Skip to main content
Top
Published in: Journal of Immigrant and Minority Health 4/2018

Open Access 01-08-2018 | Original Paper

Knowledge, Awareness, and Prevention of Hepatitis B Virus Infection Among Korean American Parents

Authors: Sarah Hyun, Seulgi Lee, William R. Ventura, Joseph McMenamin

Published in: Journal of Immigrant and Minority Health | Issue 4/2018

Login to get access

Abstract

Hepatitis B (HB) affects 240 million people around the world, and children and young adults make up a large proportion of the infected population. Approximately 1 million people die from HB each year. Despite the seriousness of HB and its complications, many are poorly linked to clinical care. A lack of health literacy may be a critical barrier hindering access to HB care for adults as well as children in these populations. We, therefore, performed a survey to assess the level of knowledge of HB among Korean American parents. The survey was conducted on 521 Korean American adults who attended community-based HB awareness campaigns held at various locations throughout the metropolitan New York area between January 2015 and November 2016. Of these, 296 parents, who had children between ages 1 and 30, were identified. All participants were asked a series of questions regarding various aspects of HB and were evaluated on the basis of their awareness on each subject. A separate questionnaire was also employed to obtain demographic characteristics of the participants. The study revealed a significant deficit of knowledge of HB in most aspects the survey evaluated. Although the majority of the participants knew that HB is a liver disease, and many of them had been screened for HB, they had a poor understanding of vaccination, screening, their own HB status, modes of HBV transmission, and the consequences and treatment of HB. The participants also had a low level of awareness of their own children’s HB status. This study demonstrates a low level of knowledge of HB among Korean American parents electing to attend a hepatitis education program. In addition, many parents are not aware of their children’s screening and immune (or non-immune) status. The lack of health literacy may contribute to poor health access in HB care, not only in adults but also in children. This suggests an urgent need for education on HB in Korean American parents as well as in young children.
Literature
1.
go back to reference Hollinger FB, Liang TJ. Hepatitis B virus. In: Knipe DM et al, editors. Fields virology. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2001. pp. 2971–3036. Hollinger FB, Liang TJ. Hepatitis B virus. In: Knipe DM et al, editors. Fields virology. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2001. pp. 2971–3036.
2.
go back to reference Lok AS, McMahon BJ. Chronic hepatitis B: AASLD practice guidelines. Hepatology. 2001;34(6):1225–41.CrossRefPubMed Lok AS, McMahon BJ. Chronic hepatitis B: AASLD practice guidelines. Hepatology. 2001;34(6):1225–41.CrossRefPubMed
3.
go back to reference Block TM, Mehta AS, Fimmel CJ, Jordan R. Molecular viral oncology of hepatocellular carcinoma. Oncogene. 2003;22(33):5093–107.CrossRefPubMed Block TM, Mehta AS, Fimmel CJ, Jordan R. Molecular viral oncology of hepatocellular carcinoma. Oncogene. 2003;22(33):5093–107.CrossRefPubMed
4.
go back to reference Chang ET, So SK. Ten largest racial and ethnic health disparities in the United States based on healthy people 2010 objectives. Am J Epidemiol. 2007;166:1105–6.CrossRefPubMed Chang ET, So SK. Ten largest racial and ethnic health disparities in the United States based on healthy people 2010 objectives. Am J Epidemiol. 2007;166:1105–6.CrossRefPubMed
6.
go back to reference Wasley A, Kruszon-Moran D, Kuhnert W, Simard EP, Finelli L, McQuillan G, Bell B. The prevalence of hepatitis B virus infection in the United States in the era of vaccination. J Infect Dis. 2010;202(2):192–201.CrossRefPubMed Wasley A, Kruszon-Moran D, Kuhnert W, Simard EP, Finelli L, McQuillan G, Bell B. The prevalence of hepatitis B virus infection in the United States in the era of vaccination. J Infect Dis. 2010;202(2):192–201.CrossRefPubMed
8.
