Evaluation of Hepatitis B Virus Screening, Vaccination, and Linkage to Care Among Newly Arrived Refugees in Four States, 2009–2011

Details

• Alternative Title:
  J Immigr Minor Health
• Personal Author:
  Mitruka, Kiren ; Pezzi, Clelia ; Baack, Brittney ; Burke, Heather ; Cochran, Jennifer ; Matheson, Jasmine ; Urban, Kailey ; Ramos, Marisa ; Byrd, Kathy
• Description:
  Many U.S.-bound refugees originate from countries with intermediate or high hepatitis B virus (HBV) infection prevalence and have risk for severe liver disease. We evaluated HBV screening and vaccination of newly arrived refugees in four states to identify program improvement opportunities. Data on HBV testing at domestic health assessments (1/1/2009-12/31/2011) were abstracted from state refugee health surveillance systems. Logistic regression identified correlates of infection. Over 95% of adults aged ≥19 years (N = 24,647) and 50% of children (N = 12,249) were tested. Among 32,107 refugees with valid results, the overall infection prevalence was 2.9% (0.76-9.25%); HBV prevalence reflected the burden in birth countries. Birth in the Western Pacific region carried the greatest infection risk (adjusted prevalence ratio = 4.8, CI 2.9, 7.9). Care linkage for infection was unconfirmed. Of 7409 susceptible persons, 38% received 3 doses of hepatitis B vaccine. Testing children, documenting care linkage, and completing 3-dose vaccine series were opportunities for improvement.
• Subjects:
  Adolescent Adult Child Child, Preschool Continuity Of Patient Care Cross-Sectional Studies Female Hepatitis B Hepatitis B Vaccines Humans Infant Logistic Models Male Mass Screening Middle Aged Prevalence Program Evaluation Public Health Surveillance Refugees Retrospective Studies Serologic Tests Socioeconomic Factors United States Young Adult

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• Keywords:
  Chlorination Hepatitis B Virus Household Water Treatment Safe Water Storage Screening Vaccination
• Source:
  J Immigr Minor Health. 21(1):39-46
• Pubmed ID:
  29417356
• Pubmed Central ID:
  PMC6434685
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  21
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a09513b146ca08a8cf3844c46ab95928a317d9eee882226052761f2c44ba75a2
• Download URL:
  https://stacks.cdc.gov/view/cdc/77008/cdc_77008_DS1.pdf
• File Type:
  [PDF - 93.93 KB ]