Why we should routinely screen Asian American adults for hepatitis B: A cross-sectional study of Asians in California

Lin, Steven; Chang, Ellen T.; So, Samuel

doi:10.1002/hep.21784

Cited by 205 publications

(180 citation statements)

References 48 publications

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“…Fig. 1 The higher prevalence among males in Hawaii is in agreement with recent seroprevalence studies conducted in California and New York [12,15,16]. The nonlinear relationship between age and HBsAg prevalence that was found in this study has also been reported elsewhere, most notably by serologic surveys in Singapore and Korea [36,37].…”

Section: Discussionsupporting

confidence: 92%

“…Total hepatitis B prevalence for our study is substantially lower within the past 5 years than for similar culturally targeted HBV screening programs in other major U.S. cities [13][14][15][16][17]. This discrepancy is possibly related to a lower proportion of foreign-born immigrants in our sample (percentages of foreign-born for other recent programs are as high as 98.9%).…”

Section: Discussionmentioning

confidence: 56%

“…However, this prevalence value is likely an underestimate due to underrepresentation of Asians and Pacific Islanders in the sample population. In contrast, screening programs for Asian Americans in major U.S. cities, particularly New York City and San Francisco, reported substantially higher prevalence rates ranging from 5 to 24% [12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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Seroepidemiology of hepatitis B virus infection: analysis of mass screening in Hawaii

Tsai

Holck

Ricalde³

2008

Hepatol Int

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Background Although hepatitis B seroprevalence has been studied extensively in California and New York, detailed information for other high-risk areas in the United States is lacking. To study current prevalence and risk for hepatitis B virus (HBV) infection in Hawaii, we analyzed cross-sectional data from Hawaii residents screened between July 2003 and April 2006. Methods We retrospectively reviewed the screening records of 3,989 participants recruited at health fairs and clinics. Prevalence and risk factors for HBV infection were estimated using univariate and multivariate logistic regression models. Results Total prevalence of hepatitis B surface antigen (HBsAg) was 3.6%. Gender, age, and ethnicity were independently associated with HBsAg seropositivity. In a multivariate logistic regression model, males were at increased risk for HBsAg compared with females (odds ratio [OR] = 1.53, 95% confidence interval [CI]: 1.09-2.16) and persons aged 70 years or older were less likely to test positive than those younger than 30 (OR = 0.25, 95% CI: 0.11-0.61). In addition, multivariate ORs of HBsAg seropositivity were 3.24 (95% CI: 1.04-10.09), 4.13 (95% CI: 1.66-10.29), and 7.47 (95% CI: 2.52-22.11) for Vietnamese, Chinese, and Pacific Islanders, respectively, compared with Whites. Conclusions This study furthers current knowledge of HBV epidemiology in areas with large populations of highrisk immigrants and demonstrates the relevance of screening programs for hepatitis B.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

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Seroepidemiology of hepatitis B virus infection: analysis of mass screening in Hawaii

Tsai

Holck

Ricalde³

2008

Hepatol Int

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“…This has the potential to increase the incidence of acute hepatitis B [51,52]. Recently, the Centers for Disease Control and Prevention (CDC) published updated and expanded guidelines for HBsAg testing and new recommendations for public health evaluation and management for persons with chronic infection and their contacts [53].…”

Section: Prevention Of Mother-to-child Transmissionmentioning

confidence: 99%

Chronic hepatitis B in Asian women of childbearing age

Leung

2009

Hepatol Int

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Hepatitis B virus (HBV) infection is a serious clinical problem affecting approximately 2 billion people worldwide. An estimated 350 million live with chronic hepatitis B (CHB) infection and are at an increased risk for serious liver sequelae and death from acute or chronic consequences of CHB infection. Individuals with CHB have a 20-30% risk of early death from complications, including liver cirrhosis and hepatocellular carcinoma. In the Asia-Pacific region, half of the CHB burden results from vertical or mother-to-child transmission, with early childhood horizontal transmission accounting for the remaining half. Screening and vaccination are key factors in the successful prevention and control of HBV infection. Over the last 20 years, the implementation of screening programs and universal HBV vaccination for all individuals born in endemic areas have reduced the prevalence of HBV infection and HBV-related liver diseases among individuals younger than 30 years. Women of childbearing age are key stakeholders in preventing HBV infection and, as such, play a critical role in reducing the vertical and horizontal transmission of HBV. Further efforts are needed to implement screening and educational programs for women of childbearing age, particularly those with CHB, to prevent the transmission of HBV to newborns, spouses, other household members, and sexual partners. In addition, healthcare workers need to learn how to avoid iatrogenic transmission in the healthcare setting. This article reviews these issues and highlights areas in which their engagement with public health efforts serves to improve quality of life and society as a whole.

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“…This pattern of immigration has contributed to an increased prevalence of chronic HBV infection, which is evident in urban areas and communities with a high Asian immigrant population. Screening programs conducted on Asian Americans in San Francisco and New York City showed that approximately 10% of newly tested persons have chronic HBV infection [3,4], leading to a revised estimate that 2 million people in the US have chronic HBV infection [5]. A recent encouraging study of trends in the prevalence of HBV infection in the US shows that the HBV prevalence rate decreased among children, which reflects the impact of global and domestic vaccination programs; however, the prevalence rate of chronic HBV infection changed little among adults [6].…”

mentioning

confidence: 99%

Access to Care and Optimal Treatment of Chronic Hepatitis B in Asian Americans: An Evolving Agenda

Keeffe

2011

Dig Dis Sci

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Why we should routinely screen Asian American adults for hepatitis B: A cross-sectional study of Asians in California

Abstract: Chronic hepatitis B virus (HBV) infection is

Cited by 205 publications

References 48 publications

Seroepidemiology of hepatitis B virus infection: analysis of mass screening in Hawaii

Seroepidemiology of hepatitis B virus infection: analysis of mass screening in Hawaii

Chronic hepatitis B in Asian women of childbearing age

Access to Care and Optimal Treatment of Chronic Hepatitis B in Asian Americans: An Evolving Agenda

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