Juon Hee-Soon, Strong Carol, Oh Thomas H, Castillo Theresa, Tsai Grace, Oh Leslie D Hsu
Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, 704, Baltimore, MD 21205, USA.
J Community Health. 2008 Aug;33(4):199-205. doi: 10.1007/s10900-008-9091-y.
Asian Americans and Pacific Islanders (AAPIs) account for over half of the 1.3 million chronic hepatitis B cases and for over half of the deaths resulting from chronic hepatitis B infection in United States. There are very few studies published about hepatitis B virus (HBV) data in the Baltimore-Washington metropolitan area. In 2003, the Hepatitis B Initiative-DC (HBI-DC) worked closely with a large Korean church, located in Vienna, Virginia. Their partnership included a pilot-test of a faith-based HBV program, which educates, screens and vaccinates for the HBV. This pilot program was later expanded to include a total of nine Korean and Chinese American churches in this region, plus a Pastor's Conference targeting Asian American pastors from around the United States. During 2003-2006, a total of 1,775 persons were tested for HBV infection through the HBI-DC program. Of all the participants, 2% (n=35) were tested HBV positive (HbsAg+, HbsAb-), 37% (n=651) were HBV negative but protected (HbsAg-, HbsAb+), and 61% (n=1089) were unprotected (HbsAg-, HbsAb-). Most of these unprotected individuals (n=924) received the first vaccination. The proportion of the second vaccination was 88.8% (n=824). About 79% completed 3-shot vaccine series. Our study contributes to the literature by providing an overview of the hepatitis B unprotected rate among Asian American adults. It indicates that culturally integrated liver cancer prevention program will reduce cancer health disparities in high risk immigrant populations.
在美国，亚裔美国人和太平洋岛民（AAPI）占130万慢性乙型肝炎病例的一半以上，且在因慢性乙型肝炎感染导致的死亡病例中占比也超过一半。关于巴尔的摩-华盛顿都会区的乙型肝炎病毒（HBV）数据，发表的研究非常少。2003年，华盛顿特区乙型肝炎倡议组织（HBI-DC）与位于弗吉尼亚州维也纳的一座大型韩国教会密切合作。他们的合作项目包括对一个基于信仰的HBV项目进行试点测试，该项目对HBV进行教育、筛查和疫苗接种。这个试点项目后来扩大到包括该地区总共九座韩裔和华裔美国人教会，以及一个面向来自美国各地的亚裔美国牧师的牧师会议。在2003年至2006年期间，通过HBI-DC项目共有1775人接受了HBV感染检测。在所有参与者中，2%（n = 35）的检测结果为HBV阳性（HbsAg +，HbsAb -），37%（n = 651）为HBV阴性但有抗体（HbsAg -，HbsAb +），61%（n = 1089）为无抗体（HbsAg -，HbsAb -）。这些无抗体的个体中，大多数（n = 924）接种了第一针疫苗。第二针疫苗的接种比例为88.8%（n = 824）。约79%的人完成了三针疫苗接种系列。我们的研究通过概述亚裔美国成年人中未接种乙肝疫苗的比例，为相关文献做出了贡献。研究表明，文化融合的肝癌预防项目将减少高危移民人群中的癌症健康差距。
