title: Hepatitis B vaccination prevalence and its predictors among Asian, Pacific Islander, Native American, and multiracial adults in the National Health and Nutrition Examination Survey.
abstract: Hepatitis B Virus (HBV) vaccination prevalence and its predictors were estimated among Asian, Pacific Islander, Native American, and Multiracial (A-PI-NA-M) adults. Using 2005 National Health and Nutrition Examination Survey data, estimates of HBV vaccination among A-PI-NA-M adults (N = 233) were compared with all other racial/ethnic groups. Multivariable logistic regression was used to estimate predictors of vaccination. Among A-PI-NA-M adults 42% (95%CI 34, 50) were HBV immunized, higher than all other racial/ethnic groups. Some college was associated with a 31% (95%CI 7, 55); a college degree with a 28% (95%CI 8, 49) increased probability of HBV vaccination relative to less education. Each 10-year increase in age was associated with an 11% (95%CI -18, -4) lower probability of HBV vaccination. Access to medical care and immigrant status were not associated with vaccination. Interventions to increase HBV vaccination should target less-educated and older A-PI-NA-M adults, as well as develop strategies so that access to care may increase vaccination.
authors.affiliation: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
authors.forename: John W
authors.initials: JW
authors.lastname: Ayers
authors.forename: Hee-Soon
authors.initials: HS
authors.lastname: Juon
authors.forename: Sunmin
authors.initials: S
authors.lastname: Lee
authors.forename: Eunmi
authors.initials: E
authors.lastname: Park
mesh_terms: D000328:Adult; D001208:Asia / Q000208:ethnology; D005260:Female; D005544:Forecasting; D006509:Hepatitis B / Q000208:ethnology* / Q000517:prevention & control* / Q000821:virology; D006515:Hepatitis B virus / Q000276:immunology*; D006801:Humans; D017589:Immunization Programs / Q000706:statistics & numerical data* / Q000639:trends; D007198:Indians, North American; D008113:Liver Neoplasms / Q000517:prevention & control; D008297:Male; D009749:Nutrition Surveys; D010139:Pacific Islands / Q000208:ethnology