Evaluation of a Hepatitis B Lay Health Worker Intervention for Chinese Americans and Canadians

Taylor, Vicky; Hislop, T. Gregory; Tu, Shin Ping; Teh, Chong; Acorda, Elizabeth; Yip, Mei Po; Woodall, Erica; Yasui, Yutaka

doi:10.1007/s10900-008-9138-0

Cited by 45 publications

(53 citation statements)

References 20 publications

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“…First, the results of this study were based on self-reported data. As with other studies that did not verify the validity of self-reported HBV screening behavior, 30,31 the present study lacked the resources to verify the self-reported screening with medical records, especially for HBV screening that took place in the patients’ home countries. Second, because of the cross-sectional nature of the data, we were unable to follow up on whether participants who reported susceptibility to future HBV infection subsequently received a complete series of hepatitis B vaccinations.…”

Section: Discussionmentioning

confidence: 99%

Hepatitis B Screening Practice among Older Chinese in the Greater Washington, DC, Area

Tanaka

Gehan

Chen

et al. 2014

Southern Medical Journal

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Objectives Older Chinese Americans are at greater risk of contracting hepatitis B virus (HBV) because they were born before the implementation of universal childhood vaccination policies. This study examined the prevalence of HBV screening, test results, and predictors of HBV screening among older Chinese. Methods Two hundred fifty-two Chinese immigrants (older than 50 years) recruited from Chinese-speaking physicians’ offices in the Washington, DC, area participated in a cancer screening questionnaire. Descriptive statistics and hierarchical logistic regressions were conducted. Results Among the 164 participants (65%) who underwent HBV screening, 66% reported that they were susceptible to HBV infection. Stronger self-care beliefs, longer US residency, lower HBV knowledge, and lack of physician recommendations were independently and negatively associated with HBV screening. Conclusions Many older Chinese did not adhere to HBV screening guidelines because of cultural views and information deficiency. Culturally appropriate interventions aimed to enhance their knowledge and communication with physicians about HBV is needed for promoting screening

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Section: Discussionmentioning

confidence: 99%

Hepatitis B Screening Practice among Older Chinese in the Greater Washington, DC, Area

Tanaka

Gehan

Chen

et al. 2014

Southern Medical Journal

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“…Specifically, 85% of contactable individuals agreed to complete a home visit, and there was no meaningful difference in the proportions of men (82%) and women (88%) who agreed to complete a home visit. An earlier study evaluated a CHW intervention for Chinese immigrants to the Pacific Northwest, and found that the proportions of men and women that were prepared to participate in educational sessions about HBV were 74% and 66%, respectively (Taylor et al, 2009). …”

Section: Discussionmentioning

confidence: 99%

Community Health Worker Hepatitis B Education for Cambodian American Men and Women

Taylor

Burke

Sos

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Background: Cambodian Americans have high rates of chronic hepatitis B virus (HBV) infection and liver cancer. There is very limited information about the utility of community health worker (CHW) approaches to cancer education for Asian American men. We have previously reported our positive findings from a trial of CHW education about HBV for Cambodian Americans who had never been tested for HBV. This report describes similarities and differences between the outcomes of our CHW HBV educational intervention among Cambodian American men and women. Methods: The study group for this analysis included 87 individuals (39 men and 48 women) who were randomized to the experimental (HBV education) arm of our trial, participated in the CHW educational intervention, and provided follow-up data six months post-intervention. We examined HBV testing rates at follow-up, changes in HBV-related knowledge between baseline and follow-up, and barriers to HBV testing (that were reported to CHWs) by gender. Results: At follow-up, 15% of men and 31% of women reported they had received a HBV test (p=0.09). HBV-related knowledge levels increased significantly among both men and women. With respect to HBV testing barriers, women were more likely than men to cite knowledge deficits, and men were more likely than women to cite logistic issues. Discussion: Our study findings indicate that CHW interventions can positively impact knowledge among Cambodian American men, as well as women. They also suggest CHW interventions may be less effective in promoting the use of preventive procedures by Cambodian American men than women. Future CHW research initiatives should consider contextual factors that may differ by gender and, therefore, potentially influence the relative effectiveness of CHW interventions for men versus women.

