Hepatitis B Testing Among Vietnamese in Metropolitan Atlanta: The Role of Healthcare-Related and Acculturation-Related Factors.
Hepatitis B Testing Among Vietnamese in Metropolitan Atlanta: The Role of Healthcare-Related and Acculturation-Related Factors.
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DOI：
10.1007/s10900-020-00947-0
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发表时间：
2021-08
影响因子：
5.9
通讯作者：
Escoffery C
中科院分区：
文献类型：
--
作者：
Vu M;Huynh VN;Berg CJ;Allen CG;Nguyen PH;Tran NA;Srivanjarean Y;Escoffery C
与其他种族/民族相比，美国越南人的B型肝炎感染率更高，这是一个主要的肝癌风险因素。增加测试可以减少这种差异。了解美国越南人中最不可能接受B型肝炎检测的亚组并设计适当的干预措施至关重要。我们研究了影响美国越南人B型肝炎检测的医疗保健和文化适应相关因素。分析了100名参加社区组织举办的健康博览会/项目的美国越南人（2017-2018年）的调查数据。与医疗保健相关的预测因素包括保险和过去2年的体检。与文化适应相关的预测因素包括温哥华文化适应指数、在美国生活的百分比、越南语和英语流利。我们进行了多元逻辑回归控制年龄，性别，教育和家庭收入。样本平均年龄为37.5岁，女性占61.6%。保险覆盖率为83.0%。美国的平均寿命百分比为56.8%。70%的人报告接受了B型肝炎检测。B型肝炎检测与健康保险相关（aOR=2.61，95% CI=[1.05-6.47]，p= 0.04），但与任何文化适应相关的预测因子无关。改善保险覆盖面和选择可以是增加美国越南人B型肝炎检测的一种策略。更多关于B型肝炎的教育（例如，通过基于社区的、文化上适当的、非专业卫生工作者领导的方案），以确保个人了解他们的检测状况，并做出适当的医疗保健决定。
Compared to other racial/ethnic groups, U.S. Vietnamese have higher Hepatitis B infection prevalence, which is a major liver cancer risk factor. Increased testing could reduce this disparity. It is critical to understand subgroups of U.S. Vietnamese least likely to have been tested for Hepatitis B and design appropriate interventions. We examined healthcare- and acculturation-related factors influencing Hepatitis B testing among U.S. Vietnamese. Survey data of 100 U.S. Vietnamese attending health fairs/programs hosted by community-based organizations (2017–2018) were analyzed. Healthcare-related predictors included insurance and past 2-year checkup. Acculturation-related predictors included Vancouver Acculturation Index, percentage of lifetime in the U.S., and Vietnamese and English fluency. We conducted a multiple logistic regression controlling for age, sex, education, and household income. The sample was an average 37.5 years old and 61.6% female. Insurance coverage was reported by 83.0%. Average percentage of lifetime in the U.S. was 56.8%. Seventy percent reported having received Hepatitis B testing. Hepatitis B testing was associated with health insurance (aOR=2.61, 95% CI=[1.05–6.47], p=.04) but not any acculturation-related predictors. Improving insurance coverage and options can be a strategy to increase Hepatitis B testing among U.S. Vietnamese. More education regarding Hepatitis B (e.g., via community-based, culturally-appropriate, lay health worker-led programs) is needed to ensure that individuals are aware of their testing status and pursue appropriate healthcare decisions.
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1.9
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