3 For Life: A Model Pilot Program to Prevent Hepatitis B Virus Infection and Liver Cancer in Asian and Pacific Islander Americans

Chang, Ellen T.; Sue, Eric; Zola, Janet; So, Samuel

doi:10.4278/ajhp.071025115

Cited by 38 publications

(39 citation statements)

References 9 publications

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“…These rates were based on an analysis of newly screened participants– a group that was found to provide more generalizable prevalence estimates. 4,11 These estimates, which were higher than rates reported in other areas of the United States, 22,23 have been cited in the CDC recommendations3 and the Institute of Medicine report. 2 …”

Section: Program Assessmentmentioning

confidence: 95%

A Comprehensive Screening And Treatment Model For Reducing Disparities In Hepatitis B

Pollack

Wang

Wyatt³

et al. 2011

Health Affairs

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Chronic hepatitis B affects Asian Americans at a much higher rate than the general US population. Appropriate care can limit morbidity and mortality from hepatitis B. However, access to care for many Asian Americans and other immigrant groups is limited by their lack of knowledge about the disease, as well as cultural, linguistic, and financial challenges. This article describes the results of BfreeNYC, a New York City pilot program that, from 2004 to 2008, provided hepatitis B community education and awareness, free screening and vaccinations, and free or low-cost treatment primarily to immigrants from Asia, but also to residents from other racial and ethnic minority groups. The program was the largest citywide screening program in the United States, reaching nearly 9,000 people, and the only one providing comprehensive care to those who were infected. During the program, new hepatitis B cases reported annually from predominantly Asian neighborhoods in the city increased 34 percent. More than two thousand people were vaccinated; 57 percent of the 1,162 patients who tested positive for hepatitis B and were evaluated by program clinical services were still in care at the end of the program. Our analysis found that the program was effective in reaching the target population and providing care. Although follow-up care data will be needed to demonstrate long-term costeffectiveness, the program may serve as a useful prototype for addressing hepatitis B disparities in communities across the United States.

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Section: Program Assessmentmentioning

confidence: 95%

A Comprehensive Screening And Treatment Model For Reducing Disparities In Hepatitis B

Pollack

Wang

Wyatt³

et al. 2011

Health Affairs

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show abstract

“…For example, in a study comparing community mobilization versus media campaigns in a campaign to promote hepatitis B vaccinations among Vietnamese-American children, investigators found that both media education and community mobilization successfully increased the number of Vietnamese-American children vaccinated [10]. Others have used community health promoters and lay health workers [10]; student-led educational workshops [11]; low-cost, affordable screening, and vaccinations [12]; and direct mailings of audiovisual and print materials [2, 10]. Although the effectiveness of these particular interventions has been studied, there is a lack of in-depth analysis on health communication and narrative practices used to effectively outreach to Asian Americans.…”

Section: Educational Entertaining and Culturally Sensitive Narrativmentioning

confidence: 99%

“…Less than 1% of general US population has hepatitis B; however, it is estimated that one in ten Asian Americans are infected [2]. The city and county of San Francisco has the highest rate of liver cancer in America and a disproportionate burden of undetected HBV infection due to the large Asian American population (about one third [3]) and high rates of HBV infection [4].…”

mentioning

confidence: 99%

Destigmatizing Hepatitis B in the Asian American Community: Lessons Learned from the San Francisco Hep B Free Campaign

et al. 2011

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Compared to any other racial/ethnic group, Asian Americans represent a population disproportionately affected by hepatitis B virus (HBV) infection, a leading cause of liver cancer. Since 2007, the San Francisco Hep B Free (SFHBF) Campaign has been actively creating awareness and education on the importance of screening, testing, and vaccination of HBV among Asian Americans. In order to understand what messages resonated with Asian Americans in San Francisco, key informant interviews with 23 (n=23) individuals involved in community outreach were conducted. A key finding was the ability of the SFHBF campaign to utilize unique health communication strategies to break the silence and normalize discussions of HBV. In addition, the campaign’s approach to using public disclosures and motivating action by emphasizing solutions towards ending HBV proved to resonate with Asian Americans. The findings and lessons learned have implications for not only HBV but other stigmatized health issues in the Asian American community.

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“…Hepatitis B virus (HBV) infection is endemic in most Asian countries 5–7. Therefore, it is not surprising that the rate of chronic HBV infection among Chinese immigrants to North America is over 10 times the general population rate of less than 0.5% 8. In Asian countries, HBV transmission usually occurs vertically from mother to child at birth.…”

mentioning

confidence: 99%

Evaluation of a Hepatitis B Educational ESL Curriculum for Chinese Immigrants

Taylor

Teh

Lam

et al. 2009

Can J Public Health

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Objectives According to recent census data, 1,216,600 Canadians are of Chinese descent, and over 80% of Chinese Canadians are foreign born. Approximately 10% of Chinese immigrants are chronic carriers of hepatitis B, compared with less than 0.5% of the general population. English as a second language (ESL) classes provide ready access for individuals with limited English proficiency who are not reached by English language health education materials and media campaigns. We conducted a group-randomized trial to evaluate the effectiveness of a hepatitis B ESL educational curriculum for Chinese immigrants. Methods Five community-based organizations that provide ESL education in the greater Vancouver area participated in the study. Forty-one ESL classes (which included 325 Chinese students) were randomly assigned to experimental or control status. A follow-up survey, conducted six months after randomization, assessed knowledge about hepatitis B. Generalized estimating equations were used to analyze the data. Results Follow-up surveys were completed by 298 (92%) of the students. At follow-up, experimental group students were significantly (p<0.05) more likely than control group students to know that immigrants have higher hepatitis B infection rates than people who were born in Canada; hepatitis B can be spread during childbirth, during sexual intercourse and by sharing razors; hepatitis B is not spread by sharing eating utensils; and hepatitis B infection can cause cirrhosis and liver cancer. Conclusion Our findings indicate that ESL curricula can have a positive impact on health knowledge among Chinese immigrants with limited English. Future research should evaluate the effectiveness of ESL curricula for other immigrant groups, as well as other health topics.

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3 For Life: A Model Pilot Program to Prevent Hepatitis B Virus Infection and Liver Cancer in Asian and Pacific Islander Americans

Abstract: Lessons learned from this pilot program have been used toward successful replication in other cities, demonstrating that 3 For Life is an accessible, affordable, reproducible, and sustainable model to increase HBV awareness, testing, and prevention among API adults.

Cited by 38 publications

References 9 publications

A Comprehensive Screening And Treatment Model For Reducing Disparities In Hepatitis B

A Comprehensive Screening And Treatment Model For Reducing Disparities In Hepatitis B

Destigmatizing Hepatitis B in the Asian American Community: Lessons Learned from the San Francisco Hep B Free Campaign

Evaluation of a Hepatitis B Educational ESL Curriculum for Chinese Immigrants

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