Hepatitis B Knowledge and Trust in Western Medicine Among People of Chinese Ethnicity Living With Hepatitis B

IF 1.5 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Health Promotion Journal of Australia Pub Date : 2025-07-02 DOI:10.1002/hpja.70070

Loren Brener, Robyn Horwitz, Sylvester Okeke, Elena Cama, Kwok On Eric Wu, Simin Yu, Timothy Broady, Carla Treloar

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引用次数: 0

Abstract

Introduction

Research has shown that there are large gaps in hepatitis B knowledge among culturally and linguistically diverse communities that are disproportionately impacted by hepatitis B in Australia. Previous evidence among people of Chinese ethnicity in Australia indicates relatively poor knowledge around disease transmission and treatment. However, there is very little research examining hepatitis B knowledge among migrant people living with hepatitis B in Australia. The aim of this study is to examine the relationship between hepatitis B-related knowledge and trust in Western medicine among a group of people living with hepatitis B in Australia who are of Chinese ethnicity.

Methods

Hard copy surveys were completed by 69 Chinese people living with hepatitis B in Australia, measuring knowledge of hepatitis B, distrust in Western medicine, and demographic characteristics.

Results

There were significant gaps in knowledge around transmission, prevention and treatment of hepatitis B. Levels of trust in Western medicine were found to be moderate. There was a significant negative relationship between hepatitis B knowledge and distrust in Western medicine, and a significant positive relationship between hepatitis B knowledge and educational attainment, and between hepatitis B knowledge and community connection.

Conclusions

Findings underscore the need for targeted interventions to improve hepatitis B knowledge among Chinese people and potentially all migrant people living with hepatitis B. Findings also have implications for a more inclusive and equitable health system that recognises differences in cultural understanding of health in migrant communities when compared with the Western views that are predominant in Australia.

So What?

Health workers and the Australian healthcare system need to provide a safer and more trusting environment by acknowledging and valuing the Chinese community's cultural understanding of health and illness to promote early diagnosis and treatment of hepatitis B among members of this community.

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中国乙型肝炎患者对西医的认识与信任

研究表明，在文化和语言多样化的社区中，乙型肝炎知识存在很大差距，这些社区在澳大利亚受到乙型肝炎的不成比例的影响。先前的证据表明，澳大利亚华人对疾病传播和治疗的了解相对较差。然而，在澳大利亚，很少有研究检查患有乙型肝炎的移民的乙型肝炎知识。本研究的目的是研究在澳大利亚的一组华裔乙型肝炎患者中，乙肝相关知识与对西医的信任之间的关系。方法对澳大利亚境内69名中国乙肝患者进行问卷调查，了解其乙肝知识、对西医的不信任感及人口统计学特征。结果在乙肝传播、预防和治疗知识方面存在明显差距，对西医的信任度一般。乙肝知识与西医不信任呈显著负相关，乙肝知识与受教育程度、社区联系呈显著正相关。研究结果强调了有针对性的干预措施的必要性，以提高中国人和潜在的所有乙肝移民的乙肝知识。研究结果还暗示了一个更加包容和公平的卫生系统，认识到移民社区对健康的文化理解差异，与在澳大利亚占主导地位的西方观点相比。那又怎样?卫生工作者和澳大利亚卫生保健系统需要通过承认和重视华人社区对健康和疾病的文化理解来提供一个更安全、更信任的环境，以促进该社区成员对乙肝的早期诊断和治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.10

自引率

10.50%

发文量

115

期刊介绍： The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.