San Francisco hep B free: a grassroots community coalition to prevent hepatitis B and liver cancer.
San Francisco hep B free: a grassroots community coalition to prevent hepatitis B and liver cancer.
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DOI：
10.1007/s10900-010-9339-1
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发表时间：
2011-08
影响因子：
5.9
通讯作者：
Chang, Ellen T.
中科院分区：
文献类型：
--
作者：
Bailey, Meredith B.;Shiau, Rita;Zola, Janet;Fernyak, Susan E.;Fang, Ted;So, Samuel K. S.;Chang, Ellen T.
关键词：
慢性乙型肝炎是肝癌的主要原因，也是亚洲/太平洋岛民 (API) 与美国普通民众之间最大的健康差距。推出“Hep B Free”模式，旨在通过建立广泛的社区联盟，提高 API 中的乙型肝炎意识、检测、疫苗接种和治疗，从而消除乙型肝炎感染。旧金山 Hep B Free 运动是一项多元化的公共/私人合作，将加利福尼亚州旧金山的 API 社区、医疗保健系统、政策制定者、企业和公众联合起来。大众媒体和基层信息提高了全市对乙型肝炎的认识，并促进利用现有的医疗保健系统进行乙型肝炎筛查和随访。联盟伙伴每半年报告一次活动、利用的资源和实施的系统变革。从 2007 年到 2009 年，超过 150 个组织向旧金山免费乙型肝炎运动捐赠了约 1,000,000 美元的资源。 40 场教育活动覆盖了 1,100 名医疗保健提供者，50% 的初级保健医生承诺定期对 API 进行乙型肝炎筛查。社区活动和博览会覆盖了超过 200,000 名公众。在该活动创建的独立筛查站点测试的 3,315 名 API 客户中，6.5% 被发现患有慢性感染并转介接受后续护理。与不同组织建立强有力的伙伴关系的基层联盟可以利用现有资源，成功提高公众和医疗保健提供者对 API 中乙型肝炎的认识，促进常规乙型肝炎检测和疫苗接种作为标准初级保健的一部分，并确保慢性感染者获得治疗。
Chronic hepatitis B is the leading cause of liver cancer and the largest health disparity between Asian/Pacific Islanders (APIs) and the general US population. The Hep B Free model was launched to eliminate hepatitis B infection by increasing hepatitis B awareness, testing, vaccination, and treatment among APIs by building a broad, community-wide coalition. The San Francisco Hep B Free campaign is a diverse public/private collaboration unifying the API community, health care system, policy makers, businesses, and the general public in San Francisco, California. Mass-media and grassroots messaging raised citywide awareness of hepatitis B and promoted use of the existing health care system for hepatitis B screening and follow-up. Coalition partners reported semi-annually on activities, resources utilized, and system changes instituted. From 2007 to 2009, over 150 organizations contributed approximately $1,000,000 in resources to the San Francisco Hep B Free campaign. 40 educational events reached 1,100 healthcare providers, and 50% of primary care physicians pledged to screen APIs routinely for hepatitis B. Community events and fairs reached over 200,000 members of the general public. Of 3,315 API clients tested at stand-alone screening sites created by the campaign, 6.5% were found to be chronically infected and referred to follow-up care. A grassroots coalition that develops strong partnerships with diverse organizations can use existing resources to successfully increase public and healthcare provider awareness about hepatitis B among APIs, promote routine hepatitis B testing and vaccination as part of standard primary care, and ensure access to treatment for chronically infected individuals.
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