Abstract
Background. Chronic hepatitis B infection is the most common cause of liver cancer among Cambodians. Our objective was to describe Cambodian Americans’ hepatitis B knowledge, testing, and vaccination levels. Methods. A community-based telephone survey was conducted in Seattle. Our study sample included 111 individuals. Results. Less than one half (46%) of our study group had received a hepatitis B blood test, and about one third (35%) had been vaccinated against hepatitis B. Only 43% knew that Cambodians are more likely to be infected with hepatitis B than whites. Conclusions. Over 50% of our respondents did not recall being tested for hepatitis B. We identified important knowledge deficits about hepatitis B. Continued efforts should be made to implement hepatitis B educational campaigns for Cambodians.
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Department of Commerce. We the People—Asians in the United States, Census 2000 Special Reports. Washington, DC: Department of Commerce; 2004.
Niedzwiecki M, Duong TC. Southeast Asian American statistical protile. Washington, DC: Southeast Asia Resource Action Center; 2003.
Pfeifer ME. US Census 2000—Cambodian residential distribution [Hmong Studies Web site]. 2001. Available at: www.hmongstudies. org Accessed June 20, 2006.
Ouch C, Park Y. The Cambodian Community in the United States. Seattle, WA: Cross Cultural Health Care Program; 1999.
Taylor VM, Jackson JC, Tu SP. Cancer control research among Cambodian Americans in Washington. Asian Am Pacific Islander J Health. 2000;8:32–38.
Miller AB, Kolonel LN, Bernstein L, Young JL, Swanson GM, Ward AJ. Racial/Ethnic Patterns of Cancer in the United States 1988–1992. Bethesda, MD: National Cancer Institute; 1996.
Perkins CI, Morris CR, Wright WE, Young JL. Cancer Incidence and Mortality in California by Detailed Race/Ethnicity, 1988–92. Sacramento: California Department of Health Services; 1995.
University of Southern California. Cancer incidence and mortality in California—Trends by race/ethnicity. Los Angeles: University of Southern California; 2004.
Jenkins CNH, Buu C, Berger W, et al. Liver carcinoma prevention among Asian Pacific Islanders. Cancer. 2001;91:252–256.
Asian Liver Center. Hepatitis B in Asian Americans. Available at, 2005: www.liver.stanford.edu. Accessed June 20, 2006.
Centers for Disease Control. Screening for hepatitis B virus infection among refugees arriving in the United States. MMWR Morb Mortal Wkly Rep. 1991;45:784–786.
Merican I, Guan R, Amarapuka D, et al. Chronic hepatitis B virus infection in Asian countries. Gastroenterol Hepatol. 2000;15:1356–1361.
Nguyen MH, Keeffe EB. Chronic hepatitis B and hepatitis C in Asian Americans. Rev Gastroenterol Dis. 2003;3:125–134.
Franks A, Berg C, Kane M, et al. Hepatitis B infection among children born in the United States to Southeast Asian refugees. N Engl J Med. 1989;321:1301–1305.
Gjerdingen DK, Lor V. Hepatitis B status of Hmong patients. J Am Board Fam Pract. 1997;10:322–328.
Lok A, McMahon B. Chronic hepatitis B. Hepatology. 2007;45:507–539.
President’s Advisory Commission on Asian Americans and Pacific Islanders. Asian Americans and Pacific Islanders—Addressing Health Disparities. Washington, DC: Department of Health and Human Services; 2003.
Schwartz SM, Taylor VM, Kuniyuki A, Jackson JC, Johnson R, Yasui Y. Development and application of a database of Cambodian names for cancer prevention research. Paper presented at: American Public Health Association annual meeting; November 9, 1999; Chicago, IL.
Eremenco SL, Cella D, Arnold BJ. A comprehensive method for the translation and cross-cultural validation of health status questionnaires. Eval Health Prof. 2005;28:212–232.
Anderson J, Moeschberger M, Chen MS Jr, et al. An acculturation scale for Southeast Asians. Social Psych Epidemiol. 1993;28:134–141.
Rosner B. Fundamentals of biostatistics. Boston, MA: Duxbury; 2005.
Breslow NS, Day NE. The Analysis of Case-Control Studies. Lyon, France: International Agency for Research on Cancer; 1980. Statistical Methods in Cancer Research; Vol 1.
Taylor VM, Jackson JC, Chan N, et al. Hepatitis B knowledge and practices among Cambodian American women in Seattle, Washington. J Comm Health. 2002;27:151–163.
National Task Force on Hepatitis B. Focus on Asians and Pacific Islanders. 2004. Available at: www.hepbinitiative.org, 2004. Accessed June 20, 2006.
Taylor VM, Tu SP, Woodall E, et al. Hepatitis B knowledge and practices among Chinese immigrants to the United States. APJCP. 2006;7:313–317.
Malik AH, Lee WM. Chronic hepatitis B virus infection: Treatment strategies for the next millennium. Ann Intern Med. 2000;132:723–731.
McPhee SJ, Nguyen TT. Cancer, cancer risk factors, and community-based cancer control trials in Vietnamese Americans. Asian Am Pacific Islander J Health. 2000;8:18–31.
McPhee SJ, Nguyen T, Euler GL, et al. Successful promotion of hepatitis B vaccinations among Vietnamese-American children ages 3 to 18: results of a controlled trial. Pediatrics. 2003;111:1278–1288.
McPhee SJ, Nguyen TT, Shema SJ, et al. Validation of recall of breast and cervical cancer screening by women in an ethnically diverse population. Prev Med. 2002;35:463–473.
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Supported by cooperative agreement CA114640 from the National Cancer Institute (The Asian American Network for Cancer Awareness, Research, and Training) and cooperative agreement U48-DP-000050 from the Centers for Disease Control and Prevention (The Alliance for Reducing Cancer-Northwest). (The contents of the article are solely the responsibility of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention or the National Cancer Institute.)
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Taylor, V.M., Seng, P., Acorda, E. et al. Hepatitis B knowledge and practices among Cambodian immigrants. J Canc Educ 24, 100–104 (2009). https://doi.org/10.1080/08858190802664750
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DOI: https://doi.org/10.1080/08858190802664750