Asian
OHA acknowledges that people of Asian and Native Hawaiian and Pacific Islander origins and descent represent unique groups of peoples with rich cultural and geographic etiologic backgrounds. Our goal moving forward is to provide information separately for each of these communities. Please check back soon for our progress!
According to the CDC, although Asian and Native Hawaiian and Pacific Islander people currently comprise about 5% of the U.S. population, they represent more than 50% of persons chronically infected with hepatitis B (HBV). Nearly 70% of Asian and Native Hawaiian and Pacific Islander people living in the United States were born or have parents who were born in countries where HBV is endemic. They were infected as infants or young children. Ninety percent of infants exposed to HBV will develop chronic HBV unless they receive vaccination shortly after delivery.
The highest rates of chronic HBV infection in the world are found in Africa and Eastern and Southeastern Asia. Five countries accounted for 47% of the cases: Vietnam (19%), China (17%), Philippines (5%), South Korea (3%) and Taiwan (3%).
Native Hawaiian and Pacific Islander people in Oregon
Between 2009–2013, 59% of chronic cases HBV reported in Oregon occurred among Asian and Native Hawaiian and Pacific Islander people. The highest rates of chronic HBV infection in the world are found in Africa and Eastern and Southeastern Asia. In Oregon, five countries accounted for 47% of the cases between 2009 and 2013: Vietnam (19%), China (17%), Philippines (5%), South Korea (3%) and Taiwan (3%).
Chronic HBV is also more common in Asian and Native Hawaiian and Pacific Islander women than in women of other races. More than half (52%) of chronic HBV laboratory reports in Asian and Native Hawaiian and Pacific Islander people occurred in females, while only 32% of cases in all other races combined occurred in females during this time period.
Cancer Risk
The risk of HBV-associated hepatocellular carcinoma (HCC) in Oregon is 32 times higher in Asian and Native Hawaiian and Pacific Islander communities compared to white persons. Sixty percent of cases of HCC occurred in Asian and Pacific Islander people between 2008–2013. Oregon mortality data show that Asian people disproportionately die from chronic HBV. Twenty-three percent of deaths from HBV occurring in 2009–2013 were in Asian and Pacific Islander people. Working together in culturally responsible and respectful ways, OHA and the communities disproportionately impacted by HBV-related liver cancer deaths can reverse this trend.