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Two decades after vaccine license: hepatitis B immunization and infection among young men who have sex with men.
Open accessAbstract
OBJECTIVES: This study investigated hepatitis B immunization coverage and the extent of hepatitis B virus (HBV) infection among young men who have sex with men (MSM), a group for whom hepatitis B vaccine has been recommended since 1982. METHODS: We analyzed data from 3432 MSM, aged 15 to 22 years, randomly sampled at 194 gay-identified venues in 7 US metropolitan areas from 1994 through 1998. Participants were interviewed, counseled, and tested for serologic markers of HBV infection. RESULTS: Immunization coverage was 9% and the prevalence of markers of HBV infection was 11%. HBV infection ranged from 2% among 15-year-olds to 17% among 22-year-olds. Among participants susceptible to HBV infection, 96% used a regular source of health care or accessed the health care system for HIV or sexually transmitted disease testing. CONCLUSIONS: Despite the availability of an effective vaccine for nearly 2 decades, our findings suggest that few adolescent and young adult MSM in the United States are vaccinated against hepatitis B. Health care providers should intensify their efforts to identify and vaccinate young MSM who are susceptible to HBV.
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Vaccination coverage among the majority of adult populations at high risk aged ≥30 years has remained low; these groups account for the highest rates of preventable acute infections.
“In contrast, vaccination coverage among the majority of adult populations at high risk aged ≥30 years (e.g., persons with multiple sex partners, MSM, and injecting drug users) has remained low (1320,1321); these groups account for the highest rates of preventable acute infections (12,1319,1322).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1322]
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Sexually Transmitted Infections Treatment Guidelines, 2021
Workowski, K. A., Bachmann, L. H., Chan, P. A., Johnston, C. M., Muzny, C. A., Park, I., Reno, H., Zenilman, J. M., & Bolan, G. A. (2021) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7004a1 · Cited by 3,018
Metadata
- Authors
- MacKellar, D. A., Valleroy, L. A., Secura, G. M., McFarland, W., Shehan, D. A., Ford, W., LaLota, M., Celentano, D. D., Koblin, B. A., Torian, L. V., Thiede, H., & Janssen, R. S.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2001-06-01
- Volume
- 91
- Issue
- 6
- Pages
- 965-971
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC1446476
- OpenAlex
- W1524618098
- Cited by
- 142
- References
- 46
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 1 · 2021: 4 · 2020: 6 · 2019: 1 · 2018: 1 · 2017: 6 · 2016: 4 · 2015: 3 · 2014: 4 · 2013: 6 · 2012: 8
- FWCI
- 8.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Hepatitis B Virus Studies
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Keywords
- hepatitis B vaccine, hepatitis B, young men who have sex with men, vaccination coverage, serological markers, HIV testing, sexually transmitted infection testing, health care access, vaccine uptake
- MeSH terms
- Adolescent, Adult, Cross-Sectional Studies, Delivery of Health Care, Hepatitis B, Humans, Male, Risk Factors, Risk-Taking, United States, Urban Population, Prevalence, Hepatitis B Vaccines, Immunization Programs, Homosexuality, Male
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