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Published, Version of Record (VoR)Open Access via Drexel Libraries Read and Publish Program 2024CC BY V4.0, Open
Journal article
HBV Transmission Knowledge Among Korean-American Chronic Hepatitis B Patients in the United States
Journal of community health
02 Nov 2024
Featured in Collection : Research Supported by Drexel Libraries' OA Programs
Abstract
Chronic hepatitis B (CHB) is a condition that disproportionately affects Asian Americans in the United States. Knowledge of transmission is crucial for CHB patients to practice prevention methods to limit the spread of the hepatitis B virus (HBV), but also live their lives free from unwarranted fears or restrictions. Among Asian CHB patients, several misperceptions about HBV transmission have been identified. This analysis aims to assess the current state of HBV knowledge among a cohort of Korean-American CHB patients. This mixed-methods study includes 363 respondents who completed a survey in either Korean (N = 298) or English (N = 65) at two clinical care settings in Philadelphia (N = 161) and Los Angeles (N = 202); 30 participants also completed in-depth interviews. Knowledge was measured on a 10-point scale, asking patients yes or no transmission questions (n = 10, alpha = 0.87). The average knowledge score was 6.3. In multivariate analyses, older age was associated with lower knowledge (β=-0.25, p < 0.001). More years of formal education (β = 0.09, p = 0.076) and utilizing more sources for health information (β = 0.12, p = 0.023) were both independently associated with higher knowledge scores. Qualitative findings show that misperceptions about transmission through shared food still exist and that provider communication is an important part of knowledge acquisition. These results suggest that despite receiving specialized, culturally concordant medical care for their disease, some Korean-American CHB patients have an inadequate understanding of transmission and that opportunities exist to improve education in this population. Identifying additional factors that influence knowledge acquisition and retention is key to developing culturally effective education interventions for this population.
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Details
- Title
- HBV Transmission Knowledge Among Korean-American Chronic Hepatitis B Patients in the United States
- Creators
- Ann Carroll Klassen (Corresponding Author) - Drexel University, Community Health and PreventionGiyoung Lee - Drexel UniversityHee-Soon Juon - Thomas Jefferson UniversityEun-Ji Kim - University of PennsylvaniaKatherine Clegg SmithHie-Won Hann - Thomas Jefferson University HospitalMimi Chang - Asian Health Coalition
- Publication Details
- Journal of community health
- Publisher
- Springer Nature
- Number of pages
- 11
- Grant note
- National Institute of Diabetes and Digestive and Kidney Diseases: R01DK12554 National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
This publication was supported by grant #R01DK12554 from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The authors thank all the participants and members of the research team for their time and dedication throughout the course of the study.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:001346541500001
- Scopus ID
- 2-s2.0-105001070621
- Other Identifier
- 991021933015604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Policy & Services
- Public, Environmental & Occupational Health