title: An audit of hepatitis B vaccination for men who have sex with men before and after sexual health service integration.
abstract: Scottish Government guidelines identify hepatitis B vaccination as a key standard reflecting access to sexual health care for men who have sex with men (MSM). This audit was performed before and after service redesign to assess the impact of the integration of genitourinary medicine and sexual and reproductive health services on the provision of care to MSM. There was no significant difference between the proportion of males receiving at least one dose of vaccination (p = 0.64, χ(2 )= 0.222), but a significant drop in the proportion of males receiving three doses of vaccination pre- and post-integration (p = 0.0157, χ(2 )= 5.834). Advised standards are being met but follow up and recall require improvement if previously reported completion rates are required for protection.
authors.affiliation: Chalmers Sexual Health Centre, NHS Lothian, Edinburgh, UK sally.wielding@nhslothian.scot.nhs.uk.
authors.forename: Sally
authors.initials: S
authors.lastname: Wielding
authors.affiliation: Chalmers Sexual Health Centre, NHS Lothian, Edinburgh, UK.
authors.forename: Andy Hy
authors.initials: AH
authors.lastname: Ma
authors.affiliation: Chalmers Sexual Health Centre, NHS Lothian, Edinburgh, UK.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Clutterbuck
mesh_terms: D000328:Adult; D019033:Delivery of Health Care, Integrated; D006509:Hepatitis B / Q000517:prevention & control*; D017325:Hepatitis B Vaccines / Q000276:immunology*; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010349:Patient Compliance; D034121:Reproductive Health Services; D012189:Retrospective Studies; D014611:Vaccination; D055815:Young Adult
chemical_list: D017325:Hepatitis B Vaccines
keywords: Europe; hepatitis B; homosexual; men who have sex with men; prevention; vaccination