Increasing Hepatitis B Screening for Hmong Adults: Results from a Randomized Controlled Community-Based Study

摘要: Background: Hepatitis B-linked liver cancer disproportionately affects Hmong Americans. With an incidence rate of 18.9 per 100,000, Americans experience at a that is 6 to 7 times more than non-Hispanic Whites. Serologic testing for the hepatitis B virus (HBV) principal means prevent cancer-related deaths through earlier identification those risk. Methods: Academic researchers and leaders collaborated in design, conduct, evaluation 5-year randomized controlled trial lay health worker (LHW) intervention promote HBV among 260 adults in-home education patient navigation. Results: Intervention group participants were likely report receiving serologic (24% vs. 10%, P = 0.0056) showed greater mean increase knowledge score (1.3 0.3 points, 0.0003) control participants. Multivariable modeling indicated self-reported test receipt was associated with assignment [OR 3.5; 95% confidence interval (CI) 1.3–9.2], improvement (OR 1.3 point; CI 1.02–1.7), female gender 5.3; 1.7–16.6), having seen doctor past year baseline 4.8; 1.3–17.6). The most often cited reason doctor's recommendation. Conclusions: LHWs effective bringing about screening. Doctor visits adherence doctors' recommendations pivotal. Participation care providers essential testing. Impact: can significantly screening rates but their recommendation highly influential should be pursued. Cancer Epidemiol Biomarkers Prev; 22(5); 782–91. ©2013 AACR . This article featured Highlights This Issue, [p. 745][1] [1]: /lookup/volpage/22/745?iss=5