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

Hepatitis B Screening Overall Results(Total Number = 1019)

HBsAb+53%

Susc37%

HBsAg+10%

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.

Research LimitationResearch Limitation

- Self reported data– Convenient sampling, not random

selection– Missing data – Small population size in some

communities (eg. Lao)