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Hepatitis B virus outreach to immigrant population in Greater Boston Area: Key to improving hepatitis B knowledge

World Journal of Gastroenterology 2017年第42期23卷 7626-7634页

作者： Raissa Djoufack Scarlett Se Yun Cheon Aisha Mohamed Fatou Faye korka diouf Richard Colvin James Morrill Ann-Marie Duffy-Keane Ponni Perumalswami Gonzague Jourdain Dahlene Fusco Universite des Montagnes Wellesley College Cooper Medical School of Rowan University Suffolk University Division of General Internal Medicine MGH MGH Community Health Associates Icahn School of Medicine at Mount Sinai Institut de Recherche pour le Dé-veloppement Chiang Mai University Harvard T.H. Chan School of Public Health Division of Infectious Disease Department of Medicine Vaccine and Immunotherapy Center Laboratory of Systems Pharmacology Harvard Medical School

AIM To characterize the understanding of hepatitis B virus(HBV) and determine if outreach improves HBV understanding among Greater Boston Area immigrants. METHODS Six outreach sessions were held in various community venues in the Greater Boston Area. Verbal consent was obtained from participants prior to starting each session. Each session included a pre-session questionnaire, followed by a teaching session, and then a post-session questionnaire. In person interpreters were present for translation during the teaching session and assistance for questionnaire completion when needed. The questions were developed based on the HBV clinical experience of physicians who serve largely immigrant populations. Questionnaires included Likerttype scale, open-ended, and true-false questions. All results were anonymous. RESULTS One hundred and one people participated in this study. Participants were 30% male with ages ranging from 19 to 87 years. The study population included immigrants from 21 countries, as well as seven United States-born participants. The greatest numbers of participants were from Somalia(44%), Morocco(10%), and Cameroon(8%). Pre session questionnaires revealed that 42% of participants were unaware that HBV can cause cancer, and 50% were unaware that therapies for HBV exist. Our brief teaching intervention led to improved scores on post session questionnaires. For example, at baseline, 58% of participants responded correctly to the question "HBV infection can cause scarring of the liver and liver cancer", whereas 79% of participants responded correctly after the teaching session(P = 0.01). Furthermore, the mean of total correct answers in the true or false portion of the questionnaire increased from 5.5 to 7.6(P < 0.001).CONCLUSION A teaching session targeting Boston Immigrants atrisk for HBV helped improve scores on HBV knowledge questionnaires. Outreach may empower at-risk patients to pro-actively seek HBV care.

关键词： Hepatitis B virus Outreach Linkage to care Immigrant Boston

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