Hepatitis B Testing Among Vietnamese in Metropolitan Atlanta: The Role of Healthcare-Related and Acculturation-Related F
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ORIGINAL PAPER
Hepatitis B Testing Among Vietnamese in Metropolitan Atlanta: The Role of Healthcare‑Related and Acculturation‑Related Factors Milkie Vu1 · Victoria N. Huynh2 · Carla J. Berg3 · Caitlin G. Allen1 · Phuong‑Linh H. Nguyen4 · Ngoc‑Anh Tran5 · Yotin Srivanjarean6 · Cam Escoffery1 Accepted: 31 October 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
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 healthcareand 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. Keywords Vietnamese · Hepatitis B testing · Health insurance · Liver cancer
Introduction
* Milkie Vu [email protected] 1
Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, 1518 Clifton Rd NE, Atlanta, GA 30322, USA
2
Emory College of Arts & Sciences, Emory University, Atlanta, GA, USA
3
Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, D.C, USA
4
Hanoi-Amsterdam High School for the Gifted, Hanoi, Vietnam
5
Nguyen Hue High School for the Gifted, Hanoi, Vietnam
6
Center for Pan Asian Community Services, Atlanta, GA, USA
Hepatitis B is a viral infection and leading risk factor for development of hepatocellular carcinoma (i.e., the most common variation of liver cancer) [1]. The risk of hepatocellular carcinoma is estimated to be 100 times higher among those with chronic Hepatitis B infection versus unaffected by Hepatitis B [2
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