Journal of Community Health

, Volume 34, Issue 3, pp 165–172

Evaluation of a Hepatitis B Lay Health Worker Intervention for Chinese Americans and Canadians

Authors

    • Cancer Prevention ProgramFred Hutchinson Cancer Research Center
  • T. Gregory Hislop
    • Cancer Control Research ProgramBritish Columbia Cancer Agency
  • Shin-Ping Tu
    • Department of MedicineUniversity of Washington
  • Chong Teh
    • Cancer Control Research ProgramBritish Columbia Cancer Agency
  • Elizabeth Acorda
    • Cancer Prevention ProgramFred Hutchinson Cancer Research Center
  • Mei-Po Yip
    • Department of MedicineUniversity of Washington
  • Erica Woodall
    • Cancer Prevention ProgramFred Hutchinson Cancer Research Center
  • Yutaka Yasui
    • Department of Public Health Sciences, Clinical Sciences BuildingUniversity of Alberta
Original Paper

DOI: 10.1007/s10900-008-9138-0

Cite this article as:
Taylor, V.M., Hislop, T.G., Tu, S. et al. J Community Health (2009) 34: 165. doi:10.1007/s10900-008-9138-0

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.

Keywords

Chinese Americans/CanadiansHepatitis BLay health worker

Copyright information

© Springer Science+Business Media, LLC 2009