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Adherence to chronic hepatitis B screening guidelines for persons from intermediate to high prevalence Countries

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Abstract

The adherence to the CDC guideline on screening non-U.S. born persons for hepatitis B virus infection was assessed. A retrospective cohort study was conducted at University of Washington primary care clinics using the electronic medical records. Persons from hepatitis B virus prevalent countries were identified using country of origin and language. Of 2329 eligible for screening, only 617 (26.5%) were screened. The prevalence of HBsAg was 35 (5.7%). Among women of reproductive age (18–44 years, n = 906), 238 (26.3%) were screened, and 7 (2.9%) were HBsAg positive. Low screening practice for chronic hepatitis B infection, and high infection prevalence among those screened was noted. The findings indicate that potentially three out of every one detected case may be missed. Urgent efforts are needed to scale up and consistently implement HBV screening at primary care clinics.

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References

  1. World Health Organization. Global hepatitis report, (2017). Geneva; 2017. Retrieved March 21, 2020, from https://creativecommons.org/%0Alicenses/by-nc-sa/3.0/igo

  2. Upadhyaya, N., Chang, R., Davis, C., Conti, M. C., Salinas-Garcia, D., & Tang, H. (2010). Chronic hepatitis B: Perceptions in Asian American communities and diagnosis and management practices among primary care physicians. Postgraduate Medicine, 122(5), 165–175.

    Article  Google Scholar 

  3. Pottie, K., Janakiram, P., Topp, P., & McCarthy, A. (2007). Prevalence of selected preventable and treatable diseases among government-assisted refugees: Implications for primary care providers. Canadian Family Physician, 53(11), 1928–1934.

    PubMed  PubMed Central  Google Scholar 

  4. Heidrich, B., Cetindere, A., Beyaz, M., et al. (2014). High prevalence of hepatitis markers in immigrant populations: A prospective screening approach in a real-world setting. European Journal of Gastroenterology and Hepatology, 26(10), 1090–1097.

    Article  CAS  Google Scholar 

  5. McMahon, B. J., Block, J., Haber, B., et al. (2012). Internist diagnosis and management of chronic hepatitis b virus infection. The American Journal of Medicine, 125(11), 1063–7. https://doi.org/10.1016/j.amjmed.2012.03.010

    Article  PubMed  Google Scholar 

  6. Weinbaum, C. M., Williams, I., Mast, E. E., et al. (2008). Recommendations for identification and public health management of persons with chronic hepatitis B virus infection. MMWR Recommendations and Reports, 57(RR-8), 1–20.

    PubMed  Google Scholar 

  7. Foster, T., Hon, H., Kanwal, F., Han, S., & Spiegel, B. (2011). Screening high risk individuals for hepatitis B: Physician knowledge, attitudes, and beliefs. Digestive Diseases and Sciences, 56(12), 3471–3487.

    Article  Google Scholar 

  8. Liu, C. Y., Chandrasekar, P. H., Masood, A., & Schiffer, C. A. (2013). Adherence to hepatitis B screening and prophylactic lamivudine for prevention of rituximab-associated hepatitis B reactivation. Journal of Oncology Pharmacy Practice, 19(1), 18–23.

    Article  CAS  Google Scholar 

  9. Terasaki, G., Desai, A., McKinney, C. M., & Haider, M. Z. (2017). Seroprevalence of hepatitis B infection among immigrants in a primary care clinic: A case for granular ethnicity and language data collection. Journal of Immigrant and Minority Health, 19(4), 987–990.

    Article  Google Scholar 

  10. Burke, N. J., Jackson, J. C., Thai, H. C., et al. (2004). “Honoring tradition, accepting new ways”: Development of a hepatitis B control intervention for Vietnamese immigrants. Ethnicity & Health, 9(2), 153–169.

    Article  Google Scholar 

  11. Chu, J. N., Le, P. V., Kennedy, C. J., et al. (2017). Factors associated with hepatitis B knowledge among Vietnamese Americans: A population-based survey. Journal of Immigrant and Minority Health, 19(4), 801–808.

    Article  Google Scholar 

  12. World Health Organization D of communicable diseases surveillance and response.(2020). Hepatitis. WHO/CDS/CSR/LYO/2002.2:Hepatitis B. Retrieved August 20, 2020, from http://www.who.int/emc

  13. Waldorf, B., Gill, C., & Crosby, S. S. (2014). Assessing adherence to accepted national guidelines for immigrant and refugee screening and vaccines in an urban primary care practice: A retrospective chart review. Journal of Immigrant and Minority Health, 16(5), 839–845.

