Journal Article

A Community-Based Randomized Trial of Hepatitis B Screening Among High-Risk Vietnamese Americans

Siu, Philip, Ma, Grace X., Seals, Brenda, Feng, Ziding, Tran, Tam, Fang, Carolyn Y., Nguyen, Minhhuyen T., Tan, Yin, Golub, Sarit A., Wang, Minqi, Yeh, Ming Chin

2017

Overview

Objectives. 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. Methods. 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. Results. 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. Conclusions. A community-based, culturally appropriate, multilevel HBV screening intervention effectively increases screening rates in a high-risk, hard-to-reach Vietnamese American population.

• Publisher: American Public Health Association
• Subject: Adult / AJPH Research / Asian Americans / Asians / Blood diseases / Cancer / Chronic Disease / Chronic illnesses / Clinical outcomes / Collaboration / Community / Community Health / Community involvement / Community organizations / Competence / Data analysis / Data collection / Disease prevention / Education / Educational programs / English proficiency / Ethnicity / Female / Health care access / Health care industry / Health care policy / Health disparities / Health education / Health insurance / Health services / Hepatitis / Hepatitis B / Hepatitis B - ethnology / High risk / Humans / Immunization / Infections / Intervention / Liver cancer / Liver Neoplasms - ethnology / Liver Neoplasms - prevention & control / Liver Neoplasms - virology / Low income groups / Male / Mass Screening / Medical screening / Meetings / Middle Aged / New Jersey - epidemiology / New York City - epidemiology / Organizational effectiveness / Organizations / Patient Education as Topic / Pennsylvania - epidemiology / Population / Prevalence / Prevention / Prevention programs / Public health / Risk / Screening / Tests / Underserved populations / Vietnam - ethnology / Viruses