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Barriers and Facilitators to Hepatitis B Vaccination Among Sex Workers in Vancouver, Canada: Implications for Integrated HIV, STI, and Viral Hepatitis Services

Resource type
Date created
2019-08-09
Authors/Contributors
Abstract
ObjectivesSex workers (SWs) face an increased burden of sexually transmitted and blood-borne infections, yet little is known regarding hepatitis B virus (HBV) prevention and care. This study was performed to characterize cross-sectional and prospective correlates of HBV vaccination among SWs in Vancouver. MethodsQuestionnaire data were drawn from a community-based cohort of SWs (2010–2017). Multivariable logistic regression was used to examine correlates of lifetime self-reported HBV vaccination. Multivariable generalized estimating equation (GEE) regression was used to assess correlates of recent vaccination. ResultsAmong 855 participants, 68.3% reported lifetime HBV vaccination. Multivariable logistic regression showed that im/migrants (adjusted odds ratio (AOR) 0.50, 95% confidence interval (CI) 0.32–0.78) had lower odds of vaccination and that those using injection drugs (AOR 1.88, 95% CI 1.27– 2.78) and those who had undergone HIV testing (AOR 1.94, 95% CI 1.14–3.29) had higher odds of vaccination. In the multivariable GEE analysis, HIV seropositivity (AOR 1.93, 95% CI 1.26–2.97) and recent STI testing (AOR 2.95, 95% CI 1.99–4.39) correlated with recent HBV vaccination. ConclusionsIm/migrant SWs from HBV-endemic settings appear to face gaps in HBV prevention. Evidence-based interventions addressing gaps in voluntary HBV prevention and care are needed, including community-based and culturally safe services. Injection drug use and HIV testing were linked to enhanced vaccination, suggesting that harm reduction and HIV programmes may facilitate linkage to HBV prevention.
Document
Published as
Ranjan, Anuisa & Shannon, Kate & Chettiar, Jill & Braschel, Melissa & Ti, Lianping & Goldenberg, Shira. (2019). Barriers and facilitators to hepatitis B vaccination among sex workers in Vancouver, Canada: Implications for integrated HIV, STI, and viral hepatitis services. International Journal of Infectious Diseases. 87. DOI: 10.1016/j.ijid.2019.07.032.
Publication title
International Journal of Infectious Diseases
Document title
Barriers and facilitators to hepatitis B vaccination among sex workers in Vancouver, Canada: Implications for integrated HIV, STI, and viral hepatitis services
Date
2019
Volume
87
Publisher DOI
10.1016/j.ijid.2019.07.032
Copyright statement
Copyright is held by the author(s).
Scholarly level
Peer reviewed?
Yes
Language
English
Member of collection
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1-s2.0-S1201971219303182-main.pdf 420.35 KB

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