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Hepatitis B Testing among Vietnamese in Metropolitan Atlanta: The Role of Healthcare-Related and Acculturation-Related Factors
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8 2021
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Source: J Community Health. 46(4):767-776
[PDF-112.36 KB]
Details:
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Alternative Title:J Community Health
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Personal Author:
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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.
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Source:
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Pubmed ID:33180219
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Pubmed Central ID:PMC8113341
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