Hepatitis B Testing among Vietnamese in Metropolitan Atlanta: The Role of Healthcare-Related and Acculturation-Related Factors

Vu, Milkie; Huynh, Victoria N.; Berg, Carla J.; Allen, Caitlin G.; Nguyen, Phuong-Linh H.; Tran, Ngoc-Anh; Srivanjarean, Yotin; Escoffery, Cam

doi:10.1007/s10900-020-00947-0

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Hepatitis B Testing among Vietnamese in Metropolitan Atlanta: The Role of Healthcare-Related and Acculturation-Related Factors

8 2021
By Vu, Milkie ; Huynh, Victoria N. ; Berg, Carla J. ; ...
http://dx.doi.org/10.1007/s10900-020-00947-0
Source: J Community Health. 46(4):767-776

[PDF-112.36 KB]

English

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Details:

Alternative Title:

J Community Health
Personal Author:

Vu, Milkie ; Huynh, Victoria N. ; Berg, Carla J. ; Allen, Caitlin G. ; Nguyen, Phuong-Linh H. ; ... More +

Vu, Milkie ; Huynh, Victoria N. ; Berg, Carla J. ; Allen, Caitlin G. ; Nguyen, Phuong-Linh H. ; Tran, Ngoc-Anh ; Srivanjarean, Yotin ; Escoffery, Cam Less -
Description:

Background:

Compared to other racial/ethnic groups, U.S. Vietnamese have higher Hepatitis B infection prevalence, which is a major liver cancer risk factor. Increased testing could reduce this disparity. It is critical to understand subgroups of U.S. Vietnamese least likely to have been tested for Hepatitis B and design appropriate interventions. We examined healthcare- and acculturation-related factors influencing Hepatitis B testing among U.S. Vietnamese.

Methods:

Survey data of 100 U.S. Vietnamese attending health fairs/programs hosted by community-based organizations (2017–2018) were analyzed. Healthcare-related predictors included insurance and past 2-year checkup. Acculturation-related predictors included Vancouver Acculturation Index, percentage of lifetime in the U.S., and Vietnamese and English fluency. We conducted a multiple logistic regression controlling for age, sex, education, and household income.

Results:

The sample was an average 37.5 years old and 61.6% female. Insurance coverage was reported by 83.0%. Average percentage of lifetime in the U.S. was 56.8%. Seventy percent reported having received Hepatitis B testing. Hepatitis B testing was associated with health insurance (aOR=2.61, 95% CI=[1.05–6.47], p=.04) but not any acculturation-related predictors.

Conclusion:

Improving insurance coverage and options can be a strategy to increase Hepatitis B testing among U.S. Vietnamese. More education regarding Hepatitis B (e.g., via community-based, culturally-appropriate, lay health worker-led programs) is needed to ensure that individuals are aware of their testing status and pursue appropriate healthcare decisions.
Keywords:

[+]

Acculturation Adult Asian People Delivery Of Health Care Educational Status Female Health Insurance Hepatitis B Hepatitis B Testing Humans Liver Cancer Male Vietnamese
Source:

J Community Health. 46(4):767-776
Pubmed ID:

33180219
Pubmed Central ID:

PMC8113341
Document Type:

Journal Article
Funding:

R01 CA179422/CA/NCI NIH HHSUnited States/ ; K00 CA253576/CA/NCI NIH HHSUnited States/ ; U48 DP006377/DP/NCCDPHP CDC HHSUnited States/ ; D43 ES030927/ES/NIEHS NIH HHSUnited States/ ; R01 CA215155/CA/NCI NIH HHSUnited States/ ; ... More +

R01 CA179422/CA/NCI NIH HHSUnited States/ ; K00 CA253576/CA/NCI NIH HHSUnited States/ ; U48 DP006377/DP/NCCDPHP CDC HHSUnited States/ ; D43 ES030927/ES/NIEHS NIH HHSUnited States/ ; R01 CA215155/CA/NCI NIH HHSUnited States/ ; R01 CA239178/CA/NCI NIH HHSUnited States/ ; R01 TW010664/TW/FIC NIH HHSUnited States/ ; F31CA243220-01/CA/NCI NIH HHSUnited States/ ; F31 CA243220/CA/NCI NIH HHSUnited States/ Less -
Volume:

46
Issue:

4
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:d20b33c168525b80f50bfb32ca5d19b2bacbdeb8d61a5f3f455e3f6ca982b622
Download URL:

https://stacks.cdc.gov/view/cdc/106211/cdc_106211_DS1.pdf
File Type:

nihms-1646448.nxml

xml

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