Hepatitis B and liver cancer beliefs among Korean immigrants in Western Washington

Harborview Medical Center, Seattle, Washington
Cancer (Impact Factor: 4.9). 12/2005; 104(S12):2955 - 2958. DOI: 10.1002/cncr.21518

ABSTRACT Hepatocellular cancer occurs more frequently among Koreans, Vietnamese, and Chinese than other racial/ethnic groups in the U.S. This excess risk can be attributed to high rates of chronic hepatitis B viral (HBV) infection and low rates of HBV vaccination among Asian immigrants. However, there is little available information regarding the hepatitis B knowledge, beliefs, and practices among Koreans, the fifth-largest Asian population in the U.S. This brief report summarizes results from 30 qualitative interviews and two focus groups investigating hepatitis and liver cancer prevention, behavior, and beliefs among first-generation Korean immigrant adults ages 18–64 years residing in the Seattle–Tacoma metropolitan area of Washington State. The report concludes with suggestions for future investigations to address the high rates of chronic HBV infection and hepatocellular cancer in this vulnerable population. Cancer 2005. © 2005 American Cancer Society.

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    • "The number of people who have chronic HBV infection remains high because most AAPIs are immigrants from HBV-endemic areas (Lee et al., 2011). This excess risk can be attributed to high rates of HBV infection—particularly among foreign-born immigrants—combined with low levels of hepatitis B vaccination coverage due to cultural, linguistic, or financial barriers (Choe et al., 2005; Taylor et al., 2004, 2005; Thompson et al., 2003). The U.S. DHHS Office of Minority Health (OMH) warned that chronic HBV and liver cancer caused by HBV among AAPIs is one of the most serious but frequently neglected racial and ethnic health disparities in the U.S. (OMH, 2009). "
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    ABSTRACT: OBJECTIVE: To assess the effectiveness of a hepatitis B virus (HBV) educational program in increasing HBV knowledge. METHODS: Using a cluster randomized control trial to recruit participants from the community-based organization in the Baltimore-Washington Metropolitan Area; a total of 877 Asian American participants completed a self-administered pretest. HBV knowledge was the outcome measure. The intervention group received a 30-minute educational program. After the educational program, the intervention group completed post-education survey. Six months after the education, all participants were followed by phone. RESULTS: The intervention group showed significantly higher knowledge scores than the control group at the 6-months follow-up (between-group difference was 1.44 for knowledge of transmission modes and 0.59 for sequelae, p<0.01). For the intervention group, the increase in knowledge of HBV transmission modes in post-education was much higher than that at the 6-month follow-up (4.18 vs. 2.07), p<0.01) compared to baseline. Age was also an important factor on the educational effect: Those older than 60years reported the lowest scores in all three points. CONCLUSIONS: Findings suggest that this culturally integrated liver cancer educational program increased HBV knowledge. Differential strategies are needed to target age groups, separately educating those younger and those older.
    Preventive Medicine 11/2012; 56(1). DOI:10.1016/j.ypmed.2012.11.003 · 2.93 Impact Factor
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    • "), 감염률(Lee et al., 2008), 지식정도 조사 (Choe et al., 2005; Thompson et al., 2003), 환자의 관심사 조사(Alizade, Ranjbar, & Yadollahzadeh, 2008), 교육중재 프로그램의 효과(Nyamathi et al., 2009)에 관한 연구들은 연 구자의 관점에서, 그리고 사회문화적 맥락은 배제된 상태에서 이루어졌다. 한편 B형 간염과 관련된 질적 연구로 근거이론방 법을 적용한 질병경험(Yi et al., 2007)과 건강추구행위에 대한 내용분석(Tan, Cheah, & Teo, 2005) 등이 이루어져 질병관리 의 과정과 관련요인을 이해하는 데 상당부분 기여하였다. "
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    ABSTRACT: This ethnography was done to explore the meaning of illness in Korean Americans with chronic hepatitis B. The participants were 6 patients with chronic hepatitis B and 6 general informants who could provide relevant data. Data were collected from iterative fieldwork with ethnographic interviews within Korean communities in two cities in the United States. Data were analyzed using causal chain analysis developed by Wolcott. The analyses revealed three meanings for the illness: hidden disease, intentionally hidden disease, and inevitably hidden disease. The contexts of meaning of illness included characteristics of the illness, social stigma, structure of health care system and communication patterns and discourse between health care providers and clients. The meaning of illness was based on folk illness concepts and constructed in the sociocultural context. Folk etiology, pathology and interpretation of one's symptoms were factors influencing illness behavior. These findings could be a cornerstone for culture specific care for Korean Americans with chronic hepatitis B.
    Journal of Korean Academy of Nursing 10/2010; 40(5):662-75. DOI:10.4040/jkan.2010.40.5.662 · 0.36 Impact Factor
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    • "그러므로 B형 간염 환자는 정확한 지식에 근거하여 건강한 일상생활습관을 유지해야 한다. 그런데 최근의 연구들 은 정기검진, 예방접종, 처방에 대한 불이행정도가 높고(Choe et al., 2005; Froehlich & West, 2001 "
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    ABSTRACT: This ethnograpy was done to explore patterns of health care behavior in patients with chronic health problems. The participants were 15 patients with chronic hepatitis B and 2 family members. Among the patients 4 had progressed to liver cirrhosis and liver cancer. Data were collected from iterative fieldwork in a department of internal medicine of I hospital. Data were analyzed using text analysis and taxonomic methods. Illness and disease, relationship between health care givers and clients, and communication patterns between health professions and clients were discussed as the context of health care behavior. Health care behavior of the participants was categorized by its focus: every day work centered, body centered, organ centered, and pathology centered. Participants' health care behavior was guided by folk health concept and constructed in the sociocultural context. Folk etiology, pathology, and interpretation of one's symptoms were influencing factors in illness behavior. These findings must be a cornerstone of culture specific care for the chronic diseases.
    Journal of Korean Academy of Nursing 12/2009; 39(6):805-17. DOI:10.4040/jkan.2009.39.6.805 · 0.36 Impact Factor
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