Jin-Hyang Yang; Hae-Ok Lee; Myung-Ok Cho

doi:10.4040/jkan.2010.40.5.662

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Original Article
The Meaning of Illness among Korean Americans with Chronic Hepatitis B: Jin-Hyang Yang, Hae-Ok Lee, Myung-Ok Cho; Journal of Korean Academy of Nursing 2010;40(5):662-675.
DOI: https://doi.org/10.4040/jkan.2010.40.5.662
Published online: October 31, 2010

¹Associate Professor, Department of Nursing, Inje University, Busan, Korea.

²Associate Professor, College of Nursing and Health Science, University of Massachusetts Boston, MA, USA.

³Professor, Department of Nursing, Dongeui University, Busan, Korea.

Address reprint requests to: Yang, Jin-Hyang. Department of Nursing, Inje University, 633-165 Gaegum-dong, Busanjin-gu, Busan 614-714, Korea. Tel: 82-51-890-6839, Fax: 82-51-896-9840, jhyang@inje.ac.kr

• Received: March 21, 2010 • Accepted: October 14, 2010

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Abstract
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REFERENCES

Abstract

Purpose
This ethnography was done to explore the meaning of illness in Korean Americans with chronic hepatitis B.
Methods
The participants were 6 patients with chronic hepatitis B and 6 general informants who could provide relevant data. Data were collected from iterative fieldwork with ethnographic interviews within Korean communities in two cities in the United States. Data were analyzed using causal chain analysis developed by Wolcott.
Results
The analyses revealed three meanings for the illness: hidden disease, intentionally hidden disease, and inevitably hidden disease. The contexts of meaning of illness included characteristics of the illness, social stigma, structure of health care system and communication patterns and discourse between health care providers and clients.
Conclusion
The meaning of illness was based on folk illness concepts and constructed in the sociocultural context. Folk etiology, pathology and interpretation of one's symptoms were factors influencing illness behavior. These findings could be a cornerstone for culture specific care for Korean Americans with chronic hepatitis B.
Keywords: Qualitative research; Chronic Hepatitis B; Chronic disease

This work was supported by the 2009 Inje University Research Grant.