go back to reference U.S. Department of Health & Human Services (HHS). Combating the silent epidemic of viral hepatitis: action plan for the prevention, care and treatment of viral hepatitis. 2011. U.S. Department of Health & Human Services (HHS). Combating the silent epidemic of viral hepatitis: action plan for the prevention, care and treatment of viral hepatitis. 2011.
9.
go back to reference Hepatitis and Liver Cancer. A National Strategy for Prevention and Control of Hepatitis B and C. Colvin HM, Mitchell AE, editors. Committee on the Prevention and Control of Viral Hepatitis Infections; Institute of Medicine. 2010. http://www.nap.edu/catalog/12793.html. Accessed 6 Jan 2017. Hepatitis and Liver Cancer. A National Strategy for Prevention and Control of Hepatitis B and C. Colvin HM, Mitchell AE, editors. Committee on the Prevention and Control of Viral Hepatitis Infections; Institute of Medicine. 2010. http://​www.​nap.​edu/​catalog/​12793.​html. Accessed 6 Jan 2017.
11.
12.
go back to reference Gentile I, Borgia G. Vertical transmission of hepatitis B virus: challenges and solutions. Int J Womens Health. 2014;6:605–11.PubMedPubMedCentral Gentile I, Borgia G. Vertical transmission of hepatitis B virus: challenges and solutions. Int J Womens Health. 2014;6:605–11.PubMedPubMedCentral
14.
go back to reference Cohen C, Evans AA, London WT, Block J, Conti M, Block T. Underestimation of chronic hepatitis B virus infection in the United States of America. J Viral Hepat. 2008;15(1):12–3.PubMedPubMedCentral Cohen C, Evans AA, London WT, Block J, Conti M, Block T. Underestimation of chronic hepatitis B virus infection in the United States of America. J Viral Hepat. 2008;15(1):12–3.PubMedPubMedCentral
15.
go back to reference Yin Y, Wu L, Zhang J, Zhou J, Zhang P, Hou H. Identification of risk factors associated with immunoprophylaxis failure to prevent the vertical transmission of hepatitis B virus. J Infect. 2013;66(5):447–52.CrossRefPubMed Yin Y, Wu L, Zhang J, Zhou J, Zhang P, Hou H. Identification of risk factors associated with immunoprophylaxis failure to prevent the vertical transmission of hepatitis B virus. J Infect. 2013;66(5):447–52.CrossRefPubMed
18.
go back to reference Lee HO, Lee OJ, Kim S, Hontz I, Warner A. Differences in knowledge of hepatitis B among Korean immigrants in two cities in the Rocky Mountain region. Asian Nurs Res. 2007;1(3):165–75.CrossRef Lee HO, Lee OJ, Kim S, Hontz I, Warner A. Differences in knowledge of hepatitis B among Korean immigrants in two cities in the Rocky Mountain region. Asian Nurs Res. 2007;1(3):165–75.CrossRef
19.
go back to reference Do TN, Nam S. Knowledge, awareness and medical practice of Asian Americans/Pacific Islanders on chronic hepatitis B infection. Pogon Sahoe Yongu. 2011;31(3):341–64.PubMedPubMedCentral Do TN, Nam S. Knowledge, awareness and medical practice of Asian Americans/Pacific Islanders on chronic hepatitis B infection. Pogon Sahoe Yongu. 2011;31(3):341–64.PubMedPubMedCentral
20.
go back to reference Taylor VM, Choe JH, Yasui Y, Li L, Burke N, Jackson JC. Hepatitis B awareness, testing, and knowledge among Vietnamese American men and women. J Community Health. 2005;30(6):477–90.CrossRefPubMedPubMedCentral Taylor VM, Choe JH, Yasui Y, Li L, Burke N, Jackson JC. Hepatitis B awareness, testing, and knowledge among Vietnamese American men and women. J Community Health. 2005;30(6):477–90.CrossRefPubMedPubMedCentral
21.
go back to reference Hann HW, Hann RS, Maddrey WC. Hepatitis B virus infection in 6130 unvaccinated Korean Americans surveyed between 1988 and 1990. Am J Gastro. 2007;102:767–72.CrossRef Hann HW, Hann RS, Maddrey WC. Hepatitis B virus infection in 6130 unvaccinated Korean Americans surveyed between 1988 and 1990. Am J Gastro. 2007;102:767–72.CrossRef
22.
go back to reference Navarro N, Lim N, Kim J, Joo E, Che K, Runyon BA, Mendler MH. Lower than expected hepatitis B virus infection prevalence among first generation Koreans in the U.S.: results of HBV screening in the Southern California Inland Empire. BMC Infect Dis. 2014;14:269–75.CrossRefPubMedPubMedCentral Navarro N, Lim N, Kim J, Joo E, Che K, Runyon BA, Mendler MH. Lower than expected hepatitis B virus infection prevalence among first generation Koreans in the U.S.: results of HBV screening in the Southern California Inland Empire. BMC Infect Dis. 2014;14:269–75.CrossRefPubMedPubMedCentral
