title: Hepatitis B screening and vaccination practices in asian american primary care.
abstract: OBJECTIVE
  Screening for hepatitis B virus (HBV) is recommended in populations with anticipated prevalence ≥2%. This study surveyed HBV screening and vaccination practices of Asian American primary care providers (PCPs).
  
  
  METHODS
  Approximately 15,000 PCPs with Asian surnames in the New York, Los Angeles, San Francisco, Houston, and Chicago areas were invited to participate in a web-based survey. Asian American PCPs with ≥25% Asian patients in their practice were eligible.
  
  
  RESULTS
  Of 430 (2.9%) survey respondents, 217 completed the survey. Greater than 50% followed ≥200 Asian patients. Although 95% of PCPs claimed to have screened patients for HBV, 41% estimated that ≤25% of their adult Asian patients had ever been screened, and 50% did not routinely screen all Asian patients. In a multivariable analysis, the proportion of Asian patients in the practice, provider geographic origin and the number of liver cancers diagnosed in the preceding 12 months were significantly associated with a higher likelihood of screening for HBV. Over 80% of respondents reported that ≤50% of their adult Asian patients had received the HBV vaccine.
  
  
  CONCLUSIONS
  Screening and vaccination for HBV in Asian American patients is inadequate. Measures to improve HBV knowledge and care by primary-care physicians are critically needed.
authors.affiliation: Division of Gastroenterology and Hepatology, Albert Einstein College of Medicine, New York, NY, USA.
authors.forename: Danny
authors.initials: D
authors.lastname: Chu
authors.forename: Ju Dong
authors.initials: JD
authors.lastname: Yang
authors.forename: Anna S
authors.initials: AS
authors.lastname: Lok
authors.forename: Tram
authors.initials: T
authors.lastname: Tran
authors.forename: Eduardo Bruno
authors.initials: EB
authors.lastname: Martins
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Fagan
authors.forename: Franck
authors.initials: F
authors.lastname: Rousseau
authors.forename: W Ray
authors.initials: WR
authors.lastname: Kim
keywords: Chronic hepatitis B; Hepatitis B virus
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