title: Acceptance of hepatitis B vaccination among adult patients with sexually transmitted diseases.
abstract: BACKGROUND
  Sexually transmitted disease (STD) clinic patients are at risk for hepatitis B virus infection, but have been relatively neglected in terms of hepatitis B virus (HBV) immunization. Acceptance of HBV vaccine among patients attending an STD clinic was examined.
  
  
  OBJECTIVE
  To evaluate potential predictors of HBV vaccine acceptance.
  
  
  METHODS
  In this study, 99 patients attending an STD clinic completed a brief questionnaire that addressed knowledge of STD and vaccines as well as sexual behavior. After the questionnaire, each patient was offered HBV vaccine, then interviewed to assess reasons for acceptance or refusal.
  
  
  RESULTS
  Among the patients in this study, 23% accepted the vaccine and 11% reported prior vaccination. Acceptors were younger, had less education, and used condoms less frequently than those who refused vaccination. The reasons given for acceptance or rejection typically involved health beliefs related to infection or vaccination.
  
  
  CONCLUSIONS
  The findings indicate an unacceptably low rate of HBV vaccine acceptance in a group at high risk for infection. However, some of the reasons for refusal may be modifiable through brief, targeted interventions.
authors.affiliation: Section of Adolescent Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA. gzimet@iupui.edu
authors.forename: G D
authors.initials: GD
authors.lastname: Zimet
authors.forename: R
authors.initials: R
authors.lastname: Kee
authors.forename: Y
authors.initials: Y
authors.lastname: Winston
authors.forename: S M
authors.initials: SM
authors.lastname: Perkins
authors.forename: K
authors.initials: K
authors.lastname: Maharry
mesh_terms: D000293:Adolescent; D000328:Adult; D002641:Chicago; D005260:Female; D006509:Hepatitis B / Q000517:prevention & control*; D017325:Hepatitis B Vaccines / Q000600:supply & distribution*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases; D011795:Surveys and Questionnaires
chemical_list: D017325:Hepatitis B Vaccines