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Hepatitis B Testing Among Vietnamese in Metropolitan Atlanta: The Role of Healthcare-Related and Acculturation-Related Factors.
- Source :
- Journal of Community Health; Aug2021, Vol. 46 Issue 4, p767-776, 10p, 2 Charts
- Publication Year :
- 2021
-
Abstract
- Background: Compared to other racial/ethnic groups, U.S. Vietnamese have higher Hepatitis B infection prevalence, which is a major liver cancer risk factor. Increased testing could reduce this disparity. It is critical to understand subgroups of U.S. Vietnamese least likely to have been tested for Hepatitis B and design appropriate interventions. We examined healthcare- and acculturation-related factors influencing Hepatitis B testing among U.S. Vietnamese. Methods: Survey data of 100 U.S. Vietnamese attending health fairs/programs hosted by community-based organizations (2017–2018) were analyzed. Healthcare-related predictors included insurance and past 2-year checkup. Acculturation-related predictors included Vancouver Acculturation Index, percentage of lifetime in the U.S., and Vietnamese and English fluency. We conducted a multiple logistic regression controlling for age, sex, education, and household income. Results: The sample was an average 37.5 years old and 61.6% female. Insurance coverage was reported by 83.0%. Average percentage of lifetime in the U.S. was 56.8%. Seventy percent reported having received Hepatitis B testing. Hepatitis B testing was associated with health insurance (aOR = 2.61, 95% CI = [1.05–6.47], p =.04) but not any acculturation-related predictors Conclusion: Improving insurance coverage and options can be a strategy to increase Hepatitis B testing among U.S. Vietnamese. More education regarding Hepatitis B (e.g., via community-based, culturally-appropriate, lay health worker-led programs) is needed to ensure that individuals are aware of their testing status and pursue appropriate healthcare decisions. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00945145
- Volume :
- 46
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 151627861
- Full Text :
- https://doi.org/10.1007/s10900-020-00947-0