Disparities in Hepatitis B Vaccine Coverage by Race/Ethnicity: The National Health and Nutrition Examination Survey (NHANES) 2015–2016
Hepatitis B virus (HBV) infection is the most common form of viral hepatitis and remains a global public health problem, even though the HBV vaccine is available. HBV leads to chronic liver disease, including cirrhosis, liver cancer, and death. This study aimed to identify disparities in HBV vaccine...
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MDPI AG
2020-04-01
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author | Azad R. Bhuiyan Nusrat Kabir Amal K. Mitra Oluwabunmi Ogungbe Marinelle Payton |
author_facet | Azad R. Bhuiyan Nusrat Kabir Amal K. Mitra Oluwabunmi Ogungbe Marinelle Payton |
author_sort | Azad R. Bhuiyan |
collection | DOAJ |
description | Hepatitis B virus (HBV) infection is the most common form of viral hepatitis and remains a global public health problem, even though the HBV vaccine is available. HBV leads to chronic liver disease, including cirrhosis, liver cancer, and death. This study aimed to identify disparities in HBV vaccine coverage with the serological test by race/ethnicity, adjusting for gender and age. In this study, 5735 adult participants were included, obtaining data from the National Health and Nutrition Examination Survey (NHANES), 2015–2016. Proc survey frequency, bivariate- and multivariate logistic regression in the weighted sample were performed due to the complex survey design of NHANES. Data were analyzed using SAS, version 9.2.4. The overall prevalence of HBV vaccine coverage was only 23.3% (95% CI: 20.7%, 25.9%). In a multivariate logistic regression model, data showed that Mexican Americans (OR 0.57, 95% CI: 0.38, 0.86) and African Americans (OR 0.70, 95% CI 0.56, 0.84) had lower vaccine coverage compared to Whites. Females had (OR 1.55, 95% CI: 1.30, 1.85) higher vaccine coverage compared to men. Older age groups (30–49 years) (OR 0.41, 95% CI: 0.32, 0.52) and age group ≥ 50 years (OR 0.18, 95% CI 0.14, 0.23) had lower vaccine coverage compared to younger adults aged 18–29 years. |
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spelling | doaj.art-7a7d0f733f334013b87629b99324505d2023-11-19T21:46:52ZengMDPI AGDiseases2079-97212020-04-01821010.3390/diseases8020010Disparities in Hepatitis B Vaccine Coverage by Race/Ethnicity: The National Health and Nutrition Examination Survey (NHANES) 2015–2016Azad R. Bhuiyan0Nusrat Kabir1Amal K. Mitra2Oluwabunmi Ogungbe3Marinelle Payton4Department of Epidemiology and Biostatistics, School of Public Health, Jackson State University, Jackson, MS 39213, USADepartment of Epidemiology and Biostatistics, School of Public Health, Jackson State University, Jackson, MS 39213, USADepartment of Epidemiology and Biostatistics, School of Public Health, Jackson State University, Jackson, MS 39213, USASchool of Nursing, Johns Hopkins University, 525 N. Wolfe Street, Baltimore, MD 21205, USADepartment of Epidemiology and Biostatistics, School of Public Health, Jackson State University, Jackson, MS 39213, USAHepatitis B virus (HBV) infection is the most common form of viral hepatitis and remains a global public health problem, even though the HBV vaccine is available. HBV leads to chronic liver disease, including cirrhosis, liver cancer, and death. This study aimed to identify disparities in HBV vaccine coverage with the serological test by race/ethnicity, adjusting for gender and age. In this study, 5735 adult participants were included, obtaining data from the National Health and Nutrition Examination Survey (NHANES), 2015–2016. Proc survey frequency, bivariate- and multivariate logistic regression in the weighted sample were performed due to the complex survey design of NHANES. Data were analyzed using SAS, version 9.2.4. The overall prevalence of HBV vaccine coverage was only 23.3% (95% CI: 20.7%, 25.9%). In a multivariate logistic regression model, data showed that Mexican Americans (OR 0.57, 95% CI: 0.38, 0.86) and African Americans (OR 0.70, 95% CI 0.56, 0.84) had lower vaccine coverage compared to Whites. Females had (OR 1.55, 95% CI: 1.30, 1.85) higher vaccine coverage compared to men. Older age groups (30–49 years) (OR 0.41, 95% CI: 0.32, 0.52) and age group ≥ 50 years (OR 0.18, 95% CI 0.14, 0.23) had lower vaccine coverage compared to younger adults aged 18–29 years.https://www.mdpi.com/2079-9721/8/2/10hepatitis B virusHBV vaccinerace/ethnicityhealth disparityNHANES data |
spellingShingle | Azad R. Bhuiyan Nusrat Kabir Amal K. Mitra Oluwabunmi Ogungbe Marinelle Payton Disparities in Hepatitis B Vaccine Coverage by Race/Ethnicity: The National Health and Nutrition Examination Survey (NHANES) 2015–2016 Diseases hepatitis B virus HBV vaccine race/ethnicity health disparity NHANES data |
title | Disparities in Hepatitis B Vaccine Coverage by Race/Ethnicity: The National Health and Nutrition Examination Survey (NHANES) 2015–2016 |
title_full | Disparities in Hepatitis B Vaccine Coverage by Race/Ethnicity: The National Health and Nutrition Examination Survey (NHANES) 2015–2016 |
title_fullStr | Disparities in Hepatitis B Vaccine Coverage by Race/Ethnicity: The National Health and Nutrition Examination Survey (NHANES) 2015–2016 |
title_full_unstemmed | Disparities in Hepatitis B Vaccine Coverage by Race/Ethnicity: The National Health and Nutrition Examination Survey (NHANES) 2015–2016 |
title_short | Disparities in Hepatitis B Vaccine Coverage by Race/Ethnicity: The National Health and Nutrition Examination Survey (NHANES) 2015–2016 |
title_sort | disparities in hepatitis b vaccine coverage by race ethnicity the national health and nutrition examination survey nhanes 2015 2016 |
topic | hepatitis B virus HBV vaccine race/ethnicity health disparity NHANES data |
url | https://www.mdpi.com/2079-9721/8/2/10 |
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