Integrating hepatitis B prevention into sexually transmitted disease services: U.S. sexually transmitted disease program and clinic trends--1997 and 2001.
OBJECTIVE
The objective of this study was to measure the progress since 1997 of implementing sexually transmitted disease (STD) clinic-based recommendations for hepatitis B prevention.


OBJECTIVE
The goal of this study was to assess improvements since 1997 in hepatitis B prevention integration in STD services.


METHODS
Repeating a 1997 survey, in 2001, a survey was sent to state, municipal, and territorial STD program managers, previously surveyed clinic managers, and a national sample of 500 STD clinics.


RESULTS
Large increases were found in the percentage of clinics offering hepatitis B vaccine (from 61% to 82%), providing education (49% to 84%), and accessing federal vaccine programs (48% to 84%). Twice as many program managers considered all patients with STDs eligible for hepatitis B vaccination. Lack of resources and patient noncompliance with vaccine series completion were program barriers.


CONCLUSIONS
Hepatitis B policies and vaccination and education efforts in STD clinics have improved; however, many barriers reported in 1997 remained in 2001.
Gilbert
Lisa K
LK
ASHA, Research Triangle Park, North Carolina 27709, USA.
Bulger
Jane
J
Scanlon
Kelli
K
Ford
Kathy
K
Bergmire-Sweat
David
D
Weinbaum
Cindy
C
D000554:Ambulatory Care Facilities / Q000592:standards*; D006266:Health Education / Q000706:statistics & numerical data; D006509:Hepatitis B / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data*; D016134:Organizational Policy; D017063:Outcome Assessment, Health Care; D011635:Public Health Administration / Q000592:standards; D011785:Quality Assurance, Health Care; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D014611:Vaccination / Q000706:statistics & numerical data