Hepatitis B Screening and Vaccination Practices in Asian American Primary Care
Gut and Liver
;
: 450-457, 2013.
Article
in English
| WPRIM
| ID: wpr-124627
ABSTRACT
BACKGROUND/AIMS:
Screening for hepatitis B virus (HBV) is recommended in populations with anticipated prevalence > or =2%. This study surveyed HBV screening and vaccination practices of Asian American primary care providers (PCPs).METHODS:
Approximately 15,000 PCPs with Asian surnames in the New York, Los Angeles, San Francisco, Houston, and Chicago areas were invited to participate in a web-based survey. Asian American PCPs with > or =25% Asian patients in their practice were eligible.RESULTS:
Of 430 (2.9%) survey respondents, 217 completed the survey. Greater than 50% followed > or =200 Asian patients. Although 95% of PCPs claimed to have screened patients for HBV, 41% estimated that < or =25% of their adult Asian patients had ever been screened, and 50% did not routinely screen all Asian patients. In a multivariable analysis, the proportion of Asian patients in the practice, provider geographic origin and the number of liver cancers diagnosed in the preceding 12 months were significantly associated with a higher likelihood of screening for HBV. Over 80% of respondents reported that < or =50% of their adult Asian patients had received the HBV vaccine.CONCLUSIONS:
Screening and vaccination for HBV in Asian American patients is inadequate. Measures to improve HBV knowledge and care by primary-care physicians are critically needed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Primary Health Care
/
Asian
/
Hepatitis B virus
/
Los Angeles
/
Mass Screening
/
New York
/
Chicago
/
Prevalence
/
Data Collection
/
San Francisco
Type of study:
Diagnostic study
/
Prevalence study
/
Screening study
Limits:
Adult
/
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Gut and Liver
Year:
2013
Type:
Article
Similar
MEDLINE
...
LILACS
LIS