A Community-Based Randomized Trial of Hepatitis B Screening Among High-Risk Vietnamese Americans

作者：Ma Grace X^*; Fang Carolyn Y; Seals Brenda; Feng Ziding; Tan Yin; Siu Philip; Yeh Ming Chin; Golub Sarit A; Nguyen Minhhuyen T; Tran Tam; Wang Minqi

来源：American Journal of Public Health, 2017, 107(3): 433-440.

DOI：10.2105/AJPH.2016.303600

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.

• 出版日期2017-3