Reducing liver cancer disparities: A community-based hepatitis-B prevention program for Asian-American communities

Chiehwen Ed Hsu, Louis Chih Hung Liu, Hee Soon Juon, Yu Wen Chiu, Julie Bawa, Ulder Tillman, Mark Li, Jerry Miller, Minqi Wang

Research output: Contribution to journalArticlepeer-review

49 Scopus citations


Objectives: Several Asian-American groups are at a higher risk of dying of liver diseases attributable to hepatitis-B infection. This culturally diverse community should be well informed of and protected against liver diseases. The present study assesses the knowledge of hepatitis B before and after a hepatitis-B educational program and determines the infection status of an Asian community. Methods: Nine Asian communities of Montgomery County, MD, enrolled in the hepatitis-B prevention program between 2005 and 2006. They attended culturally tailored lectures on prevention, completed self-administered pre- and posttests, and received blood screening for the disease. Results: More than 800 Asian Americans participated in the study. Knowledge of prevention was improved after educational delivery. The average infection rate was 4.5%, with Cambodian, Thai, Vietnamese, Chinese and Korean groups having higher infection rates. The age group of 36-45 had the highest percentage of carriers (9.1%). Conclusion: Many Asian groups, particularly those of a south-east Asian decent, were subject to a higher probability of hepatitis-B infection. At an increased risk are first-generation Asian immigrants, groups with low immunization rates and those aged 36-45. The findings provide potential directions for focusing preventive interventions on at-risk Asian communities to reduce liver cancer disparities.

Original languageEnglish (US)
Pages (from-to)900-907
Number of pages8
JournalJournal of the National Medical Association
Issue number8
StatePublished - Aug 2007
Externally publishedYes


  • Asian Americans
  • Cancer
  • Health disparities
  • Hepatitis
  • Liver
  • Minority health

ASJC Scopus subject areas

  • General Medicine


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