Hepatitis B infection among Asian American Pacific Islanders in the Rocky Mountain area

Lee, Haeok; Hontz, Ivy; Warner, Amy; Park, Sugie J.

doi:10.1016/j.apnr.2004.04.002

Cited by 23 publications

(18 citation statements)

References 17 publications

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“…The self-reported rate may be an underestimated number compared to actual screening results, partially because some people may not comprehend a screening result without clear explanation from their physicians, did not follow up, or forget their status. Studies that tested serum HBsAg among Asian American immigrants show that HBV infection rates could range widely depending on the study populations and locations, such as 4.3% in a Rocky Mountain area and 14.8% in a New York City sample [5, 6]. The self-reported infection rate in our Chinese sample (5%) is much lower than the Chinese sample gathered in New York City (21.4%) or the Korean sample and Vietnamese sample in our study (18 and 15%, respectively) [5].…”

Section: Discussionmentioning

confidence: 99%

Ethnic Differences in Prevalence and Barriers of HBV Screening and Vaccination Among Asian Americans

et al. 2012

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Our study identifies the prevalence of HBV virus (HBV) screening and vaccination among Asian Americans, and ethnic differences for factors associated with screening and vaccination behaviors. In 2009–2010 we recruited 877 Korean, Chinese, and Vietnamese Americans 18 years of age and above through several community organizations, churches and local ethnic businesses in Maryland for a health education intervention and a self-administered survey. Prevalence of HBV screening, screening result and vaccinations were compared by each ethnic group. We used logistic regression analysis to understand how sociodemographics, familial factors, patient-, provider-, and resource-related barriers are associated with screening and vaccination behaviors, using the total sample and separate analysis for each ethnic group. Forty-seven percent of participants reported that they had received HBV screening and 38% had received vaccinations. Among the three groups, the Chinese participants had the highest screening prevalence, but lowest self-reported infection rate; Vietnamese has the lowest screening and vaccination prevalence. In multivariate analysis, having better knowledge of HBV, and family and physician recommendations was significantly associated with screening and vaccination behaviors. Immigrants who had lived in the US for more than a quarter of their lifetime were less likely to report ever having been screened (OR = 0.39, 95% CI: 0.28–0.55) or vaccinated (OR = 0.62, 95% CI: 0.44–0.88). In ethnic-specific analysis, having a regular physician (OR = 4.46, 95% CI: 1.62–12.25) and doctor's recommendation (OR = 2.11, 95% CI: 1.05–4.22) are significantly associated with Korean's vaccination behaviors. Health insurance was associated with vaccination behaviors only among Vietnamese (OR = 2.66, 95% CI: 1.21–5.83), but not among others.

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Section: Discussionmentioning

confidence: 99%

Ethnic Differences in Prevalence and Barriers of HBV Screening and Vaccination Among Asian Americans

et al. 2012

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“…It is estimated that 1.2 million, or 1 in 10, Asian Americans are chronically infected with hepatitis B virus (HBV) [1][2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Active Navigation in a Hepatitis B Program: Screening, Vaccination and Patient Assistance for Asian Americans in Michigan

Lee¹

2018

Arch Hepat Res

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Background: Hepatitis B (HBV) is one of the greatest health disparities among Asian Americans. A team of volunteers in Southeast Michigan has studied HBV among Asian Americans in Michigan for 10 years. The study looked at prevalence of HBV among Asian Americans in Michigan, and the effectiveness of programs that included screening, vaccination and patient navigation. Method: The team offered free screening, and then offered free vaccination to those never infected by the virus among the screened population. The project also offered confi rmed patients disease navigation, helping them to obtain a minimum of one comprehensive liver test, and follow-up care. Results: The screening results: 6.4% had chronic hepatitis B, 50.1% had the antibody, and 43.5% were never infected, nor vaccinated. Free vaccination was offered to eligible participants and only 46.0% accepted it. For the free patient navigation, the rate of acceptance (take-rate) was only 43.8%. Conclusion: For every program in this project, education was a component. But at the end, lack of education still seems to be a major concern. Many participants would not take our offer of free vaccine for prevention or help with further steps to take care of his/her disease. This study points to a need for an innovative public health education program for Hepatitis B.

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“…Quantitative survey 298 households Knowledge of HBV was low; 6% offered vaccinations from MD; 43% no health insurance; 29% English fluent Lee, Hontz, Warner, & Park (2005) Health fair…”

mentioning

confidence: 99%

Correlates of Hepatitis B Virus Health‐Related Behaviors of Korean Americans: A Situation‐Specific Nursing Theory

Lee

Fawcett

Yang

et al. 2012

J of Nursing Scholarship

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This situation-specific theory represents a translation of abstract concepts into clinical reality. The theory is an explanation of correlates of health-related HBV behaviors of KAs. The next step is to develop and test the effectiveness of a nursing intervention designed to promote behaviors that will enhance the health of KAs who have or are at risk for HBV infection, and that takes into account sociocultural context, social network, individual-level factors, and illness experience.

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Hepatitis B infection among Asian American Pacific Islanders in the Rocky Mountain area

Cited by 23 publications

References 17 publications

Ethnic Differences in Prevalence and Barriers of HBV Screening and Vaccination Among Asian Americans

Ethnic Differences in Prevalence and Barriers of HBV Screening and Vaccination Among Asian Americans

Active Navigation in a Hepatitis B Program: Screening, Vaccination and Patient Assistance for Asian Americans in Michigan

Correlates of Hepatitis B Virus Health‐Related Behaviors of Korean Americans: A Situation‐Specific Nursing Theory

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