Chao Stephanie D, Chang Ellen T, Le Phuoc V, Prapong Wijan, Kiernan Michaela, So Samuel K S
Asian Liver Center, Stanford University School of Medicine, 300 Pasteur Drive H3680, Stanford, CA 94305, USA.
J Immigr Minor Health. 2009 Aug;11(4):281-90. doi: 10.1007/s10903-007-9094-2. Epub 2007 Nov 8.
The Jade Ribbon Campaign (JRC) is a culturally targeted, community-based outreach program to promote the prevention, early detection, and management of chronic hepatitis B virus (HBV) infection and liver cancer among Asian Americans. In 2001, 476 Chinese American adults from the San Francisco Bay Area attended an HBV screening clinic and educational seminar. The prevalence of chronic HBV infection was 13%; only 8% of participants showed serologic evidence of protective antibody from prior vaccination. Participants reported low preventive action before the clinic, but after one year, 67% of those with chronic HBV infection had consulted a physician for liver cancer screening, and 78% of all participants had encouraged family members to be tested for HBV. The increase in HBV awareness, screening, and physician follow-up suggests that culturally aligned interventions similar to the JRC may help reduce the disproportionate burden of disease to chronic HBV infection among Asian Americans.
玉丝带运动（JRC）是一项针对特定文化群体、基于社区的外展项目，旨在促进美国亚裔慢性乙型肝炎病毒（HBV）感染及肝癌的预防、早期检测和管理。2001年，来自旧金山湾区的476名华裔美国成年人参加了一次HBV筛查诊所及教育研讨会。慢性HBV感染的患病率为13%；只有8%的参与者有先前接种疫苗产生保护性抗体的血清学证据。参与者报告称在参加诊所活动前预防措施较少，但一年后，67%的慢性HBV感染者咨询医生进行了肝癌筛查，78%的所有参与者鼓励家庭成员进行HBV检测。HBV意识、筛查及医生随访方面的提高表明，类似于JRC的文化适应性干预措施可能有助于减轻美国亚裔中慢性HBV感染造成的疾病负担不均衡问题。
