urgent need to collaborate with NHPI communities for HBV education, screening, immunization and treatment.
背景
亚裔和太平洋岛民占美国人口的 6%，但却占慢性乙型肝炎病例的 50%，癌症死亡率比非西班牙裔白人高 60%。本研究旨在评估圣地亚哥的非西班牙裔太平洋岛民对乙型肝炎病毒传播、症状/后遗症和治疗的了解情况。
方法
2018 年，在圣地亚哥第 24 届太平洋岛民节上，采用便利抽样法，分发了自我管理的调查问卷。
结果
参与者的整体知识得分较低（平均 28 分中的 9.8 分）。与美国出生的参与者（平均 11.6 分）相比，出生于太平洋岛国的参与者（平均 8.5 分）的知识得分较低（p=0.017），自我报告的疫苗接种率也较低（分别为 50%和 27%，p=0.025）。
讨论
缺乏乙型肝炎病毒知识、低疫苗接种率以及乙型肝炎病毒疫苗接种的知识和行为之间的差异，迫切需要与非西班牙裔太平洋岛民社区合作，开展乙型肝炎病毒教育、筛查、免疫和治疗。
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