Effect of a Liver Cancer Education Program on Hepatitis B Screening Among Asian Americans in the Baltimore Washington Metropolitan Area, 2009-2010
Effect of a Liver Cancer Education Program on Hepatitis B Screening Among Asian Americans in the Baltimore Washington Metropolitan Area, 2009-2010
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DOI：
10.5888/pcd11.130258
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发表时间：
2014-02-01
影响因子：
5.5
通讯作者：
Bowie, Janice
中科院分区：
文献类型：
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作者：
Juon, Hee-Soon;Lee, Sunmin;Bowie, Janice
在美国所有种族中，亚裔美国人的肝细胞癌（HCC）发病率最高，HCC是原发性肝癌的主要形式。慢性B型肝炎病毒（HBV）感染是HCC最常见的原因，并且多达十分之一的外国出生的亚裔美国人慢性感染HBV。从2009年11月到2010年6月，我们在居住在巴尔的摩华盛顿大都市区的中国人、韩国人和越南裔美国人中，测试了文化定制的肝癌教育项目对增加HBV筛查的有效性。方法我们采用随机对照试验，从巴尔的摩华盛顿大都市区的社区组织（CB 0）招募志愿者参与。我们选择了877名参与者通过使用预测试的调查。如果在过去5年内没有参加过B型肝炎相关教育计划，则有资格参加。干预组（n = 441）接受30分钟的教育计划，对照组（n = 436）接受教育手册。干预组在参加完教育活动后，完成教育后问卷调查。六个月后，两组参与者都接受了电话随访。结果约79%（n = 688）的参与者完成了6个月的随访电话调查的结果measure.Results接收HBV筛查。在基线时未接受HBV筛查的受试者中（n = 446），干预组在6个月教育计划随访时自我报告接受HBV筛查的校正比值比显著高于对照组（比值比= 5.13; 95%置信区间，3.14-8.39; P
Introduction Asian Americans have the highest incidence of hepatocellular carcinoma (HCC), the major form of primary liver cancer, of all ethnic groups in the United States. Chronic hepatitis B virus (HBV) infection is the most common cause of HCC, and as many as 1 in 10 foreign-born Asian Americans are chronically infected with HBV. We tested the effectiveness of a culturally tailored liver cancer education program for increasing screening for HBV among Chinese, Korean, and Vietnamese Americans residing in the Baltimore Washington metropolitan area, from November 2009 through June 2010.Methods We used a cluster randomized controlled trial to recruit volunteer participants from community-based organizations (CB0s) in the Baltimore Washington metropolitan area. We selected 877 participants by using a pretest survey. People were eligible to participate if they had not attended a hepatitis B related education program in the past 5 years. The intervention group (n = 441) received a 30-minute educational program, and the control group (n = 436) received an educational brochure. After attending the educational program, the intervention group completed a post-education survey. Six months later, participants in both groups were followed up by telephone. Receipt of HBV screening was the outcome measure.Results Approximately 79% (n = 688) of participants completed the 6-month follow-up telephone survey. Among those who had not had HBV screening at baseline (n = 446), the adjusted odds of self-reported receipt of HBV screening at the 6month follow-up to the educational program were significantly higher for the intervention group than for the control group (odds ratio = 5.13; 95% confidence interval, 3.14-8.39; P