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Social Norm, Family Communication, and HBV Screening among Asian Americans

机译:亚裔美国人之间的社会规范,家庭通信和HBV筛选

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摘要

Individuals' behaviors are influenced by those of others in their social environment (i.e., descriptive norms), as well as by how individuals perceive they should behave in that environment (e.g., injunctive norms). Although social norms are thought to play an important role in hepatitis B virus (HBV) screening, limited theoretical or empirical guidance exists on how the underlying process works. In addition, norms are social phenomena that are spread through family discussion about the importance of getting HBV screening. Using the theory of normative social behavior (TNSB), this study examined the roles of injunctive norms (IN), descriptive norms (DN), and family discussion in HBV screening behavior among Asian Americans. Data from a survey of Asian Americans in the Baltimore Washington metropolitan area (N = 877) were used to test underlying theoretical propositions. DN and family discussion emerged as key factors in HBV screening behavior among all Asian Americans. IN were associated with HBV screening among Chinese and Korean Americans, but not for Vietnamese Americans. Family discussion moderated the influence of DN on behavior among Chinese and Vietnamese Americans. However, the main effect of DN on screening behavior was not modified by IN (no interactions between DN and IN). The results indicate that family discussion and social norms are integral in enabling Asian Americans to undergo HBV screening and warrant sensitivity in the design and implementation of a liver cancer prevention program in this high-risk group of Asian Americans.
机译:个人的行为受到社会环境中其他人(即描述性规范)的影响,以及个人如何感知他们应该在这种环境中表现(例如,禁令规范)。虽然被认为在乙型肝炎病毒(HBV)中发挥着重要作用的社会规范,但有限的理论或实证指导存在于基础过程如何运作。此外,规范是通过家庭讨论传播关于获得HBV筛选的重要性的社会现象。使用规范社会行为理论(TNSB),本研究检测了诸如亚裔美国人HBV筛选行为中的禁令规范(IN),描述性规范(DN)和家庭讨论的角色。来自巴尔的摩华盛顿大都市区(N = 877)的亚裔美国人调查的数据用于测试潜在的理论主张。所有亚裔美国人中HBV筛选行为中的关键因素被淘汰。在中国和韩国美国人之间的HBV筛查有关,但不是越南美国人。家庭讨论对DN对越南美国人行为的影响。然而,DN在筛选行为上的主要效果未通过(DN和IN之间没有相互作用)。结果表明,家庭讨论和社会规范在使亚洲美国人在这种高危亚裔美国人的肝癌预防计划的设计和实施方面进行HBV筛选和持证敏感性方面是一体的。

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