A Community-Based Randomized Trial of Hepatitis B Screening Among High-Risk Vietnamese Americans
To evaluate the effectiveness of a community-based liver cancer prevention program on hepatitis B virus (HBV) screening among low-income, underserved Vietnamese Americans at high risk. We conducted a cluster randomized trial involving 36 Vietnamese community-based organizations and 2337 participants in Pennsylvania, New Jersey, and New York City between 2009 and 2014. We randomly assigned 18 community-based organizations to a community-based multilevel HBV screening intervention (n = 1131). We randomly assigned the remaining 18 community-based organizations to a general cancer education program (n = 1206), which included information about HBV-related liver cancer prevention. We assessed HBV screening rates at 6-month follow-up. Intervention participants were significantly more likely to have undergone HBV screening (88.1%) than were control group participants (4.6%). In a Cochran-Mantel-Haenszel analysis, the intervention effect on screening outcomes remained statistically significant after adjustment for demographic and health care access variables, including income, having health insurance, having a regular health provider, and English proficiency. A community-based, culturally appropriate, multilevel HBV screening intervention effectively increases screening rates in a high-risk, hard-to-reach Vietnamese American population..
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:107 |
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| Enthalten in: |
AJPH - 107(2017), 3, Seite e1-e8 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ma, Grace X [VerfasserIn] |
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| Links: |
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| RVK: |
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| doi: |
10.2105/AJPH.2016.303600 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a To evaluate the effectiveness of a community-based liver cancer prevention program on hepatitis B virus (HBV) screening among low-income, underserved Vietnamese Americans at high risk. We conducted a cluster randomized trial involving 36 Vietnamese community-based organizations and 2337 participants in Pennsylvania, New Jersey, and New York City between 2009 and 2014. We randomly assigned 18 community-based organizations to a community-based multilevel HBV screening intervention (n = 1131). We randomly assigned the remaining 18 community-based organizations to a general cancer education program (n = 1206), which included information about HBV-related liver cancer prevention. We assessed HBV screening rates at 6-month follow-up. Intervention participants were significantly more likely to have undergone HBV screening (88.1%) than were control group participants (4.6%). In a Cochran-Mantel-Haenszel analysis, the intervention effect on screening outcomes remained statistically significant after adjustment for demographic and health care access variables, including income, having health insurance, having a regular health provider, and English proficiency. A community-based, culturally appropriate, multilevel HBV screening intervention effectively increases screening rates in a high-risk, hard-to-reach Vietnamese American population. | ||
| 650 | 4 | |a Community | |
| 650 | 4 | |a Data collection | |
| 650 | 4 | |a Liver cancer | |
| 650 | 4 | |a Chronic illnesses | |
| 650 | 4 | |a Intervention | |
| 650 | 4 | |a Meetings | |
| 650 | 4 | |a Data analysis | |
| 650 | 4 | |a Health disparities | |
| 650 | 4 | |a Immunization | |
| 650 | 4 | |a Health care policy | |
| 650 | 4 | |a Hepatitis | |
| 650 | 4 | |a Prevention | |
| 650 | 4 | |a Health care access | |
| 650 | 4 | |a Collaboration | |
| 650 | 4 | |a Population | |
| 650 | 4 | |a Asian Americans | |
| 650 | 4 | |a Infections | |
| 700 | 1 | |a Fang, Carolyn Y |4 oth | |
| 700 | 1 | |a Seals, Brenda |4 oth | |
| 700 | 1 | |a Feng, Ziding |4 oth | |
| 700 | 1 | |a Tan, Yin |4 oth | |
| 700 | 1 | |a Siu, Philip |4 oth | |
| 700 | 1 | |a Yeh, Ming Chin |4 oth | |
| 700 | 1 | |a Golub, Sarit A |4 oth | |
| 700 | 1 | |a Nguyen, Minhhuyen T |4 oth | |
| 700 | 1 | |a Tran, Tam |4 oth | |
| 700 | 1 | |a Wang, Minqi |4 oth | |
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