{"doi":"10.1111/apt.70123","title":"Immigration Factors and Monitoring of Chronic Hepatitis B Infection Among Foreign‐Born: The <scp>FOCUS</scp>‐<scp>HBV</scp> Multicentre Cohort","abstract":"BACKGROUND: Immigrants are the largest subgroup living with chronic hepatitis B (HBV) infection in the United States. It is not well understood how immigration and associated social and cultural factors impact adherence to HBV monitoring. METHODS: We conducted a multicentre multilingual survey among foreign-born adults with chronic HBV between 7/2021 and 4/2023. Participants were surveyed regarding (1) immigration factors, (2) acculturation and language preferences, (3) social determinants of health and (4) HBV-related clinical factors. The primary outcome was optimal adherence, defined as 100% of the time with at least annual testing of HBV DNA, ALT and ultrasound while under care. Logistic regression was used to examine survey factors associated with the outcome. RESULTS: Two hundred and seventy-four foreign-born patients with HBV (median 57 years, 57% male) from 32 birth countries were included. Thirteen per cent had immigrated within the past 10 years, and 62% were US citizens. Nearly all (92%) reported seeing a specialist for HBV, with 72% currently on treatment. 44% of participants had optimal adherence to monitoring over a median of 6 years (2-7) under care. Factors associated with more optimal adherence on multivariate testing included non-English survey language (OR 2.32, 95% CI 1.15-4.66), non-US citizens (OR 2.05, 95% CI 1.01-4.15) and higher education (college vs. high school or less: OR 2.39, 95% CI 1.09-5.24). Medicare insurance (vs. private) was associated with less optimal adherence (OR 0.42, 95% CI 0.19-0.94). CONCLUSION: Adherence to long-term monitoring is suboptimal among a diverse cohort of immigrants with chronic HBV. More efforts to engage and retain immigrants in care are needed.","journal":"Alimentary Pharmacology & Therapeutics","year":2025,"id":538152,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.853,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":414911,"name":"Ariel Lee","orcid":null,"position":1,"is_corresponding":false},{"id":52032,"name":"Christopher K. Wong","orcid":null,"position":2,"is_corresponding":false},{"id":1424813,"name":"Amol S. Rangnekar","orcid":null,"position":3,"is_corresponding":false},{"id":1424814,"name":"Ariana Chen","orcid":null,"position":4,"is_corresponding":false},{"id":1424815,"name":"James Ajokubi","orcid":null,"position":5,"is_corresponding":false},{"id":28480,"name":"Andreas Keller","orcid":"0000-0002-5361-0895","position":6,"is_corresponding":false},{"id":40953,"name":"Coleman I. Smith","orcid":"0000-0002-8932-5623","position":7,"is_corresponding":false},{"id":699627,"name":"Asif Hitawala","orcid":"0000-0002-2888-0172","position":8,"is_corresponding":false},{"id":1107756,"name":"Maria Mironova","orcid":"0000-0002-9783-097X","position":9,"is_corresponding":false},{"id":1107755,"name":"Harish Gopalakrishna","orcid":"0000-0003-3175-4983","position":10,"is_corresponding":false},{"id":1424816,"name":"Jaha Norman‐Wheeler","orcid":null,"position":11,"is_corresponding":false},{"id":270560,"name":"Marc G. Ghany","orcid":"0000-0003-2837-0188","position":12,"is_corresponding":false},{"id":253579,"name":"Jennifer L. Dodge","orcid":"0000-0001-8805-8271","position":13,"is_corresponding":false},{"id":253583,"name":"Norah A. Terrault","orcid":"0000-0003-4143-1950","position":14,"is_corresponding":false},{"id":1107754,"name":"Christine Hsu","orcid":"0000-0001-8779-9422","position":15,"is_corresponding":false},{"id":239499,"name":"Kali Zhou","orcid":"0000-0001-8554-2906","position":0,"is_corresponding":true}],"reference_count":31,"raw_metadata":null,"created_at":"2026-07-19T02:52:16.891390Z","pmid":"40202373","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}