Variations in Hepatitis B Vaccine Series Completion by Setting Among Adults at Risk in West Virginia
| Autor: | Judith Feinberg, Christa L. Lilly, Thomas C. Hulsey, Diane K. Gross, Stacy R. Tressler |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Sexually transmitted disease
Adult medicine.medical_specialty Hepatitis B vaccine Epidemiology Pilot Projects Logistic regression 01 natural sciences Article 03 medical and health sciences 0302 clinical medicine medicine Humans Hepatitis B Vaccines 030212 general & internal medicine 0101 mathematics Retrospective Studies business.industry 010102 general mathematics West virginia Vaccination Public Health Environmental and Occupational Health Retrospective cohort study West Virginia Hepatitis B Family planning Family medicine business Health department |
| Zdroj: | Am J Prev Med |
| ISSN: | 1873-2607 |
| Popis: | Introduction West Virginia leads the nation with the highest rate of acute hepatitis B. From 2013 to 2015, the West Virginia hepatitis B Vaccination Pilot Project distributed more than 10,000 doses of hepatitis B vaccine to at-risk adults through local health department clinics and through outreach to correctional facilities and substance use treatment centers. This study aims to determine which setting type is associated with the greatest likelihood of at-risk adults receiving all 3 or at least 2 doses of hepatitis B vaccine. Methods Data for this retrospective cohort study were accessed, extracted, and analyzed in 2019 from Pilot Project participant forms initially completed from 2013 to 2015. Odds of receiving all 3 or at least 2 doses were calculated using bivariate, multivariable, and mixed-effects regression models. Results Data were available for 1,201 participants. In multivariable logistic regression, participants vaccinated at substance use treatment centers (AOR=1.37, 95% CI=1.01, 1.86) and local health department family planning clinics (AOR=3.74, 95% CI=1.98, 7.06) were more likely to receive the 3-dose series versus those vaccinated at local health department sexually transmitted disease clinics. Participants vaccinated through substance use treatment centers (AOR=1.79, 95% CI=1.31, 2.44), correctional facilities (AOR=3.34, 95% CI=2.09, 5.34), and local health department family planning clinics (AOR=3.97, 95% CI=1.72, 9.16) were more likely to receive at least 2 doses. Conclusions Hepatitis B vaccination delivered at local health department family planning clinics, substance use treatment centers, or correctional facilities may increase vaccine dose completion in West Virginia. |
| Databáze: | OpenAIRE |
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