Journal of Cancer Education

, Volume 29, Issue 3, pp 522–528 | Cite as

Knowledge and Fears Among Asian Americans Chronically Infected with Hepatitis B

  • Rebecca M. Carabez
  • J. Anthony Swanner
  • Grace J. Yoo
  • Minh Ho


Asian Americans are disproportionately affected by hepatitis B (HBV) infection. In the USA, one in ten Asian Americans is infected with HBV. The purpose of the study was to explore knowledge, fears and follow-up care among Asian Americans chronically infected with hepatitis B. A sample of 154 completed an online survey which included demographic information, follow-up treatment information, and HBV knowledge and fears/concerns. Our findings indicate that there are differences by ethnicity and birthplace among Asian Americans in terms of follow-up care and treatment. In addition, our study indicates that there were substantial knowledge gaps regarding contracting HBV, transmission, and prevention. We found that HBV-infected respondents had many fears about their infection. Three primary concerns were identified: (a) concerns related to liver cancer and overall health, (b) transmission to loved ones, and (c) stigma. Our findings indicate that Asian Americans chronically infected with HBV need more education to manage HBV including information on the importance of follow-up treatment and care and education on preventing transmission, risk for liver cancer, and HBV impact on overall health.


Hepatitis B Asian Americans Liver cancer Stigma 



The authors acknowledge the support of a San Francisco State University ORSP research grant and an SFSU School of Nursing research grant in the completion of this study. This manuscript is dedicated to the memory of Ok Chang.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Rebecca M. Carabez
    • 1
  • J. Anthony Swanner
    • 1
  • Grace J. Yoo
    • 2
  • Minh Ho
    • 1
  1. 1.School of Nursing, Community/Public Health NursingSan Francisco State UniversitySan FranciscoUSA
  2. 2.Asian American StudiesSan Francisco State UniversitySan FranciscoUSA

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