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KMID : 1188320130070040450
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Gut and Liver
2013 Volume.7 No. 4 p.450 ~ p.457
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Hepatitis B Screening and Vaccination Practices in Asian American Primary Care
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Danny Chu
Ju Dong Yang
Anna S. Lok
Tram Tran
Eduardo Bruno Martins
Elizabeth Fagan
Franck Rousseau
W. Ray Kim
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Abstract
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Background/Aims:Screening for hepatitis B virus (HBV) is recommended in populations with anticipated prevalence ≥2%. This study surveyed HBV screening and vaccination practices of Asian American primary care providers (PCPs).
Methods:Approximately 15,000 PCPs with Asian surnames in the New York, Los Angeles, San Francisco, Houston, and Chicago areas were invited to participate in a web-based survey. Asian American PCPs with ≥25% Asian patients in their practice were eligible.
Results:Of 430 (2.9%) survey respondents, 217 completed the survey. Greater than 50% followed ≥200 Asian patients. Although 95% of PCPs claimed to have screened patients for HBV, 41% estimated that ≤25% of their adult Asian patients had ever been screened, and 50% did not routinely screen all Asian patients. In a multivariable analysis, the proportion of Asian patients in the practice, provider geographic origin and the number of liver cancers diagnosed in the preceding 12 months were significantly associated with a higher likelihood of screening for HBV. Over 80% of respondents reported that ≤50% of their adult Asian patients had received the HBV vaccine.
Conclusions:Screening and vaccination for HBV in Asian American patients is inadequate. Measures to improve HBV knowledge and care by primary-care physicians are critically needed.
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KEYWORD
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Hepatitis B virus, Chronic hepatitis B
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