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Telephone Patient Navigation Increases Follow-Up Hepatitis B Care in the Postpartum Period for Immigrants Living in New York City

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Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

Hepatitis B is a major public health threat which leads to serious liver disease or cancer and disproportionately impacts immigrants. Pregnant people are routinely tested for hepatitis B to prevent perinatal transmission but may themselves not receive appropriate education and referrals. People contacted as part of the local health department’s perinatal hepatitis B prevention program were offered culturally appropriate telephone patient navigation services to test if this would improve adherence with postpartum hepatitis B care. Four-hundred and nine people were enrolled in the intervention. Using laboratory-reported surveillance data as the outcome measure, those receiving the intervention were 1.66 times as likely to see a hepatitis B care provider within 6 months of childbirth compared with those who did not. Culturally appropriate patient navigation can improve adherence with recommended hepatitis B care in the postpartum period. Health departments can use similar interventions to address liver health disparities in immigrant populations.

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Acknowledgements

The authors would like to thank the staff of the New York City Department of Health and Mental Hygiene’s Perinatal Hepatitis B Prevention Program and all the organizations and health care providers participating in the New York City Check Hep B Patient Navigation Program without whom none of this work would have been possible.

Funding

This work was supported by Gilead Sciences, Inc., Grant Number IN-US-174-3948.

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Authors and Affiliations

  1. New York City Department of Health and Mental Hygiene, Bureau of Communicable Disease, 42-09 28th Street, Long Island City, NY, USA

    Jessie Schwartz, Angelica Bocour, Liz Tang, Farma Pene, Nirah Johnson, Miranda S. Moore & Ann Winters

  2. New York City Department of Health and Mental Hygiene, Bureau of Immunization, Long Island City, NY, USA

    Julie Lazaroff

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  1. Jessie Schwartz
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  2. Angelica Bocour
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  3. Liz Tang
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  8. Ann Winters
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Correspondence to Jessie Schwartz.

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Schwartz, J., Bocour, A., Tang, L. et al. Telephone Patient Navigation Increases Follow-Up Hepatitis B Care in the Postpartum Period for Immigrants Living in New York City. J Immigrant Minority Health 23, 1179–1186 (2021). https://doi.org/10.1007/s10903-021-01240-5

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