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

Harborview Medical Center, Seattle, Washington
Cancer (Impact Factor: 4.89). 12/2005; 104(S12):2955 - 2958. DOI: 10.1002/cncr.21518


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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    • "According to precedent studies, it was reported that hepatitis B patients have a high level of noncompliance to the regular health checkups or prescriptions [10], have a low quality of life related to health [11], and have a low level of knowledge on disease and disease management, giving rise to deterioration of personal relations or even psychiatric issues such as fear, depression, and anxiety [12]. Furthermore, according to the qualitative research investigating patterns of health care behavior among patients with chronic hepatitis B [13], hepatitis B virus carriers had a low level of disease monitoring through regular medical checkups, and the extent of treatment compliance varied by the pattern of health care in the case of patients subject to treatment. "
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    ABSTRACT: The hepatitis B virus is second only to tobacco as a known human carcinogen. However, chronic hepatitis B usually does not produce symptoms and people feel healthy even in the early stages of live cancer. Therefore, chronically infected people should perceive it as a serious health problem and move on to appropriate health behaviour. The purpose of this paper is to develop and validate an online program for promoting self-management among Korean patients with chronic hepatitis B. The online program was developed using a prototyping approach and system developing life cycle method, evaluated by users for their satisfaction with the website and experts for the quality of the site. To evaluate the application of the online program, knowledge and self-management compliance of the subjects were measured and compared before and after the application of the online program. There were statistically significant increases in knowledge and self-management compliance in the user group. An online program with high accessibility and applicability including information, motivation, and behavior skill factors can promote self-management of the patient with chronic hepatitis B. Findings from this study allow Korean patients with chronic hepatitis B to engage in proactive and effective health management in the community or clinical practice.
    Full-text · Article · Jan 2013
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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: The aim of this study was 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 a 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-month 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 60 years 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.
    Full-text · Article · Nov 2012 · Preventive Medicine
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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.
    Preview · Article · Oct 2010 · Journal of Korean Academy of Nursing
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