Early Identification and Linkage to Care of Foreign-Born People with Chronic Hepatitis B Virus Infection, Multnomah County, Oregon, 2012-2014
Objective. Hepatitis B virus (HBV) infection is a global health concern, with a large proportion of high-risk individuals unaware of their infection status. People born in countries with medium to high endemicity of HBV should be tested and linked to care. We describe a program that improved identif...
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| Veröffentlicht in: | Public health reports (1974) 2016-05, Vol.131 (2_suppl), p.105-111 |
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| creator | Walters, Jaime Sullivan, Amy |
| description | Objective. Hepatitis B virus (HBV) infection is a global health concern, with a large proportion of high-risk individuals unaware of their infection status. People born in countries with medium to high endemicity of HBV should be tested and linked to care. We describe a program that improved identification and linkage to care for refugees and immigrants at the Multnomah County Health Department in Oregon. Methods. We instituted outreach clinics and community referrals and expanded refugee screening to identify foreign-born people at risk for HBV. We obtained data from electronic health records and electronic laboratory reporting, including patient demographics, hepatitis B testing variables, vaccination history, and—for positive cases—risk-factor and linkage-to-care data. All results were entered into an Internet-based data collection tool. For this analysis, we only used results for testing performed from October 2012 through June 2014. Results. We screened 2,087 foreign-born people for HBV infection and identified 77 (4%) people with positive results. HBV infection prevalence varied by site, with 7% of HBV-positive people identified through the outreach and voucher program and 3% identified through refugee screening. Of the 77 people testing positive for HBV, 72 (94%) were successfully linked to care, of whom 68 (94%) attended their first follow-up visit. Conclusion. Implementation of a culturally competent screening program among immigrants and refugees in Multnomah County improved case finding and subsequent linkage to care. |
| doi_str_mv | 10.1177/00333549161310S216 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4853336</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>44297576</jstor_id><sage_id>10.1177_00333549161310S216</sage_id><sourcerecordid>44297576</sourcerecordid><originalsourceid>FETCH-LOGICAL-c520t-b65c2f495ecc514ba01c8016c7ecc3569d92dc9e15f49590d98ee26203ef70883</originalsourceid><addsrcrecordid>eNp9kluLEzEUgAdxcevqHxCUwL74sOPmNrm8CLtlL4XKCl5eQ5rJtKnTpCYZpT_C_2yGrmVV2DwkkPOdLznJqapXCL5DiPNzCAkhDZWIIYLgJ4zYk2qCKBM1Fpw_rSYjUI_EcfU8pTUsAyPyrDrGHDHBmJxUv6507Hdg1lqfXeeMzi54oH0L5s5_00sLcgBTHS0IHbgO0bqlry9D9OCjDdvegp8ur8B0FYN3BtzabRFkl8Al-OrikMDMd9aMzjPwYeizDxtd8DD4vDsDd9EuxwiGCNdloi-qo073yb68X0-qL9dXn6e39fzuZja9mNemwTDXC9YY3FHZWGMaRBcaIiMgYoaXDdIw2UrcGmlRM0IStlJYixmGxHYcCkFOqvd773ZYbGxrSvFR92ob3UbHnQraqb8j3q3UMvxQVDTlzVkRvL0XxPB9sCmrjUvG9r32NgxJIS4kJJxzXNDTf9B1GKIv5SkkpGioIFg8SnFJEWScjRTeUyaGlKLtDldGUI09of7viZL05mGxh5Q_TVCA8z2Qyn8_OPcx5et9xjrlEA9GSrHkDWfkNzLixuo</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1794106768</pqid></control><display><type>article</type><title>Early Identification and Linkage to Care of Foreign-Born People with Chronic Hepatitis B Virus Infection, Multnomah County, Oregon, 2012-2014</title><source>MEDLINE</source><source>PAIS Index</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>SAGE Complete A-Z List</source><source>Jstor Complete Legacy</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Walters, Jaime ; Sullivan, Amy</creator><creatorcontrib>Walters, Jaime ; Sullivan, Amy</creatorcontrib><description>Objective. Hepatitis B virus (HBV) infection is a global health concern, with a large proportion of high-risk individuals unaware of their infection status. People born in countries with medium to high endemicity of HBV should be tested and linked to care. We describe a program that improved identification and linkage to care for refugees and immigrants at the Multnomah County Health Department in Oregon. Methods. We instituted outreach clinics and community referrals and expanded refugee screening to identify foreign-born people at risk for HBV. We obtained data from electronic health records and electronic laboratory