203727 Tailoring viral hepatitis prevention training for urban American Indian and Alaska Native communities

Sunday, November 8, 2009

Annie Phare, MPH , Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA
Ralph Forquera, MPH , Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA
Rachel Brucker, RN MPH , Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA
Background: American Indians and Alaska Natives (AI/AN) experience high rates of Hepatitis C compared to other racial/ethnic populations. AI/AN experience high mortality rates due to chronic liver disease and are two times more likely to be diagnosed with chronic liver disease than non-Hispanic Whites. More than half of the AI/AN population in the United States lives in urban areas. Methods: Through a grant from the Centers for Disease Control and Prevention and Indian Health Services, the Urban Indian Health Institute provides free viral hepatitis prevention training to medical and behavioral health staff at 34 Title V urban Indian health organizations (UIHO). Curriculum was adapted from the New York State Department of Health's It's Time training to provide information specific to AI/AN populations and culturally relevant prevention materials. Training includes spectrum of illness for of hepatitis A, B, and C, risk factors for viral hepatitis, prevention and treatment options, and agency-specific prevention integration plans. Results: Trainings have been held at 15 UIHO. Staff participants reported that the training sessions were informational and useful for their agency. Participants identified funding, staff shortages, and the lack of culturally relevant viral hepatitis prevention materials as a barrier to prevention for urban AI/AN. Some agencies also reported distance to other health organizations as a barrier to prevention. Conclusion: On-site viral hepatitis trainings are beneficial to UIHO and need to continue. There is a strong need for culturally relevant viral hepatitis prevention and educational materials and training for urban AI/AN populations.

Learning Objectives:
Describe liver disease health disparities faced by American Indians and Alaska Natives Recognize the benefits and challenges of integrating hepatitis prevention services into agencies that serve urban AI/AN Describe components of the UIHI viral hepatitis prevention training Understand the need for culturally relevant viral hepatitis health education and prevention materials for urban AI/AN

Keywords: American Indians, Hepatitis C

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Project Associate with the Urban Indian Health Institute. I am the project lead for the UIHI's viral hepatitis prevention training which is the focus of the proposed presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.