TY - JOUR
T1 - Community-based randomized trial of hepatitis b screening among high-risk Vietnamese Americans
AU - Ma, Grace X.
AU - Fang, Carolyn Y.
AU - Seals, Brenda
AU - Feng, Ziding
AU - Tan, Yin
AU - Siu, Philip
AU - Yeh, Ming Chin
AU - Golub, Sarit A.
AU - Nguyen, Minhhuyen T.
AU - Tran, Tam
AU - Wang, Minqi
N1 - Funding Information:
This research was supported by the National Institutes of Health (NIH), National Cancer Institute (NCI; grant R01 CA129763 to G. X. M.) and the Asian Community Cancer Health Disparities Center (grant U54 CA153513 to G. X. M.).
PY - 2017/3
Y1 - 2017/3
N2 - Objectives. To evaluate the effectiveness of a community-based liver cancer prevention program on hepatitis B virus (HBV) screening among low-income, underserved Vietnamese Americans at high risk. Methods. We conducted a cluster randomized trial involving 36 Vietnamese community-based organizations and 2337 participants in Pennsylvania, New Jersey, and New York City between 2009 and 2014. We randomly assigned 18 community-based organizations to a community-based multilevel HBV screening intervention (n = 1131). We randomly assigned the remaining 18 community-based organizations to a general cancer education program (n = 1206), which included information about HBV-related liver cancer prevention. We assessed HBV screening rates at 6-month follow-up. Results. Intervention participants were significantly more likely to have undergone HBV screening (88.1%) than were control group participants (4.6%). In a Cochran-Mantel-Haenszel analysis, the intervention effect on screening outcomes remained statistically significant after adjustment for demographic and health care access variables, including income, having health insurance, having a regular health provider, and English proficiency. Conclusions. A community-based, culturally appropriate, multilevel HBV screening intervention effectively increases screening rates in a high-risk, hard-to-reach Vietnamese American population.
AB - Objectives. To evaluate the effectiveness of a community-based liver cancer prevention program on hepatitis B virus (HBV) screening among low-income, underserved Vietnamese Americans at high risk. Methods. We conducted a cluster randomized trial involving 36 Vietnamese community-based organizations and 2337 participants in Pennsylvania, New Jersey, and New York City between 2009 and 2014. We randomly assigned 18 community-based organizations to a community-based multilevel HBV screening intervention (n = 1131). We randomly assigned the remaining 18 community-based organizations to a general cancer education program (n = 1206), which included information about HBV-related liver cancer prevention. We assessed HBV screening rates at 6-month follow-up. Results. Intervention participants were significantly more likely to have undergone HBV screening (88.1%) than were control group participants (4.6%). In a Cochran-Mantel-Haenszel analysis, the intervention effect on screening outcomes remained statistically significant after adjustment for demographic and health care access variables, including income, having health insurance, having a regular health provider, and English proficiency. Conclusions. A community-based, culturally appropriate, multilevel HBV screening intervention effectively increases screening rates in a high-risk, hard-to-reach Vietnamese American population.
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U2 - 10.2105/AJPH.2016.303600
DO - 10.2105/AJPH.2016.303600
M3 - Review article
C2 - 28103075
AN - SCOPUS:85020632412
SN - 0090-0036
VL - 107
SP - 433
EP - 440
JO - American journal of public health
JF - American journal of public health
IS - 3
ER -