Influence of information sources on hepatitis B screening behavior and relevant psychosocial factors among Asian immigrants

J Immigr Minor Health. 2013 Aug;15(4):779-87. doi: 10.1007/s10903-012-9753-9.

Abstract

This study examines how different information sources relate to Health Belief Model constructs, hepatitis B virus (HBV) knowledge, and HBV screening. The Maryland Asian American Liver Cancer Education Program administered a survey of 877 Asian immigrants. The most common sources of information identified by the multiple-answer questions were newspapers (39.8 %), physicians (39.3 %), friends (33.8 %), TV (31.7 %), and the Internet (29.5 %). Path analyses-controlling for age, sex, educational level, English proficiency, proportion of life in U.S., health insurance coverage, and family history of HBV infection-showed that learning about HBV from physicians had the strongest direct effect; friends had a marginal indirect effect. Perceived risk, benefits, and severity played limited roles in mediation effects. Path analysis results differed by ethnicity. Physician-based HBV screening intervention would be effective, but should be complemented with community health campaigns through popular information sources for the uninsured.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Asia / ethnology
  • Asian / psychology
  • Consumer Health Information*
  • Emigrants and Immigrants / psychology*
  • Female
  • Health Education
  • Health Knowledge, Attitudes, Practice*
  • Health Promotion
  • Hepatitis B / diagnosis*
  • Hepatitis B / ethnology*
  • Hepatitis B / prevention & control
  • Hepatitis B Vaccines / administration & dosage*
  • Humans
  • Internet
  • Male
  • Maryland
  • Mass Screening
  • Middle Aged
  • Physicians
  • Young Adult

Substances

  • Hepatitis B Vaccines