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Developing Theoretically Based and Culturally Appropriate Interventions to Promote Hepatitis B Testing in 4 Asian American Populations, 2006–2011

The Figure consists of boxes that list factors that influence health intentions, behavior, and long-term behavior. A box spanning the top of the figure lists broad socio-ecological conditions under which people lead their lives and includes the health policy environment, health care system, built environment, economic environment, community capacity and engagement, social norms, and advocacy. This top box connects to a series of boxes below that describe individual variables (knowledge, communication with provider, health beliefs, social norms/support, past health behaviors, barriers and supports, cultural factors and beliefs, demographic factors, acculturation/ethnic identify, medical history and health care coverage). Another box lists provider and health care system factors (provider characteristics, health care setting, practice patterns, and structural factors). Connecting arrows depict interrelationships between intentions, behavior, and long-term behavior and individual, system, and societal barriers and supports.

Figure. Health Behavior Framework. Reprinted with permission from Bastani R, Glenn BA, Taylor VM, Chen MS, Nguyen TT, Stewart SL, Maxwell AE. Integrating theory into community interventions to reduce liver cancer disparities: The Health Behavior Framework. Prev Med 2010, 50(1-2):63-67.

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