reporting, including patient demographics, hepatitis B testing variables, vaccination history, and—for positive cases—risk-factor and linkage-to-care data. All results were entered into an Internet-based data collection tool. For this analysis, we only used results for testing performed from October 2012 through June 2014. Results. We screened 2,087 foreign-born people for HBV infection and identified 77 (4%) people with positive results. HBV infection prevalence varied by site, with 7% of HBV-positive people identified through the outreach and voucher program and 3% identified through refugee screening. Of the 77 people testing positive for HBV, 72 (94%) were successfully linked to care, of whom 68 (94%) attended their first follow-up visit. Conclusion. Implementation of a culturally competent screening program among immigrants and refugees in Multnomah County improved case finding and subsequent linkage to care.</description><identifier>ISSN: 0033-3549</identifier><identifier>EISSN: 1468-2877</identifier><identifier>DOI: 10.1177/00333549161310S216</identifier><identifier>PMID: 27168669</identifier><language>eng</language><publisher>Los Angeles, CA: Association of Schools and Programs of Public Health</publisher><subject>Adolescent ; Adult ; Chronic infection ; Clinics ; Counties ; Data acquisition ; Data collection ; Demographic variables ; Demographics ; Demography ; Early Diagnosis ; Electronic health records ; Electronic medical records ; Emigrants and Immigrants ; Female ; Global health ; Health care policy ; Health risks ; Health Services Accessibility - organization & administration ; Hepatitis ; Hepatitis B ; Hepatitis B virus - genetics ; Hepatitis B virus - isolation & purification ; Hepatitis B, Chronic - diagnosis ; Hepatitis B, Chronic - epidemiology ; Humans ; Identification ; Immigrants ; Immunization ; Implementation ; Infections ; Internet ; Male ; Medical Audit ; Medical records ; Medical screening ; Middle Aged ; Noncitizens ; Oregon - epidemiology ; Organizational Case Studies ; Patients ; Refugees ; Risk ; Risk analysis ; Risk factors ; Risk groups ; Screening ; Vaccination ; Viruses ; Young Adult</subject><ispartof>Public health reports (1974), 2016-05, Vol.131 (2_suppl), p.105-111</ispartof><rights>Copyright ©2016 Association of Schools and Programs of Public Health</rights><rights>2016 US Surgeon General's Office</rights><rights>Copyright Oxford Publishing Limited(England) May/Jun 2016</rights><rights>2016 Association of Schools and Programs of Public Health 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c520t-b65c2f495ecc514ba01c8016c7ecc3569d92dc9e15f49590d98ee26203ef70883</citedby><cites>FETCH-LOGICAL-c520t-b65c2f495ecc514ba01c8016c7ecc3569d92dc9e15f49590d98ee26203ef70883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44297576$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44297576$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,723,776,780,799,881,21799,27845,27903,27904,43600,43601,53769,53771,57995,58228</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27168669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Walters, Jaime</creatorcontrib><creatorcontrib>Sullivan, Amy</creatorcontrib><title>Early Identification and Linkage to Care of Foreign-Born People with Chronic Hepatitis B Virus Infection, Multnomah County, Oregon, 2012-2014</title><title>Public health reports (1974)</title><addtitle>Public Health Rep</addtitle><description>Objective. Hepatitis B virus (HBV) infection is a global health concern, with a large proportion of high-risk individuals unaware of their infection status. People born in countries with medium to high endemicity of HBV should be tested and linked to care. We describe a program that improved identification and linkage to care for refugees and immigrants at the Multnomah County Health Department in Oregon. Methods. We instituted outreach clinics and community referrals and expanded refugee screening to identify foreign-born people at risk for HBV. We obtained data from electronic health records and electronic laboratory reporting, including patient demographics, hepatitis B testing variables, vaccination history, and—for positive cases—risk-factor and linkage-to-care data. All results were entered into an Internet-based data collection tool. For this analysis, we only used results for testing performed from October 2012 through June 2014. Results. We screened 2,087 foreign-born people for HBV infection and identified 77 (4%) people with positive results. HBV infection prevalence varied by site, with 7% of HBV-positive people identified through the outreach and voucher program and 3% identified through refugee screening. Of the 77 people testing positive for HBV, 72 (94%) were successfully linked to care, of whom 68 (94%) attended their first follow-up visit. Conclusion. Implementation of a culturally competent screening program among immigrants and refugees in Multnomah County improved case finding and subsequent linkage to care.