Hepatitis B screening disparities in the United States: An implementation-focused narrative review.
To examine Hepatitis B Virus (HBV) epidemiology in the United States through an implementation and equity lens, with a focus on how inadequate screening and vaccination practices contribute to persistent disparities, and to synthesize evidence on interventions that improve screening uptake. Narrativ...
| Publicado en: | Public Health (Elsevier) Vol. 257 |
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| Autores principales: | , , , , |
| Formato: | review Journal Article |
| Publicado: |
Elsevier B.V.
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195901030&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195901030 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00333506 18J0 jtl: Public Health (Elsevier) issn: 00333506 maglogo: N pubinfo: dt: Aug2026 vid: 257 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 195901030 195901030 195901030 10.1016/j.puhe.2026.106387 195901030 ppct: 1 formats: tig: atl: Hepatitis B screening disparities in the United States: An implementation-focused narrative review. aug: au: Kim, Helen D. Chung, Sophia Lamy, Erica Fruh, Victoria Kwon, Steve affil: Brown University, Providence, RI, USA sug: subj: Hepatitis B Epidemiology Hepatitis B Diagnosis Health Screening Healthcare Disparities Health Services Accessibility United States Implementation Science Immigrants Culture Race Factors Persons Who Use Intravenous Drugs Men Who Have Sex With Men Sexual Partners Sex Work Health Promotion Health Education Viral Hepatitis Vaccines Administration and Dosage Hepatitis B Prevention and Control ab: To examine Hepatitis B Virus (HBV) epidemiology in the United States through an implementation and equity lens, with a focus on how inadequate screening and vaccination practices contribute to persistent disparities, and to synthesize evidence on interventions that improve screening uptake. Narrative review with implementation focus. A thematic analysis was conducted across 24 peer-reviewed studies examining HBV epidemiology, screening practices, disparities, and intervention strategies in the United States. Studies were synthesized to identify recurring patterns in disease burden, structural barriers to screening, and evidence-informed approaches to improve screening and linkage to care. Foreign-born individuals were a significantly marginalized group, comprising 69% of chronic HBV infections in the United States while only making up 14% of the population. Yet, screening rates remain low among immigrants, particularly the Asian population with only 30-50% of the infected having been screened. Additional high-risk populations include people who inject drugs, men who have sex with men, individuals with multiple sexual partners, sex workers, and infants born to HBV-positive mothers. Evidence indicates that culturally and linguistically tailored digital tools, targeted provider education, and community-based outreach interventions are associated with improved screening uptake and reduced HBV-related morbidity and mortality. Persistent HBV screening disparities reflect failures in implementation rather than gaps in evidence, underscoring the need for public health strategies that operationalize existing guidelines through culturally accessible and system-level interventions. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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