title: Influence of information sources on hepatitis B screening behavior and relevant psychosocial factors among Asian immigrants.
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.
authors.affiliation: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room # 708, Baltimore, MD 21205, USA. mtanaka@jhsph.edu
authors.forename: Miho
authors.initials: M
authors.lastname: Tanaka
authors.forename: Carol
authors.initials: C
authors.lastname: Strong
authors.forename: Sunmin
authors.initials: S
authors.lastname: Lee
authors.forename: Hee-Soon
authors.initials: HS
authors.lastname: Juon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001208:Asia / Q000208:ethnology; D001213:Asian / Q000523:psychology; D054626:Consumer Health Information; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006509:Hepatitis B / Q000175:diagnosis* / Q000208:ethnology* / Q000517:prevention & control; D017325:Hepatitis B Vaccines / Q000008:administration & dosage*; D006801:Humans; D020407:Internet; D008297:Male; D008396:Maryland; D008403:Mass Screening; D008875:Middle Aged; D010820:Physicians; D055815:Young Adult
chemical_list: D017325:Hepatitis B Vaccines