TY - JOUR
T1 - HBV-related health behaviors in a socio-cultural context
T2 - Perspectives from Khmers and Koreans
AU - Lee, Haeok
AU - Kiang, Peter
AU - Chea, Phala
AU - Peou, Sonith
AU - Tang, Shirley S.
AU - Yang, Jin Hwang
AU - Fawcett, Jacqueline
AU - Hann, Hie Won
PY - 2014/5
Y1 - 2014/5
N2 - Purpose: The aim of this study is to explore factors influencing health and health care within the sociocultural context of Cambodian Americans (CAs or Khmers) and Korean Americans (KA) and to examine intergroup similarities and differences between CAs and KAs, focusing on hepatitis B virus (HBV) and liver cancer prevention behaviors. Methods: The study used a qualitative design guided by the revised Network Episode Model (NEM) and informed by ethnographic analysis. Focus group interviews with key informants among CA community health leaders (CHLs, n= 14) and individual interviews with key informants of KA CHLs (n= 9) were audiotaped and transcribed. Results: Three categories that influenced HBV and liver cancer prevention emerged from both CAs and KAs: the socio-cultural, individual, and behavioral. Four additional subcategories (sub-themes) of sociocultural were identified as socio-history, socio-medicine, socio-linguistic, and socio-health resources. Both CAs and KAs, however, have low levels of knowledge and significant misunderstandings about HBV infection. Conclusions: The study identifies and compares the social-cultural determinant for HBV and liver cancer and highlights the factors of education, intercultural communication, and interactions within socio-cultural contexts of CA and KA subgroups. In general, conceptual overlaps are apparent between Khmers (from now on, the terms, CA and Khmer, will be used interchangeably) and Koreans except for the sub-theme of socio-history. However, differences in concept-specific attributes point to the need to account for differing conceptualizations and implications of specific ethnic groups' sociocultural contexts, and to design contextually-relevant outreach and educational interventions for targeted AAPI subgroups.
AB - Purpose: The aim of this study is to explore factors influencing health and health care within the sociocultural context of Cambodian Americans (CAs or Khmers) and Korean Americans (KA) and to examine intergroup similarities and differences between CAs and KAs, focusing on hepatitis B virus (HBV) and liver cancer prevention behaviors. Methods: The study used a qualitative design guided by the revised Network Episode Model (NEM) and informed by ethnographic analysis. Focus group interviews with key informants among CA community health leaders (CHLs, n= 14) and individual interviews with key informants of KA CHLs (n= 9) were audiotaped and transcribed. Results: Three categories that influenced HBV and liver cancer prevention emerged from both CAs and KAs: the socio-cultural, individual, and behavioral. Four additional subcategories (sub-themes) of sociocultural were identified as socio-history, socio-medicine, socio-linguistic, and socio-health resources. Both CAs and KAs, however, have low levels of knowledge and significant misunderstandings about HBV infection. Conclusions: The study identifies and compares the social-cultural determinant for HBV and liver cancer and highlights the factors of education, intercultural communication, and interactions within socio-cultural contexts of CA and KA subgroups. In general, conceptual overlaps are apparent between Khmers (from now on, the terms, CA and Khmer, will be used interchangeably) and Koreans except for the sub-theme of socio-history. However, differences in concept-specific attributes point to the need to account for differing conceptualizations and implications of specific ethnic groups' sociocultural contexts, and to design contextually-relevant outreach and educational interventions for targeted AAPI subgroups.
KW - Health behaviors
KW - Hepatitis B
KW - Khmer
KW - Korean
KW - Socio-cultural
UR - http://www.scopus.com/inward/record.url?scp=84899969817&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84899969817&partnerID=8YFLogxK
U2 - 10.1016/j.apnr.2013.11.012
DO - 10.1016/j.apnr.2013.11.012
M3 - Article
C2 - 24355416
AN - SCOPUS:84899969817
SN - 0897-1897
VL - 27
SP - 127
EP - 132
JO - Applied Nursing Research
JF - Applied Nursing Research
IS - 2
ER -