Effect of a Liver Cancer Education Program on Hepatitis B Screening Among Asian Americans in the Baltimore–Washington Metropolitan Area, 2009–2010

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Juon, Hee-Soon ; Lee, Sunmin ; Strong, Carol ; Rimal, Rajiv ; Kirk, Gregory D ; Bowie, Janice
• Description:
  Introduction ; Asian Americans have the highest incidence of hepatocellular carcinoma (HCC), the major form of primary liver cancer, of all ethnic groups in the United States. Chronic hepatitis B virus (HBV) infection is the most common cause of HCC, and as many as 1 in 10 foreign-born Asian Americans are chronically infected with HBV. We tested the effectiveness of a culturally tailored liver cancer education program for increasing screening for HBV among Chinese, Korean, and Vietnamese Americans residing in the Baltimore–Washington metropolitan area, from November 2009 through June 2010. ; Methods ; We used a cluster randomized controlled trial to recruit volunteer participants from community-based organizations (CBOs) in the Baltimore–Washington metropolitan area. We selected 877 participants by using a pretest survey. People were eligible to participate if they had not attended a hepatitis B–related education program in the past 5 years. The intervention group (n = 441) received a 30-minute educational program, and the control group (n = 436) received an educational brochure. After attending the educational program, the intervention group completed a post-education survey. Six months later, participants in both groups were followed up by telephone. Receipt of HBV screening was the outcome measure. ; Results ; Approximately 79% (n = 688) of participants completed the 6-month follow-up telephone survey. Among those who had not had HBV screening at baseline (n = 446), the adjusted odds of self-reported receipt of HBV screening at the 6-month follow-up to the educational program were significantly higher for the intervention group than for the control group (odds ratio = 5.13; 95% confidence interval, 3.14–8.39; P < .001). Chinese Americans and Vietnamese Americans had significantly higher odds of having HBV screening in the 6-month period than Korean Americans. ; Conclusion ; Culturally tailored education programs that increase liver cancer awareness can be effective in increasing HBV screening among underserved Asian American populations.
• Subjects:
  • Adult
  • Asian
  • Data Collection
  • Female
  • Health Education
  • Hepatitis B
  • Humans
  • Liver Neoplasms
  • Logistic Models
  • Male
  More +
• Source:
  Prev Chronic Dis. 11.
• DOI:
  http://dx.doi.org/10.5888/pcd11.130258
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Funding:
  R25 CA129042/CA/NCI NIH HHS/United States ; R25CA129042/CA/NCI NIH HHS/United States
• Place as Subject:
  Maryland
• Location:
  North America
• Volume:
  11
• Download URL:
  https://stacks.cdc.gov/view/cdc/21889/cdc_21889_DS1.pdf
• File Type:
  [PDF - 581.79 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:2d05cc58ffcfe4e171e46b0dfba7cf8eebae255a262a07b2a5d39147aecb983c415b0460b1231d9b420facdda82584f270193dcbbc22dfbdbb690c470d3bff17