Factors associated with hepatitis B testing among vietnamese Americans

Tung T. Nguyen, Stephen J. McPhee, Susan Stewart, Ginny Gildengorin, Lena Zhang, Ching Wong, Annette E. Maxwell, Roshan Bastani, Vicky M. Taylor, Moon S. Chen

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

BACKGROUND: Chronic hepatitis B and hepatitis B-associated liver cancer is a major health disparity among Vietnamese Americans, who have a chronic hepatitis B prevalence rate of 7-14% and an incidence rate for liver cancer six times that of non-Latino whites. OBJECTIVE: Describe factors associated with hepatitis B testing among Vietnamese Americans. DESIGN: A population-based telephone survey conducted in 2007-2008. PARTICIPANTS: Vietnamese Americans age 18-64 and living in the Northern California and Washington, DC areas (N∈=∈1,704). MAIN MEASURES: Variables included self-reports of sociodemographics, health care factors, and hepatitis B-related behaviors, knowledge, beliefs, and communication with others. The main outcome variable was self-reported receipt of hepatitis B testing. KEY RESULTS: The cooperation rate was 63.1% and the response rate was 27.4%. Only 62% of respondents reported having received a hepatitis B test and 26%, hepatitis B vaccination. Only 54% knew that hepatitis B could be transmitted by sexual intercourse. In multivariable analyses, factors negatively associated with testing included: age 30-49 years, US residence for >10 years, less Vietnamese fluency, lower income, and believing that hepatitis B can be deadly. Factors positively associated with testing included: Northern California residence, having had hepatitis B vaccination, having discussed hepatitis B with family/friends, and employer requested testing. Physician recommendation of hepatitis B testing (OR 4.46, 95% CI 3.36, 5.93) and respondent's request for hepatitis B testing (OR 8.37, 95% CI 5.95, 11.78) were strongly associated with test receipt. CONCLUSION: Self-reports of hepatitis B testing among Vietnamese Americans remain unacceptably low. Physician recommendation and patient request were the factors most strongly associated with test receipt. A comprehensive effort is needed to promote hepatitis B testing in this population, including culturally-targeted community outreach, increased access to testing, and physician education.

Original languageEnglish (US)
Pages (from-to)694-700
Number of pages7
JournalJournal of General Internal Medicine
Volume25
Issue number7
DOIs
StatePublished - Jul 2010

Keywords

  • hepatitis B
  • testing
  • Vietnamese Americans

ASJC Scopus subject areas

  • Internal Medicine

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  • Cite this

    Nguyen, T. T., McPhee, S. J., Stewart, S., Gildengorin, G., Zhang, L., Wong, C., Maxwell, A. E., Bastani, R., Taylor, V. M., & Chen, M. S. (2010). Factors associated with hepatitis B testing among vietnamese Americans. Journal of General Internal Medicine, 25(7), 694-700. https://doi.org/10.1007/s11606-010-1285-1