- Volume 14 Issue 8
DOI QR Code
Community Health Worker Hepatitis B Education for Cambodian American Men and Women
- Taylor, Victoria Mary (Division of Public Health Sciences, Fred Hutchinson Cancer Research Center) ;
- Burke, Nancy Jean (Department of Anthropology, History and Social Medicine, University of California at San Francisco) ;
- Sos, Channdara (Division of Public Health Sciences, Fred Hutchinson Cancer Research Center) ;
- Do, Huyen Hoai (Division of Public Health Sciences, Fred Hutchinson Cancer Research Center) ;
- Liu, Qi (School of Public Health, University of Alberta) ;
- Yasui, Yutaka (School of Public Health, University of Alberta)
- Published : 2013.08.30
Background: Cambodian Americans have high rates of chronic hepatitis B virus (HBV) infection and liver cancer. There is very limited information about the utility of community health worker (CHW) approaches to cancer education for Asian American men. We have previously reported our positive findings from a trial of CHW education about HBV for Cambodian Americans who had never been tested for HBV. This report describes similarities and differences between the outcomes of our CHW HBV educational intervention among Cambodian American men and women. Methods: The study group for this analysis included 87 individuals (39 men and 48 women) who were randomized to the experimental (HBV education) arm of our trial, participated in the CHW educational intervention, and provided follow-up data six months post-intervention. We examined HBV testing rates at follow-up, changes in HBV-related knowledge between baseline and follow-up, and barriers to HBV testing (that were reported to CHWs) by gender. Results: At follow-up, 15% of men and 31% of women reported they had received a HBV test (p=0.09). HBV-related knowledge levels increased significantly among both men and women. With respect to HBV testing barriers, women were more likely than men to cite knowledge deficits, and men were more likely than women to cite logistic issues. Discussion: Our study findings indicate that CHW interventions can positively impact knowledge among Cambodian American men, as well as women. They also suggest CHW interventions may be less effective in promoting the use of preventive procedures by Cambodian American men than women. Future CHW research initiatives should consider contextual factors that may differ by gender and, therefore, potentially influence the relative effectiveness of CHW interventions for men versus women.
Cambodian Americans;hepatitis B infection;liver cancer;community health workers
- Arvey SR, Fernandez ME (2012). Identifying the core elements of effective community health worker programs: a research agenda. Am J Public Health, 102, 1633-7. https://doi.org/10.2105/AJPH.2012.300649
- Brownstein JN, Hirsch GR, Rosenthal EL, Rush CH (2011). Community health workers 101 for primary care providers and other stakeholders in health care systems. J Ambulatory Care Manage, 34, 210-20. https://doi.org/10.1097/JAC.0b013e31821c645d
- Burke N, Do HH, Talbot J, et al (2011). Chumnguh Thleum: understanding liver illness and hepatitis B among Cambodian immigrants. J Community Hlth, 36, 27-34.
- Chao SD, Chang ET, So SK (2009). Eliminating the threat of chronic hepatitis B in the Asian and Pacific Islander community: a call to action. Asian Pac J Cancer Prev, 10, 507-12.
- Glenton C, Lewin S, Scheel IB (2011). Still too little qualitative research to shed light on results from reviews of effectiveness trials: a case study of a Cochrane review on the use of lay health workers. Implement Sci, 6, 53-7. https://doi.org/10.1186/1748-5908-6-53
- Goodwin K, Tobler L (2008). Community health workers: expanding the scope of the health care delivery system. Washington DC, National Conference of State Legislators.
- Grigg-Saito D, Toof R, Silka L, et al (2010). Long-term development of a whole community best practice model to address health disparities in the Cambodian refugee and immigrant community of Lowell, Massachusetts. Am J Public Health, 100, 2026-9. https://doi.org/10.2105/AJPH.2009.177030
- Hmong Studies Internet Resource center. Selected population profile in the United States-2011 American Community Survey: Cambodians. www.hmongstudies.org.
- Hou SI, Sealy DA, Kabiru CW (2011). Closing the disparity gap: interventions among Asians-a systematic review. Asian Pac J Cancer Prev, 12, 3133-9.
- Institute of Medicine (2010). Hepatitis and liver cancer: a national strategy for prevention and control of hepatitis B and C. Washington DC, The National Academies Press.
- Martinez J, Ro M, Villa NW, Powell W, Knickman JR (2011). Transforming the delivery of care in the post-health reform era: what role will community health workers play? Am J Public Health, 101, 1-5.
