title: A successful approach to immunizing men who have sex with men against hepatitis B.
abstract: This paper reports the success of outreach efforts to immunize adults at high risk of acquiring hepatitis B virus (HBV) infection. Local health department testers recruited clients when they sought anonymous HIV testing. Interested clients were serologically tested for HBV infection. Susceptibles were offered a free hepatitis B vaccine. Of 189 clients who were tested, 161 (86%) were susceptible to HBV infection and 140 (74%) were men who have sex with men (MSM). Of the susceptibles, 82 (51%) started the hepatitis B vaccine series. Sixty-five (80%) received three doses of hepatitis B vaccine and an additional 10 (12%) received two doses. Completing the hepatitis B vaccine series was associated with being a MSM (odds ratio [OR] 8.8, confidence interval [CI] 1.5-56.0) and with not being an injection drug user (IDU) (OR 0.2, CI 0.02-1.0). One way to provide hepatitis B vaccine to MSM is to attach an immunization program to a successful anonymous HIV testing program. The feasibility of implementing such programs would increase if public vaccine policymakers made more federally purchased hepatitis B vaccine available for adults.
authors.affiliation: Madison Department of Public Health, Madison, Wisconsin 53709, USA. rsavage@ci.madison.wi.us
authors.forename: R B
authors.initials: RB
authors.lastname: Savage
authors.forename: M J
authors.initials: MJ
authors.lastname: Hussey
authors.forename: M B
authors.initials: MB
authors.lastname: Hurie
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006509:Hepatitis B / Q000517:prevention & control*; D017325:Hepatitis B Vaccines / Q000627:therapeutic use*; D018451:Homosexuality, Male; D006801:Humans; D017589:Immunization Programs / Q000592:standards; D008297:Male; D008875:Middle Aged; D012725:Sexual Behavior
chemical_list: D017325:Hepatitis B Vaccines