Sociodemographic, Clinical and Birth Hospitalization Characteristics and Infant Hepatitis B Vaccination in Washington State
| Autor: | Joseph M. Unger, M. Patricia deHart, Janet A. Englund, Emily C. Williams, Annika M. Hofstetter, Polly A. Newcomb, Natalia V. Oster, Elizabeth Jacobson |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Washington Hepatitis B virus Ethnic group Logistic regression Article Odds medicine Odds Ratio Humans Hepatitis B Vaccines Public Health Surveillance Retrospective Studies General Veterinary General Immunology and Microbiology business.industry Vaccination Public Health Environmental and Occupational Health Infant Newborn Infant Retrospective cohort study Odds ratio Hepatitis B medicine.disease Confidence interval Hospitalization Infectious Diseases Socioeconomic Factors Molecular Medicine Female business Demography |
| Zdroj: | Vaccine |
| Popis: | OBJECTIVE: Hepatitis B (HepB) vaccine is recommended at birth; however, national coverage estimates fall far below target levels. Studies describing the factors associated with infant HepB vaccination are lacking. This study aimed to identify the sociodemographic, clinical and birth hospitalization factors associated with timely receipt of the first HepB vaccine dose. STUDY DESIGN: This retrospective cohort study included Washington State infants born weighing ≥2000 grams who received birth hospitalization care at an urban academic medical center between January 2008-December 2013. Multivariable logistic regression was used to estimate adjusted odds ratios (AOR) and 95% confidence intervals (CI) for associations between maternal and infant characteristics and HepB vaccine receipt during the birth hospitalization. RESULTS: Of the 9,080 study infants, 75.5% received HepB vaccine during the birth hospitalization. Infants had higher odds of being vaccinated during the birth hospitalization if they were Hispanic (AOR 2.08; CI: 1.63, 2.65), non-Hispanic black (AOR 2.34; CI: 1.93, 2.84) or Asian (AOR 2.70; CI: 2.22, 3.28) compared to non-Hispanic white. Infants with a Spanish- vs. English-speaking mother (AOR 1.97; CI: 1.46, 2.68), public vs. private insurance (AOR 2.01; CI: 1.78, 2.29), and those hospitalized ≥96 hours vs. 24 to |
| Databáze: | OpenAIRE |
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