Journal of Community Health
Volume 32, Issue 6, 2007, Pages 379-390

Correlates of hepatitis B testing among Chinese Americans (Article)

Coronado G.D.* , Taylor V.M. , Tu S.-P. , Yasui Y. , Acorda E. , Woodall E. , Yip M.-P. , Li L. , Hislop T.G.
  • a Cancer Prevention Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N.; M3-B232, Seattle, WA 98109, United States
  • b Cancer Prevention Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N.; M3-B232, Seattle, WA 98109, United States
  • c Cancer Prevention Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N.; M3-B232, Seattle, WA 98109, United States
  • d Department of Public Health Sciences, University of Alberta, 13-106J Clinical Sciences Building, Edmonton, Alta. T6G 2G3, Canada
  • e Cancer Prevention Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N.; M3-B232, Seattle, WA 98109, United States
  • f Cancer Prevention Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N.; M3-B232, Seattle, WA 98109, United States
  • g Department of Medicine, University of Washington, Seattle, WA 98104-2917, United States
  • h Cancer Prevention Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave. N.; M3-B232, Seattle, WA 98109, United States
  • i Cancer Control Research Program, British Columbia Cancer Agency, #2-109, 675 West 10th Avenue, Vancouver, BC V5Z 1L3, Canada

Abstract

Chinese Americans are 10 times more likely to be diagnosed with hepatocellular carcinoma (HCC) than their white counterparts. About 80% of HCC's among Asian immigrants are associated with hepatitis B virus (HBV) infection. We used data from in-person interviews of Chinese residents in Seattle to examine factors associated with HBV testing. The survey was completed by 206 men and 236 women (cooperation rate: 58%). Less than one-half (48%) of respondents had been tested for HBV. Factors associated (p < 0.01) with ever having tested in bivariate comparisons included knowing that Chinese are more likely to be infected with HBV than Whites; individuals can be infected with HBV for life; HBV infection can cause liver cancer; not believing that HBV can be prevented by having a positive attitude; having a family member, friend, or medical doctor recommend testing; asking for testing from a medical doctor; and not needing interpreter services. In multiple regression analyses, the following factors were independently associated with testing: believing that Chinese were more likely than Whites to get HBV (p = 0.004), having a doctor recommend testing (p ≤ 0.001), asking a doctor for the test (p < 0.001) and not needing an interpreter for doctors visits (p = 0.002). Intervention programs to improve HBV testing rates in Chinese Americans should include strategies to improve knowledge about the risk of HBV and encourage effective communication with health care providers about HBV testing. © 2007 Springer Science+Business Media, LLC.

Author Keywords

Liver cancer Hepatitis B testing Chinese americans Hepatitis B

Index Keywords

China regression analysis health care personnel correlation analysis human Health Behavior middle aged controlled study social support Washington interview Humans clinical examination male Emigrants and Immigrants Asian American female Article liver cancer Questionnaires adult major clinical study hepatitis B attitude to health health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-35348933370&doi=10.1007%2fs10900-007-9060-x&partnerID=40&md5=c0996906e73bc719f2c32a3cf491543e
DOI: 10.1007/s10900-007-9060-x
ISSN: 00945145
Cited by: 44
Original Language: English