Transcript Asian Health Coalition of Illinois Hepatitis Education

Asian Health Coalition of Illinois
Hepatitis Education & Prevention Program
(HEPP)
Program Overview
Hong Liu, Ph.D.
Executive Director
Program Activities
HEPP
Minority
Com m unity
Outreach
Public
School
Outreach
Provider
Education/
Training
Adult
Screening/
Education
Hepatitis B Screening
Results for Adults at Risk
Hong Liu, Ph.D.
Karen Kim, M.D.
Virginia Warren, RN, MPH
Hepatitis Screening in 9 Asian Communities and
1 African Immigrant Community in Chicago
•
•
•
•
•
•
•
•
•
•
Vietnamese Association of Illinois
Chinese American Service League
Chinese Mutual Aid Association
Lao American Association
Korean American Service Center
Indo/Pakistani American Com.
Chinese Am. Asso. of Greater Chi.
Cambodian Association of Illinois
Xilin Asian Community Center
Ethiopian Association of Illinois
Screening Objectives
 To
determine HBV carrier rate for different
AAPI subgroups
 To determine HBV susceptible rate
 To survey HBV risk factors in AAPI
 To provide hepatitis B education and
referral for immunization and treatment
Hepatitis B Screening Overall Results
(Total Number = 1019)
HBsAg+
10%
Susc
37%
HBsAb+
53%
Hepatitis B Screeing Results for
HBsAg+ by Marital Status
12%
10%
10.27%
8.23%
8.14%
8%
6%
4%
2%
0%
Single
Married
Unknown
Hepatitis B Screening
Results for HBsAg+ by Gender
13%
14%
Percentage
12%
10%
7%
8%
6%
4%
2%
0%
Male
Female
Hepatitis Screening Results by Age Group
100%
90%
32.1
41.0
80%
34.6
35.6
32.0
43.8
46.4
50
70%
60%
50%
40%
42.3
49.0
67.9
46.7
59.1
60.9
46.4
30%
50
20%
16.7
10%
0%
16.3
9.5
0.0
20 and
under
21-30
31-40
HBsAg+
41-50
5.3
7.0
7.1
51-60
61-70
71-80
HBsAb+
Susc
0
81 and
over
Hepatitis B Screening Results Among
Different Ethnic Groups
100%
24
80%
30
35
53
40
57
60
60%
86
55
40%
56
60
HBsAG+
11
3
HBsAb+
Susc
ia
n
3
Et
he
op
er
5
O
th
o/
Pa
ki
s
7
di
an
ot
ia
n
La
es
e
m
iet
na
V
hi
n
C
ea
n
K
or
es
e
6
0%
12
11
am
bo
13
C
20%
53
36
25
In
d
50
>
>
SAS
SAS Statistical
Statistical Significant
Significant Factors
Factors (N=1019)
(N=1019)
(Dependent
(Dependent Variable:
Variable: HBsAg+)
HBsAg+)
Ind Variables N Cases Order Imp
Age 18-35
No Hep.Shot
Age 35-45
IV Drug Use
Male
Chinese
Relatives
209
758
251
42
413
361
119
Odds Ratio
P Value
Estimate
1
2
3
4
5
6
7
C = 0.719
3.837
3.555
2.210
3.436
1.819
1.650
1.764
0.0001
0.0005
0.0045
0.0048
0.0084
0.0307
0.0626
Summary of Findings

10% of clients screened were Hepatitis B antigen
positive, which varied btwn AAPI subgroups.
 Married clients have higher carrier rates (10.3%)
than unmarried clients (8.2%).
 Males (13%) are twice as likely to be infected with
HBV as females (7%).
 The age group most at risk for chronic HBV
infection is 18 to 45 years for this group
Summary of Findings (Cont.)

Those who receive the hep. B vaccine series are less
likely to be infected with HBV

Immigrants from China are more likely to have
chronic hepatitis B infection than other ethnic
groups screened.

Having a family member with liver disease and IV
drug use are also statistically significant risk factors
for hepatitis B infection.
Research Limitation
- Self reported data
– Convenient sampling, not random
selection
– Missing data
– Small population size in some
communities (eg. Lao)