Social-cultural, traditional beliefs, and health system barriers of hepatitis B screening among Hmong Americans: A case study
- PMID: 29578596
- PMCID: PMC5873598
- DOI: 10.1002/cncr.31096
Social-cultural, traditional beliefs, and health system barriers of hepatitis B screening among Hmong Americans: A case study
Abstract
Background: The incidence of liver cancer in Hmong Americans is 5 times higher than that of non-Hispanic whites, and there is a low hepatitis B screening rate (24%) among Hmong adults compared with other Asian American populations. The purpose of this study was to examine the Hmong's perceptions on social-cultural determinants, traditional health beliefs, and health care system barriers that influenced community-based hepatitis B screening interventions.
Methods: A qualitative method was used, integrating a collective case study research design. In-depth interviews were used to collect data from 20 Hmong adults from the greater Sacramento area. A pattern matching analytic technique was used to analyze the data. The main core elements of Culture Care Theory were used to capture the key themes presented by the participants.
Results: Protecting a family's reputation; fear of doctors, medical procedures, and test results; lack of trust in medical doctors and medical care services; and using Hmong herbal medicines and practicing spiritual healing were identified as social-cultural and traditional health belief barriers to obtaining HBV screening. Health care costs, perceived discrimination, lack of transportation, linguistic discordance, and poor quality of care were identified as barriers to accessing high-quality health care services and obtaining hepatitis B screening.
Conclusion: Providers, health policy makers, researchers, and community-based organizations will need to work together to develop intervention strategies to address the social-cultural factors, traditional health beliefs, and health care challenges that influence obtaining hepatitis B screening in the Hmong community. Cancer 2018;124:1576-82. © 2018 American Cancer Society.
Keywords: Hmong or Hmong Americans; culture; hepatitis B; liver cancer; traditional beliefs.
© 2018 American Cancer Society.
Conflict of interest statement
Conflict of Interest Disclosures: The authors have no conflict of interest to disclose.
Similar articles
-
Colorectal cancer beliefs, knowledge, and screening among Filipino, Hmong, and Korean Americans.Cancer. 2018 Apr 1;124 Suppl 7(Suppl 7):1552-1559. doi: 10.1002/cncr.31216. Cancer. 2018. PMID: 29578600 Free PMC article.
-
Knowledge of colorectal cancer screening guidelines and intention to obtain screening among nonadherent Filipino, Hmong, and Korean Americans.Cancer. 2018 Apr 1;124 Suppl 7(Suppl 7):1560-1567. doi: 10.1002/cncr.31097. Cancer. 2018. PMID: 29578604 Free PMC article. Clinical Trial.
-
Increasing Hepatitis B Testing and Linkage to Care of Foreign-Born Asians, Sacramento, California, 2012-2013.Public Health Rep. 2016 May-Jun;131 Suppl 2(Suppl 2):119-24. doi: 10.1177/00333549161310S218. Public Health Rep. 2016. PMID: 27168671 Free PMC article.
-
The influence of Malay cultural beliefs on breast cancer screening and genetic testing: A focus group study.Psychooncology. 2018 Dec;27(12):2855-2861. doi: 10.1002/pon.4902. Epub 2018 Oct 16. Psychooncology. 2018. PMID: 30264524 Review.
-
Engaging in Culturally Informed Nursing Care With Hmong Children and Their Families.J Pediatr Nurs. 2016 Jan-Feb;31(1):102-6. doi: 10.1016/j.pedn.2015.08.008. Epub 2015 Sep 26. J Pediatr Nurs. 2016. PMID: 26413994 Review.
Cited by
-
Major Stressors and Coping Strategies of Frontline Nursing Staff During the Outbreak of Coronavirus Disease 2020 (COVID-19) in Alabama.J Multidiscip Healthc. 2020 Dec 31;13:2057-2068. doi: 10.2147/JMDH.S285933. eCollection 2020. J Multidiscip Healthc. 2020. PMID: 33408479 Free PMC article.
-
COVID-19 mitigation behaviors among English-Speaking Hmong Americans.BMC Public Health. 2023 Mar 14;23(1):487. doi: 10.1186/s12889-023-15354-y. BMC Public Health. 2023. PMID: 36918836 Free PMC article.
-
The Lived Experience of Chronic Hepatitis B: A Broader View of Its Impacts and Why We Need a Cure.Viruses. 2020 May 7;12(5):515. doi: 10.3390/v12050515. Viruses. 2020. PMID: 32392763 Free PMC article. Review.
-
Prevalence and Susceptibility to Hepatitis B virus and the Need for Community Health Education in Milwaukee's Hmong Community.J Racial Ethn Health Disparities. 2022 Oct;9(5):1873-1881. doi: 10.1007/s40615-021-01124-2. Epub 2021 Aug 3. J Racial Ethn Health Disparities. 2022. PMID: 34342867
-
Barriers and facilitators of prevention of infections related to cancer: A systematic literature review.Heliyon. 2024 Sep 19;10(19):e37959. doi: 10.1016/j.heliyon.2024.e37959. eCollection 2024 Oct 15. Heliyon. 2024. PMID: 39386850 Free PMC article.
References
-
- World Health Organization. Global hepatitis report, 2017. Geneva; Switzerland: World Health Organization; 2017.
-
- Viral hepatitis surveillance united states 2012. Centers for Diseases Control and Prevention Web site. [Accessed July 2017]; http://www.cdc.gov/hepatitis/Statistics/2012Surveillance/PDFs/2012HepSur.... Published August 2014. Updated August 2014.
-
- American Cancer Society. Cancer fact & figures, 2017. Atlanta, GA: American Cancer Society; 2017.
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical