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Increasing Hepatitis B Screening Among Korean Church Attendees

Increasing Hepatitis B Screening Among Korean Church Attendees. Roshan Bastani, PhD Principal Investigator Vicky Taylor, MD, MPH Co-Principal Investigator (FHCC) Beth Glenn, PhD Co-Investigator Annette Maxwell, DrPH Co-Investigator

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Increasing Hepatitis B Screening Among Korean Church Attendees

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  1. Increasing Hepatitis B Screening Among Korean Church Attendees Roshan Bastani, PhD Principal Investigator Vicky Taylor, MD, MPH Co-Principal Investigator (FHCC) Beth Glenn, PhD Co-Investigator Annette Maxwell, DrPH Co-Investigator Angela Jo, MD, MPH Co-Investigator Weng Kee Wong, PhD Co-Investigator UCLA School of Public Health, Jonsson Comprehensive Cancer Center, Division of Cancer Prevention & Control Research Study funded by the National Cancer Institute

  2. 2nd highest liver cancer rates among Asians 3rd most populous Asian group Up to 12% of Koreans chronically infected with hep B No liver cancer prevention efforts targeting Koreans Focus on Korean Americans Low hep B serologic testing rates Immigrant population = greater hep B risk

  3. Results of Pilot Study in Korean Community • 141 Korean Americans from churches and a clinic • Only 56% ever had a hepatitis B test • 34% did not know Koreans at higher risk for hepatitis B • Only 36% knew hepatitis B infection can be lifelong • Common barriers to testing • Fear of a bad diagnosis (75%) • Cost of test (61%) • Time (46%) • Church preferred site to receive health information vs. worksite, clinic, health fair

  4. No evidence based programs for hepatitis B Adaptation necessary: for content & ethnicity Small group: Cost-efficient & consistent More likely to be sustained after grant Rationale for Church-Based Intervention Church-based programs successful in other minorities 80% of Koreans attend church regularly

  5. Study Design Identification of Churches (n = 40) Intervention Churches N=20 Comparison Churches N=20 In-Person Baseline Interview N = 448 In-Person Baseline Interview N = 448 Hepatitis B Small Group Session Physical Activity/Nutrition Small Group Session 6-Month Telephone Follow-up Interview

  6. The Health Behavior Framework I N T E R V E N T I O N S Individual Factors Knowledge Communication & rapport with provider Health Beliefs Social Support Cultural Factors Barriers/Supports Hepatitis B serologic testing Intentions Institutional Factors Language differences Navigation problems • Demographics • Medical History • Insurance

  7. Group Intervention Session: Process Blend of discussion group & educational presentation Information presented verbally, visually and in-print to enhance interest & retention Social norms & Active participation Group format Culturally competent intervention Assures acceptance & effectiveness

  8. Strengths of Projects • Adaptation of existing church based programs focused on increasing hepatitis B testing • Opportunity to document process of adaptation • Utilizing a rigorous evaluation • Collaboration across CPCRN network sites will allow for: • Sharing of complementary expertise and experiences • Understanding of similarities and differences between Koreans and Chinese • Lessons learned can be used to adapt programs for other ethnic groups at risk for hepatitis B and liver cancer

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