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Factors associated with hepatitis B testing among Vietnamese Americans.

Abstract：

BACKGROUND:Chronic hepatitis B and hepatitis B-associated liver cancer is a major health disparity among Vietnamese Americans, who have a chronic hepatitis B prevalence rate of 7-14% and an incidence rate for liver cancer six times that of non-Latino whites. OBJECTIVE:Describe factors associated with hepatitis B testing among Vietnamese Americans. DESIGN:A population-based telephone survey conducted in 2007-2008. PARTICIPANTS:Vietnamese Americans age 18-64 and living in the Northern California and Washington, DC areas (N = 1,704). MAIN MEASURES:Variables included self-reports of sociodemographics, health care factors, and hepatitis B-related behaviors, knowledge, beliefs, and communication with others. The main outcome variable was self-reported receipt of hepatitis B testing. KEY RESULTS:The cooperation rate was 63.1% and the response rate was 27.4%. Only 62% of respondents reported having received a hepatitis B test and 26%, hepatitis B vaccination. Only 54% knew that hepatitis B could be transmitted by sexual intercourse. In multivariable analyses, factors negatively associated with testing included: age 30-49 years, US residence for >10 years, less Vietnamese fluency, lower income, and believing that hepatitis B can be deadly. Factors positively associated with testing included: Northern California residence, having had hepatitis B vaccination, having discussed hepatitis B with family/friends, and employer requested testing. Physician recommendation of hepatitis B testing (OR 4.46, 95% CI 3.36, 5.93) and respondent's request for hepatitis B testing (OR 8.37, 95% CI 5.95, 11.78) were strongly associated with test receipt. CONCLUSION:Self-reports of hepatitis B testing among Vietnamese Americans remain unacceptably low. Physician recommendation and patient request were the factors most strongly associated with test receipt. A comprehensive effort is needed to promote hepatitis B testing in this population, including culturally-targeted community outreach, increased access to testing, and physician education.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Nguyen TT,McPhee SJ,Stewart S,Gildengorin G,Zhang L,Wong C,Maxwell AE,Bastani R,Taylor VM,Chen MS Jr

doi

10.1007/s11606-010-1285-1

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

694-700

issue

7

eissn

0884-8734

issn

1525-1497

journal_volume

25

pub_type

杂志文章

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