Hepatitis B and liver cancer among three Asian American sub-groups: A focus group inquiry

Morgan M. Philbin, Lori A.H. Erby, Sunmin Lee, Hee Soon Juon

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Prevalence of hepatitis B among Asian Americans is higher than for any other ethnic group in the United States. Since more than 50% of liver cancer is hepatitis B related, the burden of morbidity and mortality is extremely high among Asian Americans, highlighting the need for culturally appropriate interventions. We conducted focus groups (n = 8) with a total of 58 Korean, Vietnamese, and Chinese immigrants in Maryland to explore knowledge, awareness and perceived barriers toward hepatitis B screening and vaccinations. Thematic analysis uncovered generally low levels of knowledge and awareness of hepatitis B risks, screening, and vaccination; inter-generational differences; and barriers to prevention. Some differences arose across ethnic groups, particularly toward perceived orientation to preventive activities and the role of religious groups. High rates of hepatitis B infection among Asian Americans highlight the need for tailored interventions. These findings may assist policy strategists in implementing interventions that will facilitate the integration and scale-up of hepatitis B education, screening, and vaccination campaigns.

Original languageEnglish (US)
Pages (from-to)858-868
Number of pages11
JournalJournal of Immigrant and Minority Health
Issue number5
StatePublished - Oct 2012
Externally publishedYes


  • Asian Americans
  • HBV screening and vaccinations
  • Hepatitis B risk
  • Immigrant health
  • Qualitative

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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