Evaluation of a Hepatitis B Lay Health Worker Intervention for Chinese Americans and Canadians
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
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.
- Barnes, P. M., Adams, P. F., & Powell-Griner, E. (2008). Health characteristics of the Asian adult population: United States, 2004–2006. Advance Data, 394, 1–22.
- Ghosh, C. (2003). Healthy people 2010 and Asian Americans/Pacific islanders: Defining a baseline of information. American Journal of Public Health, 93(12), 2093–2098. CrossRef
- Department of Commerce. (2004). We the people—Asians in the United States: Census 2000 special reports. Washington, DC: Department of Commerce.
- Statistics Canada (2006). Population by selected ethnic origins. www.statcan.ca.
- Nguyen, M., & Keeffe, E. (2003). Chronic hepatitis B and hepatitis C in Asian Americans. Review Gastroenterology Diseases, 3, 125–134.
- Lin, S. Y., Chang, E. T., & So, S. K. (2007). Why we should routinely screen Asian American adults for hepatitis B: A cross-sectional study of Asians in California. Hepatology, 46(4), 1034–1040. CrossRef
- McBride, G. (2008). Hepatitis B virus-induced liver cancer in Asian Americans: A preventable disease. Journal of the National Cancer Institute, 100(8), 528–529. CrossRef
- Tong, M., & Hwang, S. (1994). Hepatitis B virus infection in Asian Americans. Gastroenterology Clinics of North America, 23, 523–536.
- Merican, I., Guan, R., Amarapuka, D., et al. (2000). Chronic hepatitis B virus infection in Asian countries. Journal of Gastroenterology and Hepatology, 15(12), 1356–1361. CrossRef
- Asian Liver Center (2005). Hepatitis B in Asian Americans. www.liver.stanford.edu.
- Lok, A. S., & McMahon, B. J. (2007). Chronic hepatitis B. Hepatology, 45(2), 507–539. CrossRef
- Lin, O. S., & Keefle, E. (2001). Current treatment strategies for chronic hepatitis B and C. Annual Review of Medicine, 52, 29–49. CrossRef
- Malik, A. H., & Lee, W. M. (2000). Chronic hepatitis B virus infection: Treatment strategies for the next millennium. Annals of Internal Medicine, 132(9), 723–731.
- Jenkins, C. N. H., Buu, C., Berger, W., & Son, D. T. (2001). Liver carcinoma prevention among Asian Pacific Islanders. Cancer, 91(Suppl 1), 252–256. CrossRef
- Coronado, G. D., Taylor, V. M., Tu, S. P., et al. (2007). Correlates of hepatitis B testing among Chinese Americans. Journal of Community Medicine, 32(6), 379–390.
- Hislop, T. G., Teh, C., Low, A., et al. (2007). Hepatitis B knowledge, testing and vaccination levels in Chinese immigrants to British Columbia, Canada. Canadian Journal of Public Health, 98(2), 125–129.
- Hislop, T. G., Teh, C., Low, A., et al. (2007). Predisposing, reinforcing and enabling factors associated with hepatitis B testing in Chinese Canadians in British Columbia. Asian Pacific Journal of Cancer Prevention, 8(1), 39–44.
- Nguyen, T. T., Taylor, V., Chen, M. S., Jr., Bastani, R., Maxwell, A. E., & McPhee, S. J. (2007). Hepatitis B awareness, knowledge, and screening among Asian Americans. Journal of Cancer Education, 22(4), 266–272. CrossRef
- Taylor, V., Tu, S., Woodall, E., et al. (2006). Hepatitis B knowledge and practices among Chinese immigrants to the United States. Asian Pacific Journal of Cancer Prevention, 7, 313–317.
- Wu, C. A., Lin, S. Y., So, S. K., & Chang, E. T. (2007). Hepatitis B and liver cancer knowledge and preventive practices among Asian Americans in the San Francisco Bay Area, California. Asian Pacific Journal of Cancer Prevention, 8(1), 127–134.
- Lewin, S. A., Dick, J., Pond, P., et al. (2008). Lay health workers in primary and community health care. The Cochrane Library (1).
- Eremenco, S., Cella, D., & Arnold, B. (2005). A comprehensive method for the translation and cross-cultural validation of health status questionnaires. Evaluation & the Health Professions, 28, 212–232. CrossRef
- Tu, S. P., Jackson, C., Teh, C., et al. (2003). Translation challenges of cross-cultural research and program development. Asian American Pacific Islander Journal of Health, 10, 58–66.
- Chen, H., Tu, S. P., Teh, C. Z., et al. (2006). Lay beliefs about hepatitis among North American Chinese: Implications for hepatitis prevention. Journal of Community Medicine, 31(2), 94–112.
- Taylor, V. M., Hislop, T. G., Jackson, J. C., et al. (2002). A randomized controlled trial of interventions to promote cervical cancer screening among Chinese women in North America. Journal of the National Cancer Institute, 94, 670–677.
- Chao, S. D., Chang, E. T., Le, P. V., Prapong, W., Kiernan, M., So, S. K. (2007). The Jade ribbon campaign: A model program for community outreach and education to prevent liver cancer in Asian Americans. Journal of Immigrant and Minority Health. [Epub ahead of print].
- Juon, H. S., Strong, C., Oh, T. H., Castillo, T., Tsai, G., & Oh, L. D. (2008). Public health model for prevention of liver cancer among Asian Americans. Journal of Community Health, 33(4), 199–205. CrossRef
- Thompson, B., Thompson, A. L., Chan, N. L., Hislop, G. T., & Taylor, V. M. (2007). Cost effectiveness of cervical cancer screening among Chinese women in North America. Asian Pacific Journal of Cancer Prevention, 8(2), 287–293.
- Evaluation of a Hepatitis B Lay Health Worker Intervention for Chinese Americans and Canadians
Journal of Community Health
Volume 34, Issue 3 , pp 165-172
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Chinese Americans/Canadians
- Hepatitis B
- Lay health worker
- Author Affiliations
- 1. Cancer Prevention Program, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue North, Seattle, WA, 98109, USA
- 2. Cancer Control Research Program, British Columbia Cancer Agency, 675 West 10th Avenue, Vancouver, BC, V5Z 1L3, Canada
- 3. Department of Medicine, University of Washington, 401 Broadway Avenue, Seattle, WA, 98104, USA
- 4. Department of Public Health Sciences, Clinical Sciences Building, University of Alberta, Edmonton, AB, T6G 2G3, Canada