asian health coalition of illinois hepatitis education & prevention program (hepp) program...
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Asian Health Coalition of IllinoisAsian Health Coalition of IllinoisHepatitis Education & Prevention ProgramHepatitis Education & Prevention Program
(HEPP)(HEPP)
Program OverviewHong Liu, Ph.D.
Executive Director
Program ActivitiesProgram Activities
M in orityC om m u n ity
O u treach
P u b licS ch oo l
O u treach
P rovid erE d u ca tion /
Tra in in g
A d u ltS c reen in g /E d u ca tion
H E P P
Hepatitis B Screening Hepatitis B Screening Results for Adults at RiskResults for Adults at Risk
Hong Liu, Ph.D.
Karen Kim, M.D.
Virginia Warren, RN, MPH
Hepatitis Screening in 9 Asian Communities and 1 African Immigrant Community in Chicago
• Vietnamese Association of Illinois
• Chinese American Service League
• Chinese Mutual Aid Association
• Lao American Association
• Korean American Service Center
• Indo/Pakistani American Com.
• Chinese Am. Asso. of Greater Chi.
• Cambodian Association of Illinois
• Xilin Asian Community Center
• Ethiopian Association of Illinois
Screening ObjectivesScreening Objectives
To determine HBV carrier rate for different AAPI subgroups
To determine HBV susceptible rateTo survey HBV risk factors in AAPITo provide hepatitis B education and
referral for immunization and treatment
SingleMarried
Unknown
8.23%
10.27%
8.14%
0%
2%
4%
6%
8%
10%
12%
Hepatitis B Screeing Results for HBsAg+ by Marital Status
MaleFemale
13%
7%
0%
2%
4%
6%
8%
10%
12%
14%P
erce
nta
ge
Hepatitis B Screening Results for HBsAg+ by Gender
0.0
67.9
32.1
16.7
42.3
41.0
16.3
49.0
34.6
9.5
46.7
43.8
5.3
59.1
35.6
7.0
60.9
32.0
7.1
46.4
46.4
0
50
50
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
20 andunder
21-30 31-40 41-50 51-60 61-70 71-80 81 andover
Hepatitis Screening Results by Age Group
HBsAg+ HBsAb+ Susc
613 11 12 7 3 5 3
50
55
25
56
36
11
6053
53
24
60
30
57
86
35 40
0%
20%
40%
60%
80%
100%
HBsAG+ HBsAb+ Susc
Hepatitis B Screening Results Among Different Ethnic Groups
SAS Statistical Significant Factors (N=1019)(Dependent Variable: HBsAg+)
>
Ind Variables N Cases Order Imp Odds Ratio P Value Estimate Age 18-35 209 1 3.837 0.0001 No Hep.Shot 758 2 3.555 0.0005 Age 35-45 251 3 2.210 0.0045 IV Drug Use 42 4 3.436 0.0048 Male 413 5 1.819 0.0084 Chinese 361 6 1.650 0.0307 Relatives 119 7 1.764 0.0626
C = 0.719
SAS Statistical Significant Factors (N=1019)(Dependent Variable: HBsAg+)
>
Summary of FindingsSummary of Findings
10% of clients screened were Hepatitis B antigen positive, which varied btwn AAPI subgroups.
Married clients have higher carrier rates (10.3%) than unmarried clients (8.2%).
Males (13%) are twice as likely to be infected with HBV as females (7%).
The age group most at risk for chronic HBV infection is 18 to 45 years for this group
Summary of Findings (Cont.)Summary of Findings (Cont.)
Those who receive the hep. B vaccine series are less likely to be infected with HBV
Immigrants from China are more likely to have chronic hepatitis B infection than other ethnic groups screened.
Having a family member with liver disease and IV drug use are also statistically significant risk factors for hepatitis B infection.