264539 Hepatitis B vaccination among men who have sex with men—National HIV Behavioral Surveillance System, 2008

Wednesday, October 31, 2012 : 1:05 PM - 1:20 PM

Kathy Byrd, MD, MPH , Division of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, GA
Nita Patel, DrPH , NA, Centers for Disease Control and Prevention Foundation, Atlanta, GA
Nevin Krishna, MS, MPH , Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Elizabeth DiNenno, PhD , Centers for Disease Control and Prevention, Atlanta, GA
Background: Hepatitis B vaccination (HepB) has been recommended for men who have sex with men (MSM) since 1982; coverage, however, remains low.

Methods: We used the 2008 National HIV Behavioral Surveillance (NHBS) System to determine self-reported HepB coverage (≥1 dose) and missed opportunities to vaccinate men who have ever had sex with a man, aged ≥18 years. Logistic regression was used to determine independent predictors of vaccination.

Results: Of the 7,427 MSM, 57% (95% Confidence Interval [CI]=56%-58%) of MSM reported receiving ≥1 dose of HepB. Eighty-four percent of MSM had ≥1 indications for vaccination (e.g. injection drug use, STD or incarceration in past year, ever in drug treatment), of which 58% (95% CI=57%-60%) reported being vaccinated. Odds of vaccination decreased with increasing age; MSM aged ≥65 years had the lowest odds of vaccination (aOR 0.28; 95% CI= 0.2, 0.5; MSM 18-20 years as referent). Black MSM were less likely to be vaccinated than white MSM (aOR 0.6, CI=0.5, 0.6). MSM with greatest odds of vaccination were: ever tested for HIV (aOR 2.6; 2.2, 3.2); high school education or greater (aOR 1.7; 1.4, 2.1); HIV-positivity (aOR 1.5; 1.3, 1.7); and STD in past year (aOR 1.4; 1.2, 1.6).

Conclusion: Although HepB coverage among MSM in our study approached the Healthy People 2010 goal of 60%, we found many missed opportunities to vaccinate, even for MSM with multiple indications for vaccination. Providers should continue to target MSM for vaccination and routinely vaccinate in healthcare settings that serve at-risk populations.

Learning Areas:
Epidemiology
Protection of the public in relation to communicable diseases including prevention or control
Public health or related research

Learning Objectives:
1) Describe hepatitis B vaccination coverage among men who have sex with men 2) Describe hepatitis B vaccination coverage among men who have sex with men who have more than 1 indication for vaccination 3) List independent predictors of hepatitis B vaccination among men who have sex with men

Keywords: Male Health, Immunizations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a medical epidemiologist who has been the principal or co-princple of multiple studies on viral hepatitis vaccination coverage among a variety of populations.Among my scientific interests are primary and secondary prevention of hepatitis B and hepatitis A.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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