TY - JOUR
T1 - Hepatitis B Testing Among Vietnamese in Metropolitan Atlanta
T2 - The Role of Healthcare-Related and Acculturation-Related Factors
AU - Vu, Milkie
AU - Huynh, Victoria N.
AU - Berg, Carla J.
AU - Allen, Caitlin G.
AU - Nguyen, Phuong Linh H.
AU - Tran, Ngoc Anh
AU - Srivanjarean, Yotin
AU - Escoffery, Cam
N1 - Funding Information:
We are grateful to staff members from the Boat People SOS – Atlanta chapter and the Center for Pan Asian Community Services for their assistance in survey design and translation and data collection. We would also like to thank our research assistants in the Department of Behavioral, Social, and Health Education Sciences at the Rollins School of Public Health, Emory University for their help with data collection and entry.
Funding Information:
This research was supported by a Global Health Institute Individual Field Scholar Award from Emory University (PI: Vu). The funder had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication. Ms. Vu is supported by the National Cancer Institute (F31CA243220-01, PI: Vu) and a 2020–2021 PEO Scholar Award. Dr. Berg is supported by the US National Cancer Institute (R01CA215155-01A1, PI: Berg; R01CA179422-01, PI: Berg; R01CA239178-01A1, MPIs: Berg, Levine), the US Fogarty International Center/National Institutes of Health (1R01TW010664-01, MPIs: Berg, Kegler), and the US National Institute on Environmental Health Science/Fogarty International Center (D43ES030927-01, MPIs: Berg, Marsit, Sturua). Ms. Allen is supported by the National Cancer Institute (F99CA253576-01, PI: Allen). Dr. Escoffery is supported by the Centers for Disease Control and Prevention (Cancer Prevention and Control Research Network, U48 DP006377). Acknowledgments
Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/8
Y1 - 2021/8
N2 - Background: 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. Methods: 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. Results: 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 Conclusion: 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.
AB - Background: 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. Methods: 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. Results: 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 Conclusion: 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.
KW - Health insurance
KW - Hepatitis B testing
KW - Liver cancer
KW - Vietnamese
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U2 - 10.1007/s10900-020-00947-0
DO - 10.1007/s10900-020-00947-0
M3 - Article
C2 - 33180219
AN - SCOPUS:85096019653
SN - 0094-5145
VL - 46
SP - 767
EP - 776
JO - Journal of Community Health
JF - Journal of Community Health
IS - 4
ER -
