Abstract:
BACKGROUND:Despite an effective vaccine, 60,000 new HBV infections were reported in the US in 2004; 95% in adults. We evaluate HBV sero-prevalence, risk behaviors and self-reported vaccination among Latino immigrant, Asian immigrant and US born low income men in five northern California counties. METHODS:Population based, cross sectional survey of HBV sero-prevalence and risk behaviors in men aged 18 to 35 years. RESULTS:Among 1,512 men screened, Asian immigrants were most likely to have had prior HBV infection (15.1%) and chronic infection (3.8%) compared to US born (prior 5.1%, chronic 0.6%) and Latino immigrant men (prior 2.0%, chronic 0.3%.) Reported HBV vaccination was lowest for Latino immigrants (12%) compared to Asian immigrants and US born men (35% in both.) Latino immigrants reported less educational attainment, medical insurance coverage and access to a physician in the last six months. DISCUSSION:Healthcare providers should routinely screen Asian immigrants for HBV regardless of their self reported vaccination status. Latino immigrants may comprise an important group of under-vaccinated, at risk persons in California. HBV testing and vaccination of immigrants soon after US arrival should be encouraged.
journal_name
J Immigr Minor Healthjournal_title
Journal of immigrant and minority healthauthors
Levy V,Yuan J,Ruiz J,Morrow S,Reardon J,Facer M,Molitor F,Allen B,Ajufo BG,Bell-Sanford G,McFarland W,Raymond HF,Kellogg T,Page Kdoi
10.1007/s10903-009-9239-6subject
Has Abstractpub_date
2010-12-01 00:00:00pages
828-33issue
6eissn
1557-1912issn
1557-1920journal_volume
12pub_type
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