Social Determinants of Health Associated with HBV Testing and Access to Care among Foreign-born Persons Residing in the United States: 2009 - 2012

Authors

Kevin M. Greene, Centers for Disease Control and PreventionFollow
Wayne A. Duffus, Centers for Disease Control and PreventionFollow
Jian Xing, Centers for Disease Control and PreventionFollow
Hope King, Centers for Disease Control and PreventionFollow

Keywords

Hepatitis B; foreign-born populations; Social Determinants of Health; health disparities; health inequity; immigrants

Disciplines

Inequality and Stratification | Medicine and Health | Place and Environment | Public Health | Race and Ethnicity

Abstract

Objectives: To describe how select Social Determinants of Health (SDH) are associated with the burden of hepatitis B virus (HBV) infection among foreign-born persons residing in the United States.

Methods: Multivariate logistic regression was used to examine the Racial and Ethnic Approaches to Community Health (REACH) 2010 Risk Factor Survey data to investigate the independent relationship between SDH and HBV testing and access to care.

Results: HBV infected persons with insurance were more likely to see a physician than those without. Respondents worried about money to pay rent or mortgage were more likely to report HBV infection than individuals who reported they never worry. Compared to English speakers, Spanish-speakers were less likely to report HBV infection, Vietnamese-speakers were more likely to see a physician for HBV infection, and Khmer-speakers were less likely to be tested.

Conclusions: Health insurance coverage, worries about paying rent, and language of interview all differentially affect HBV testing and linkages to care among foreign–born persons. Multi-sectorial stakeholder collaborative efforts should integrate resources to provide culturally sensitive health promotion campaigns which may improve HBV related outcomes.

Permissions

approved

Recommended Citation

Greene, Kevin M.; Duffus, Wayne A.; Xing, Jian; and King, Hope (2017) "Social Determinants of Health Associated with HBV Testing and Access to Care among Foreign-born Persons Residing in the United States: 2009 - 2012," Journal of Health Disparities Research and Practice: Vol. 10: Iss. 2, Article 1.
Available at: https://digitalscholarship.unlv.edu/jhdrp/vol10/iss2/1