Evaluation of a Hepatitis B Outreach Intervention for Cambodians

项目摘要/摘要 在美国的东南亚人中，原发性肝癌的发病率比在 任何其他种族/民族的个人。这种健康差距可以归因于乙肝病毒的高发病率 感染加上低水平的乙肝疫苗接种覆盖率。超过10%的柬埔寨移民 与美国总人口中不到0.5%的人相比，他们长期感染乙肝病毒。 实践指南规定，所有来自世界各地患有地方性乙肝的移民都应获得 血清学检测。然而，现有数据表明，只有不到一半的柬埔寨裔美国人有 接受了乙肝检测。 我们的研究目标是进行一项随机对照试验，以评估一种文化和 语言上适当的业馀卫生工作者外展干预，以提高乙肝检测水平 在柬埔寨人中完成。 这一以社区为基础的参与性研究项目将在西雅图塔科马市进行。 华盛顿西部地区和研究人员将与现有的柬埔寨社区合作 联盟。我们的研究将使用健康行为框架的理论视角。焦点小组 研究结果将被用于开发乙肝调查工具和我们的乙肝外展干预措施。这个 外展将由非专业卫生工作者提供，并将包括以下组成部分：家访、使用 一本教育小册子和一张励志DVD，以及量身定做的咨询和后勤援助。 我们将对500名20-岁的柬埔寨人进行社区调查。接受调查的受访者 从未进行过乙肝检测的患者(250人)将随机进入干预或对照状态。 主要的随机对照试验结果将是乙肝血清学检测。次要结果将是 包括未来的乙肝检测意向和乙肝相关知识。结果评估将是 根据跟踪调查，以及自我报告的乙肝病毒检测的病历核实。项目叙事 该项目将与柬埔寨社区合作，制定和评估一项文化和 在语言上适合柬埔寨成年人的乙肝外展干预。外展活动将会进行 由业外卫生工作者提供，将包括以下内容：家访、使用教育小册子 还有一张励志DVD，以及量身定制的咨询和后勤援助。

PROJECT SUMMARY/ABSTRACT Primary liver cancer occurs more frequently among Southeast Asians in the United States (US) than among individuals of any other race/ethnicity. This health disparity can be attributed to high rates of hepatitis B virus infection combined with low levels of hepatitis B vaccination coverage. Over 10% of Cambodian immigrants are chronically infected with the hepatitis B virus, compared to less than 0.5% of the general US population. Practice guidelines specify that all immigrants from areas of the world with endemic hepatitis B should receive serologic testing. However, available data indicate that less than one-half of Cambodian Americans have received testing for hepatitis B. Our study objective is to conduct a randomized controlled trial to evaluate the effectiveness of a culturally and linguistically appropriate lay health worker outreach intervention in improving levels of hepatitis B testing completion among Cambodians. This community-based participatory research project will be conducted in the SeattleTacoma metropolitan area of Western Washington and the researchers will collaborate with an existing Cambodian Community Coalition. Our research will use the theoretical perspective of the Health Behavior Framework. Focus group findings will be used to develop a hepatitis B survey instrument and our hepatitis B outreach intervention. The outreach will be delivered by lay health workers and will include the following components: A home visit, use of an educational pamphlet and a motivational DVD, and tailored counseling and logistic assistance. We will conduct a community-based survey of 500 Cambodians aged 20-64 years. Survey respondents who have never been tested for hepatitis B (250 individuals) will be randomized to intervention or control status. The primary randomized controlled trial outcome will be hepatitis B serologic testing. Secondary outcomes will include future hepatitis B testing intentions and hepatitis B-related knowledge. Outcome evaluation will be based on a follow-up survey, as well as medical record verification of self-reported hepatitis B testing. PROJECT NARRATIVE This project will collaborate with the Cambodian community to develop and evaluate a culturally and linguistically appropriate hepatitis B outreach intervention for Cambodian adults. The outreach will be delivered by lay health workers and will include the following components: A home visit, use of an educational pamphlet and a motivational DVD, and tailored counseling and logistic assistance.