The association between internet use to obtain health information and receiving three doses of the Hepatitis B vaccine in a multi-ethnic population in Ohio

While most cancer incidence and mortality rates are decreasing, liver cancer rates are increasing. The Hepatitis B Virus (HBV) vaccine prevents liver cancer, although not everyone receives all three doses of the vaccine. This study examined the association between using the internet as the primary s...

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Main Authors: Cameron Carpenter, Brittany Bernardo, Toyin Adeyanju, Chasity Washington, James L. Fisher, Gregory Young, Electra D. Paskett
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335523000943
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author Cameron Carpenter
Brittany Bernardo
Toyin Adeyanju
Chasity Washington
James L. Fisher
Gregory Young
Electra D. Paskett
author_facet Cameron Carpenter
Brittany Bernardo
Toyin Adeyanju
Chasity Washington
James L. Fisher
Gregory Young
Electra D. Paskett
author_sort Cameron Carpenter
collection DOAJ
description While most cancer incidence and mortality rates are decreasing, liver cancer rates are increasing. The Hepatitis B Virus (HBV) vaccine prevents liver cancer, although not everyone receives all three doses of the vaccine. This study examined the association between using the internet as the primary source of health information and receiving three HBV vaccine doses among a multi-ethnic population in Ohio. From May 2017 through February 2018, participants in the Community Initiative Towards Improving Equity and Health Status (CITIES) study reported their primary health information source and if they received three HBV vaccine doses. A multivariable logistic regression model was fit using backwards selection. Overall, 26.6% received three HBV vaccine doses. After adjusting for race/ethnicity and education, the association between internet use and receiving three HBV vaccine doses was not significant (p-value = 0.73). In the process of model-building, race/ethnicity and educational attainment were identified as factors associated with completing the HBV vaccine; Hispanics (OR = 0.35; 95% CI = 0.17, 0.69) and African Americans (OR = 0.53; 95% CI = 0.35, 0.81) had lower odds of receiving three doses compared to whites; compared to college graduates, those with a high school diploma or less also had lower odds (OR = 0.33; 95% CI = 0.21, 0.52). This study suggests no association between internet use and complete HBV vaccination; however, associations between both race/ethnicity and educational attainment and HBV vaccine completion were identified. Future research should consider factors that stem from racial/ethnic and educational disparities that may influence adherence to HBV vaccination (i.e., healthcare system mistrust, access to accurate health information).
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spelling doaj.art-badb5acda8b44deb9817e2d27b281b0d2023-05-14T04:28:42ZengElsevierPreventive Medicine Reports2211-33552023-06-0133102203The association between internet use to obtain health information and receiving three doses of the Hepatitis B vaccine in a multi-ethnic population in OhioCameron Carpenter0Brittany Bernardo1Toyin Adeyanju2Chasity Washington3James L. Fisher4Gregory Young5Electra D. Paskett6Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USADepartment of Global Health, Denison University, Granville, OH, USADivision of Population Sciences, Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USADivision of Population Sciences, Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USADivision of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA; Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, OH, USA; Corresponding author at: Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA.Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USADivision of Population Sciences, Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA; Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA; Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH, USAWhile most cancer incidence and mortality rates are decreasing, liver cancer rates are increasing. The Hepatitis B Virus (HBV) vaccine prevents liver cancer, although not everyone receives all three doses of the vaccine. This study examined the association between using the internet as the primary source of health information and receiving three HBV vaccine doses among a multi-ethnic population in Ohio. From May 2017 through February 2018, participants in the Community Initiative Towards Improving Equity and Health Status (CITIES) study reported their primary health information source and if they received three HBV vaccine doses. A multivariable logistic regression model was fit using backwards selection. Overall, 26.6% received three HBV vaccine doses. After adjusting for race/ethnicity and education, the association between internet use and receiving three HBV vaccine doses was not significant (p-value = 0.73). In the process of model-building, race/ethnicity and educational attainment were identified as factors associated with completing the HBV vaccine; Hispanics (OR = 0.35; 95% CI = 0.17, 0.69) and African Americans (OR = 0.53; 95% CI = 0.35, 0.81) had lower odds of receiving three doses compared to whites; compared to college graduates, those with a high school diploma or less also had lower odds (OR = 0.33; 95% CI = 0.21, 0.52). This study suggests no association between internet use and complete HBV vaccination; however, associations between both race/ethnicity and educational attainment and HBV vaccine completion were identified. Future research should consider factors that stem from racial/ethnic and educational disparities that may influence adherence to HBV vaccination (i.e., healthcare system mistrust, access to accurate health information).http://www.sciencedirect.com/science/article/pii/S2211335523000943CancerHepatitis B virusHepatitis vaccineLiver cancerHepaticAppalachia
spellingShingle Cameron Carpenter
Brittany Bernardo
Toyin Adeyanju
Chasity Washington
James L. Fisher
Gregory Young
Electra D. Paskett
The association between internet use to obtain health information and receiving three doses of the Hepatitis B vaccine in a multi-ethnic population in Ohio
Preventive Medicine Reports
Cancer
Hepatitis B virus
Hepatitis vaccine
Liver cancer
Hepatic
Appalachia
title The association between internet use to obtain health information and receiving three doses of the Hepatitis B vaccine in a multi-ethnic population in Ohio
title_full The association between internet use to obtain health information and receiving three doses of the Hepatitis B vaccine in a multi-ethnic population in Ohio
title_fullStr The association between internet use to obtain health information and receiving three doses of the Hepatitis B vaccine in a multi-ethnic population in Ohio
title_full_unstemmed The association between internet use to obtain health information and receiving three doses of the Hepatitis B vaccine in a multi-ethnic population in Ohio
title_short The association between internet use to obtain health information and receiving three doses of the Hepatitis B vaccine in a multi-ethnic population in Ohio
title_sort association between internet use to obtain health information and receiving three doses of the hepatitis b vaccine in a multi ethnic population in ohio
topic Cancer
Hepatitis B virus
Hepatitis vaccine
Liver cancer
Hepatic
Appalachia
url http://www.sciencedirect.com/science/article/pii/S2211335523000943
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