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Articles, Publications & Presentations

"The Role of Asian Americans in Ending Hepatitis B"

Journal of Cancer Education, February 2013
Ted Fang and Jason Liu

The number of people suffering from chronic HBV in Asia is almost equal to the entire population of the United States. Nearly two thirds of the 350–400 million chronic hepatitis B patients worldwide are found in Asia (Custer, Hazlet, Iloejo, Veenstra, & Kowdley, 2004 ; World Health Organization [WHO], 2008 ) . China alone accounts for one-third of all global cases with 120–130 million chronically infected (Liu & Fan, 2007 ). Correspondingly, Asia carries the highest rates of liver cancer worldwide. Three fourths of new liver cancer cases in males and two thirds in females occur in Asia. Liver cancer has the highest incidence of any cancer in Laos, Mongolia, Taiwan, and Thailand (Pfi zer, 2008 ).... (more)

"Destigmatizing Hepatitis B in the Asian American Community: Lessons Learned from the San Francisco Hep B Free Campaign"

Journal of Cancer Education, July 2011
Grace J. Yoo, Ted Fang, Janet Zola and Wei Ming Dariotis

Abstract: Compared to any other racial/ethnic group, Asian Americans represent a population disproportionately affected by hepatitis B virus (HBV) infection, a leading cause of liver cancer. Since 2007, the San Francisco Hep B Free (SFHBF) Campaign has been actively creating awareness and education on the importance of screening, testing, and vaccination of HBV among Asian Americans. In order to understand what messages resonated with Asian Americans in San Francisco, key informant interviews with 23 (n?=?23) individuals involved in community outreach were conducted. A key finding was the ability... (more)

"San Francisco Hep B Free: A Grassroots Community Coalition to Prevent Hepatitis B and Liver Cancer"

Journal of Community Health, December 2010
Meredith B. Bailey, Rita Shiau, Janet Zola, Susan E. Fernyak, Ted Fang, Samuel K. S. So and Ellen T. Chang

Abstract: Chronic hepatitis B is the leading cause of liver cancer and the largest health disparity between Asian/Pacific Islanders (APIs) and the general US population. The Hep B Free model was launched to eliminate hepatitis B infection by increasing hepatitis B awareness, testing, vaccination, and treatment among APIs by building a broad, community-wide coalition. The San Francisco Hep B Free campaign is a diverse public/private collaboration unifying the API community, health care system, policy makers, businesses, and the general public in San Francisco, California. Mass-media and grassroots messaging raised citywide awareness of hepatitis B and... (more)

"Mobilizing Asian Americans: Understanding the San Francisco Hep B Free Movement"

Evaluation Report, December 2010
Grace J. Yoo

Background: This evaluation was supported by the Centers of Disease Control and Prevention grant number: 5U58DP001022-03 awarded to the B Free CEED: National Center of Excellence in the Elimination of Hepatitis B Disparities at NYU School of Medicine to understand and identify the best practices associated with the San Francisco Hep B Free Campaign. Its contents are solely the responsibility of the author and do not necessarily represent the official views of the Centers for Disease Control and Prevention.... (more)

"Hepatitis B and Hepatocellular Carcinoma Screening Among Asian Americans: Survey of Safety Net Healthcare Providers"

Digestive Diseases and Sciences, November 2010
Mandana Khalili * Jennifer Guy * Albert Yu * Alexander Li * Nadia Diamond-Smith * Susan Stewart * Moon Chen Jr. * Tung Nguyen

Abstract: (Background) Physician patterns of screening for hepatitis B (HBV) and hepatocellular carcinoma (HCC) among Asian Americans are not well described. Aims To describe HBV and HCC screening practices among providers with large Asian American populations. (Methods) Providers within San Francisco’s safety net system were surveyed with respect to HBV and HCC screening practices as well as knowledge, attitudes, and barriers to HCC screening. (Results) Among the 109 respondents (response rate = 72%), 62% were aged[40, 65% female, 24% Asian, 87% primary care providers, and 48% had[25% Asian patients. Only 76% had screened... (more)

"A Model for Interprofessional Health Disparities Education: Student-Led Curriculum on Chronic Hepatitis B Infection"

Journal of General Internal Medicine, May 2010
Leslie C. Sheu, Brian C. Toy, Emanuel Kwahk, Albert Yu, Joshua Adler, Cindy J. Lai

Background: The Institute of Medicine and Liaison Committee on Medical Education have called attention to the shortage of medical curricula that address health disparities. The Society of General Internal Medicine Health Disparities Task Force has recommended the inclusion of curricular content focused on eliminating inequities in heath care quality through health disparities education. Current preclinical curricula on health disparities are primarily lecture-based, offering students little opportunity to connect with affected populations or to appreciate the unique challenges of implementing community interventions. One strategy to integrate experiential learning about health... (more)

"Hepatitis B in the Greater San Francisco Bay Area: an integrated programme to respond to a diverse local epidemic"

Journal of Viral Hepatitis, March 2010
Robert G. Gish and Stewart L. Cooper

Summary. Although chronic hepatitis B (CHB) affects approximately 2 million United States residents, there is no systematic screening of at-risk individuals, and most remain unaware of their hepatitis B virus (HBV) infection. Unmonitored and untreated, CHB results in a 25-30% risk of death from liver cancer and/or cirrhosis, inflicting an increasing healthcare burden in high-prevalence regions. Despite high prevalence in immigrant Asians and Pacific Islanders, among whom CHB is a leading cause of death, community and healthcare provider awareness remains low. Because safe and effective vaccines and effective antiviral treatments exist, there is an urgent need for integrated... (more)

"POSTER: Model for Mobilizing University Students to Serve Limited English Proficient Populations"

Presented at 5th Annual Asian American Health Conference: "Reinvesting in Our Communities for Health Equity"
October 2009 (NY) - NYU School of Medicine & Center for Study of Asian American Health

Limited English proficient (LEP) patients often forgo preventative care due to linguistic and cultural barriers such as lack of interpretation services from healthcare providers. Deficiencies in enforcement of language assistance politcies compromise patients' health and their understanding of treatments. The need for language assistance services for the large San Francisco immigrant population inspired the founding of the San Francisco Hepatitis B Collaborative (SFHBC) at UC Berkeley in 2006 and the mobilization of over 100 undergraduate students with the language and cultural competency skills to interpret for and educate the Asian Pacific Islander (API) community. SFHBC at Berkeley is now an integral member of the SF Hep B Free Campaign, providing interpretation, translation, and education services to an expanding network of community partners in the Bay Area.

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