Hepatitis B Screening and Vaccination Practices in Asian American Primary Care
Gut and Liver
;
: 450-457, 2013.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Atenção Primária à Saúde
/
Asiático
/
Vírus da Hepatite B
/
Los Angeles
/
Programas de Rastreamento
/
New York
/
Chicago
/
Prevalência
/
Coleta de Dados
/
São Francisco
Tipo de estudo:
Estudo diagnóstico
/
Estudo de prevalência
/
Estudo de rastreamento
Limite:
Adulto
/
Humanos
País/Região como assunto:
América do Norte
Idioma:
Inglês
Revista:
Gut and Liver
Ano de publicação:
2013
Tipo de documento:
Artigo
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