School of Social Transformation, Arizona State University, Tempe, Arizona.
Am J Prev Med. 2018 Aug;55(2):213-221. doi: 10.1016/j.amepre.2018.03.021.
Perinatal transmission of hepatitis B virus among Asian Americans and Pacific Islanders is a key driver of racial health disparities in liver cancer and mortality in the U.S. This study documents the prevalence of hepatitis B virus infection among pregnant women across racial/ethnic groups and among Asian Americans and Pacific Islanders to assess the need for intervention, and then identifies the individual correlates of hepatitis B virus infection among Asian American and Pacific Islander pregnant women.
Using the 2014-2015U.S. birth rate population data, this study estimates a series of logistic regression models to examine the associations between individual-level correlates and hepatitis B virus infection among Asian American and Pacific Islanders pregnant women. Data were analyzed in July 2017.
Among Asian American and Pacific Islander pregnant women, Chinese American mothers are ten times more likely to experience hepatitis B virus infection than are Asian Indian and Japanese American mothers. Foreign-born mothers are significantly more likely to experience hepatitis B virus infection during pregnancy than those of their U.S.-born counterparts. Maternal SES characteristics are important correlates of hepatitis B virus infection among pregnant women.
Studies must disaggregate the pan-ethnic Asian American and Pacific Islander category to examine the health and health disparities of Asian Americans and Pacific Islanders. Given the heterogeneity of hepatitis B virus infection prevalence among Asian American and Pacific Islander pregnant women, the effectiveness of prevention and intervention programs depends on careful consideration of ethnicity in conjunction with group-specific factors.
乙型肝炎病毒在亚裔美国人和太平洋岛民中的围产期传播是导致美国肝癌和死亡率种族健康差异的关键因素。本研究记录了不同种族/族裔群体以及亚裔美国人和太平洋岛民孕妇中乙型肝炎病毒感染的流行情况，以评估干预的必要性，然后确定亚裔美国人和太平洋岛民孕妇中乙型肝炎病毒感染的个体相关因素。
本研究使用 2014-2015 年美国出生率人群数据，估计了一系列逻辑回归模型，以检验个体相关因素与亚裔美国人和太平洋岛民孕妇乙型肝炎病毒感染之间的关联。数据分析于 2017 年 7 月进行。
在亚裔美国人和太平洋岛民孕妇中，华裔母亲乙型肝炎病毒感染的可能性是印度裔和日裔母亲的十倍。与美国出生的母亲相比，外国出生的母亲在怀孕期间更有可能感染乙型肝炎病毒。母亲的社会经济地位特征是孕妇乙型肝炎病毒感染的重要相关因素。
必须将泛种族的亚裔美国人和太平洋岛民类别进行细分，以检查亚裔美国人和太平洋岛民的健康和健康差异。鉴于亚裔美国人和太平洋岛民孕妇中乙型肝炎病毒感染的流行率存在异质性，预防和干预计划的有效性取决于在考虑族裔的同时，结合特定群体的因素进行仔细考虑。
