ORiginal Article : Hepatitis B Screening and Vaccination Practices in Asian American Primary Care

분야: 의약학 > 내과학
저자: ( Danny Chu ) , ( Ju Dong Yang ) , ( Anna S Lok ) , ( Tram Tran ) , ( Eduardo Bruno Martins ) , ( Elizabeth Fagan ) , ( Franck Rousseau ) , ( W Ray Kim )
발행기관: 대한간학회
간행물정보: Gut and Liver 2013년, 제7권 제4호, 450~457페이지(총8페이지)
파일형식: 27405925.pdf [무료 PDF 뷰어 다운로드]
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Optimization of antiviral therapy in CHB - an experience of real practice

영문초록

Background/Aims: Screening for hepatitis B virus (HBV) is recommended in populations with anticipated prevalence ≥2%. This study surveyed HBV screening and vaccination practices of Asian American primary care providers (PCPs). Methods: Approximately 15,000 PCPs with Asian surnames in the New York, Los Angeles, San Francisco, Houston, and Chicago areas were invited to participate in a web-based sur￢vey. Asian American PCPs with ≥25% Asian patients in their practice were eligible. Results: Of 430 (2.9%) survey respon￢dents, 217 completed the survey. Greater than 50% followed ≥200 Asian patients. Although 95% of PCPs claimed to have screened patients for HBV, 41% estimated that ≤25% of their adult Asian patients had ever been screened, and 50% did not routinely screen all Asian patients. In a multivariable analysis, the proportion of Asian patients in the practice, provider geographic origin and the number of liver cancers diagnosed in the preceding 12 months were significantly as￢sociated with a higher likelihood of screening for HBV. Over 80% of respondents reported that ≤50% of their adult Asian patients had received the HBV vaccine. Conclusions: Screen￢ing and vaccination for HBV in Asian American patients is inadequate. Measures to improve HBV knowledge and care by primary-care physicians are critically needed.

#Hepatitis B virus # Chronic hepatitis B

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