Terasaki Genji, Desai Angel, McKinney Christy M, Haider Mahri Z
Department of Medicine, University of Washington and Harborview Medical Center, 325 Ninth Avenue, Box 359780, Seattle, WA, 98104, USA.
Internal Medicine Residency Program, University of Washington, 1959 Ne Pacific Street, Box 356421, Seattle, WA, 98195-6421, USA.
J Immigr Minor Health. 2017 Aug;19(4):987-990. doi: 10.1007/s10903-016-0543-7.
Chronic hepatitis B virus (HBV) infection is highly prevalent worldwide and is most often diagnosed through screening efforts. In order to identify the specific ethnic groups at greatest risk, it is necessary to go beyond traditional categories. We conducted a retrospective case series in a primary care clinic serving non-English speaking immigrants to determine the prevalence of HBV among patients of various primary spoken languages (used as a proxy for ethnicity). Among the 1378 patients, the overall prevalence of current infection was 8%. HBV infection was markedly higher among Somali, Oromo and Khmer speakerscompared to other groups. This study illustrates the use of granular language data in describing the serologic profiles of HBV infection among non-English speaking patients in primary care setting. The variations in prevalence by language have implications for public health HBV screening efforts, in addition to suggesting potential risk factors for transmission.
慢性乙型肝炎病毒（HBV）感染在全球范围内高度流行，且大多是通过筛查确诊。为了确定风险最高的特定族裔群体，有必要超越传统分类。我们在一家为非英语移民服务的初级保健诊所开展了一项回顾性病例系列研究，以确定不同主要语言使用者（作为族裔的代表）中HBV的流行情况。在1378名患者中，当前感染的总体患病率为8%。与其他群体相比，索马里语、奥罗莫语和高棉语使用者中的HBV感染率明显更高。本研究说明了在初级保健环境中使用详细语言数据来描述非英语患者中HBV感染的血清学特征。按语言划分的患病率差异不仅对公共卫生HBV筛查工作有影响，还提示了潜在的传播风险因素。
