Hepatitis B Screening Results for Adults at Risk Hong Liu, Ph.D. Karen Kim, M.D. Virginia Warren, RN, MPH
Hepatitis Screening in 9 Asian Communities and 1 African Immigrant Community in Chicago Vietnamese Association of Illinois Chinese American Service League Chinese Mutual Aid Association Lao American Association Korean American Service Center Indo/Pakistani American Com. Chinese Am. Asso. of Greater Chi. Cambodian Association of Illinois Xilin Asian Community Center Ethiopian Association of Illinois
Screening Objectives To determine HBV carrier rate for different AAPI subgroups To determine HBV susceptible rate To survey HBV risk factors in AAPI To provide hepatitis B education and referral for immunization and treatment
Hepatitis B Screening Results Among Different Ethnic Groups
SAS Statistical Significant Factors (N=1019) (Dependent Variable: HBsAg+) > Ind Variables N Cases Order Imp Odds Ratio P Value Estimate Age 18-35 209 1 3.837 0.0001 No Hep.Shot 758 2 3.555 0.0005 Age 35-45 251 3 2.210 0.0045 IV Drug Use 42 4 3.436 0.0048 Male 413 5 1.819 0.0084 Chinese 361 6 1.650 0.0307 Relatives 119 7 1.764 0.0626 C = 0.719 SAS Statistical Significant Factors (N=1019) (Dependent Variable: HBsAg+) >
Summary of Findings 10% of clients screened were Hepatitis B antigen positive, which varied btwn AAPI subgroups. Married clients have higher carrier rates (10.3%) than unmarried clients (8.2%). Males (13%) are twice as likely to be infected with HBV as females (7%). The age group most at risk for chronic HBV infection is 18 to 45 years for this group
Summary of Findings (Cont.) Those who receive the hep. B vaccine series are less likely to be infected with HBV Immigrants from China are more likely to have chronic hepatitis B infection than other ethnic groups screened. Having a family member with liver disease and IV drug use are also statistically significant risk factors for hepatitis B infection.
Research Limitation -Self reported data – Convenient sampling, not random selection – Missing data – Small population size in some communities (eg. Lao)