141st APHA Annual Meeting

In This section

Synergizing HIV testing and viral hepatitis B screenings among hard to reach Asian & Pacific Islander communities through non-traditional approaches: Data from 2007-2013

Sunday, November 3, 2013

Ben Cabangun, RPT(AMT) , Department of Health Services, API Wellness Center, San Francisco, CA
Robert Wallace , Department of Health Services, API Wellness Center, San Francisco, CA
Despite having similar routes of transmission, Hepatitis B enjoys little stigma among hard-to-reach Asian & Pacific Islander (A&PI) communities in the San Francisco Bay Area, while HIV is highly stigmatized. Successful community campaigns have been effective in mobilizing A&PIs to screen, access treatment, and talk about Hepatitis B. Unfortunately, HIV testing rates among A&PIs in San Francisco are low--the least likely community to test when compared to all other racial and ethnic groups. To increase testing and reduce HIV stigma among A&PIs, an integration model was developed using Hepatitis B as a gateway to educate about HIV's common risk factors. Implementation modalities included a mobile co-location approach targeting cultural festivals, street fairs, and cultural centers. Pre/Post questionnaires were utilized to measure changes in HIV/Hep B knowledge. Through our approach from June 2007 to January 2013, a total of 1210 community members were screened for Hepatitis B. 90% of those screened have never been tested for HIV. Of those screened for Hepatitis, 13% were tested for HIV at the same time as their Hepatitis screening, while 88% accepted a referral to an HIV testing clinic. Among those screened, we observed an 8% HIV positivity rate and an 18.6% Hepatitis B positivity rate. Results of the post screening knowledge questionnaire indicate that 80% of respondents stated they were not aware of the risk of HIV. 75% did not know how HIV is transmitted. 60% stated they would be comfortable discussing HIV with their families moving forward. A synergistic approach increased access of HIV and Hepatitis clinical services to hard-to-reach, immigrant, monolingual A&PI communities. This model suggests that leading prevention and education efforts with a less stigmatized health issue can assist in addressing barriers of discussing health issues that comprise higher cultural stigma.

Learning Areas:
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe Viral Hepatitis and HIV disease burden among Asian & Pacific Islander (A&PI) populations in national and jurisdictional contexts. Analyze outcomes of HIV and Hepatitis B screening and prevention integration strategies among hard to reach A&PI communities. Compare processes of HIV and Hepatitis B screening and prevention integration strategies among hard to reach A&PI communities.

Keywords: Asian and Pacific Islander, Hepatitis B

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the project manager of multiple local and federal funded grants focusing on HIV and Viral Hepatitis prevention, treatment, and linkage to care strategies.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
A&PI Wellness Center Health Services Employment (includes retainer)

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.