Increasing hepatitis B vaccination among young African-American men who have sex with men: Simple answers and difficult solutions


Rhodes, SD; Hergenrather, KC; Yee, LJ; (2002) Increasing hepatitis B vaccination among young African-American men who have sex with men: Simple answers and difficult solutions. AIDS patient care and STDs, 16 (11). pp. 519-525. ISSN 1087-2914 DOI: 10.1089/108729102761041074

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Abstract

Using a bar-based sample, we identified factors associated with hepatitis B virus (HBV) vaccination among young African American men who have sex with men (MSM). The mean (+/- standard deviation [SDI) age of the 170 participants was 26 +/- 6.5 years. Nearly 40% reported at least one dose of vaccine; the remainder were completely unvaccinated. Approximately 22% (37) reported having never heard of HBV. Less than 7% of participants reported using condoms the majority of the time during oral intercourse within the past 3 months, and approximately 50% reported using condoms the majority of the time during anal intercourse within the past 3 months. In multivariable analysis, variables associated with vaccination were younger age (odds ratio [OR], 0.44 per 10-year increase in age; 95% confidence interval [CI]: 0.21-0.93, p = 0.032), higher educational attainment (OR, 4.6; 95% CI: 1.17-12.59, p = 0.003), homosexual as opposed to bisexual behavior (OR, 0.15; 95% Cl: 0.06-0.41, p = 0.0001), and recent visits to a health care provider (OR, 4.31; 95% Cl: 2.08-8.94, p = 0.0001). Our findings underscore the need to reach MSM for HBV vaccination. Innovative approaches are necessary to ensure the prevention of infection, transmission and disease among individuals with limited education, bisexual MSM, and men who have limited access to health care.

Item Type: Article
Keywords: Nutrition examination surveys, virus-infection, national-, health, homosexual men, united-states, risk, prevention, hiv, interventions, transmission
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Vaccine Centre
PubMed ID: 12513900
Web of Science ID: 179351300002
URI: http://researchonline.lshtm.ac.uk/id/eprint/17752

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