title: The Jade Ribbon Campaign: a model program for community outreach and education to prevent liver cancer in Asian Americans.
abstract: The Jade Ribbon Campaign (JRC) is a culturally targeted, community-based outreach program to promote the prevention, early detection, and management of chronic hepatitis B virus (HBV) infection and liver cancer among Asian Americans. In 2001, 476 Chinese American adults from the San Francisco Bay Area attended an HBV screening clinic and educational seminar. The prevalence of chronic HBV infection was 13%; only 8% of participants showed serologic evidence of protective antibody from prior vaccination. Participants reported low preventive action before the clinic, but after one year, 67% of those with chronic HBV infection had consulted a physician for liver cancer screening, and 78% of all participants had encouraged family members to be tested for HBV. The increase in HBV awareness, screening, and physician follow-up suggests that culturally aligned interventions similar to the JRC may help reduce the disproportionate burden of disease to chronic HBV infection among Asian Americans.
authors.affiliation: Asian Liver Center, Stanford University School of Medicine, 300 Pasteur Drive H3680, Stanford, CA 94305, USA. stephanie.chao@stanford.edu
authors.forename: Stephanie D
authors.initials: SD
authors.lastname: Chao
authors.forename: Ellen T
authors.initials: ET
authors.lastname: Chang
authors.forename: Phuoc V
authors.initials: PV
authors.lastname: Le
authors.forename: Wijan
authors.initials: W
authors.lastname: Prapong
authors.forename: Michaela
authors.initials: M
authors.lastname: Kiernan
authors.forename: Samuel K S
authors.initials: SK
authors.lastname: So
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001213:Asian; D003153:Community Health Services / Q000458:organization & administration*; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D019694:Hepatitis B, Chronic / Q000150:complications / Q000175:diagnosis / Q000517:prevention & control*; D006801:Humans; D008113:Liver Neoplasms / Q000208:ethnology / Q000209:etiology / Q000517:prevention & control*; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D017678:Sex Distribution; D012959:Socioeconomic Factors; D055815:Young Adult