title: Multilevel factors influencing hepatitis B screening and vaccination among Vietnamese Americans in Atlanta, Georgia.
abstract: Chronic hepatitis B virus (HBV) infection may lead to liver cirrhosis, chronic liver disease, and liver cancer. Immunization rates are suboptimal among Asian Americans/Pacific Islanders (AAPIs), who remain disproportionately affected by these illnesses. We investigated socioecological factors affecting HBV prevention among 316 Vietnamese Americans in Atlanta, Georgia. Social and community support of HBV vaccination was associated with screening (OR=1.69, 95% CI [1.21,2.38]), vaccination (OR=1.89, [1.27,2.81]), and intent to vaccinate (OR=1.77, [1.13,2.78]). Misconceptions decreased screening likelihood (OR=0.67, [0.46,0.99]) and vaccination (OR=0.55, [0.35,0.86]). Those able to pay for medical treatment (OR=1.23, [1.01,1.50]) were also more likely immunized, and greater transportation access (OR=1.42, [1.07,1.87]) was associated with greater intention to vaccinate. Multi-level factors facilitated HBV vaccination in this population. Tailored, culturally appropriate communication strategies will positively influence immunization uptake.
authors.affiliation: Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, Atlanta, Georgia ; The Hope Clinic of the Emory Vaccine Center, Atlanta, Georgia ; Emory University, Rollins School of Public Health, Departments of Behavioral Sciences and Health Education, Atlanta, Georgia.
authors.forename: Paula M
authors.initials: PM
authors.lastname: Frew
authors.affiliation: Emory University, Rollins School of Public Health, Department of Biostatistics, Atlanta, Georgia.
authors.forename: Brooke
authors.initials: B
authors.lastname: Alhanti
authors.affiliation: Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, Atlanta, Georgia ; Emory University, Rollins School of Public Health, Departments of Behavioral Sciences and Health Education, Atlanta, Georgia.
authors.forename: Linda
authors.initials: L
authors.lastname: Vo-Green
authors.affiliation: Emory University, Rollins School of Public Health, Departments of Epidemiology, Atlanta, Georgia.
authors.forename: Siyu
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Emory University, Rollins School of Public Health, Department of Biostatistics, Atlanta, Georgia.
authors.forename: Chang
authors.initials: C
authors.lastname: Liu
authors.affiliation: Boat People SOS, Atlanta, Georgia.
authors.forename: Tranh
authors.initials: T
authors.lastname: Nguyen
authors.affiliation: Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, Atlanta, Georgia.
authors.forename: Jay
authors.initials: J
authors.lastname: Schamel
authors.affiliation: Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, Atlanta, Georgia ; The Hope Clinic of the Emory Vaccine Center, Atlanta, Georgia.
authors.forename: Diane S
authors.initials: DS
authors.lastname: Saint-Victor
authors.affiliation: Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, Atlanta, Georgia.
authors.forename: Minh Ly
authors.initials: ML
authors.lastname: Nguyen
mesh_terms: D000328:Adult; D001213:Asian / Q000706:statistics & numerical data*; D003710:Demography; D005260:Female; D005845:Georgia / Q000453:epidemiology; D006509:Hepatitis B / Q000453:epidemiology / Q000276:immunology* / Q000517:prevention & control*; D017325:Hepatitis B Vaccines / Q000276:immunology; D006801:Humans; D033182:Intention; D008297:Male; D008403:Mass Screening; D055361:Multilevel Analysis; D015999:Multivariate Analysis; D014611:Vaccination
chemical_list: D017325:Hepatitis B Vaccines
keywords: Asian Americans; Vietnamese American; community attitudes; community intervention; health disparities; hepatitis B; vaccine acceptability; vaccine refusal