A Comprehensive Screening And Treatment Model For Reducing Disparities In Hepatitis B

Details

• Alternative Title:
  Health Aff (Millwood)
• Personal Author:
  Pollack, Henry ; Wang, Su ; Wyatt, Laura ; Peng, Chia-hui ; Wan, Kejia ; Trinh-Shevrin, Chau ; Chun, Kay ; Kwon, Simona
• Description:
  Chronic hepatitis B affects Asian Americans at a much higher rate than the general US population. Appropriate care can limit morbidity and mortality from hepatitis B. However, access to care for many Asian Americans and other immigrant groups is limited by their lack of knowledge about the disease, as well as cultural, linguistic, and financial challenges. This article describes the results of BfreeNYC, a New York City pilot program that, from 2004 to 2008, provided hepatitis B community education and awareness, free screening and vaccinations, and free or low-cost treatment primarily to immigrants from Asia, but also to residents from other racial and ethnic minority groups. The program was the largest citywide screening program in the United States, reaching nearly 9,000 people, and the only one providing comprehensive care to those who were infected. During the program, new hepatitis B cases reported annually from predominantly Asian neighborhoods in the city increased 34 percent. More than two thousand people were vaccinated, and 1,162 of the 1,632 people who tested positive for hepatitis B received care from the program's clinical services. Our analysis found that the program was effective in reaching the target population and providing care. Although follow-up care data will be needed to demonstrate long-term cost-effectiveness, the program may serve as a useful prototype for addressing hepatitis B disparities in communities across the United States.
• Subjects:
  Adolescent Adult Aged Aged, 80 And Over Asia Asian Emigrants And Immigrants Female Follow-Up Studies Healthcare Disparities Health Services Needs And Demand Health Status Disparities Hepatitis B Humans Male Mass Screening Middle Aged Minority Groups New York City Pilot Projects Referral And Consultation Socioeconomic Factors Vaccination Young Adult

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• Keywords:
  Chlorination Household Water Treatment Safe Water Storage
• Source:
  Health Aff (Millwood). 2011; 30(10):1974-1983
• Pubmed ID:
  21976342
• Pubmed Central ID:
  PMC3333793
• Document Type:
  Journal Article
• Funding:
  U58DP001022/DP/NCCDPHP CDC HHSUnited States/ ; U58 DP001022/DP/NCCDPHP CDC HHSUnited States/ ; U54 MD000538/MD/NIMHD NIH HHSUnited States/ ; P60 MD000538-01/MD/NIMHD NIH HHSUnited States/ ; MD000538/MD/NIMHD NIH HHSUnited States/ ; P60 MD000538/MD/NIMHD NIH HHSUnited States/
• Volume:
  30
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:216e11a521e3512330e8c534323979d8bff3e358e572667a828ca84101e96eb8
• Download URL:
  https://stacks.cdc.gov/view/cdc/33347/cdc_33347_DS1.pdf
• File Type:
  [PDF - 217.25 KB ]