Disparities in Hepatitis B Virus Infection and Immunity Among New York City Asian American Patients, 1997 to 2017

• DOI: 10.2105/ajph.2018.304504
• Publication Date: 2018-11-01T20:50:48Z
• Authors: Amy S. Tang; Janice Lyu; Su Wang; Qingqing He; Perry Pong; Aaron M. Harris
• Keywords: Adult; Aged, 80 and over; Male; Hepatitis B virus; Adolescent; Asian; Middle Aged; Hepatitis B; 3. Good health; Young Adult; 03 medical and health sciences; 0302 clinical medicine; Seroepidemiologic Studies; Humans; Female; New York City; Healthcare Disparities; Hepatitis B Antibodies; Aged; Retrospective Studies

Objectives. To measure disparities in hepatitis B virus (HBV) infection and immunity among a high-risk patient population at community health center New York City. Methods. We performed retrospective chart review of 25 565 adults with HBV surface antigen, antibody, total core antibody tests from 1997 to 2017. categorized test results by status analyzed demographic characteristics χ 2 logistic regression analysis. Results. Of adults, 13.4% were currently infected, 52.1% ever 33.4% immune vaccination, 14.5% susceptible. Significant factors associated age, male sex, being China-born, limited English proficiency, having Medicaid or no insurance, family history (P < .01). Conclusions. Our study demonstrated high burden foreign-born Asian Americans seeking care center. Public Health Implications. It is important patients risk for all 3 identify those current infection, reactivation, need assess the effectiveness public interventions.