Grace X Ma1, Carolyn Y Fang1, Brenda Seals1, Ziding Feng1, Yin Tan1, Philip Siu1, Ming Chin Yeh1, Sarit A Golub1, Minhhuyen T Nguyen1, Tam Tran1, Minqi Wang1. 1. Grace X. Ma, Brenda Seals, and Yin Tan are with the Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA. Carolyn Y. Fang and Minhhuyen T. Nguyen are with the Fox Chase Cancer Center, Temple University Medical System, Philadelphia. Ziding Feng is with the Department of Biostatistics, Anderson Cancer Center, University of Texas, Houston. Philip Siu is with Chinatown Medical Services, Philadelphia. Ming Chin Yeh is with the Nutrition Program, Hunter College, City University of New York, New York, NY. Sarit A. Golub is with the Department of Psychology, Hunter College, City University of New York. Tam Tran is with the Viet Community, Asian American Buddhist Association, Philadelphia. Minqi Wang is with the School of Public Health, University of Maryland, College Park.
Abstract
OBJECTIVES: To evaluate the effectiveness of a community-based liver cancer prevention program on hepatitis B virus (HBV) screening among low-income, underserved Vietnamese Americans at high risk. METHODS: We conducted a cluster randomized trial involving 36 Vietnamese community-based organizations and 2337 participants in Pennsylvania, New Jersey, and New York City between 2009 and 2014. We randomly assigned 18 community-based organizations to a community-based multilevel HBV screening intervention (n = 1131). We randomly assigned the remaining 18 community-based organizations to a general cancer education program (n = 1206), which included information about HBV-related liver cancer prevention. We assessed HBV screening rates at 6-month follow-up. RESULTS: Intervention participants were significantly more likely to have undergone HBV screening (88.1%) than were control group participants (4.6%). In a Cochran-Mantel-Haenszel analysis, the intervention effect on screening outcomes remained statistically significant after adjustment for demographic and health care access variables, including income, having health insurance, having a regular health provider, and English proficiency. CONCLUSIONS: A community-based, culturally appropriate, multilevel HBV screening intervention effectively increases screening rates in a high-risk, hard-to-reach Vietnamese American population.
RCT Entities:
OBJECTIVES: To evaluate the effectiveness of a community-based liver cancer prevention program on hepatitis B virus (HBV) screening among low-income, underserved Vietnamese Americans at high risk. METHODS: We conducted a cluster randomized trial involving 36 Vietnamese community-based organizations and 2337 participants in Pennsylvania, New Jersey, and New York City between 2009 and 2014. We randomly assigned 18 community-based organizations to a community-based multilevel HBV screening intervention (n = 1131). We randomly assigned the remaining 18 community-based organizations to a general cancer education program (n = 1206), which included information about HBV-related liver cancer prevention. We assessed HBV screening rates at 6-month follow-up. RESULTS: Intervention participants were significantly more likely to have undergone HBV screening (88.1%) than were control group participants (4.6%). In a Cochran-Mantel-Haenszel analysis, the intervention effect on screening outcomes remained statistically significant after adjustment for demographic and health care access variables, including income, having health insurance, having a regular health provider, and English proficiency. CONCLUSIONS: A community-based, culturally appropriate, multilevel HBV screening intervention effectively increases screening rates in a high-risk, hard-to-reach Vietnamese American population.
Authors: C Cohen; S D Holmberg; B J McMahon; J M Block; C L Brosgart; R G Gish; W T London; T M Block Journal: J Viral Hepat Date: 2010-12-08 Impact factor: 3.728
Authors: Victoria M Taylor; Yutaka Yasui; Nancy Burke; Tung Nguyen; Anthony Chen; Elizabeth Acorda; John H Choe; J Carey Jackson Journal: Cancer Detect Prev Date: 2004
Authors: Kwame Owusu-Edusei; Harrell W Chesson; Thomas L Gift; Guoyu Tao; Reena Mahajan; Marie Cheryl Bañez Ocfemia; Charlotte K Kent Journal: Sex Transm Dis Date: 2013-03 Impact factor: 2.830
Authors: Grace X Ma; Minsun M Lee; Yin Tan; Alexandra L Hanlon; Ziding Feng; Theresa I Shireman; Joanne Rhee; Zhengyu Wei; Frank Wong; Han Seung Koh; Charles Kim; Whitney York Journal: Cancer Date: 2017-11-13 Impact factor: 6.860
Authors: Minsun Lee; Lin Zhu; Min Qi Wang; Zhengyu Wei; Yin Tan; Minhhuyen T Nguyen; Olorunseun O Ogunwobi; Grace X Ma Journal: Am J Health Behav Date: 2017-09-01
Authors: Linda K Ko; Isabel C Scarinci; Elizabeth G Bouchard; Bettina F Drake; Elisa M Rodriguez; Moon S Chen; Deanna Kepka; Aaron J Kruse-Diehr; Christie Befort; Jackilen Shannon; Paige E Farris; Amy Trentham-Dietz; Tracy Onega Journal: JNCI Cancer Spectr Date: 2022-03-02