PubMed:23613027 JSONTXT

{"project":"Allie","denotations":[{"id":"SS1_23613027_4_0","span":{"begin":379,"end":396},"obj":"expanded"},{"id":"SS2_23613027_4_0","span":{"begin":398,"end":401},"obj":"abbr"},{"id":"SS1_23613027_6_0","span":{"begin":662,"end":679},"obj":"expanded"},{"id":"SS2_23613027_6_0","span":{"begin":681,"end":684},"obj":"abbr"},{"id":"SS1_23613027_9_0","span":{"begin":1173,"end":1192},"obj":"expanded"},{"id":"SS2_23613027_9_0","span":{"begin":1194,"end":1196},"obj":"abbr"}],"relations":[{"id":"AE1_23613027_4_0","pred":"abbreviatedTo","subj":"SS1_23613027_4_0","obj":"SS2_23613027_4_0"},{"id":"AE1_23613027_6_0","pred":"abbreviatedTo","subj":"SS1_23613027_6_0","obj":"SS2_23613027_6_0"},{"id":"AE1_23613027_9_0","pred":"abbreviatedTo","subj":"SS1_23613027_9_0","obj":"SS2_23613027_9_0"}],"text":"Increasing hepatitis B screening for hmong adults: results from a randomized controlled community-based study.\nBACKGROUND: Hepatitis B-linked liver cancer disproportionately affects Hmong Americans. With an incidence rate of 18.9 per 100,000, Hmong Americans experience liver cancer at a rate that is 6 to 7 times more than that of non-Hispanic Whites. Serologic testing for the hepatitis B virus (HBV) is a principal means to prevent liver cancer-related deaths through earlier identification of those at risk.\nMETHODS: Academic researchers and Hmong leaders collaborated in the design, conduct, and evaluation of a 5-year randomized controlled trial testing a lay health worker (LHW) intervention to promote HBV testing among 260 Hmong adults through in-home education and patient navigation.\nRESULTS: Intervention group participants were more likely to report receiving serologic testing for HBV (24% vs. 10%, P = 0.0056) and showed a greater mean increase in knowledge score (1.3 vs. 0.3 points, P = 0.0003) than control group participants. Multivariable modeling indicated that self-reported test receipt was associated with intervention group assignment [OR 3.5; 95% confidence interval (CI) 1.3-9.2], improvement in knowledge score (OR 1.3 per point; 95% CI 1.02-1.7), female gender (OR 5.3; 95% CI 1.7-16.6), and having seen a doctor in the past year at baseline (OR 4.8; 95% CI 1.3-17.6). The most often cited reason for testing was a doctor's recommendation.\nCONCLUSIONS: LHWs were effective in bringing about HBV screening. Doctor visits and adherence to doctors' recommendations were pivotal. Participation of health care providers is essential to increase HBV testing.\nIMPACT: LHWs can significantly increase HBV screening rates for Hmong but their doctors' recommendation is highly influential and should be pursued."}

{"project":"PubmedHPO","denotations":[{"id":"T1","span":{"begin":142,"end":154},"obj":"HP_0002896"},{"id":"T2","span":{"begin":148,"end":154},"obj":"HP_0002664"},{"id":"T3","span":{"begin":270,"end":282},"obj":"HP_0002896"},{"id":"T4","span":{"begin":276,"end":282},"obj":"HP_0002664"},{"id":"T5","span":{"begin":435,"end":447},"obj":"HP_0002896"},{"id":"T6","span":{"begin":441,"end":447},"obj":"HP_0002664"}],"text":"Increasing hepatitis B screening for hmong adults: results from a randomized controlled community-based study.\nBACKGROUND: Hepatitis B-linked liver cancer disproportionately affects Hmong Americans. With an incidence rate of 18.9 per 100,000, Hmong Americans experience liver cancer at a rate that is 6 to 7 times more than that of non-Hispanic Whites. Serologic testing for the hepatitis B virus (HBV) is a principal means to prevent liver cancer-related deaths through earlier identification of those at risk.\nMETHODS: Academic researchers and Hmong leaders collaborated in the design, conduct, and evaluation of a 5-year randomized controlled trial testing a lay health worker (LHW) intervention to promote HBV testing among 260 Hmong adults through in-home education and patient navigation.\nRESULTS: Intervention group participants were more likely to report receiving serologic testing for HBV (24% vs. 10%, P = 0.0056) and showed a greater mean increase in knowledge score (1.3 vs. 0.3 points, P = 0.0003) than control group participants. Multivariable modeling indicated that self-reported test receipt was associated with intervention group assignment [OR 3.5; 95% confidence interval (CI) 1.3-9.2], improvement in knowledge score (OR 1.3 per point; 95% CI 1.02-1.7), female gender (OR 5.3; 95% CI 1.7-16.6), and having seen a doctor in the past year at baseline (OR 4.8; 95% CI 1.3-17.6). The most often cited reason for testing was a doctor's recommendation.\nCONCLUSIONS: LHWs were effective in bringing about HBV screening. Doctor visits and adherence to doctors' recommendations were pivotal. Participation of health care providers is essential to increase HBV testing.\nIMPACT: LHWs can significantly increase HBV screening rates for Hmong but their doctors' recommendation is highly influential and should be pursued."}