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Asian Health Coalition of Illinois Hepatitis Education & Prevention Program (HEPP) Program Overview Hong Liu, Ph.D. Executive Director Program Activities HEPP Minority Community Outreach Public School Outreach Provider Education/ Training Adult Screening/ Education Hepatitis B Screening Results 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 Objectives To determine HBV carrier rate for different AAPI subgroups To determine HBV susceptible rate To survey HBV risk factors in AAPI To provide hepatitis B education and referral for immunization and treatment Hepatitis B Screening Overall Results (Total Number = 1019) HBsAg+ 10% Susc 37% HBsAb+ 53% Hepatitis B Screeing Results for HBsAg+ by Marital Status 12% 10% 10.27% 8.23% 8.14% 8% 6% 4% 2% 0% Single Married Unknown Hepatitis B Screening Results for HBsAg+ by Gender 13% 14% Percentage 12% 10% 7% 8% 6% 4% 2% 0% Male Female Hepatitis Screening Results by Age Group 100% 90% 32.1 41.0 80% 34.6 35.6 32.0 43.8 46.4 50 70% 60% 50% 40% 42.3 49.0 67.9 46.7 59.1 60.9 46.4 30% 50 20% 16.7 10% 0% 16.3 9.5 0.0 20 and under 21-30 31-40 HBsAg+ 41-50 5.3 7.0 7.1 51-60 61-70 71-80 HBsAb+ Susc 0 81 and over Hepatitis B Screening Results Among Different Ethnic Groups 100% 24 80% 30 35 53 40 57 60 60% 86 55 40% 56 60 HBsAG+ 11 3 HBsAb+ Susc ia n 3 Et he op er 5 O th o/ Pa ki s 7 di an ot ia n La es e m iet na V hi n C ea n K or es e 6 0% 12 11 am bo 13 C 20% 53 36 25 In d 50 > > SAS SAS Statistical Statistical Significant Significant Factors Factors (N=1019) (N=1019) (Dependent (Dependent Variable: Variable: HBsAg+) HBsAg+) Ind Variables N Cases Order Imp Age 18-35 No Hep.Shot Age 35-45 IV Drug Use Male Chinese Relatives 209 758 251 42 413 361 119 Odds Ratio P Value Estimate 1 2 3 4 5 6 7 C = 0.719 3.837 3.555 2.210 3.436 1.819 1.650 1.764 0.0001 0.0005 0.0045 0.0048 0.0084 0.0307 0.0626 Summary 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.) 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. Research Limitation - Self reported data – Convenient sampling, not random selection – Missing data – Small population size in some communities (eg. Lao)