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

• Autores: Grace X. Ma, Carolyn Y. Fang, Brenda Seals, Ziding Feng, Yin Tan, Ming Chin Yeh, Sarit A. Golub, Minhhuyen T. Nguyen, Tam Tran, Minqi Wang, Philip Siu
• Localización: American journal of public health, ISSN 0090-0036, Vol. 107, Nº. 3, 2017, págs. 433-440
• Idioma: inglés
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• Resumen

  • 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. [ABSTRACT FROM AUTHOR]