Journal of Cancer Education

, Volume 33, Issue 6, pp 1201–1205 | Cite as

Reducing Liver Cancer Risk in African-Born Immigrants Through Culturally Targeted Hepatitis B Group Education Programs

  • Kemi Bolutayo
  • Alexandre Ly van manh
  • Noah Cohen
  • Daouda Ndiaye
  • Lina Jandorf
  • Ponni V. Perumalswami


Of 900 West African-born immigrants living in New York City who were tested for hepatitis B virus (HBV), over 9% were found to have the infection (Shankar H et al. Clin Infectious Dis 62(S4):S289–s297, 2016). Community targeted group education programs (EP) have been shown to improve immigrant population’s health (Bailey E et al. J Natl Med Assoc 92(3):136–42, 2000). Our aim is to enhance HBV screening in at-risk West African immigrants through the development of a group EP as a first critical step to reducing liver cancer risk. The framework for an HBV group EP was created based on our prior work to identify barriers and facilitators for HBV screening in this community (Sriphanlop, P et al. Am J Health Behav 5(10):745–754, 2014). The framework was then refined with input from community “gatekeepers” or leaders (n = 57) through four focus groups. After refining the group EP, we then pilot tested the EP with 154 participants from eight different West African communities with a pre-/post-test HBV knowledge survey assessment to determine the impact of the group EP. Results from the pre-/post-test survey assessment demonstrated a significant increase in HBV knowledge after the EP (70% pre-test vs. 88% post-test, p value <.01). Through a community-based participatory approach, a group EP could be effective in increasing knowledge about HBV infection and HBV screening as a first step to reducing liver cancer risk.


Hepatitis B Liver cancer Group education West African-born immigrants Cancer screening 



This study was funded by Gilead Sciences, Inc.

Compliance with Ethical Standards

All participants provided IRB-approved informed consent.

Supplementary material

13187_2017_1231_MOESM1_ESM.pdf (30 kb)
ESM 1 (PDF 30 kb)


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Copyright information

© American Association for Cancer Education 2017

Authors and Affiliations

  • Kemi Bolutayo
    • 1
  • Alexandre Ly van manh
    • 1
    • 2
  • Noah Cohen
    • 1
  • Daouda Ndiaye
    • 3
  • Lina Jandorf
    • 1
  • Ponni V. Perumalswami
    • 1
    • 2
  1. 1.Department of Oncological SciencesIcahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Division of Liver DiseasesIcahn School of Medicine at Mount SinaiNew YorkUSA
  3. 3.African Services Committee, Inc.New YorkUSA

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