Skip to main content

Advertisement

Log in

Factors Associated with Hepatitis B Knowledge Among Vietnamese Americans: A Population-Based Survey

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Vietnamese Americans have high rates of hepatitis B virus (HBV) infection but low rates of knowledge and screening. A population-based survey conducted in 2011 of Vietnamese Americans in two geographic areas (n = 1666) was analyzed. The outcome variables were having heard of HBV and a score summarizing knowledge of HBV transmission. Most respondents (86.0%) had heard of HBV. Correct knowledge of transmission ranged from 59.5% for sex, 68.1% for sharing toothbrushes, 78.6% for during birth, and 85.0% for sharing needles. In multivariable analyses, factors associated with having heard of HBV and higher knowledge included Northern California residence, longer U.S. residence, higher education, family history of HBV, and discussing HBV with family/friends. Higher income was associated with having heard of HBV. English fluency and being U.S.-born were associated with higher knowledge. Interventions to increase knowledge of HBV transmission are needed to decrease this health disparity among Vietnamese Americans.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. WHO. The world health report 1996: fighting disease, fostering development. 1996. http://www.who.int/whr/1996/en/. Accessed 8 May 2015.

  2. NICE. Hepatitis B (chronic): diagnosis and management. 2015. http://www.nice.org.uk/guidance/cg165. Accessed 8 May 2015.

  3. WHO. Hepatitis B. 2015. http://www.who.int/mediacentre/factsheets/fs204/en/. Accessed 1 Oct 2015.

  4. Afdhal NH, Bacon BR, Brown RS Jr. Chronic hepatitis B: integrating long-term treatment data and strategies to improve outcomes in clinical practice. Gastroenterol Hepatol. 2011;7(3 Suppl 4):1–16.

    Google Scholar 

  5. Nelson KR, Bui H, Samet JH. Screening in special populations: a “case study” of recent Vietnamese immigrants. Am J Med. 1997;102(5):435–40.

    Article  CAS  PubMed  Google Scholar 

  6. Coleman PJ, McQuillan GM, Moyer LA, Lambert SB, Margolis HS. Incidence of hepatitis B virus infection in the United States, 1976–1994: estimates from the National Health and Nutrition Examination Surveys. J Infect Dis. 1998;178(4):954–9.

    Article  CAS  PubMed  Google Scholar 

  7. Mitchell T, Armstrong GL, Hu DJ, Wasley A, Painter JA. The increasing burden of imported chronic hepatitis B—United States, 1974–2008. PLoS One. 2011;6(12):e27717.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. McPhee SJ, Nguyen TT. Cancer, cancer risk factors, and community-based cancer control trials in Vietnamese Americans. Asian Am Pac Isl J Health. 2000;8(1):18–31.

    PubMed  PubMed Central  Google Scholar 

  9. CDC. Viral Hepatitis—CDC recommendations for specific populations and settings: Asian & Pacific Islander. 2015. http://www.cdc.gov/hepatitis/Populations/api.htm. Accessed 1 Oct 2015.

  10. Jenkins CN, McPhee SJ, Nguyen T, Wong C. Promoting hepatitis B catch-up immunizations among Vietnamese-American children: a controlled trial of two strategies. Asian Am Pac Isl J Health. 1998;6(2):216–8.

    PubMed  Google Scholar 

  11. McPhee SJ, Nguyen T, Euler GL, Mock J, Wong C, Lam T, Nguyen W, Nguyen S, Huynh Ha MQ, Do ST, Buu C. Successful promotion of hepatitis B vaccinations among Vietnamese-American children ages 3 to 18: results of a controlled trial. Pediatrics. 2003;111(6 Pt 1):1278–88.  

    Article  PubMed  PubMed Central  Google Scholar 

  12. Jenkins CN, McPhee SJ, Wong C, Nguyen T, Euler GL. Hepatitis B immunization coverage among Vietnamese-American children 3 to 18 years old. Pediatrics. 2000;106(6):e78.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Zhou F, Euler GL, McPhee SJ, Nguyen T, Lam T, Wong C, Mock J. Economic analysis of promotion of hepatitis B vaccinations among Vietnamese-American children and adolescents in Houston and Dallas. Pediatrics. 2003;111(6 Pt 1):1289–96.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Nguyen TT, Taylor V, Chen MS Jr, Bastani R, Maxwell AE, McPhee SJ. Hepatitis B awareness, knowledge, and screening among Asian Americans. J Cancer Educ. 2007;22(4):266–72.

    Article  PubMed  Google Scholar 

  15. Taylor VM, Choe JH, Yasui Y, Li L, Burke N, Jackson JC. Hepatitis B awareness, testing, and knowledge among Vietnamese American men and women. J Community Health. 2005;30(6):477–90.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Nguyen TT, McPhee SJ, Stewart S, Gildengorin G, Zhang L, Wong C, Maxwell AE, Bastani R, Taylor VM, Chen MS Jr. Factors associated with hepatitis B testing among Vietnamese Americans. J Gen Intern Med. 2010;25(7):694–700.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Grytdal SP, Liao Y, Chen R, Garvin CC, Grigg-Saito D, Kagawa-Singer M, Liang S, McPhee SJ, Nguyen TT, Tran JH, Gallagher KM. Hepatitis B testing and vaccination among Vietnamese- and Cambodian-Americans. J Community Health. 2009;34(3):173–80.

