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Related Experiment Videos

Hepatitis B testing among Vietnamese American men.

Victoria M Taylor1, Yutaka Yasui, Nancy Burke

  • 1Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, P.O. Box 19024, Seattle, WA 98109-1024, USA. vtaylor@fhcrc.org

Cancer Detection and Prevention
|July 1, 2004
PubMed
Summary

Vietnamese American men face high liver cancer rates due to hepatitis B virus (HBV) infection. Regular care, doctor recommendations, and knowing HBV spreads during childbirth significantly increase HBV testing rates in this group.

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Area of Science:

  • Hepatology
  • Public Health
  • Health Disparities

Background:

  • Vietnamese American men exhibit a disproportionately high incidence of liver cancer, over 10 times that of white men.
  • This disparity is strongly linked to elevated rates of hepatitis B virus (HBV) infection within the Vietnamese American community.

Purpose of the Study:

  • To investigate factors influencing hepatitis B virus (HBV) testing uptake among Vietnamese American men.
  • To identify key determinants for improving HBV screening in this high-risk population.

Main Methods:

  • A population-based survey was administered to 345 Vietnamese American men in Seattle, with an 80% response rate.
  • The survey instrument was informed by prior qualitative research and the Health Behavior Framework.
  • Bivariate and logistic regression analyses were employed to identify factors associated with HBV testing.

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Main Results:

  • 34% of surveyed Vietnamese American men reported never having been tested for HBV.
  • Factors significantly associated with HBV testing included having a regular source of care, physician recommendation for testing, and knowledge of HBV transmission during childbirth.
  • Independent predictors for HBV testing were a regular source of care (OR=4.5), physician recommendation (OR=2.3), and knowing HBV can spread during childbirth (OR=2.1).

Conclusions:

  • Low HBV testing rates persist among certain Vietnamese American subgroups, representing a significant public health concern.
  • Health education emphasizing HBV transmission routes and targeted interventions for men lacking regular healthcare access and physicians serving these communities are crucial.
  • Enhancing physician recommendation and patient knowledge can significantly improve HBV testing rates and mitigate liver cancer disparities.