Ma Grace X, Fang Carolyn Y, Seals Brenda, Feng Ziding, Tan Yin, Siu Philip, Yeh Ming Chin, Golub Sarit A, Nguyen Minhhuyen T, Tran Tam, Wang Minqi
Grace X. Ma, Brenda Seals, and Yin Tan are with the Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA. Carolyn Y. Fang and Minhhuyen T. Nguyen are with the Fox Chase Cancer Center, Temple University Medical System, Philadelphia. Ziding Feng is with the Department of Biostatistics, Anderson Cancer Center, University of Texas, Houston. Philip Siu is with Chinatown Medical Services, Philadelphia. Ming Chin Yeh is with the Nutrition Program, Hunter College, City University of New York, New York, NY. Sarit A. Golub is with the Department of Psychology, Hunter College, City University of New York. Tam Tran is with the Viet Community, Asian American Buddhist Association, Philadelphia. Minqi Wang is with the School of Public Health, University of Maryland, College Park.
Am J Public Health. 2017 Mar;107(3):433-440. doi: 10.2105/AJPH.2016.303600. Epub 2017 Jan 19.
To evaluate the effectiveness of a community-based liver cancer prevention program on hepatitis B virus (HBV) screening among low-income, underserved Vietnamese Americans at high risk.
We conducted a cluster randomized trial involving 36 Vietnamese community-based organizations and 2337 participants in Pennsylvania, New Jersey, and New York City between 2009 and 2014. We randomly assigned 18 community-based organizations to a community-based multilevel HBV screening intervention (n = 1131). We randomly assigned the remaining 18 community-based organizations to a general cancer education program (n = 1206), which included information about HBV-related liver cancer prevention. We assessed HBV screening rates at 6-month follow-up.
Intervention participants were significantly more likely to have undergone HBV screening (88.1%) than were control group participants (4.6%). In a Cochran-Mantel-Haenszel analysis, the intervention effect on screening outcomes remained statistically significant after adjustment for demographic and health care access variables, including income, having health insurance, having a regular health provider, and English proficiency.
A community-based, culturally appropriate, multilevel HBV screening intervention effectively increases screening rates in a high-risk, hard-to-reach Vietnamese American population.
评估一项基于社区的肝癌预防项目对高危低收入、医疗服务不足的美籍越南人进行乙肝病毒（HBV）筛查的效果。
2009年至2014年间，我们在宾夕法尼亚州、新泽西州和纽约市开展了一项整群随机试验，涉及36个越南社区组织和2337名参与者。我们将18个社区组织随机分配到基于社区的多层次HBV筛查干预组（n = 1131）。我们将其余18个社区组织随机分配到一般癌症教育项目组（n = 1206），该项目包括有关HBV相关肝癌预防的信息。我们在6个月随访时评估HBV筛查率。
干预组参与者接受HBV筛查的可能性（88.1%）显著高于对照组参与者（4.6%）。在Cochran-Mantel-Haenszel分析中，在对包括收入、拥有医疗保险情况、有固定医疗服务提供者和英语水平等人口统计学和医疗服务可及性变量进行调整后，干预对筛查结果的影响在统计学上仍具有显著意义。
一项基于社区、文化适宜的多层次HBV筛查干预有效地提高了高危、难以接触到的美籍越南人群的筛查率。
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