A Community-Engaged Approach to Identifying and Addressing Viral Hepatitis Determinants in Michigan Asian American Communities.

Approximately 75% of people infected with the hepatitis B virus (HBV) and hepatitis C virus (HCV) in the United States (U.S.) have yet to be tested, thus leading to the risk of liver disease progression that can be prevented by early diagnosis. Asian Americans (AA) are disproportionately infected with HBV and HCV in the U.S., including in the state of Michigan. Using a theory-informed approach, we conducted a bi-level quantitative study to identify determinants of viral hepatitis and liver cancer care and treatment. We drafted and administered surveys to 151 community members across three Michigan AA communities (Burmese, Chinese and Bangladeshi). The results were then presented to a Community Advisory Panel (CAP) comprised of community leaders who suggested interventional adaptations. Survey respondents who had previously tested for viral hepatitis were wealthier, more proficient in English and had immigrated to the U.S. earlier. They also had higher health literacy, more knowledge of HBV transmission and greater self-efficacy. CAP members recommended that education be delivered in a shareable video format to address health literacy and medical access. Additional recommendations included tabling at community events and tailoring programmes to age. Using these data, we can develop a needs-based, culturally targeted intervention to raise awareness, reduce stigma and increase viral hepatitis screening in Michigan AA communities.