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“…In Canada, CHWs are often compensated by the health organization for which they are working. 13,17,20,25 They are either employed full-time or part-time, 13,20 or remunerated for specific services, 25 although some work as volunteers. 14,26 Sometimes public health departments support a particular public health program financially but do not pay wages for CHWs.…”

Section: Education and Trainingmentioning

confidence: 99%

“…Much of the literature describes CHR programs targeting the Aboriginal population [12][13][14]20,31 or the role of CHRs in improving social capital, cohesion and social support as important determinants of Aboriginal health. 2,32,33 Other studies have documented the role of CHWs in maternal health programs, 15,22 dental health for preschool children, 18 hepatitis B testing, 25 HIV/AIDS prevention, 27 community development more generally 16 and nutrition programs. 17 In addition, for research purposes, CHWs are employed to collect data from the communities they serve 15,18,22,34 or are identified as key informants regarding those communities.…”

Section: Education and Trainingmentioning

confidence: 99%

Community health workers in Canada and other high-income countries: A scoping review and research gaps

Najafizada

Bourgeault

Labonté

et al. 2015

Can J Public Health

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OBJECTIVES: Community health workers (CHWs) have been deployed to provide health-related services to their fellow community members and to guide them through often complex health systems. They help address concerns about how marginalized populations in many countries experience health inequities that are due, in part, to lack of appropriate primary health care services, possibly resulting in inappropriate use of higher-cost health services or facilities. This paper reviews studies on CHW interventions in a number of high-income countries, including Canada, to identify research gaps on CHW roles. METHODS:A scoping review using 68 sources of interventions involving CHWs was undertaken. The five-step Arksey and O'Malley model guided this review with the aim of summarizing research findings and identifying research gaps in the existing literature on CHWs in Canada (23 sources). A standardized extraction tool was employed to synthesize the literature. SYNTHESIS:We found that CHWs provide a wide range of health-related services but in a manner that, in Canada, is unrecognized and unregulated. In highincome countries, CHW interventions have contributed to health-related issues in communities and demonstrated potential to both reduce health inequity in marginalized populations and reduce the cost of medical services. CONCLUSION:CHWs are an under-recognized, and therefore underutilized, public health workforce, which has a promising capacity to reduce health inequities in marginalized populations in Canada. There is growing support to suggest that CHW roles need to be better integrated within the broader health and social services systems to enable their full potential to be realized.KEY WORDS: Community health workers; human resources; Canada La traduction du résumé se trouve à la fin de l'article.Can J Public Health 2015;106(3):e157-e164 doi: 10.17269/CJPH.106.4747C ommunity health workers (CHWs) have been deployed in most countries (whether low-, middle-or highincome) to provide health-related services to their fellow community members and to guide them through often complex health systems. They help to address concerns about how marginalized populations and communities in many countries experience health inequities that are due, in part, to lack of appropriate primary health care services, possibly resulting in inappropriate use of higher-cost health services or facilities. [1][2][3][4] The World Health Organization (WHO) defines CHWs as "members of communities where they work, selected by and answerable to the communities for their activities, supported by the health system but not necessarily a part of its organization, and have shorter training than professional workers." 5 The 2006 World Health Report identified the use of CHWs as an important strategy to address the growing shortage of health workers, particularly in low-resource settings, as well as to achieve the health-related Millennium Development Goals. 6 The key research priorities related to CHWs in these settings are to know more about their re...

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Evaluation of a Hepatitis B Lay Health Worker Intervention for Chinese Americans and Canadians

Cited by 45 publications

References 20 publications

Hepatitis B Screening Practice among Older Chinese in the Greater Washington, DC, Area

Hepatitis B Screening Practice among Older Chinese in the Greater Washington, DC, Area

Community Health Worker Hepatitis B Education for Cambodian American Men and Women

Community health workers in Canada and other high-income countries: A scoping review and research gaps

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