Evaluation of a Program to Improve Linkage to and Retention in Care Among Refugees with Hepatitis B Virus Infection — Three U.S. Cities, 2006–2018

Young, Janine; Payton, Colleen; Walker, Patricia F.; White, Daniel A.; Brandeland, Megan; Kumar, Gayathri S.; Jentes, Emily S.; Settgast, Ann; DeSilva, Malini B.

doi:10.15585/mmwr.mm6921a2

Cited by 15 publications

(14 citation statements)

References 7 publications

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“…Implementing a range of concurrent strategies was vital to HBI-DC ability to effectively reach and provide appropriate and affordable care to the different immigrant populations that they served [ 21 ]. Results from the present study are comparable to, if not exceed, the proportion of LTC among refugees with CHB after first diagnosis in the US as described in prior studies which ranged from 29 to 53% [ 10 , 12 , 21 – 28 ].…”

Section: Discussionsupporting

confidence: 88%

“…Linkage-to-care (LTC) was defined as having at least one medical visit documented post-diagnosis [ 11 ]. This is thought to be mainly attributed to insufficient counseling at diagnosis, unfamiliarity and difficulty navigating the US health care system, limited English proficiency, transportation, lack of health insurance coverage, and other competing priorities faced by this population [ 12 ]. Despite the availability of effective therapies, it is unclear whether treatment-eligible patients in the Washington–Baltimore Metropolitan area are willing to seek and receive treatment, and much is not known about the factors that affect their decision to seek follow-up treatment.…”

Section: Introductionmentioning

confidence: 99%

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Linkage-to-Care Following Community-Based HBV and HCV Screening Among Immigrants from the Washington–Baltimore Metropolitan Area, 2016–2019

Ciceron

Pan

et al. 2022

J Immigrant Minority Health

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Understanding characteristics that impact linkage-to-care (LTC) among individuals living with HBV and/or HCV can enhance public health efforts to provide tailored care services to prevent and treat viral hepatitis among immigrants. Using HBV/HCV screening and LTC data from immigrants (2016–2019), descriptive and logistic regression analyses were conducted to assess (1) the relationship between LTC and sociodemographic factors and (2) factors associated with HBV/HCV LTC. About 87% of those positive HBsAg had LTC and 52% had LTC among those with HCVAB and confirmed PCR. Access to care was an important LTC predictor for HBV–LTC: those who had neither health insurance nor primary care provider (PCP) were more likely to have HBV–LTC than those who had either health insurance or PCP (aOR = 2.95, 95% CI = 1.32–6.59). It is essential to equally provide HBV/HCV LTC support to all immigrants from countries with high prevalence regardless of access to care. Supplementary Information The online version contains supplementary material available at 10.1007/s10903-022-01327-7.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Linkage-to-Care Following Community-Based HBV and HCV Screening Among Immigrants from the Washington–Baltimore Metropolitan Area, 2016–2019

Ciceron

Pan

et al. 2022

J Immigrant Minority Health

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“…We show that patient age at baseline, Asian ethnicity and distance of residence from clinic are all strongly associated with retention in care versus loss to follow‐up. Published figures for retention in care of CHB patients agree that rates of loss to follow‐up of CHB patients are high 3–6 . The observation that younger patients have lower rates of retention in care is not surprising and has been shown to be a major determinant of outpatient attendance in the UK National Health Service 7 …”

Section: Discussionmentioning

confidence: 99%

Age, ethnicity and proximity to clinic determine retention in care of chronic hepatitis B patients

Mutimer

Elsharkawy

Hathorn

et al. 2022

Journal of Viral Hepatitis

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“…Type B viral hepatitis is one of the most common communicable diseases afflicting humans. It was estimated that 257 million persons worldwide have suffered from chronic HBV infection ( 29 ). Chronic HBV infection is the predominant cause of hepatocellular carcinoma (HCC).…”

Section: Discussionmentioning

confidence: 99%

Chronic Hepatitis Virus Infection Are Associated With High Risk of Gastric Cancer: A Systematic Review and Cumulative Analysis

Yang

Jiang

Wu³

et al. 2021

Front. Oncol.

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Mounting studies demonstrated both chronic hepatitis B virus (HBV) and chronic hepatitis C virus (HCV) infection might be associated not only with an increased risk of hepatocellular carcinoma but also extrahepatic malignancies, i.e., gastric cancer (GC). However, a quantitative result addressing the association between HBV/HCV infection and GC development is scarce. A systematic search to identify the eligible studies was performed in four databases, including MEDLINE, EMBASE, Cochrane Library, and the PsychINFO. The relationship between HBV/HCV infection and the risk of GC was quantified by calculating the hazard ratio (HR) with a 95% confidence interval (CI). More methodologies of this study were available in the PROSPERO (ID: CRD42021243719). Thirteen included studies involving 7,027,546 individuals (mean age, 42.6-71.9 years) were enrolled in the pooled analyses. Two articles provided the clinical data of both HBV and HCV infections. The proportion of high methodological quality studies was 76.9% (10/13). Synthetic results from 10 eligible studies of HBV showed that HBV infection was associated with a significantly higher risk of GC when compared with the healthy controls without HBV infection (pooled HR, 1.26; 95% CI, 1.08–1.47; P = 0.003; heterogeneity, I2 = 89.3%; P< 0.001). In line with this finding, the combined effect derived from five included studies of HCV also supported a significant positive association between chronic HBV infection and GC development (pooled HR, 1.88; 95% CI, 1.28–2.76; P = 0.001; heterogeneity, I2 = 74.7%; P = 0.003). In conclusion, both chronic HBV and HCV infections were related to a high risk of GC. The plausible mechanisms underlying such association might be correlated to HBV/HCV infection-induced persistent inflammation, immune dysfunction, and cirrhosis.Systematic Review RegistrationPROSPERO (http://www.crd.york.ac.uk/PROSPERO), identifier (CRD42021243719).

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Evaluation of a Program to Improve Linkage to and Retention in Care Among Refugees with Hepatitis B Virus Infection — Three U.S. Cities, 2006–2018

Cited by 15 publications

References 7 publications

Linkage-to-Care Following Community-Based HBV and HCV Screening Among Immigrants from the Washington–Baltimore Metropolitan Area, 2016–2019

Linkage-to-Care Following Community-Based HBV and HCV Screening Among Immigrants from the Washington–Baltimore Metropolitan Area, 2016–2019

Age, ethnicity and proximity to clinic determine retention in care of chronic hepatitis B patients

Chronic Hepatitis Virus Infection Are Associated With High Risk of Gastric Cancer: A Systematic Review and Cumulative Analysis

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