Examining the Influencing Factors of Chronic Hepatitis B Monitoring Behaviors among Asian Americans: Application of the Information-Motivation-Behavioral Model

Grace X. Ma, Lin Zhu, Wenyue Lu, Yin Tan, Jade Truehart, Cicely Johnson, Elizabeth Handorf, Minhhuyen T. Nguyen, Ming Chin Yeh, Min Qi Wang

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Background: Compared to non-Hispanic whites, Asian Americans are 60% more likely to die from the disease. Doctor visitation for chronic hepatitis B (CHB) infection every six months is an effective approach to preventing liver cancer. Methods: This study utilized baseline data from an ongoing randomized controlled clinical trial aimed at improving long-term adherence to CHB monitoring/treatment. Guided by the information-motivation-behavioral skills (IMB) model, we examined factors associated with CHB monitoring adherence among Asian Americans with CHB. Multivariable logistic regression was conducted to test the associations. Results: The analysis sample consisted of 382 participants. Multivariable logistic regression showed that HBV knowledge (OR = 1.24, p < 0.01) and CHB-management motivation (OR = 1.06, p < 0.05) are significant predictors of having a doctor’s visit in the past six months. Both factors were positively associated with the likelihood of having had blood tests for HBV in the past six months. Conclusion: We found that greater HBV-related knowledge and CHB-management motivation are significantly associated with performing CHB-monitoring behaviors in the past six months. The findings have critical implications for the development and implementation of evidence-based interventions for CHB monitoring and liver cancer prevention in the Asian American community.

Original languageEnglish
Article number4642
JournalInternational Journal of Environmental Research and Public Health
Volume19
Issue number8
DOIs
StatePublished - Apr 1 2022
Externally publishedYes

Keywords

  • Asian Americans
  • cancer prevention
  • chronic hepatitis B
  • health disparities
  • monitoring adherence

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