TY - JOUR AU - Juon, Hee-Soon AU - Lee, Sunmin AU - Strong, Carol AU - Rimal, Rajiv AU - Kirk, Gregory D AU - Bowie, Janice PY - 2014 TI - Effect of a Liver Cancer Education Program on Hepatitis B Screening Among Asian Americans in the Baltimore-Washington Metropolitan Area, 2009-2010 T2 - Preventing Chronic Disease JO - Prev Chronic Dis SP - E18 VL - 11 CY - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. N2 - INTRODUCTION Asian Americans have the highest incidence of hepatocellular carcinoma (HCC), the major form of primary liver cancer, of all ethnic groups in the United States. Chronic hepatitis B virus (HBV) infection is the most common cause of HCC, and as many as 1 in 10 foreign-born Asian Americans are chronically infected with HBV. We tested the effectiveness of a culturally tailored liver cancer education program for increasing screening for HBV among Chinese, Korean, and Vietnamese Americans residing in the Baltimore-Washington metropolitan area, from November 2009 through June 2010. METHODS We used a cluster randomized controlled trial to recruit volunteer participants from community-based organizations (CBOs) in the Baltimore-Washington metropolitan area. We selected 877 participants by using a pretest survey. People were eligible to participate if they had not attended a hepatitis B-related education program in the past 5 years. The intervention group (n = 441) received a 30-minute educational program, and the control group (n = 436) received an educational brochure. After attending the educational program, the intervention group completed a post-education survey. Six months later, participants in both groups were followed up by telephone. Receipt of HBV screening was the outcome measure. RESULTS Approximately 79% (n = 688) of participants completed the 6-month follow-up telephone survey. Among those who had not had HBV screening at baseline (n = 446), the adjusted odds of self-reported receipt of HBV screening at the 6-month follow-up to the educational program were significantly higher for the intervention group than for the control group (odds ratio = 5.13; 95% confidence interval, 3.14-8.39; P < .001). Chinese Americans and Vietnamese Americans had significantly higher odds of having HBV screening in the 6-month period than Korean Americans. CONCLUSION Culturally tailored education programs that increase liver cancer awareness can be effective in increasing HBV screening among underserved Asian American populations. SN - 1545-1151 UR - http://dx.doi.org/10.5888/pcd11.130258 DO - 10.5888/pcd11.130258 ER -