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Evaluation of a hepatitis B lay health worker intervention for Chinese Americans and Canadians.

Taylor, Vicky M and Hislop, T Gregory and Tu, Shin-Ping and Teh, Chong and Acorda, Elizabeth and Yip, Mei-Po and Woodall, Erica and Yasui, Yutaka (2009) Evaluation of a hepatitis B lay health worker intervention for Chinese Americans and Canadians. Journal of community health, 34 (3). pp. 165-172. ISSN 1573-3610

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Abstract

Hepatitis B testing is recommended for immigrants from countries where hepatitis B infection is endemic. However, only about one-half of Chinese in North America have received hepatitis B testing. We conducted a randomized controlled trial to evaluate the effectiveness of a hepatitis B lay health worker intervention for Chinese Americans/Canadians. Four hundred and sixty individuals who had never been tested for hepatitis B were identified from community-based surveys of Chinese conducted in Seattle, Washington, and Vancouver, British Columbia. These individuals were randomly assigned to receive a hepatitis B lay health worker intervention or a direct mailing of physical activity educational materials. Follow-up surveys were completed 6 months after randomization. Self-reported hepatitis B testing was verified through medical records review. A total of 319 individuals responded to the follow-up survey (69% response rate). Medical records data verified hepatitis B testing since randomization for 9 (6%) of the 142 experimental group participants and 3 (2%) of the 177 control group participants (P = 0.04). At follow-up, a higher proportion of individuals in the experimental arm than individuals in the control arm knew that hepatitis B can be spread by razors (P < 0.001) and during sexual intercourse (P = 0.07). Our findings suggest that lay health worker interventions can impact hepatitis B-related knowledge. However, our hepatitis B lay health worker intervention had a very limited impact on hepatitis B testing completion. Future research should evaluate other intervention approaches to improving hepatitis B testing rates among Chinese in North America.

Item Type: Article
Additional Information: The original publication is available at springerlink.com.
DOI: 10.1007/s10900-008-9138-0
PubMed ID: 19127416
NIHMSID: NIHMS118687
PMCID: PMC2735565
Grant Numbers: R01 CA113663-04, U01 CA114640-05, U48-DP-000050
Keywords or MeSH Headings: * Adult * Asian Americans* * British Columbia * China/ethnology * Female * Health Knowledge, Attitudes, Practice * Health Personnel* * Health Promotion/methods * Hepatitis B/diagnosis* * Humans * Male * Mass Screening/utilization* * Medical Audit * Middle Aged * Professional Role* * Washington
Depositing User: Library Staff
Date Deposited: 19 May 2009 19:21
Last Modified: 14 Feb 2012 14:42
URI: http://authors.fhcrc.org/id/eprint/291

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