    Article  PubMed  Google Scholar 

  18. Carabez RM, Swanner JA, Yoo GJ, Ho M. Knowledge and fears among Asian Americans chronically infected with hepatitis B. J Cancer Educ. 2014;29(3):522–8.

    Article  PubMed  Google Scholar 

  19. CDC. Viral hepatitis—Hepatitis B information. 2015. http://www.cdc.gov/hepatitis/B/bFAQ.htm#bFAQ10. Accessed 8 May 2015.

  20. Maxwell AE, Bastani R, Glenn BA, Taylor VM, Nguyen TT, Stewart SL, Burke NJ, Chen MS Jr. Developing theoretically based and culturally appropriate interventions to promote hepatitis B testing in 4 Asian American populations, 2006–2011. Prev Chronic Dis. 2014;11:E72. 

    PubMed  PubMed Central  Google Scholar 

  21. Swallen KC, Glaser SL, Stewart SL, West DW, Jenkins CN, McPhee SJ. Accuracy of racial classification of Vietnamese patients in a population-based cancer registry. Ethn Dis. 1998;8(2):218–27.

    CAS  PubMed  Google Scholar 

  22. StataCorp. Stata statistical software: release 13. College Station, TX: StataCorp LP (2013).

    Google Scholar 

  23. Strong C, Hur K, Kim F, Pan J, Tran S, Juon HS. Sociodemographic characteristics, knowledge and prevalence of viral hepatitis infection among Vietnamese Americans at community screenings. J Immigr Minor Health. 2015;17(1):298–301.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Bailey MB, Shiau R, Zola J, Fernyak SE, Fang T, So SK, Chang ET. San Francisco Hep B free: a grassroots community coalition to prevent hepatitis B and liver cancer. J Community Health. 2011;36(4):538–51.

    Article  PubMed  Google Scholar 

  25. Yoo GJ, Fang T, Zola J, Dariotis WM. Destigmatizing hepatitis B in the Asian American community: lessons learned from the San Francisco Hep B Free Campaign. J Cancer Educ. 2012;27(1):138–44. 

    Article  PubMed  PubMed Central  Google Scholar 

  26. Hsu CE, Liu LC, Juon HS, Chiu YW, Bawa J, Tillman U, Li M, Miller J, Wang M. Reducing liver cancer disparities: a community-based hepatitis-B prevention program for Asian-American communities. J Natl Med Assoc. 2007;99(8):900–7.

    PubMed  PubMed Central  Google Scholar 

  27. Ma GX, Fang CY, Shive SE, Toubbeh J, Tan Y, Siu P. Risk perceptions and barriers to hepatitis B screening and vaccination among Vietnamese immigrants. J Immigr Minor Health. 2007;9(3):213–20. 

    Article  PubMed  Google Scholar 

  28. Cotler SJ, Cotler S, Xie H, Luc BJ, Layden TJ, Wong SS. Characterizing hepatitis B stigma in Chinese immigrants. J Viral Hepat. 2012;19(2):147–52.

    Article  CAS  PubMed  Google Scholar 

  29. McPhee SJ, Stewart S, Brock KC, Bird JA, Jenkins CN, Pham GQ. Factors associated with breast and cervical cancer screening practices among Vietnamese American women. Cancer Detect Prev. 1997;21(6):510–21.

    CAS  PubMed  Google Scholar 

  30. McPhee SJ, Bird JA, Davis T, Ha NT, Jenkins CN, Le B. Barriers to breast and cervical cancer screening among Vietnamese-American women. Am J Prev Med. 1997;13(3):205–13.

    CAS  PubMed  Google Scholar 

  31. Yi JK. Factors associated with cervical cancer screening behavior among Vietnamese women. J Community Health. 1994;19(3):189–200.

    Article  CAS  PubMed  Google Scholar 

  32. Colvin HM, Mitchell AE. Hepatitis and liver cancer: a national strategy for prevention and control of hepatitis B and C. Washington DC: National Academies Press; 2010. http://www.cdc.gov/hepatitis/pdfs/iom-hepatitisandlivercancerreport.pdf. Accessed 8 May 2015.

  33. McPhee SJ. Caring for a 70-year-old Vietnamese woman. JAMA. 2002;287(4):495–504.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This study was funded in part through Grant P01 CA109091-01A1, funded jointly by the National Cancer Institute and the National Center on Minority Health and Health Disparities, and Grant U54 CA153499 funded by the National Cancer Institute’s Center to Reduce Cancer Health Disparities, with additional support from Grant AD12114615 funded by the Patient-Centered Outcomes Research Institute. We also would like to acknowledge the support of the Asian American Research Center on Health (ARCH), the Vietnamese Community Health Promotion Project’s Community Advisory Board, and the Vietnamese Reach for Health Coalition. The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of the funding agencies.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Janet N. Chu.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chu, J.N., Le, P.V., Kennedy, C.J. et al. Factors Associated with Hepatitis B Knowledge Among Vietnamese Americans: A Population-Based Survey. J Immigrant Minority Health 19, 801–808 (2017). https://doi.org/10.1007/s10903-016-0526-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-016-0526-8

Keywords

Navigation