- Miller BA, Chu KC, Hankey BF, Ries LA (2006). Cancer incidence and mortality patterns among specific Asian and Pacific Islander populations. Cancer Causes Control, 19, 227-56.
- Nguyen TT, Love MB, Liang C, et al (2010). A pilot study of lay health worker outreach and colorectal cancer screening among Chinese Americans. J Cancer Educ, 25, 405-12. https://doi.org/10.1007/s13187-010-0064-3
- Parkin DM (2006). The global burden of infection-associated cancers in the year 2002. Int J Cancer, 118, 3130-44.
- Pollack H, Wang S, Wyatt L, et al (2011). A comprehensive screening and treatment model for reducing disparities in hepatitis B. Health Aff, 30, 1974-83. https://doi.org/10.1377/hlthaff.2011.0700
- Rhodes SD, Foley KL, Zometa CS, Bloom FR (2007). Lay health advisor interventions among Hispanics/Latinos. Am J Prev Med, 33, 418-27. https://doi.org/10.1016/j.amepre.2007.07.023
- Rosenthal EL, Brownstein JN, Rush CH, et al (2010). Community health workers: part of the solution. Health Aff, 29, 1338-42. https://doi.org/10.1377/hlthaff.2010.0081
- Smith-Hefner NJ (1999). Khmer American. Berkeley, University of California Press.
- Taylor VM, Nguyen TT, Jackson JC, McPhee SJ (2008). Cervical cancer control research in Vietnamese American communities. Cancer Epidemiol Biomarkers Prev, 17, 2924-30. https://doi.org/10.1158/1055-9965.EPI-08-0386
- Taylor VM, Hislop TG, Tu SP, et al (2009). Evaluation of a hepatitis B lay health worker intervention for Chinese Americans and Canadians. J Community Health, 34, 165-72. https://doi.org/10.1007/s10900-008-9138-0
- Taylor VM, Talbot J, Do HH, et al (2011). Hepatitis B knowledge and practices among Cambodian Americans. Asian Pac J Cancer Prev, 12, 957-60.
- Taylor VM, Bastani R, Burke N, et al (2012). Factors associated with hepatitis B testing among Cambodian American men and women. J Immigr Minor Health, 14, 30-8. https://doi.org/10.1007/s10903-011-9536-8
- Taylor VM, Bastani R, Burke N, et al (2013). Evaluation of a hepatitis B lay health worker intervention for Cambodians. J Community Health, 38, 446-53.
- Viswanathan M, Kraschnewski JL, Nishikawa B, et al (2010). Outcomes of community health worker interventions: a systematic review. Med Care, 48, 792-808. https://doi.org/10.1097/MLR.0b013e3181e35b51
- Weinbaum CM, Williams I, Mast EE, et al (2008). Recommendations for identification and public health management of persons with chronic hepatitis B virus infection. MMWR, 57, 1-20.
- Wells KJ, Luque JS, Miladinovic B, et al (2011). Do community health worker interventions improve rates of screening mammography in the United States? A systematic review. Cancer Epidemiol Biomarkers Prev, 20, 1580-98. https://doi.org/10.1158/1055-9965.EPI-11-0276
- Wong R, Corley DA (2008). Racial and ethnic variations in hepatocellular carcinoma incidence within the United States. Am J Med, 121, 525-31. https://doi.org/10.1016/j.amjmed.2008.03.005
- Development of a Family Nursing Model for Prevention of Cancer and Other Noncommunicable Diseases through an Appreciative Inquiry vol.15, pp.23, 2015, https://doi.org/10.7314/APJCP.2014.15.23.10367
- Determinants of uptake of hepatitis B testing and healthcare access by migrant Chinese in the England: a qualitative study vol.17, pp.1, 2017, https://doi.org/10.1186/s12889-017-4796-4
- Improving access to health care for chronic hepatitis B among migrant Chinese populations: A systematic mixed methods review of barriers and enablers vol.24, pp.7, 2017, https://doi.org/10.1111/jvh.12673
- in community health work with Cambodian Americans vol.26, pp.6, 2018, https://doi.org/10.1111/hsc.12612
- Helping to prevent hepatitis B in family setting, by educating women to vaccinate before marriage vol.33, pp.6, 2018, https://doi.org/10.1080/19371918.2018.1487358