24.
go back to reference Gazmararian JA, Baker DW, Williams MV, Parker RM, Scott TL, Green DC, Fehrenbach SN, Ren J, Koplan JP. Health literacy among Medicare enrollees in a managed care organization. JAMA. 1999;281(6):545–51.CrossRefPubMed Gazmararian JA, Baker DW, Williams MV, Parker RM, Scott TL, Green DC, Fehrenbach SN, Ren J, Koplan JP. Health literacy among Medicare enrollees in a managed care organization. JAMA. 1999;281(6):545–51.CrossRefPubMed
26.
go back to reference Cohen C, Holmberg SD, McMahon BJ, Brosgart CL, Gish RF, London WT, Block TM. Is chronic hepatitis B being undertreated in the United States? J Viral Hepat. 2011;18(6):377–83.CrossRefPubMed Cohen C, Holmberg SD, McMahon BJ, Brosgart CL, Gish RF, London WT, Block TM. Is chronic hepatitis B being undertreated in the United States? J Viral Hepat. 2011;18(6):377–83.CrossRefPubMed
27.
go back to reference Hu KQ, Pan CQ, Goodwin D. Barriers to screening for hepatitis B virus infection in Asian Americans. Dig Dis Sci. 2011;56:3163–71.CrossRefPubMed Hu KQ, Pan CQ, Goodwin D. Barriers to screening for hepatitis B virus infection in Asian Americans. Dig Dis Sci. 2011;56:3163–71.CrossRefPubMed
28.
go back to reference Yin HS, Johnson M, Mendelsohn AL, et al. The health literacy of parents in the United States: a nationally representative study. Pediatrics. 2009;124(suppl 3):S289–98.CrossRefPubMed Yin HS, Johnson M, Mendelsohn AL, et al. The health literacy of parents in the United States: a nationally representative study. Pediatrics. 2009;124(suppl 3):S289–98.CrossRefPubMed
30.
go back to reference Darren DA, Hink A. Health literacy and child health outcomes: a systematic review of the literature. Pediatrics. 2009;124:s265–s274.CrossRef Darren DA, Hink A. Health literacy and child health outcomes: a systematic review of the literature. Pediatrics. 2009;124:s265–s274.CrossRef
32.
go back to reference Taylor JA, Darden PM, Slora E, Hasemeier CM, Asmussen L, Wasserman R. The influence of provider behavior, parental characteristics, and a public policy initiative on the immunization status of children followed by private pediatricians: a study from Pediatric Research in Office Settings. Pediatrics. 1997;99(2):209–15.PubMed Taylor JA, Darden PM, Slora E, Hasemeier CM, Asmussen L, Wasserman R. The influence of provider behavior, parental characteristics, and a public policy initiative on the immunization status of children followed by private pediatricians: a study from Pediatric Research in Office Settings. Pediatrics. 1997;99(2):209–15.PubMed
33.
go back to reference Angelillo I, Ricciardi G, Rossi P, Pantisano P, Langiano E, Pavia M. Mothers and vaccination: knowledge, attitudes, and behaviour in Italy. Bull World Health Org. 1999;77(3):224–9.PubMed Angelillo I, Ricciardi G, Rossi P, Pantisano P, Langiano E, Pavia M. Mothers and vaccination: knowledge, attitudes, and behaviour in Italy. Bull World Health Org. 1999;77(3):224–9.PubMed
36.
go back to reference Parker MM, Fernandez A, Moffet HH, Grant RW, Torreblanca A, Karter AJ. Association of patient-physician language concordance and glycemic control for limited-English proficiency Latinos with type 2 diabetes. JAMA Intern Med. 2017;177(3):380–87CrossRefPubMedPubMedCentral Parker MM, Fernandez A, Moffet HH, Grant RW, Torreblanca A, Karter AJ. Association of patient-physician language concordance and glycemic control for limited-English proficiency Latinos with type 2 diabetes. JAMA Intern Med. 2017;177(3):380–87CrossRefPubMedPubMedCentral
37.
go back to reference Korb KA. Self-report questionnaires: can they collect accurate information? J Educ Found. 2011;1:5–12. Korb KA. Self-report questionnaires: can they collect accurate information? J Educ Found. 2011;1:5–12.
Metadata
Title
Knowledge, Awareness, and Prevention of Hepatitis B Virus Infection Among Korean American Parents
Authors
Sarah Hyun
Seulgi Lee
William R. Ventura
Joseph McMenamin
Publication date
01-08-2018
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 4/2018
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-017-0609-1

Other articles of this Issue 4/2018

Journal of Immigrant and Minority Health 4/2018 Go to the issue