Hepatitis B Testing and Access to Care Among Racial and Ethnic Minorities in Selected Communities Across the United States, 2009-2010
Hepatitis B Testing and Access to Care Among Racial and Ethnic Minorities in Selected Communities Across the United States, 2009-2010
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DOI：
10.1002/hep.26286
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发表时间：
2013-09-01
期刊：
影响因子：
13.5
通讯作者：
Holmberg, Scott D.
中科院分区：
文献类型：
--
作者：
Hu, Dale J.;Xing, Jian;Holmberg, Scott D.
在美国，乙肝病毒(乙肝病毒)感染在种族和少数民族中广泛流行；然而，关于乙肝病毒检测和转介以照顾这些人群的数据很少。使用2009-2010年从全美种族和民族社区卫生方法(REACH)收集的调查数据，我们评估了美国28个少数民族社区的乙肝检测和获得医疗服务的比率和决定因素。在53,896名受访者中，21,129人(39.2%)报告接受过乙肝检测。在1235名报告检测呈阳性的人中，411人(33.3%)报告目前正在接受特殊护理。在控制了人口和社会经济特征后，男性、非英语国家的人和那些有医疗保险的人接受乙肝检测并接受治疗的可能性比他们的同龄人要高。与大学毕业生相比，未受过大学教育的受访者接受乙肝检测的可能性较低。结论：这些数据表明，在这些社区中，超过一半的种族/少数民族没有接受过乙肝检测，而在检测呈阳性的人中，只有大约一半曾接受过治疗。需要州和联邦政府做出更多努力，对少数族裔，特别是外国出生的人进行乙肝病毒筛查，并将那些感染的人与护理联系起来。(《肝病》2013；53：856-862)
Hepatitis B virus (HBV) infection is widely prevalent among racial and ethnic minorities in the United States; however, few data have been available regarding HBV testing and referral to care for these populations. Using survey data collected in 2009-2010 from the Racial and Ethnic Approaches to Community Health (REACH) across the U.S., we assessed rates and determinants of hepatitis B testing and access to care in 28 minority communities in the U.S. Of 53,896 respondents, 21,129 (39.2%) reported having been tested for hepatitis B. Of the 1,235 who reported testing positive, 411 (33.3%) reported currently receiving specialty care. After controlling for demographic and socioeconomic characteristics, the likelihood of having been tested for hepatitis B and receiving care if infected was higher among males, non-English speaking persons, and those having health insurance compared to their counterparts. Compared to college graduates, respondents without a college education were less likely to get tested for hepatitis B. Conclusion: These data indicate that more than half of racial/ethnic minority persons in these communities had not been tested for hepatitis B, and only about one-half of those who tested positive had ever received treatment. More state and federal efforts are needed to screen racial/ethnic minorities, especially foreign-born persons, for HBV and link those with infection to care. (Hepatology 2013;53:856-862)