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RISS 인기검색어
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- 저자 : ( Elizabeth Fagan ) (검색결과 1 건)
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Hepatitis B Screening and Vaccination Practices in Asian American Primary Care
( Danny Chu ),( Ju Dong Yang ),( Anna S Lok ),( Tram Tran ),( Eduardo Bruno Martins ),( Elizabeth Fagan ),( Franck Rousseau ),( W Ray Kim ) 대한소화기학회 2013 Gut and Liver Vol.7 No.4
Background/Aims: 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. (Gut Liver 2013; 7:450-457)
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