Assessing Physicians' Recommendations for Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) Testing Among Minority Populations in Greater Philadelphia and New York City

被引:2
作者
Begum, Thoin F. [1 ]
Patil, Vidya S. [1 ]
Zhu, Lin [1 ,2 ]
Yeh, Ming-Chin [3 ]
Gonzalez, Evelyn [4 ]
Fraser, Marilyn A. [5 ]
Lu, Wenyue [1 ]
Zhu, Steven [6 ]
Rubio-Torio, Nathaly [7 ]
Ma, Grace X. [1 ,2 ]
Tan, Yin [1 ]
机构
[1] Temple Univ, Ctr Asian Hlth, Lewis Katz Sch Med, Philadelphia, PA 19140 USA
[2] Temple Univ, Lewis Katz Sch Med, Dept Urban Hlth & Populat Sci, Philadelphia, PA 19140 USA
[3] CUNY, Hunter Coll, Nutr Program, New York, NY USA
[4] Temple Univ Hlth Syst, Fox Chase Canc Ctr, Off Community Outreach, Philadelphia, PA USA
[5] Arthur Ashe Inst Urban Hlth, New York, NY USA
[6] Penn United Chinese Coalit, Philadelphia, PA USA
[7] Voces Latinas Corp, Jackson Hts, NY USA
基金
美国国家卫生研究院;
关键词
Cancer Epidemiology; Disparities; Hepatitis B; Hepatitis C; Liver cancer; Minority race/ethnicity; PRIMARY LIVER-CANCER; UNITED-STATES; HEPATOCELLULAR-CARCINOMA; ETHNIC-DIFFERENCES; VIRAL-HEPATITIS; RISK-FACTORS; CARE; PREVALENCE; INFECTION; VACCINATION;
D O I
10.1007/s10900-023-01316-3
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Deaths from liver cancer are on the rise and disproportionately affect minority racial/ethnic groups. In this study, we examined associations between physicians' recommendations for hepatitis B virus (HBV) and hepatitis C virus (HCV) screening and sociodemographic and lifestyle factors among minority populations in the areas of Greater Philadelphia and New York City. Using Poisson regression with robust variance estimation, we evaluated potential associations for 576 Hispanic American (HA), African American (AA), and Asian Pacific American (APA) adults, using blood tests as an outcome measure, with adjustment for sociodemographic factors We found that APAs (34.2%) were most likely to have a physician recommend HBV and HCV screening tests (34.2% and 27.1%, respectively), while HAs were least likely to receive an HBV recommendation (15.0%) and AAs were least likely to receive an HCV recommendation (15.3%). HAs were significantly likely to have never received a blood test for either HBV or HCV (RR = 1.25, 95% CI: 1.05, 1.49). APAs were significantly more likely to receive a screening recommendation for HBV (RR = 1.10, 95%CI: 1.01, 1.20) and to have a blood test (RR = 1.57, 95% CI: 1.06, 2.33). Our findings show that, among HAs, AAs, and APAs, physician recommendations are strongly associated with patients undergoing blood tests for HBV and HCV and that minority populations should increasingly be recommended to screen for HBV and HCV, especially given their elevated risk.
引用
收藏
页码:588 / 597
页数:10
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