Cited by 4Hepatitis B Virus StudiesIntramuscular injections and effectsVaccine Coverage and Hesitancy

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Gaps in Hepatitis B Vaccination Completion and Sero-Protection for People Who Inject Drugs in Hpakant, Myanmar, 2015–2018

Open access
Shwe Yee, Nilar, Yu Naing, Aung, Gil Cuesta, Julita, Das, Mrinalini, Dave, Kapilkumar·2020·Tropical Medicine and Infectious Disease

Abstract

Hepatitis B vaccination (HBV) is recommended for high-risk groups, such as people who inject drugs (PWIDs). As part of a harm reduction program by a non-governmental organization, hepatitis B screening, vaccination and antibody (HBAb) testing after completion of the vaccination schedule were offered to PWIDS in Myanmar. We determined the proportions of HBV non-completion and sero-unprotection among PWIDs enrolled in the program and their association with socio-demographic and clinical characteristics. We conducted a descriptive study based on routine program data in five selected clinics in Hpakant Township, Myanmar. PWIDs who were Hepatitis B antigen negative at screening during January 2015–December 2018 were included. Among 5386 participants eligible for HBV, 9% refused vaccination. Among those who accepted vaccination (n = 3177 individuals), 65% completed vaccination. Of those tested for HBsAb (n = 2202), 30% were sero-unprotected. Young-adults (aged 18–44 years) and migrant workers had a higher risk of incomplete vaccination. However, participants who used methadone had a lower risk of incomplete vaccination. Migrant workers had higher risk of not returning for HBsAb testing and HIV-positive participants had a higher risk of being HBV sero-unprotected. Efforts to increase HBV vaccination in PWIDs for young adults and clients during methadone and anti-retroviral services should be prioritized.

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Registry

Crossref · 10.3390/tropicalmed5020077

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Figures

Figure 1 Flow of HBV vaccination completion among PWID clients in Hpakant Township, Kachin State, Myanmar between January 2015 and December 2018.
Figure 1 Flow of HBV vaccination completion among PWID clients in Hpakant Township, Kachin State, Myanmar between January 2015 and December 2018.CC BY · PubMed Central

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Research works printed but not linked: 1

  1. Lwin, 2017, Sero-prevalence of Hepatitis B and C Viral Infections in Myanmar: National and regional survey in 2015, Myanmar Health Sci. Res. J., 29, 167

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Metadata

Authors
Shwe Yee, N., Yu Naing, A., Gil Cuesta, J., Das, M., & Dave, K.
Affiliations
  • Asian Harm Reduction Network, Hpakant Township, Kachin State 01161, Myanmar
  • Luxembourg Operational Research Unit, Médecins Sans Frontières, 1050 Brussels, Belgium
  • Médecins Sans Frontières (NL)
  • Society for Education Welfare and Action Rural (IN)
Venue
Tropical Medicine and Infectious Disease
Publisher
MDPI AG
Published
2020-05-12
Volume
5
Issue
2
Pages
77
ISSN
2414-6366 (ISSN-L)
OpenAlex
W3024030370
Cited by
4
References
10
Citations by year
2026: 1 · 2023: 2 · 2022: 1
FWCI
0.54
Type
journal article
Language
en
Open access
Locations
  • Tropical Medicine and Infectious Disease (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Epidemiology › Hepatitis B Virus Studies
  • Health Sciences › Medicine › Emergency Medicine › Intramuscular injections and effects
  • Social Sciences › Health › Vaccine Coverage and Hesitancy
Keywords
hepatitis B vaccination, people who inject drugs, vaccine completion, harm reduction, migrant workers, methadone, HIV, young adults

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