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Hepatitis B and Hepatocellular Carcinoma Screening Among Asian Americans: Survey of Safety Net Healthcare Providers by Mandana Khalili; Jennifer Guy; Albert Yu; Alexander Li; Nadia Diamond-Smith; Susan Stewart; Moon Chen; Tung Nguyen is a Medicine article available to read on EtoBox.

What is Hepatitis B and Hepatocellular Carcinoma Screening Among Asian Americans: Survey of Safety Net Healthcare Providers about?

## Background Physician patterns of screening for hepatitis B (HBV) and hepatocellular carcinoma (HCC) among Asian Americans are not well described. ## Aims To describe HBV and HCC screening practices among providers with large Asian American populations. ## Methods Providers within San Francisco’s safety net system were surveyed with respect to HBV and HCC screening practices as well as knowledge, attitudes, and barriers to HCC screening. ## Results Among the 109 respondents (response rate = 72%), 62% were aged >40, 65% female, 24% Asian, 87% primary care providers, and 48% had >25% Asian patients. Only 76% had screened >50% of their Asian patients for HBV and 43% had vaccinated >50% of eligible patients against HBV. Although 94% knew Asians were disproportionately affected by HCC, only 79% had screened for HCC in >50% of their Asian patients with chronic hepatitis B (CHB). A majority believed that HCC screening in CHB reduces HCC mortality (70%) and is cost-effective (57%). The most common HCC screening modality was AFP with abdominal ultrasound every 6–12 months (63%). Factors associated with HBV screening were familiarity with AASLD guidelines (OR 6.4, 95% CI 1.3–30.1, __p__ =

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Author

Mandana Khalili; Jennifer Guy; Albert Yu; Alexander Li; Nadia Diamond-Smith; Susan Stewart; Moon Chen; Tung Nguyen

Publisher

Springer US; Springer-Verlag; Kluwer Academic/Plenum Publishers; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 0163-2116)

Published

2010

Language

EN

Field

Medicine (Health Sciences)