Hepatitis B screening among Chinese Americans: a structural equation modeling analysis

摘要: Hepatitis B Virus (HBV) disproportionately affects new immigrants from endemic regions such as China. Untreated infections increase health risks for liver diseases including cancer. Yet most of those infected are unaware their disease limiting prevention and early treatment options. The purpose this community based study was to evaluate a heuristic model identifying factors contributing screening among Chinese Americans. A cross-sectional design included sample 924 men women 18 years age older which 718 had complete data final analysis. Confirmatory factor analysis verified conceptual indicators access/satisfaction with care enabling, predisposing, cultural, belief factors. Structural equation modeling used identify direct indirect predictors screening. Bivariate revealed that respondents who were never screened HBV significantly more likely be below 40 (69.8%), male (69.2%), less than high school education (76.4%), 6 years living in the US (72.8%) no insurance (79.2%). identified enabling (having insurance, primary provider go when sick frequent visits doctor last year) strongest predictor (coefficient = 0.470, t = 7.618, p < .001). Predisposing (education variables) also related Cultural Satisfaction Health associated only through significant relationships tested theoretical shows promise predicting testing Increasing access by expanding options improving culturally sensitivity systems critical reach like strategies consistent DHHS Action plan Prevention Treatment Viral Hepatitis. Implementing community-based partnering relevant Community-Based Organizations important meeting policy targets.