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Assessing Physicians’ Recommendations for Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) Testing Among Minority Populations in Greater Philadelphia and New York City

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Abstract

Deaths from liver cancer are on the rise and disproportionately affect minority racial/ethnic groups. In this study, we examined associations between physicians’ recommendations for hepatitis B virus (HBV) and hepatitis C virus (HCV) screening and sociodemographic and lifestyle factors among minority populations in the areas of Greater Philadelphia and New York City. Using Poisson regression with robust variance estimation, we evaluated potential associations for 576 Hispanic American (HA), African American (AA), and Asian Pacific American (APA) adults, using blood tests as an outcome measure, with adjustment for sociodemographic factors We found that APAs (34.2%) were most likely to have a physician recommend HBV and HCV screening tests (34.2% and 27.1%, respectively), while HAs were least likely to receive an HBV recommendation (15.0%) and AAs were least likely to receive an HCV recommendation (15.3%). HAs were significantly likely to have never received a blood test for either HBV or HCV (RR = 1.25, 95% CI: 1.05, 1.49). APAs were significantly more likely to receive a screening recommendation for HBV (RR = 1.10, 95%CI: 1.01, 1.20) and to have a blood test (RR = 1.57, 95% CI: 1.06, 2.33). Our findings show that, among HAs, AAs, and APAs, physician recommendations are strongly associated with patients undergoing blood tests for HBV and HCV and that minority populations should increasingly be recommended to screen for HBV and HCV, especially given their elevated risk.

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Acknowledgements

This study was supported by TUFCCC/HC Regional Comprehensive Cancer Health Disparity Partnership, Award Number U54 CA221704(5) (Contact PIs: GX Ma, J Erblich) from the National Cancer Institute of National Institutes of Health (NCI/NIH) and by NIGMS/NIH award # 1SC3GM131949-01 (PI: MC Yeh). The author team would like to thank Community Advisory Board members, leaders, and staff members for collaborating with community/faith-based organization partners. We also acknowledge the research team staff of Planning Evaluation Core under TUFCCC/HC Regional Comprehensive Cancer Health Disparity Partnership for their support and contribution for their support and contributions to Community Outreach Core’s data management. Its contents are solely the authors’ responsibility and do not necessarily represent the official views of the NCI/NIH or the NIGMS/NIH.

Funding

This study was supported by TUFCCC/HC Regional Comprehensive Cancer Health Disparity Partnership, Award Number U54 CA221704(5) (Contact PIs: GX Ma, J Erblich) from the National Cancer Institute of National Institutes of Health (NCI/NIH) and by NIGMS/NIH award # 1SC3GM131949-01 (PI: MC Yeh).

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Authors and Affiliations

  1. Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA

    Thoin F. Begum, Vidya S Patil, Lin Zhu, Wenyue Lu, Grace X. Ma & Yin Tan

  2. Department of Urban Health and Population Science, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA

    Lin Zhu & Grace X. Ma

  3. Nutrition Program, Hunter College, City University of New York, New York, NY, USA

    Ming-Chin Yeh

  4. Office of Community Outreach, Fox Chase Cancer Center, Temple University Health System, Philadelphia, PA, USA

    Evelyn González

  5. Arthur Ashe Institute for Urban Health, New York City, NY, USA

    Marilyn A Fraser

  6. Pennsylvania United Chinese Coalition, Philadelphia, PA, USA

    Steven Zhu

  7. Voces Latinas Corp, Jackson Heights, NY, USA

    Nathaly Rubio-Torio

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Contributions

Conceptualization, MCY, GM; Methodology, MCY, GM, YT; Formal analysis, TB, VP; Investigation, MCY, GM, YT, SZ, NRT, HP, EG, MF; Resources, MCY, GM; Data curation, SZ, NRT, HP, EG, MF, YT; Writing—original draft preparation, TB; Writing—review and editing, TB, VP, LZ, YT; Supervision, MCY, GM, YT; Project administration, GM, YT, SZ, NRT, EG, MF; Funding acquisition, MCY, GM. All authors have read and agreed to the published version of the manuscript.

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Correspondence to Thoin F. Begum.

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Begum, T.F., Patil, V.S., Zhu, L. et al. Assessing Physicians’ Recommendations for Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) Testing Among Minority Populations in Greater Philadelphia and New York City. J Community Health (2024). https://doi.org/10.1007/s10900-023-01316-3

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