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

Details

• Alternative Title:
  J Community Health
• Personal Author:
  Vu, Milkie ; Huynh, Victoria N. ; Berg, Carla J. ; Allen, Caitlin G. ; Nguyen, Phuong-Linh H. ; Tran, Ngoc-Anh ; Srivanjarean, Yotin ; Escoffery, Cam
• 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

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• 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/ ; 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/
• 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:
  [PDF - 112.36 KB ]