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Community-Based Hepatitis B Campaign in Asian Americans

International Journal of Clinical Medicine 2024年第9期15卷 389-412页

作者： Chul S. Hyun soonsik kim Sarah Hyun Joseph McMenamin The Center for Viral Hepatitis Englewood Cliffs NJ USA Korean Community Services of Metropolitan New York Bayside NY USA Mailman School of Public Health Columbia University New York NY USA Christian & Barton LLP Richmond VA USA

Chronic hepatitis B (CHB) disproportionately affects minority groups in the US, particularly Asian Americans, with numerous factors contributing to this disparity. Of the 2.4 million people living with chronic HBV in the US, 60% are Asian American. Many are unaware of their status and lack access to proper clinical care, with less than ten percent receiving necessary antiviral treatment. Barriers to screening and care include lack of disease awareness, language and cultural barriers, and financial constraints. Additionally, healthcare providers and systems in the US often overlook the importance of CHB, leading to inadequate care. In response, the Center for Viral Hepatitis (CVH) has implemented a community-based outreach program over the past sixteen years, employing a multifaceted approach involving all sectors of society and various organizations to combat health disparities in CHB. This grassroots campaign has proven highly effective, leveraging CVH’s leadership in spearheading numerous collaborative activities with community members, healthcare professionals, and policymakers. We have summarized the key points of CVH's efforts and their significance in combating CHB-related health disparities. The CHB Screening and Awareness Campaign, tailored to the Asian American community, serves as a successful model for increasing CHB screening, linkage-to-care, and addressing socio-cultural barriers and health literacy. Insights from these outreach programs have guided the development of culturally relevant resources and education initiatives. These findings suggest that such community-driven approaches are essential for addressing health disparities. The strategies and outcomes of CVH’s efforts can inform future health initiatives for other minority communities in the US and globally.

关键词： Chronic Hepatitis B (CHB) Hepatitis B Virus (HBV) Health Disparity Health Inequity Asian Americans Cultural Competence in Healthcare Community-Based Screening Linkage-to-Care (LTC)

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Chronic Hepatitis B in Indian Americans: Lack of Screening and Poor Linkage to Care

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International Journal of Clinical Medicine 2024年第4期15卷 197-209页

作者： Chul Hyun soonsik kim Emily Li Minhee Lee Mitchell K. Spinnell Joseph McMenamin Dohyun Cho The Center for Viral Hepatitis Englewood Cliffs NJ USA Korean Community Services of Metropolitan New York New York City NY USA Englewood Hospital Medical Center Englewood NJ USA Christian & Barton LLP Richmond VA USA

Background: Chronic hepatitis B (CHB) is a major cause of liver-related morbidity and mortality in the United States (US) and globally. CHB disproportionately affects Asian Americans and many other immigrant minority populations, primarily owing to the high prevalence of CHB in their countries of origin. India is a country with a medium-to-high prevalence of hepatitis B (HB) (>2%) and has over 40 million people infected with hepatitis B virus (HBV), with more than 115,000 deaths annually from HBV-related complications. Indian Americans are one of the largest immigrant populations in the US but remain underdiagnosed and poorly linked to clinical care. We, therefore, assessed the HBV prevalence and evaluated the linkage-to-care (LTC) among Indian Americans to develop strategic plans to reduce the impact of HBV in the US. Methods: Between April 2022 and January 2024, serologic screening and surveys were provided to 328 Indian American adults (age 20 - 80) in New York City. All participants were tested for a triple panel consisting of hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (anti-HBs), and hepatitis B core IgG antibody (anti-HBc). A survey was conducted on the subjects chronically infected with HBV regarding their histories of infection. Self-administered questionnaires were employed to evaluate demographic and epidemiologic characteristics. Results: Of 328 screened and evaluated (246 males and 82 females), 10 (3.0%) were HBV-infected, 222 (67.7%) were susceptible to HBV, and 96 (29.3%) were immune. The prevalence of chronic HBV varied between the age groups: 4.6% (age 20 - 40), 3.4% (age 41 - 60), and 1.7% (age 61 - 80). Of 10 chronically infected, only two subjects had been previously diagnosed but were not engaged in care. Conclusion: HBV disproportionately affects Asian Americans, primarily owing to immigration from parts of the world where the disease is endemic. Indian Americans belong to an intermediate-risk group, with an HBV prevalence

关键词： Hepatitis B Virus Chronic Hepatitis B Indian Americans Health Disparity Community-Based Screening Linkage-to-Care

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Chronic Hepatitis B in Indian Americans: Lack of Screening and Poor Linkage to Care

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International Journal of Clinical Medicine（临床医学国际期刊） 2024年第4期 197页

作者： Chul Hyun soonsik kim Emily Li Minhee Lee Mitchell K. Spinnell Joseph McMenamin Dohyun Cho

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