Two decades after vaccine license: Hepatitis B immunization and infection among young men who have sex with men

D. A. MacKellar, L. A. Valleroy, G. M. Secura, W. McFarland, D. Shehan, W. Ford, M. LaLota, David D Celentano, B. A. Koblin, L. V. Torian, H. Thiede, R. S. Janssen

Research output: Contribution to journalArticle

Abstract

Objectives. This study investigated hepatitis B immunization coverage and the extent of hepatitis B virus (HBV) infection among young men who have sex with men (MSM), a group for whom hepatitis B vaccine has been recommended since 1982. Methods. We analyzed data from 3432 MSM, aged 15 to 22 years, randomly sampled at 194 gay-identified venues in 7 US metropolitan areas from 1994 through 1998. Participants were interviewed, counseled, and tested for Serologic markers of HBV infection. Results. Immunization coverage was 9% and the prevalence of markers of HBV infection was 11%. HBV infection ranged from 2% among 15-year-olds to 17% among 22-year-olds. Among participants susceptible to HBV infection, 96% used a regular source of health care or accessed the health care system for HIV or sexually transmitted disease testing. Conclusions. Despite the availability of an effective vaccine for nearly 2 decades, our findings suggest that few adolescent and young adult MSM in the United States are vaccinated against hepatitis B. Health care providers should intensify their efforts to identify and vaccinate young MSM who are susceptible to HBV.

Original languageEnglish (US)
Pages (from-to)965-971
Number of pages7
JournalAmerican Journal of Public Health
Volume91
Issue number6
StatePublished - 2001
Externally publishedYes

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Hepatitis B Vaccines
Licensure
Hepatitis B virus
Virus Diseases
Immunization
Infection
Hepatitis B
Delivery of Health Care
Sexually Transmitted Diseases
Health Personnel
Young Adult
Vaccines
HIV

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

MacKellar, D. A., Valleroy, L. A., Secura, G. M., McFarland, W., Shehan, D., Ford, W., ... Janssen, R. S. (2001). Two decades after vaccine license: Hepatitis B immunization and infection among young men who have sex with men. American Journal of Public Health, 91(6), 965-971.

Two decades after vaccine license : Hepatitis B immunization and infection among young men who have sex with men. / MacKellar, D. A.; Valleroy, L. A.; Secura, G. M.; McFarland, W.; Shehan, D.; Ford, W.; LaLota, M.; Celentano, David D; Koblin, B. A.; Torian, L. V.; Thiede, H.; Janssen, R. S.

In: American Journal of Public Health, Vol. 91, No. 6, 2001, p. 965-971.

Research output: Contribution to journalArticle

MacKellar, DA, Valleroy, LA, Secura, GM, McFarland, W, Shehan, D, Ford, W, LaLota, M, Celentano, DD, Koblin, BA, Torian, LV, Thiede, H & Janssen, RS 2001, 'Two decades after vaccine license: Hepatitis B immunization and infection among young men who have sex with men', American Journal of Public Health, vol. 91, no. 6, pp. 965-971.
MacKellar DA, Valleroy LA, Secura GM, McFarland W, Shehan D, Ford W et al. Two decades after vaccine license: Hepatitis B immunization and infection among young men who have sex with men. American Journal of Public Health. 2001;91(6):965-971.
MacKellar, D. A. ; Valleroy, L. A. ; Secura, G. M. ; McFarland, W. ; Shehan, D. ; Ford, W. ; LaLota, M. ; Celentano, David D ; Koblin, B. A. ; Torian, L. V. ; Thiede, H. ; Janssen, R. S. / Two decades after vaccine license : Hepatitis B immunization and infection among young men who have sex with men. In: American Journal of Public Health. 2001 ; Vol. 91, No. 6. pp. 965-971.
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N2 - Objectives. This study investigated hepatitis B immunization coverage and the extent of hepatitis B virus (HBV) infection among young men who have sex with men (MSM), a group for whom hepatitis B vaccine has been recommended since 1982. Methods. We analyzed data from 3432 MSM, aged 15 to 22 years, randomly sampled at 194 gay-identified venues in 7 US metropolitan areas from 1994 through 1998. Participants were interviewed, counseled, and tested for Serologic markers of HBV infection. Results. Immunization coverage was 9% and the prevalence of markers of HBV infection was 11%. HBV infection ranged from 2% among 15-year-olds to 17% among 22-year-olds. Among participants susceptible to HBV infection, 96% used a regular source of health care or accessed the health care system for HIV or sexually transmitted disease testing. Conclusions. Despite the availability of an effective vaccine for nearly 2 decades, our findings suggest that few adolescent and young adult MSM in the United States are vaccinated against hepatitis B. Health care providers should intensify their efforts to identify and vaccinate young MSM who are susceptible to HBV.

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