title: Survey of Asian patients with hepatitis B infection: limited knowledge of transmission and screening of family members.
abstract: Asian American families are disproportionately affected by Hepatitis B (HBV) infection. We aimed to assess the extent of screening family members of Asian patients with known HBV infection as well as patients' knowledge of HBV disease. A cross-sectional survey of established Asian patients with HBV-infection was performed at a university liver clinic. Outcome measures included the percentage of family members whose HBV serostatus was unknown and the percentage of patients who were able to correctly identify modes of transmission. A total of 803 US-based family members were identified by 58 patients. Patients did not know the HBV serostatus of 50% of their family members and 28% of their immediate family members. Fifty percent of participants did not know how they had acquired HBV or stated unlikely transmission modes. Though nationwide vaccination campaigns target this underrepresented population, screening family members of Asian patients with HBV remains a challenge.
authors.affiliation: Division of Infectious Diseases, University of California, San Francisco, 513 Parnassus Ave, Room S-380, San Francisco, CA, 94143-0654, USA, tara.vijayan@ucsf.edu.
authors.forename: Tara
authors.initials: T
authors.lastname: Vijayan
authors.forename: Patricia
authors.initials: P
authors.lastname: Zheng
authors.forename: Cynthia
authors.initials: C
authors.lastname: Nguyen
authors.forename: Abigail M
authors.initials: AM
authors.lastname: Brown
authors.forename: Yi-Wen
authors.initials: YW
authors.lastname: Chen
authors.forename: Marion G
authors.initials: MG
authors.lastname: Peters
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian; D005190:Family; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006509:Hepatitis B / Q000175:diagnosis* / Q000635:transmission*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014481:United States
references.citation: Curr Opin Infect Dis. 2008 Oct;21(5):508-15
references.pmid: 18725801
references.citation: J Gen Intern Med. 2010 Jul;25(7):694-700
references.pmid: 20306150
references.citation: Dig Dis Sci. 2011 Nov;56(11):3163-71
references.pmid: 21861105
references.citation: Am J Public Health. 2008 May;98(5):779-81
references.pmid: 18381978
references.citation: BMC Public Health. 2010 May 13;10:248
references.pmid: 20465810
references.citation: Am J Gastroenterol. 2008 Jul;103(7):1824-33
references.pmid: 18479498
references.citation: N Engl J Med. 2002 May 30;346(22):1682-3
references.pmid: 12037146
references.citation: Hepatology. 2007 Oct;46(4):1034-40
references.pmid: 17654490
references.citation: J Community Health. 2011 Aug;36(4):538-51
references.pmid: 21125320
references.citation: PLoS One. 2009 Sep 07;4(9):e6777
references.pmid: 19738904
references.citation: JAMA. 1985 Mar 22-29;253(12):1740-5
references.pmid: 3974052
references.citation: Am J Gastroenterol. 2007 Apr;102(4):767-72
references.pmid: 17397407
references.citation: N Engl J Med. 2004 Mar 11;350(11):1118-29
references.pmid: 15014185
references.citation: J Viral Hepat. 2011 Jun;18(6):377-83
references.pmid: 21143343
references.citation: Hepatology. 2012 Aug;56(2):776-7
references.pmid: 22777869
references.citation: MMWR Morb Mortal Wkly Rep. 2006 May 12;55(18):505-9
references.pmid: 16691180
references.citation: Ann Intern Med. 2007 Oct 2;147(7):460-9
references.pmid: 17909207
references.citation: J Cancer Educ. 2007 Spring;22(1):37-41
references.pmid: 17570807