title: Hepatitis B screening practice among older Chinese in the Greater Washington, DC, area.
abstract: OBJECTIVE
  Older Chinese Americans are at greater risk of contracting hepatitis B virus (HBV) because they were born before the implementation of universal childhood vaccination policies. This study examined the prevalence of HBV screening, test results, and predictors of HBV screening among older Chinese.
  
  
  METHODS
  Two hundred fifty-two Chinese immigrants (older than 50 years) recruited from Chinese-speaking physicians' offices in the Washington, DC, area participated in a cancer screening questionnaire. Descriptive statistics and hierarchical logistic regressions were conducted.
  
  
  RESULTS
  Among the 164 participants (65%) who underwent HBV screening, 66% reported that they were susceptible to HBV infection. Stronger self-care beliefs, longer US residency, lower HBV knowledge, and lack of physician recommendations were independently and negatively associated with HBV screening.
  
  
  CONCLUSIONS
  Many older Chinese did not adhere to HBV screening guidelines because of cultural views and information deficiency. Culturally appropriate interventions aimed to enhance their knowledge and communication with physicians about HBV are needed for promoting screening.
authors.affiliation: From Kelly Services Contract Program in support of the Division of Cancer Prevention and Population Sciences, National Cancer Institute, Rockville, Maryland, the Departments of Biostatistics, Bioinformatics, and Biomathematics, Oncology, and Cancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
authors.forename: Miho
authors.initials: M
authors.lastname: Tanaka
authors.affiliation: From Kelly Services Contract Program in support of the Division of Cancer Prevention and Population Sciences, National Cancer Institute, Rockville, Maryland, the Departments of Biostatistics, Bioinformatics, and Biomathematics, Oncology, and Cancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
authors.forename: Edmund
authors.initials: E
authors.lastname: Gehan
authors.affiliation: From Kelly Services Contract Program in support of the Division of Cancer Prevention and Population Sciences, National Cancer Institute, Rockville, Maryland, the Departments of Biostatistics, Bioinformatics, and Biomathematics, Oncology, and Cancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
authors.forename: Mei-Yu
authors.initials: MY
authors.lastname: Chen
authors.affiliation: From Kelly Services Contract Program in support of the Division of Cancer Prevention and Population Sciences, National Cancer Institute, Rockville, Maryland, the Departments of Biostatistics, Bioinformatics, and Biomathematics, Oncology, and Cancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.
authors.forename: Judy Huei-Yu
authors.initials: JH
authors.lastname: Wang
mesh_terms: D000368:Aged; D001213:Asian; D003430:Cross-Sectional Studies; D004219:District of Columbia; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006509:Hepatitis B / Q000175:diagnosis* / Q000208:ethnology; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000706:statistics & numerical data; D057566:Self Report; D011795:Surveys and Questionnaires