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- Title
Viral Hepatitis Among African Immigrants with Hepatocellular Carcinoma in Minnesota: High Prevalence Yet Low Awareness.
- Authors
Udompap, Prowpanga; Moscoso, Carlos G.; Anugwom, Chimaobi; KC, Mandip; Lim, Nicholas; Lake, John; Hassan, Mohamed
- Abstract
We aimed to study the virologic profile of immigrants from Africa with viral hepatitis-related hepatocellular carcinoma (HCC) who received care at our institution. We conducted a descriptive study among African-born patients with HCC who received care at University of Minnesota Medical Center from 2011 to 2018. We analyzed the prevalence, virologic profiles and treatment of hepatitis B virus (HBV) and hepatitis C virus (HCV) infections prior to HCC diagnosis. 74 African-born patients with HCC were eligible for analysis. 54 had HCV and 20 had HBV infection. 80% of HBV patients were treated but remained with inadequate viral suppression at the time of HCC diagnosis while only 39% of HCV patients were treated prior to HCC diagnosis. Lost to follow up was common in both groups. Our findings suggest that there is a significant gap in appropriate viral hepatitis care in an African immigrant population in Minnesota. Culturally-appropriate strategies are needed to bridge this gap.
- Subjects
SOMALIA; AFRICA; MINNESOTA; HEPATITIS B treatment; HEPATITIS C treatment; IMMIGRANTS; HEPATITIS B; PATIENT aftercare; ACADEMIC medical centers; DNA; VIRAL hepatitis; RESEARCH methodology; VIRAL load; SERODIAGNOSIS; HEPATITIS C; RETROSPECTIVE studies; TERTIARY care; ACQUISITION of data; MANN Whitney U Test; FISHER exact test; ANTIVIRAL agents; TREATMENT effectiveness; TUMOR classification; MEDICAL records; MIXED infections; SYMPTOMS; CHI-squared test; RESEARCH funding; VIROLOGY; ELECTRONIC health records; SENSITIVITY &; specificity (Statistics); DATA analysis software; HEPATOCELLULAR carcinoma; AFRICAN Americans; ANTIGENS; DISEASE risk factors
- Publication
Journal of Immigrant & Minority Health, 2023, Vol 25, Issue 2, p357
- ISSN
1557-1912
- Publication type
Article
- DOI
10.1007/s10903-022-01400-1