Health care access and sociodemographic factors associated with hepatitis B testing in Vietnamese American men.
Health care access and sociodemographic factors associated with hepatitis B testing in Vietnamese American men.
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DOI：
10.1007/s10903-006-9322-1
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发表时间：
2006-07-01
影响因子：
1.9
通讯作者：
Jackson, J Carey
中科院分区：
文献类型：
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作者：
Choe, John H;Taylor, Victoria M;Jackson, J Carey
慢性B型肝炎病毒（HBV）感染大大增加了肝硬化和肝细胞癌的风险。HBV血清学检测对于识别慢性感染者非常重要，他们可能会从抗病毒治疗和定期监测疾病后遗症中获益。越南裔美国男性中肝硬化和肝细胞癌的发病率升高在很大程度上可归因于慢性HBV感染的高发病率。我们在华盛顿的西雅图调查了509名18-64岁的越南男性，并研究了与HBV血清学检测相关的社会人口统计学和卫生保健获取因素。近三分之二（65%）的人报告了过去的测试。在双变量比较中，以下是与HBV检测相关的因素：年龄较大;在美国生活的时间较短;英语流利程度低;私人健康保险;确定定期医疗保健来源;报告没有长时间等待医疗预约;以及可以获得口译服务。在多元逻辑回归分析中，以下因素与HBV检测独立相关：年龄较大;大学教育程度;英语流利程度低;私人健康保险;有定期医疗服务提供者;报告没有长时间等待医疗预约。年轻和受教育程度较低的男性，以及那些难以获得医疗服务的人可能因为从未进行过HBV检测而面临特别的风险。减少乙肝病毒传播和后遗症的方案应特别努力针对这些脆弱的越南裔美国人。
Chronic hepatitis B viral (HBV) infection greatly increases the risk for cirrhosis and hepatocellular carcinoma. HBV serologic testing is important for the identification of chronically infected individuals, who may benefit from antiviral treatment and regular monitoring for disease sequelae. Elevated rates of cirrhosis and hepatocellular carcinoma among Vietnamese American men can largely be attributed to high rates of chronic HBV infection. We surveyed 509 Vietnamese men aged 18-64 years in Seattle, Washington and examined sociodemographic and health care access factors associated with HBV serology testing. Nearly two-thirds (65%) reported past testing. The following were among those factors associated with HBV testing in bivariate comparisons: older age; short proportion of life in the US; low English fluency; private health insurance; identifying a regular source of medical care; reporting no long waits for medical appointments; and having access to interpreter services. The following were independently associated with HBV testing in multiple logistic regression analysis: older age; college education; low English fluency; private health insurance; having a regular medical provider; and reporting no long waits for medical appointments. Younger and less educated men, and those with difficulty accessing medical care may be at particular risk for never having had HBV testing. Programs to reduce HBV transmission and sequelae should make special effort to target these vulnerable Vietnamese Americans.