对乙型肝炎和肝癌差异的社会心理影响
Suzanne J Block1, Beatrice Zovich2, Fiona Borondy-Jenkins2
1Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. Sblock8@jhmi.edu.
Journal of racial and ethnic health disparities
|August 25, 2025
概括
根据文化定制的公共卫生活动对不同社区的不成比例的慢性乙型肝炎 (HBV) 和肝癌至关重要. 了解心理社会因素是改善查和护理参与的关键.
科学领域:
- 公共卫生
- 关于健康的信息
- 质量研究
背景情况:
- 不同的社区 (亚洲,太平洋岛屿,加勒比海,非洲) 面临不成比例高的慢性乙型肝炎 (HBV).
- 低查和疾病管理参与加剧了这些人群中的肝癌发病率.
- 影响健康行为的心理社会因素需要针对性干预的探索.
研究的目的:
- 探索影响HBV和肝癌健康行为的心理社会因素.
- 根据文化定制的公共卫生传播活动的发展.
- 解决查和护理参与方面的差异.
主要方法:
- 美国亚洲/太平洋岛民,加勒比海和非洲社区的101名参与者参与的定性研究.
- 进行了15个重点小组和2个关键信息采访.
- 使用健康信念模型和社会生态模型,并进行感应性主题分析.
主要成果:
- 关于HBV传播及其与肝癌的联系的知识并不完整.
- 健康信仰,自我效能和不确定性影响了查和护理行为.
- 耻辱,社会孤立和误解是常见的;家庭支持和社会规范发挥了重要作用.
结论:
- 多层次的影响导致受影响社区的查和护理参与度较低.
- 在不同受影响群体之间存在关键差异和相似之处.
- 为了有效预防和治疗乙型肝炎,必须提供适合文化背景的教育.
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