Hepatitis B Vaccination Coverage Among Health-Care Personnel in the United States

• Published in: Public health reports (1974) 2013-11, Vol.128 (6), p.498-509
• Main Authors: Byrd, Kathy K., Lu, Peng-jun, Murphy, Trudy V.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Biological and medical sciences; Cross-Sectional Studies; Dosage; Female; Health Personnel - statistics & numerical data; Health Surveys; Hepatitis B; Hepatitis B - prevention & control; Hepatitis B Vaccines - administration & dosage; Hepatitis B virus; HIV; Human viral diseases; Humans; Immunization; Infectious diseases; Influenza vaccines; Male; Medical sciences; Middle Aged; Public health; Self Report; Self reports; United States; Vaccination; Vaccination - statistics & numerical data; Vaccination - trends; Viral diseases; Viral hepatitis; Young Adult
• ISSN: 0033-3549; 1468-2877
• DOI: 10.1177/003335491312800609

Objectives. We compared self-reported hepatitis B (HepB) vaccine coverage among health-care personnel (HCP) with HepB vaccine coverage among the general population and determined trends in vaccination coverage among HCP. Methods. We used the 2010 National Health Interview Survey (NHIS) to determine the weighted proportion of self-reported ≥1- and ≥3-dose HepB vaccine coverage among HCP aged ≥18 years. We used logistic regression to determine independent predictors of vaccination and performed a trend analysis to determine changes in coverage from 2004 to 2010 using data from the 2004—2010 NHIS. Results. Overall, 69.5% (95% confidence interval [CI] 67.2, 71.8) and 63.4% (95% CI 60.8, 65.9) of HCP reported receiving ≥1 and ≥3 doses of HepB vaccine, respectively, compared with 27.1% (95% CI 26.1, 28.1%) and 23.0% (95% CI 22.1, 24.0) among non-HCP. Among HCP with direct patient contact, 80.7% (95% CI 78.2, 83.1) and 74.0% (95% CI 71.2, 76.8) received ≥1 and ≥3 HepB vaccine doses, respectively. Independent predictors of vaccination included direct patient contact, having more than a high school education, influenza vaccination in the past year, and ever having been tested for HIV. There was no significant change in reported coverage from 2004 through 2010. Conclusion. The 2010 HepB vaccine coverage estimate among HCP remained well below the Healthy People 2010 goal of 90%. Efforts to target unvaccinated HCP for preexposure HepB protection should be encouraged.