    Article  Google Scholar 

  14. Eneh, P. N., Mady, M., Schmidt, M. A., et al. (2021). Hepatitis B screening of at-risk immigrants seen at primary care clinics: A quality improvement project. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 5(3), 635–44. https://doi.org/10.1016/j.mayocpiqo.2021.04.002

    Article  Google Scholar 

  15. Loo, N. M., Kim, W. R., Larson, J. J., Wieland, M. L., & Chaudhry, R. (2012). Hepatitis B screening in a US academic primary care practice. Archives of internal medicine, 172(19), 1517. https://doi.org/10.1001/archinternmed.2012.3647

    Article  PubMed  PubMed Central  Google Scholar 

  16. Coppola, N., Alessio, L., Gualdieri, L., et al. (2017). Hepatitis B virus infection in undocumented immigrants and refugees in Southern Italy: Demographic, virological, and clinical features. Infectious Diseases of Poverty, 6(1), 1–9. https://doi.org/10.1186/s40249-016-0228-4

    Article  Google Scholar 

  17. Juon, H. S., Ha, E., Kim, F., Trang, A., Pan, J., & Blanchard, J. (2019). Prevalence of viral hepatitis in foreign-born populations in the Baltimore-Washington Metropolitan area, 2009–2015. Journal of Community Health, 44(2), 203–207.

    Article  Google Scholar 

  18. Nelson, N. P., Jamieson, D. J., & Murphy, T. V. (2014). Prevention of perinatal hepatitis B virus transmission. Journal of the Pediatric Infectious Diseases Society, 3(SUPPL1), 7–12.

    Article  Google Scholar 

  19. McMahon, B. J. (2014). Chronic hepatitis B virus infection. Medical Clinics of North America, 98(1), 39–54. https://doi.org/10.1016/j.mcna.2013.08.004

    Article  PubMed  Google Scholar 

  20. Young, J., Payton, C., Walker, P., et al. (2020). Evaluation of a program to improve linkage to and retention in care among refugees with hepatitis B virus infection—three US cities, 2006–2018. MMWR. Morbidity and Mortality Weekly Report, 69(21), 647–650.

    Article  Google Scholar 

  21. Freeland, C., Bodor, S., Perera, U., & Cohen, C. (2020). Barriers to hepatitis B screening and prevention for African immigrant populations in the United States: A qualitative study. Viruses, 12(3), 305.

    Article  Google Scholar 

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Funding

No funds, grants or other support was received.

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Authors and Affiliations

  1. Internal Medicine Resident, University of Washington Medical Center, 1959 NE Pacific Street, Box 356421, Seattle, USA

    Ermias Diro

  2. Department of Medicine, Harborview Medical Center, University of Washington School of Medicine, 325 9th Ave Box 359928, Seattle, WA, 98104, USA

    Maria A. Corcorran, Kristine Lan, Ayushi Gupta & H. Nina Kim

  3. Division of Allergy & Infectious Diseases, University of Washington School of Medicine, 325 9th Ave Box 359930, Seattle, WA, 98104, USA

    Maria A. Corcorran & H. Nina Kim

Authors
  1. Ermias Diro
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  2. Maria A. Corcorran
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  4. Ayushi Gupta
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  5. H. Nina Kim
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Contributions

ED and HNK: Conceptualization and protocol development. AG and HNK: data collection. ED, HNK, MAC, KL: study design and data analysis. All the authors contributed to interpretation of results. ED: drafted the first manuscript. All authors contributed to reviewing, preparing and approving the final draft for publication.

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Correspondence to Ermias Diro.

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The authors have no competing interests to declare that are relevant to the content of this article.

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This study was approved by the human subjects division at the University of Washington.

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Not applicable, retrospective record analysis.

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Diro, E., Corcorran, M.A., Lan, K. et al. Adherence to chronic hepatitis B screening guidelines for persons from intermediate to high prevalence Countries. J Community Health 47, 704–709 (2022). https://doi.org/10.1007/s10900-022-01102-7

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  • DOI: https://doi.org/10.1007/s10900-022-01102-7

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