Evaluation of a hepatitis B lay health worker intervention for Chinese Americans and Canadians

Vicky M. Taylor, T. Gregory Hislop, Shin-Ping Tu, Chong Teh, Elizabeth Acorda, Mei Po Yip, Erica Woodall, Yutaka Yasui

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Hepatitis B testing is recommended for immigrants from countries where hepatitis B infection is endemic. However, only about one-half of Chinese in North America have received hepatitis B testing. We conducted a randomized controlled trial to evaluate the effectiveness of a hepatitis B lay health worker intervention for Chinese Americans/Canadians. Four hundred and sixty individuals who had never been tested for hepatitis B were identified from community-based surveys of Chinese conducted in Seattle, Washington, and Vancouver, British Columbia. These individuals were randomly assigned to receive a hepatitis B lay health worker intervention or a direct mailing of physical activity educational materials. Follow-up surveys were completed 6 months after randomization. Self-reported hepatitis B testing was verified through medical records review. A total of 319 individuals responded to the follow-up survey (69% response rate). Medical records data verified hepatitis B testing since randomization for 9 (6%) of the 142 experimental group participants and 3 (2%) of the 177 control group participants (P = 0.04). At follow-up, a higher proportion of individuals in the experimental arm than individuals in the control arm knew that hepatitis B can be spread by razors (P < 0.001) and during sexual intercourse (P = 0.07). Our findings suggest that lay health worker interventions can impact hepatitis B-related knowledge. However, our hepatitis B lay health worker intervention had a very limited impact on hepatitis B testing completion. Future research should evaluate other intervention approaches to improving hepatitis B testing rates among Chinese in North America.

Original languageEnglish (US)
Pages (from-to)165-172
Number of pages8
JournalJournal of Community Health
Volume34
Issue number3
DOIs
StatePublished - Jun 1 2009
Externally publishedYes

Fingerprint

Asian Americans
Hepatitis B
contagious disease
worker
Health
health
evaluation
Random Allocation
North America
Medical Records
arms control
British Columbia
educational activities
Coitus
Randomized Controlled Trials
Group

Keywords

  • Chinese Americans/Canadians
  • Hepatitis B
  • Lay health worker

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Evaluation of a hepatitis B lay health worker intervention for Chinese Americans and Canadians. / Taylor, Vicky M.; Hislop, T. Gregory; Tu, Shin-Ping; Teh, Chong; Acorda, Elizabeth; Yip, Mei Po; Woodall, Erica; Yasui, Yutaka.

In: Journal of Community Health, Vol. 34, No. 3, 01.06.2009, p. 165-172.

Research output: Contribution to journalArticle

Taylor, VM, Hislop, TG, Tu, S-P, Teh, C, Acorda, E, Yip, MP, Woodall, E & Yasui, Y 2009, 'Evaluation of a hepatitis B lay health worker intervention for Chinese Americans and Canadians', Journal of Community Health, vol. 34, no. 3, pp. 165-172. https://doi.org/10.1007/s10900-008-9138-0
Taylor, Vicky M. ; Hislop, T. Gregory ; Tu, Shin-Ping ; Teh, Chong ; Acorda, Elizabeth ; Yip, Mei Po ; Woodall, Erica ; Yasui, Yutaka. / Evaluation of a hepatitis B lay health worker intervention for Chinese Americans and Canadians. In: Journal of Community Health. 2009 ; Vol. 34, No. 3. pp. 165-172.
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