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APHA Scientific Session and Event Listing

Recorded presentation

Mei-Po Yip¹, Shin-Ping Tu¹, Chong Teh², Hueifang Chen¹, Gloria Coronado³, Hoai Do³, Gregory Hislop², and Vicky Taylor³. (1) Department of Medicine, University of Washington, 325 Ninth Avenue, MS 359780, Seattle, WA 98104, 206-221-3212, yipm@u.washington.edu, (2) British Columbia Cancer Agency, Cancer Control Research Program, #2-109, 675 West 10th Avenue, Vancouver, BC V5Z 1L3, Canada, (3) Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N., P.O. Box 19024, M3-B232, Seattle, WA 98109

Hepatitis B virus (HBV) infection is a serious public health problem. As the number of Asian immigrants increases in US and Canada, Hepatitis B becomes more common in North America. Hepatitis B education for Asian immigrants is much needed. We conducted forty in-depth individual interviews and eight focus groups in Vancouver, British Columbia and Seattle, Washington to elicit information related to hepatitis, common symptoms associated with liver disease, and hepatitis B treatment and vaccination. All interviews and focus group sessions were recorded, translated, and transcribed for coding. Coding was conducted by a core group and analyzed using Nudist 5. Findings from the qualitative data guided the development of health education materials, which included a video and pamphlet. The video addressed conceptual differences between traditional Chinese health beliefs and Western medicine with regards to the etiology of hepatitis B, concept of “healthy” liver, and other liver diseases. Modes of transmission of hepatitis B were highlighted. To promote hepatitis B testing and vaccination, concepts like filial piety, collectivism, and conformity to norms representing the complexities of Chinese culture are incorporated in the video. The 18-minute video emphasizes a proactive approach to testing and vaccination. Community coalition members from the study sites reviewed drafts of the materials. Revisions were made accordingly. Finally, four focus groups were conducted to pretest the cultural appropriateness, acceptability, and relevance of the materials. The video and pamphlet will be tested as part of an outreach intervention in a randomized controlled trial targeting Chinese living in Vancouver and Seattle.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

• Describe the scientific process of developing a culturally appropriate education material
• Describe differences between traditional chinese beliefs and Western medicine on etiology of hepatitis, concepts of "healthy" liver and symptoms of hepatitis B.
• List three major concepts in Chinese culture

Keywords: Asian and Pacific Islander, Cancer Prevention

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation