TY - JOUR
T1 - Psychosocial predictors of HBV screening behavior among Vietnamese Americans
AU - Lee, Minsun
AU - Zhu, Lin
AU - Wang, Min Qi
AU - Wei, Zhengyu
AU - Tan, Yin
AU - Nguyen, Minhhuyen T.
AU - Ogunwobi, Olorunseun O.
AU - Ma, Grace X.
PY - 2017/9
Y1 - 2017/9
N2 - 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.
AB - 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.
KW - HBV screening
KW - Hepatitis B
KW - Liver cancer
KW - Psychosocial variables
KW - Vietnamese Americans
KW - Hepatitis B/diagnosis
KW - Humans
KW - Pennsylvania/ethnology
KW - Health Knowledge, Attitudes, Practice/ethnology
KW - Male
KW - Asian
KW - New York City/ethnology
KW - Adult
KW - Female
KW - Vietnam/ethnology
KW - New Jersey/ethnology
UR - https://www.scopus.com/pages/publications/85026652070
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=purepublist2023&SrcAuth=WosAPI&KeyUT=WOS:000407973600005&DestLinkType=FullRecord&DestApp=WOS
U2 - 10.5993/AJHB.41.5.5
DO - 10.5993/AJHB.41.5.5
M3 - Article
C2 - 28760178
SN - 1087-3244
VL - 41
SP - 561
EP - 570
JO - American Journal of Health Behavior
JF - American Journal of Health Behavior
IS - 5
ER -
