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Hepatitis and Asian Americans

In the United States, one study reports that approximately half of the 1 million persons with chronic Hepatitis B virus (HBV) infection are Asian/Pacific Islanders, most of whom became infected with HBV before arriving in the United States . The HBV-related death rate among Asian/Pacific Islanders is seven times greater than the rate among Whites (CDC, unpublished data, 2007)1.

  • In 2011, Asian Americans were 2.9 times more likely to contract Hepatitis A, as compared to Whites.
  • Among all ethnic groups in 2011, Asian/Pacific Islanders had the highest incidence of Hepatitis A.
  • Asian American women are 1.5 times more likely to die from viral hepatitis, as compared to Non-Hispanic Whites.
  • Asian Americans are 5.5 times more likely to develop chrinic Hepatitis B, as compared to Whites.

VIRAL HEPATITIS

Death Rates for Viral Hepatitis, 2010 (all types)

 

Asian/Pacific
Islander

Non-Hispanic
White

Asian/Pacific Islander / Non-Hispanic White
Ratio

Male

2.5

2.6

1.0

Female

1.8

1.2

1.5

Total

2.1

1.9

1.1

Source: CDC, 2013. Deaths: Final data for 2010. National vital statistics reports; vol. 61, no.4. Table 17 and Table 16.
http://www.cdc.gov/nchs/data/nvsr/nvsr61/nvsr61_04.pdf [PDF | 3.47MB]

HEPATITIS A

Hepatitis A, Acute (Cases per 100,000 population), 2011

Asian

White

Asian / White Ratio

0.89

0.31

2.9

Source: CDC, 2013. Summary of Notifiable Diseases - United States, 2011. MMWR 2013; v. 60, no. 53. Table 5.
http://www.cdc.gov/mmwr/PDF/wk/mm6053.pdf [PDF | 4.76MB]

HEPATITIS B - ACUTE

At a glance – Adults (Hepatitis B):

Acute Hepatitis B in adults, aged 19-24 years, and high risk groups (Cases per 100,000 population), 2008

Asian/Pacific Islander

Non-Hispanic White

Healthy People 2010 Goal

Asian/Pacific Islander /Non- Hispanic White Ratio

3.1

1.9

1.8

1.6

Source:  CDC 2012.  Healthy People 2010 Database.  Table 14-03a.
http://wonder.cdc.gov/scripts/data2010

Acute Hepatitis B in adults, aged 25-39 years, and high risk groups (Cases per 100,000 population), 2008

Asian/Pacific Islander

Non-Hispanic White

Healthy People 2010 Goal

Asian/Pacific Islander /Non- Hispanic White Ratio

2.7

5.4

5.2

0.5

Source:  CDC 2012.  Healthy People 2010 Database.  Table 14-03b.
http://wonder.cdc.gov/scripts/data2010

Acute Hepatitis B in adults, aged 40 years and older, and high risk groups (Cases per 100,000 population), 2008

Asian/Pacific Islander

Non-Hispanic White

Healthy People 2010 Goal

Asian/Pacific Islander /Non- Hispanic White Ratio

4.0

4.2

3.7

1.0

Source:  CDC 2012.  Healthy People 2010 Database.  Table 14-03c.
http://wonder.cdc.gov/scripts/data2010

Hepatitis B, Acute (Cases per 100,000 population), 2011

Asian

White

Asian / White Ratio

0.42

0.70

0.6

Source: CDC, 2013. Summary of Notifiable Diseases - United States, 2011. MMWR 2013; v. 60, no. 53. Table 5.
http://www.cdc.gov/mmwr/PDF/wk/mm6053.pdf [PDF | 4.76MB]

HEPATITIS B - CHRONIC

At a glance – Adults (Chronic Hepatitis B):

Percent of reported cases of laboratory-confirmed, chronic hepatitis B virus (HBV) infection, 2010

Asian/Pacific Islander

Non-Hispanic White

Missing/Unknown Cases

Asian/Pacific Islander /
Non-Hispanic White
Ratio

23.8%

4.3%

49.8%

5.5

Source:  CDC 2012.  Viral Hepatitis Surveillance – United States, 2010. Table 3.4.
http://www.cdc.gov/hepatitis/Statistics/2010Surveillance/index.htm

At a glance - Immunization of Adults (Hepatitis B):

Percentage of adults ages 19-49 years, high risk groups, who ever received 3 or more doses of the hepatitis B vaccination, 2011

Asian

Non-Hispanic White

Asian/
Non-Hispanic White Ratio

40.7%

37.8%

1.1

Source:  CDC 2013. National Health Interview Survey (NHIS) - Adult Vaccination Coverage 2011. Table 1
http://www.cdc.gov/vaccines/stats-surv/nhis/default.htm

At a glance – Immunization of Adolescents, aged 13 to 15 years old (Hepatitis B):

Percentage of adolescents aged 13 to 15 years who received 3 or more doses of the hepatitis B vaccination, 2008

Population

Percentage

Healthy People 2010 Goal

Asian /Non- Hispanic White Ratio

Non-Hispanic White

91%

90%

--

Asian Only

91%

90%

1.0

NHOPI

95%

90%

1.0

Source:  CDC 2011.  Healthy People 2010 Database.  Table 14-27a.
http://wonder.cdc.gov/scripts/data2010

At a glance - Immunization of Adolescents (Hepatitis B)

Percentage adolescents aged 13-17 years, who ever received 3 or more doses of the hepatitis B vaccination, 2011

Asian Only

Non-Hispanic White

Healthy People 2010 Goal

Asian/
Non-Hispanic White Ratio

91.9%

92.8%

90%

1.0

Source:  CDC 2012.  National Immunization Survey (NIS) - Teens 13 through 17 years old, 2011.
http://www.cdc.gov/vaccines/stats-surv/nisteen/data/tables_2011.htm#race

At a glance – Immunization of Children (Hepatitis B):

Percentage of children aged 19 to 35 months who received 3 or more doses of hepatitis B (Hep B) vaccination, 2011

Population

Percentage

Healthy People 2010 Goal

Asian/
Non-Hispanic White Ratio

Non-Hispanic White

90.3%

90%

--

Asian Only

95.5%

90%

1.1

NHOPI

91.1%

90%

1.0

Source:  CDC 2012.  National Immunization Survey (NIS) - Children 19-35 months old.
http://www.cdc.gov/vaccines/stats-surv/nis/data/tables_2011.htm#race

HEPATITIS C - ACUTE

Hepatitis C, Acute (Cases per 100,000 population), 2011

Asian

White

Asian / White Ratio

0.05

0.14

0.4

Source: CDC, 2013. Summary of Notifiable Diseases - United States, 2011. MMWR 2013; v. 60, no. 53. Table 5.
http://www.cdc.gov/mmwr/PDF/wk/mm6053.pdf [PDF | 4.76MB]

HEPATITIS C - CHRONIC

At a glance – Adults (Chronic Hepatitis C):

Percent of reported cases of laboratory-confirmed, chronic hepatitis C virus (HCV) infection, 2010

Asian/Pacific
Islander

White

Missing/Unknown
Cases

Asian/Pacific Islander /
White Ratio

1.3%

24.5%

50.9%

0.05

Source: CDC 2012. Viral Hepatitis Surveillance – United States, 2010. Table 4.4
http://www.cdc.gov/hepatitis/Statistics/2010Surveillance/index.htm


1CDC, 2007. Hepatitis Awareness Month - May 2007. MMWR v. 56, no. 18, page 1. http://www.cdc.gov/mmwr/PDF/wk/mm5618.pdf [PDF | 551KB]


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