Development of an ESL curriculum to educate Chinese immigrants about hepatitis B.

Publication Type:

Journal Article


Journal of community health, Volume 33, Issue 4, p.217-24 (2008)


2008, 258, Adolescent, Adult, Asian Americans, Canada, China, Cultural Characteristics, Curriculum, Emigrants and Immigrants, Female, Health Education, Health Knowledge, Attitudes, Practice, Hepatitis B, Humans, Language, Male, Middle Aged


Chinese immigrants to North America have substantially higher rates of chronic hepatitis B infection than the general population. One area for strategic development in the field of health education is the design and evaluation of English-as-a-Second language (ESL) curricula. The theoretical perspective of the Health Behavior Framework, results from a community-based survey of Chinese Canadian immigrants with limited English proficiency, and findings from focus groups of ESL instructors as well as Chinese ESL students were used to develop a hepatitis B ESL educational module. This research was conducted in Vancouver, BC. Survey data showed that less than three-fifths of the respondents had been tested for hepatitis B, and documented some important hepatitis B knowledge deficits. Further, only about one-quarter had ever received a physician recommendation for hepatitis B serologic testing. The ESL curriculum aims to both promote hepatitis B testing and improve knowledge, and includes seven different ESL exercises: Warm-up, vocabulary cards, information-gap, video, jigsaw, guided discussion, and problem/advice cards. Our quantitative and qualitative methods for curriculum development could be replicated for other health education topics and in other limited English speaking populations.