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Chronic infection</subject><subject>Clinics</subject><subject>Counties</subject><subject>Data acquisition</subject><subject>Data collection</subject><subject>Demographic variables</subject><subject>Demographics</subject><subject>Demography</subject><subject>Early Diagnosis</subject><subject>Electronic health records</subject><subject>Electronic medical records</subject><subject>Emigrants and Immigrants</subject><subject>Female</subject><subject>Global health</subject><subject>Health care policy</subject><subject>Health risks</subject><subject>Health Services Accessibility - organization & administration</subject><subject>Hepatitis</subject><subject>Hepatitis B</subject><subject>Hepatitis B virus - genetics</subject><subject>Hepatitis B virus - isolation & purification</subject><subject>Hepatitis B, Chronic - diagnosis</subject><subject>Hepatitis B, Chronic - epidemiology</subject><subject>Humans</subject><subject>Identification</subject><subject>Immigrants</subject><subject>Immunization</subject><subject>Implementation</subject><subject>Infections</subject><subject>Internet</subject><subject>Male</subject><subject>Medical Audit</subject><subject>Medical records</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Noncitizens</subject><subject>Oregon - epidemiology</subject><subject>Organizational Case Studies</subject><subject>Patients</subject><subject>Refugees</subject><subject>Risk</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Risk groups</subject><subject>Screening</subject><subject>Vaccination</subject><subject>Viruses</subject><subject>Young Adult</subject><issn>0033-3549</issn><issn>1468-2877</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNp9kluLEzEUgAdxcevqHxCUwL74sOPmNrm8CLtlL4XKCl5eQ5rJtKnTpCYZpT_C_2yGrmVV2DwkkPOdLznJqapXCL5DiPNzCAkhDZWIIYLgJ4zYk2qCKBM1Fpw_rSYjUI_EcfU8pTUsAyPyrDrGHDHBmJxUv6507Hdg1lqfXeeMzi54oH0L5s5_00sLcgBTHS0IHbgO0bqlry9D9OCjDdvegp8ur8B0FYN3BtzabRFkl8Al-OrikMDMd9aMzjPwYeizDxtd8DD4vDsDd9EuxwiGCNdloi-qo073yb68X0-qL9dXn6e39fzuZja9mNemwTDXC9YY3FHZWGMaRBcaIiMgYoaXDdIw2UrcGmlRM0IStlJYixmGxHYcCkFOqvd773ZYbGxrSvFR92ob3UbHnQraqb8j3q3UMvxQVDTlzVkRvL0XxPB9sCmrjUvG9r32NgxJIS4kJJxzXNDTf9B1GKIv5SkkpGioIFg8SnFJEWScjRTeUyaGlKLtDldGUI09of7viZL05mGxh5Q_TVCA8z2Qyn8_OPcx5et9xjrlEA9GSrHkDWfkNzLixuo</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Walters, Jaime</creator><creator>Sullivan, Amy</creator><general>Association of Schools and Programs of Public Health</general><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><general>Association of Schools of Public Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TQ</scope><scope>ASE</scope><scope>DHY</scope><scope>DON</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160501</creationdate><title>Early Identification and Linkage to Care of Foreign-Born People with Chronic Hepatitis B Virus Infection, Multnomah County, Oregon, 2012-2014</title><author>Walters, Jaime ; Sullivan, Amy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c520t-b65c2f495ecc514ba01c8016c7ecc3569d92dc9e15f49590d98ee26203ef70883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Chronic infection</topic><topic>Clinics</topic><topic>Counties</topic><topic>Data acquisition</topic><topic>Data collection</topic><topic>Demographic variables</topic><topic>Demographics</topic><topic>Demography</topic><topic>Early Diagnosis</topic><topic>Electronic health records</topic><topic>Electronic medical records</topic><topic>Emigrants and Immigrants</topic><topic>Female</topic><topic>Global health</topic><topic>Health care policy</topic><topic>Health risks</topic><topic>Health Services Accessibility - organization & administration</topic><topic>Hepatitis</topic><topic>Hepatitis B</topic><topic>Hepatitis B virus - genetics</topic><topic>Hepatitis B virus - isolation & purification</topic><topic>Hepatitis B, Chronic - diagnosis</topic><topic>Hepatitis B, Chronic - epidemiology</topic><topic>Humans</topic><topic>Identification</topic><topic>Immigrants</topic><topic>Immunization</topic><topic>Implementation</topic><topic>Infections</topic><topic>Internet</topic><topic>Male</topic><topic>Medical Audit</topic><topic>Medical records</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Noncitizens</topic><topic>Oregon - epidemiology</topic><topic>Organizational Case Studies</topic><topic>Patients</topic><topic>Refugees</topic><topic>Risk</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Risk groups</topic><topic>Screening</topic><topic>Vaccination</topic><topic>Viruses</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Walters, Jaime</creatorcontrib><creatorcontrib>Sullivan, Amy</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PAIS Index</collection><collection>British Nursing Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Public health reports (1974)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Walters, Jaime</au><au>Sullivan, Amy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early Identification and Linkage to Care of Foreign-Born People with Chronic Hepatitis B Virus Infection, Multnomah County, Oregon, 2012-2014</atitle><jtitle>Public health reports (1974)</jtitle><addtitle>Public Health Rep</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>131</volume><issue>2_suppl</issue><spage>105</spage><epage>111</epage><pages>105-111</pages><issn>0033-3549</issn><eissn>1468-2877</eissn><abstract>Objective. Hepatitis B virus (HBV) infection is a global health concern, with a large proportion of high-risk individuals unaware of their infection status. People born in countries with medium to high endemicity of HBV should be tested and linked to care. We describe a program that improved identification and linkage to care for refugees and immigrants at the Multnomah County Health Department in Oregon. Methods. We instituted outreach clinics and community referrals and expanded refugee screening to identify foreign-born people at risk for HBV. We obtained data from electronic health records and electronic laboratory reporting, including patient demographics, hepatitis B testing variables, vaccination history, and—for positive cases—risk-factor and linkage-to-care data. All results were entered into an Internet-based data collection tool. For this analysis, we only used results for testing performed from October 2012 through June 2014. Results. We screened 2,087 foreign-born people for HBV infection and identified 77 (4%) people with positive results. HBV infection prevalence varied by site, with 7% of HBV-positive people identified through the outreach and voucher program and 3% identified through refugee screening. Of the 77 people testing positive for HBV, 72 (94%) were successfully linked to care, of whom 68 (94%) attended their first follow-up visit. Conclusion. Implementation of a culturally competent screening program among immigrants and refugees in Multnomah County improved case finding and subsequent linkage to care.</abstract><cop>Los Angeles, CA</cop><pub>Association of Schools and Programs of Public Health</pub><pmid>27168669</pmid><doi>10.1177/00333549161310S216</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Public health reports (1974), 2016-05, Vol.131 (2_suppl), p.105-111 |
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| subjects | Adolescent Adult Chronic infection Clinics Counties Data acquisition Data collection Demographic variables Demographics Demography Early Diagnosis Electronic health records Electronic medical records Emigrants and Immigrants Female Global health Health care policy Health risks Health Services Accessibility - organization & administration Hepatitis Hepatitis B Hepatitis B virus - genetics Hepatitis B virus - isolation & purification Hepatitis B, Chronic - diagnosis Hepatitis B, Chronic - epidemiology Humans Identification Immigrants Immunization Implementation Infections Internet Male Medical Audit Medical records Medical screening Middle Aged Noncitizens Oregon - epidemiology Organizational Case Studies Patients Refugees Risk Risk analysis Risk factors Risk groups Screening Vaccination Viruses Young Adult |
| title | Early Identification and Linkage to Care of Foreign-Born People with Chronic Hepatitis B Virus Infection, Multnomah County, Oregon, 2012-2014 |
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