The organization I work with is B Free CEED and it’s one of 18 centers of excellence funded by the CDC in 2007. Our mission…
B Free CEED is a coalition-based center and every activity is guided by CBPR.
The incidence of liver cancer among Vietnamese Americans is 11.3 times higher than the rate for Caucasian Americans (41.8 per 100,000)
Vietnamese Americans are 13 times more likely than Caucasians to suffer from hepatitis B
Approximately 10% of Asian Americans are infected with HBV, compared with less than 0.5% of the overall US population. If unmonitored and untreated, chronic HBV infection leads to death from liver cancer or liver failure for 1 in 4 people. This striking racial and ethnic disparity can be attributed to the fact that 67% of the AAPI population is foreign-born, immigrating from countries where HBV is prevalent. Effective screening programs, therefore, are critical in identifying AAPIs who are infected with HBV and referring them for treatment, and in identifying those who are unprotected so they can be vaccinated. Infected individuals must be screened so they know to seek treatment. Informing and counseling chronic HBV carriers about their infectious status can prevent further spread of this deadly disease to others.
Only 18% of those aged 18-34 thought that hepatitis B could be transmitted through blood.
Left chart: Vietnamese language sources Right chart: English language sources
Younger community participants did now know as much about hepatitis B and were not as aware of it as older community members. Younger participants did not know how hepatitis B was transmitted or were able to correctly identify the mode of transmission. Many didn’t know that Asian Americans had the highest risk and rate of infection. More participants weren’t sure if they had been tested or vaccinated.
Outreach: educating community about risks and causes of hepatitis B. Partnerships with other organizations and coalitions: to host educational events Expansion of the program: more locations, more intensive interventions
(1) The following personal financial relationships with
commercial interests relevant to this presentation
existed during the past 12 months:
No relationships to disclose
Mission: To serve as a national resource
and expert center on the elimination of
hepatitis B health disparities among Asian
Americans & Pacific Islanders (APIs), with
the goal to develop, evaluate and
disseminate multi-level, evidence-based
best practices and activities.
B Free CEED is a coalition of local and
national partners. Every activity is guided
B Free CEED
Boat People SOS
Mission: To assist Vietnamese refugees and immigrants
in their search for a life in liberty and dignity; by
empowering, equipping and organizing Vietnamese
American communities in their progress toward self-
messages to a ‘hard to reach’
Conduct a needs assessment
of the Vietnamese
Develop more effective
outreach strategies and
messages by conducting a
social marketing campaign
Study Objective: To assess the level of HBV knowledge and
awareness in the Vietnamese population in Northern
Virginia to inform an educational campaign.
Hepatitis B and APIs
The Asian & Pacific Islander (API) American population
carries a disproportionate burden of hepatitis B (HBV)
in the U.S.
• One in 10 Asian and Pacific Islander Americans are estimated to have a
chronic HBV infection.
• Multiple studies conducted in certain API groups indicate that they have
limited knowledge about HBV and HBV screening.
• The Vietnamese population has the highest incidence of liver cancer
among all Asian subgroups.
• Vietnamese-American men are over 10 times more likely to be diagnosed
with liver cancer than their White counterparts. This health disparity is
attributable to high rates of hepatitis B infection.
The survey was administered to 502 individuals who were:
Of Vietnamese heritage
Living in the Washington D.C. area
Over 18 years of age
The survey included:
Hepatitis B knowledge, screening, and vaccination
Sources of health information
mass mailing and
of the US
Country of Birth
Not at all-Not
Level of Spoken English
Hepatitis B Knowledge, by age group
HBV transmitted through
Hepatitis B transmitted through
Heard of hepatitis B?
Hepatitis B Screening
with hep B
Out of those
with hepatitis B.
Vietnamese fluency English fluency
Likelihood of Getting Screened
Hepatitis B Vaccination
77% of individuals had been told to get vaccinated for
Of these individuals, 63% had been told by their
doctor, and 26% had been told by a family member
43% of individuals had been vaccinated for hepatitis B
Health Information Sources
Newspapers Magazines Radio
Top Sources; Those Who Speak
Vietnamese Very Well or Fluently, n=
Newspapers Magazines Websites
Top Sources; Those Who Speak
English Very Well or Fluently, n= 96
The most trusted health source among all individuals
was physicians (80.5%)
The most distrusted source among all individuals was
Health Information Sources: Trust
The effectiveness of outreach strategies and
understanding of hepatitis B differs according to
BPSOS’ Health Awareness and Prevention Program
(HAPP) has expanded to include hepatitis B as a focus
in outreach and health prevention.
The results of the needs assessment proved the importance of education and
awareness to address the risk of disease in the Vietnamese community.
Continuing outreach to Vietnamese community
Partnering with other coalitions and organizations
Working with physicians to screen and test the
Vietnamese community for hepatitis B
Securing outside funding to support a future follow-up
test, expansion of the program