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Psychosocial Predictors of HBV Screening Behavior among Vietnamese Americans.
Lee, Minsun; Zhu, Lin; Wang, Min Qi; Wei, Zhengyu; Tan, Yin; Nguyen, Minhhuyen T; Ogunwobi, Olorunseun O; Ma, Grace X.
Afiliação
  • Lee M; Postdoctoral Associate, Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.
  • Zhu L; Postdoctoral Associate, Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.
  • Wang MQ; Professor, Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD.
  • Wei Z; Research Associate, Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.
  • Nguyen MT; Director, Section of Clinical Gastroenterology, Department of Medicine, Fox Chase Cancer Center, Temple University Health System, Philadelphia, PA.
  • Ogunwobi OO; Associate Professor, Department of Biological Sciences, Hunter College of the City University of New York, New York, NY.
  • Ma GX; Associate Dean for Health Disparities, Director, Center for Asian Health, Laura H. Carnell Professor and Professor in Clinical Sciences, Lewis Katz School of Medicine, Temple University Philadelphia, PA;, Email: grace.ma@temple.edu.
Am J Health Behav ; 41(5): 561-570, 2017 Sep 01.
Article em En | MEDLINE | ID: mdl-28760178
OBJECTIVE: We evaluated the influence of psychosocial factors on HBV screening. METHODS: Sample consisted of 1716 Vietnamese participants in our previous HBV intervention trial, recruited from 36 community-based organizations in Pennsylvania, New Jersey, and New York City between 2009 and 2014. Using the Health Belief Model and Social Cognitive Theory, we measured self-efficacy, knowledge, perceived barriers, perceived benefits, perceived severity, and risk susceptibility. Analysis of covariance was used to compare pre- and post-intervention changes of psychosocial variables. Structural equation modeling was used to explore the direct and indirect effects of the psychosocial variables on HBV screening. RESULTS: Knowledge, self-efficacy, perceived benefits, and perceived barriers were directly associated with HBV screening; knowledge had the strongest effect. Perceived severity and risk susceptibility had indirect association with HBV screening through other variables. Indirect paths among the 6 psychosocial variables were also identified. CONCLUSION: To promote HBV screening among Vietnamese Americans, intervention efforts should focus on increasing knowledge, self-efficacy, and perceived benefits, decreasing perceived barriers, and accounting for the dynamic cognitive processing.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Asiático / Conhecimentos, Atitudes e Prática em Saúde / Hepatite B Tipo de estudo: Diagnostic_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do norte / Asia Idioma: En Revista: Am J Health Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO Ano de publicação: 2017 Tipo de documento: Article País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Asiático / Conhecimentos, Atitudes e Prática em Saúde / Hepatite B Tipo de estudo: Diagnostic_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do norte / Asia Idioma: En Revista: Am J Health Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO Ano de publicação: 2017 Tipo de documento: Article País de publicação: Reino Unido