美国学者关于20世纪末以来美国亚裔乙肝高患病率研究的进展

Progress in American Scholars’ Research on the High Prevalence of Hepatitis B among Asian Americans Since the End of the 20th Century

摘要: 近些年来，美国亚裔群体乙肝病毒传播研究与公共卫生实践互动密切。学者从移民背景、文化特征及医疗资源差异等角度，探究亚裔在乙肝感染、诊疗及防控中的困境，相关研究成为该领域重要议题。学者立足亚裔视角，揭示了美国亚裔乙肝感染率远超其他族裔，群体内部存在显著差异且与肝病高发密切相关的状况。学者深入解构了问题成因，构建起由移民传播、文化观念差异、医疗资源分配不均等构成的健康不平等解释框架，探讨美国应对美国亚裔乙肝高患病率的实践，其中政府通过立法、筛查宣传和疫苗普及介入，社会机构与社区合作开展筛查、教育及服务优化构成核心实践路径。相关研究具有重要公共卫生价值与现实意义，其影响尚需观察，这为理解种族健康差异与公共卫生干预的关系带来启示，也为相关研究提供参照。

Abstract: In recent years, research on hepatitis B virus transmission among Asian American communities has been closely intertwined with public health practices. Scholars have explored the challenges faced by Asian Americans in hepatitis B infection, diagnosis, treatment, and prevention from perspectives such as immigration background, cultural characteristics, and disparities in medical resources, making related research a key topic in this field. Based on the Asian American perspective, scholars have revealed that the hepatitis B infection rate among Asian Americans is far higher than that of other ethnic groups, with significant internal differences within the group, which is closely related to the high incidence of liver diseases. They have conducted in-depth analysis of the causes of the problem and constructed a framework to explain health inequalities, which includes factors such as transmission through immigration, differences in cultural concepts, and unequal distribution of medical resources. Scholars have also examined practices adopted by the United States to address the high prevalence of hepatitis B among Asian Americans. The core practical approaches include government intervention through legislation, screening campaigns, and vaccine popularization, as well as cooperation between social institutions and communities in carrying out screening, education, and service optimization. Relevant research holds important public health value and practical significance, though its impact remains to be observed. It provides insights into the relationship between racial health disparities and public health interventions, and serves as a reference for related studies.