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- Title
Evaluation of Hepatitis B Virus Screening, Vaccination, and Linkage to Care Among Newly Arrived Refugees in Four States, 2009-2011.
- Authors
Mitruka, Kiren; Pezzi, Clelia; Baack, Brittney; Burke, Heather; Cochran, Jennifer; Matheson, Jasmine; Urban, Kailey; Ramos, Marisa; Byrd, Kathy
- Abstract
Many U.S.-bound refugees originate from countries with intermediate or high hepatitis B virus (HBV) infection prevalence and have risk for severe liver disease. We evaluated HBV screening and vaccination of newly arrived refugees in four states to identify program improvement opportunities. Data on HBV testing at domestic health assessments (1/1/2009-12/31/2011) were abstracted from state refugee health surveillance systems. Logistic regression identified correlates of infection. Over 95% of adults aged ≥19 years (N = 24,647) and 50% of children (N = 12,249) were tested. Among 32,107 refugees with valid results, the overall infection prevalence was 2.9% (0.76-9.25%); HBV prevalence reflected the burden in birth countries. Birth in the Western Pacific region carried the greatest infection risk (adjusted prevalence ratio = 4.8, CI 2.9, 7.9). Care linkage for infection was unconfirmed. Of 7409 susceptible persons, 38% received 3 doses of hepatitis B vaccine. Testing children, documenting care linkage, and completing 3-dose vaccine series were opportunities for improvement.
- Subjects
CALIFORNIA; MASSACHUSETTS; MINNESOTA; UNITED States; WASHINGTON (State); HEPATITIS B; REFUGEES; HEALTH services accessibility; HEPATITIS B vaccines; MEDICAL screening; SERODIAGNOSIS; LOGISTIC regression analysis; CROSS-sectional method; RETROSPECTIVE studies; DATA analysis software; DESCRIPTIVE statistics; DIAGNOSIS
- Publication
Journal of Immigrant & Minority Health, 2019, Vol 21, Issue 1, p39
- ISSN
1557-1912
- Publication type
Article
- DOI
10.1007/s10903-018-0705-x