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Hepatitis B and Liver Cancer Among Three Asian American Sub-Groups: A Focus Group Inquiry

Abstract  

Prevalence of hepatitis B among Asian Americans is higher than for any other ethnic group in the United States. Since more
than 50% of liver cancer is hepatitis B related, the burden of morbidity and mortality is extremely high among Asian Americans,
highlighting the need for culturally appropriate interventions. We conducted focus groups (n = 8) with a total of 58 Korean,
Vietnamese, and Chinese immigrants in Maryland to explore knowledge, awareness and perceived barriers toward hepatitis B screening
and vaccinations. Thematic analysis uncovered generally low levels of knowledge and awareness of hepatitis B risks, screening,
and vaccination; inter-generational differences; and barriers to prevention. Some differences arose across ethnic groups,
particularly toward perceived orientation to preventive activities and the role of religious groups. High rates of hepatitis
B infection among Asian Americans highlight the need for tailored interventions. These findings may assist policy strategists
in implementing interventions that will facilitate the integration and scale-up of hepatitis B education, screening, and vaccination
campaigns.

  • Content Type Journal Article
  • Category Original Paper
  • Pages 1-11
  • DOI 10.1007/s10903-011-9523-0
  • Authors
    • Morgan M. Philbin, Department of Health, Behavior, and Society, The Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA
    • Lori A. H. Erby, Department of Health, Behavior, and Society, The Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA
    • Sunmin Lee, Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, College Park, MD, USA
    • Hee-Soon Juon, Department of Health, Behavior, and Society, The Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA
    • Journal Journal of Immigrant and Minority Health
    • Online ISSN 1557-1920
    • Print ISSN 1557-1912
Posted in: Journal Article Abstracts on 09/12/2011 | Link to this post on IFP |
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