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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Main Authors: Azad R. Bhuiyan, Nusrat Kabir, Amal K. Mitra, Oluwabunmi Ogungbe, Marinelle Payton
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Diseases
Subjects:
Online Access:https://www.mdpi.com/2079-9721/8/2/10
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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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