San Francisco hep B free: a grassroots community coalition to prevent hepatitis B and liver cancer.
Chronic hepatitis B is the leading cause of liver cancer and the largest health disparity between Asian/Pacific Islanders (APIs) and the general US population. The Hep B Free model was launched to eliminate hepatitis B infection by increasing hepatitis B awareness, testing, vaccination, and treatment among APIs by building a broad, community-wide coalition. The San Francisco Hep B Free campaign is a diverse public/private collaboration unifying the API community, health care system, policy makers, businesses, and the general public in San Francisco, California. Mass-media and grassroots messaging raised citywide awareness of hepatitis B and promoted use of the existing health care system for hepatitis B screening and follow-up. Coalition partners reported semi-annually on activities, resources utilized, and system changes instituted. From 2007 to 2009, over 150 organizations contributed approximately $1,000,000 in resources to the San Francisco Hep B Free campaign. 40 educational events reached 1,100 healthcare providers, and 50% of primary care physicians pledged to screen APIs routinely for hepatitis B. Community events and fairs reached over 200,000 members of the general public. Of 3,315 API clients tested at stand-alone screening sites created by the campaign, 6.5% were found to be chronically infected and referred to follow-up care. A grassroots coalition that develops strong partnerships with diverse organizations can use existing resources to successfully increase public and healthcare provider awareness about hepatitis B among APIs, promote routine hepatitis B testing and vaccination as part of standard primary care, and ensure access to treatment for chronically infected individuals.
Asian Liver Center at Stanford University, 490 S. California Ave, Suite 300, Palo Alto, CA 94301, USA. merb00@stanford.edu
Meredith B
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Bailey
Rita
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Shiau
Janet
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Zola
Susan E
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Fernyak
Ted
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Fang
Samuel K S
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Ellen T
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Chang
D000293:Adolescent; D000328:Adult; D000368:Aged; D044466:Asian People / Q000706:statistics & numerical data*; D003153:Community Health Services / Q000458:organization & administration; D019058:Community Networks / Q000458:organization & administration*; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006293:Health Promotion / Q000458:organization & administration*; D019694:Hepatitis B, Chronic / Q000208:ethnology / Q000517:prevention & control*; D006801:Humans; D008113:Liver Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D012495:San Francisco / Q000453:epidemiology; D055815:Young Adult