Acceptability and Feasibility of Home-Based Hepatitis B Screening Among Haitian Immigrants

Patricia D. Jones, Kristin Gmunder, Saradjine Batrony, Paul Martin, Erin Kobetz, Olveen Carrasquillo

Research output: Contribution to journalArticlepeer-review

Abstract

Hepatitis B (HBV) is endemic in Haiti, therefore Haitian immigrants should be screened to identify and link affected individuals to care. Current screening approaches are ineffective. We assessed the acceptability and feasibility of home-based screening among Haitian immigrants using community health workers (CHWs). We recruited participants exiting a pragmatic trial evaluating strategies to improve care delivery (NCT02970136). Participants completed an acceptability questionnaire. Blood drawn by CHWs at participants’ homes or community sites was tested for hepatitis B surface antigen, hepatitis B surface antibody and hepatitis B core antibody. Of 60 participants, 59 found screening acceptable; 53 had blood drawn. Of those, 45.3% had HBV previously, 49.1% remained susceptible and 5.7% were vaccinated. Respondents cited various reasons community members might find screening unacceptable. The high prior HBV rate highlights the need for effective outreach programs. Home-based HBV screening was both acceptable and feasible among Haitian immigrants.

Original languageEnglish (US)
JournalJournal of Immigrant and Minority Health
DOIs
StateAccepted/In press - 2021

Keywords

  • Community health workers
  • Haitian immigrants
  • Hepatitis B
  • Hepatocellular carcinoma
  • Liver cancer
  • Racial disparities

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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