ArticleJournal of migration and health2026
Limited English proficiency, acculturative stress, and quality of life among Korean American patients with chronic hepatitis B.
Article in Journal of migration and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Chronic hepatitis B (CHB) is one of the most widespread liver diseases in the world and disproportionately affects Asian Americans, who are further impacted by the lower quality of life imposed by the infection. Limited English proficiency (LEP) and acculturative stress play an important role in the study of patients with CHB, but the interrelationships of LEP, acculturative stress, and health outcomes are not well studied in this population. This study aims to explore how acculturative stress mediates the relationship between LEP and health outcomes among Korean American patients with CHB. Methods: A total of 365 CHB patients completed the enrollment survey. SF-12v2 was used to measure physical and mental component summary scores (PCS-12, MCS-12). The Riverside Acculturative Stress Inventory ( Results: LEP was associated with higher acculturative stress (β=3.62, Discussion: This study indicates that acculturative stress plays an important role in mediating the relationship between LEP and both physical and mental health outcomes. Future studies will develop interventions to achieve better health outcomes by reducing acculturative stress in this population.
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