A Community-Engaged Approach to Identifying and Addressing Viral Hepatitis Determinants in Michigan Asian American...

Area of Science:

• Public Health
• Hepatology
• Health Disparities

Background:

• A significant portion of individuals with hepatitis B virus (HBV) and hepatitis C virus (HCV) in the U.S. remain undiagnosed, increasing the risk of preventable liver disease progression.
• Asian Americans (AA) experience disproportionately high rates of HBV and HCV infection within the U.S., including in Michigan.

Purpose of the Study:

• To identify determinants of viral hepatitis and liver cancer care and treatment among Asian American communities in Michigan.
• To inform the development of a culturally targeted intervention to improve viral hepatitis screening rates.

Main Methods:

• A bi-level, theory-informed quantitative study involving surveys administered to 151 community members across three Michigan AA communities (Burmese, Chinese, Bangladeshi).
• Results were presented to a Community Advisory Panel (CAP) of community leaders for interventional adaptation suggestions.

Main Results:

• Individuals who had previously tested for viral hepatitis reported higher socioeconomic status, earlier immigration, greater English proficiency, higher health literacy, more knowledge of HBV transmission, and increased self-efficacy.
• CAP members recommended educational videos, community event tabling, and age-tailored programs to address health literacy and medical access barriers.

Conclusions:

• Early diagnosis and intervention are crucial for preventing liver disease progression in HBV/HCV-infected individuals.
• A needs-based, culturally targeted intervention can effectively raise awareness, reduce stigma, and increase viral hepatitis screening in Michigan AA communities.