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 or Abstract |
|---|---|
| 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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