Hepatitis B Infection in the Asian and Latino Communities of Alameda County, California
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- 作者：Kevin Hur (12) khur2@jhmi.edu <br>Myo Wong (3) <br>Joshua Lee (3) <br>Joyce Lee (3) <br>Hee-Soon Juon (2)
- 关键词：Hepatitis B virus infection – ; Asian Americans – ; Hepatitis B vaccine – ; California
- 刊名：Journal of Community Health
- 出版年：2012
- 出版时间：October 2012
- 年：2012
- 卷：37
- 期：5
- 页码：1119-1126
- 全文大小：180.0 KB
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- 作者单位：1. Johns Hopkins University School of Medicine, Baltimore, MD, USA2. Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA3. The Hep B Project, 2501 International Blvd., Oakland, CA, USA
- ISSN：1573-3610
文摘
The purpose of this study is to estimate the prevalence of the hepatitis B virus (HBV) infection and to examine factors related to HBV screening and vaccination among various Asian and Latino populations in Alameda County, CA. A cross-sectional study was conducted on Asian and Latino residents who registered with an HBV screening program from June 2009–February 2011. All participants completed a sociodemographic survey and were offered free HBV blood testing for the hepatitis B surface antigen (HBsAg) and antibody (HBsAb). The 3-shot vaccination series was provided for free to unprotected participants. Among the 792 registered participants, 84.4% (n = 669) received a blood test. Of the 669 tested participants, 7.9% (n = 53) tested HBV positive (HBsAg+, HBsAb −), 46.2% (n = 309) were protected (HBsAg −, HBsAb +), and 45.9% (n = 307) were susceptible to HBV infection (HBsAg −, HBsAb −). Among those unprotected, 60% completed the vaccine series. Multivariate analysis showed that being Vietnamese (OR = 5.53, 95% CI 1.54, 19.85), living in the US >10 years (OR = 2.12, 95% CI 1.13, 3.97), and having at least a college education (OR = 2.55, 95% CI 1.28, 5.07) were important predictors of vaccine completion. Given the various HBsAg + prevalence, screening, and vaccine completion rates among the different ethnic groups in this study, it is clear that different approaches in screening and vaccinating individual ethnic groups for hepatitis B are warranted.