REFERENCES

1. Alizadeh AH, Ranjbar M, Yadollahzadeh M. Patient concerns regarding chronic hepatitis B and C infection. Eastern Mediterranean Health Journal. 2008;14:1142–1147.PubMed
2. California cancer facts & figures 2005. American Cancer Society. 2005;Retrieved August 27, 2009. from http://www.ccrcal.org/PDF/ACS2005.pdf.
3. Brugge D, Edgar T, George K, Heung J, Laws MB. Beyond literacy and numeracy in patient provider communication: Focus groups suggest roles for empowerment, provider attitude and language. BMC Public Health. 2009;9:354–364.PubMed PMC
4. Centers for Disease Control and Prevention. Screening for chronic hepatitis B among Asian/Pacific islander populations-new york city, 2005. MMWR. Morbidity and Mortality Weekly Report. 2006;55:505–509.Article PubMed
5. Cho MO. Meaning of sickness for the elderly in a folk healing practicum. Journal of Korean Academy of Adult Nursing. 2001;13:539–550.
6. Choe MD, Chan N, Do HH, Woodall E, Lim E, Taylor VM. Hepatitis B and liver cancer beliefs amongKorean immigrants in western washington. Cancer. 2005;104:2955–2958.Article PubMed
7. Cohen C, Evans AA, London WT, Block J, Conti M, Block T. Underestimation of chronic hepatitis B virus infection in the United States of America. Journal of Viral Hepatitis. 2008;15:12–13.Article PubMed PMC
8. Foucault M. Hong SM . Naissance de la clinique. 2006;Seoul, Imagine Press. (Original Work published 1963).
9. Hall ET. Choi HS . The hidden dimension. 2002;Seoul, Hangilsa. (Original work published 1979).
10. Jeong SB. Cultural pragmatics of Korean. 2007;Seoul, Saengkakeuinamu.
11. Kleinman A. Patient and healers in the context of culture. 1980;California, CA, University of California Press.
12. Lee H, Levin MJ, Kim F, Warner A, Park W. Hepatitis B infection among Korean American in Colorado: Evidence of the need for serologic testing and vaccination. Hepatitis Monthly. 2008;8:91–96.
13. Levinson SC. Lee IH Gwon KW . Pragmatics. 1993;Seoul, Hansinmoonhwasa. (Original work published 1980).
14. Lin Z. Asian American voices. 2009;New York, NY, National League for Nursing.
15. Loustaunnau MO, Sobo EJ. Kim JS . Cultural context of health, illness, and medicine. 2002;Seoul, Hanwool Academy. (Original work published 1997).
16. Lupton D. Kim JS . Medicine as culture: Illness, disease and the body in western societies. 2009;Seoul, Hanwool Academy. (Original work published 2003).
17. Meadows LM, Morse JM. Morse JM, Swansen JM, Kuzel A. Constructing evidence within the qualitative project. In: Nature of qualitative evidence. 2001;Thousand Oaks, CA, Sage. 187–200.
18. Nettleton S. Cho HJ . The sociology of health and illness. 1997;Seoul, Hanwool Academy. 36. (Original work published 1995).
19. Nyamathi A, Liu Y, Marfisee M, Shoptaw S, Gregerson P, Saab S, et al. Effects of a nurse-managed program on hepatitis A and B vaccine completion among homeless adults. Nursing Research. 2009;58:13–22.Article PubMed PMC
20. Perrillo R. Management of chronic hepatitis B virus infection: Current perspectives for the nurse practitioner. Journal of the American Academy of Nurse Practitioners. 2006;18:203–215.Article PubMed
21. Ryu H, Young WB, Park C. Korean American health insurance and health services utilization. Research in Nursing & Health. 2001;24:494–505.Article
22. Spardley JP. Lee HB . Participant observation. 1990;Seoul, Korea National Book Company. (Original work published 1980).
23. Tan NC, Cheah SL, Teo EK. A qualitative study of health-seeking behavior of hepatitis B carriers. Singapore Medical Journal. 2005;46:6–10.PubMed
24. Thompson MJ, Taylor VM, Yasui Y, Hislop TG, Jackson JC, Kuniyuki A, et al. Hepatitis B knowledge and practices among Chinese Canadian women in Vancouver, British Columbia. Canadian Journal of Public Health. 2003;94:281–286.Article PubMed PMC PDF
25. Wang WL, Wang CJ, Tseng HF. Comparing knowledge, health beliefs, and self-efficacy toward hepatitis B prevention among university students with different hepatitis B virus infectious statuses. Journal of Nursing Research. 2009;17:10–19.Article
26. Weinbaum CM, Williams I, Mast EE, Wang SA, Finelli L, Wasley A, et al. Recommendations for identification and public health management of persons with chronic hepatitis B virus infection. MMWR. Recommendations and Reports : Morbidity and Mortality Weekly Report. 2008;57(RR-8):1–20.
27. Wolcott HF. Transforming qualitative data. 1994;Thousand Oaks, CA, Sage.
28. Wu H, Yim C, Chan A, Ho M, Heathcote J. Sociocultural factors that potentially affect the institution of prevention and treatment strategies for prevention of hepatitis B in Chinese Canadians. Canadian Journal of Gastroenterology. 2009;23:31–36.Article PubMed PMC PDF
29. Yang JH, Cho MO, Lee HO. Qualitative research investigating patterns of health care behavior among Korean patients with chronic hepatitis B. Journal of Korean Academy of Nursing. 2009;39:805–817.Article PubMed
30. Yi M, Choi EO, Paik SW, Kim KS, Kwak S, Lee HJ. Illness experience of people with chronic hepatitis B in Korea. Journal of Korean Academy of Nursing. 2007;37:665–675.Article PubMed PDF

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Citations

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The Meaning of Illness among Korean Americans with Chronic Hepatitis B

J Korean Acad Nurs. 2010;40(5):662-675. Published online October 31, 2010

DOI: https://doi.org/10.4040/jkan.2010.40.5.662

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The Meaning of Illness among Korean Americans with Chronic Hepatitis B