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 and Min Qi Wang
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Grace X. Ma: Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA
Lin Zhu: Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA
Wenyue Lu: Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA
Yin Tan: Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA
Jade Truehart: Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA
Cicely Johnson: Center for Cancer Health Disparities Research (CCHDR), Hunter College, City University of New York, New York, NY 10065, USA
Elizabeth Handorf: Fox Chase Cancer Center, Temple University Health System, Philadelphia, PA 19111, USA
Minhhuyen T. Nguyen: Fox Chase Cancer Center, Temple University Health System, Philadelphia, PA 19111, USA
Ming-Chin Yeh: Nutrition Program, Hunter College, City University of New York, New York, NY 10065, USA
Min Qi Wang: School of Public Health, University of Maryland, College Park, MD 20742, USA

IJERPH, 2022, vol. 19, issue 8, 1-9

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.

Keywords: health disparities; cancer prevention; Asian Americans; chronic hepatitis B; monitoring adherence (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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