Introduction
Hepatitis B vaccination is routinely recommended for adults with diabetes mellitus
aged <60 years and for those aged ≥60 years at the discretion of their healthcare
provider. The purpose of this study is to assess hepatitis B vaccination coverage
among adults with and without diabetes mellitus.
Methods
Data from the 2014–2018 National Health Interview Survey were analyzed in 2020 to
determine hepatitis B vaccination series completion (≥3 doses) among adults aged 18–59
and ≥60 years with diabetes mellitus. Multivariable logistic regression analysis was
conducted to identify the factors independently associated with hepatitis B vaccination
among adults aged 18–59 and ≥60 years with diabetes mellitus.
Results
In 2018, among adults aged 18–59 years with diabetes mellitus, 33.2% had received
hepatitis B vaccination (≥3 doses), an increase of 9.7 percentage points from 2014
(p<0.05). Among adults aged ≥60 years with diabetes mellitus, coverage was 15.3% in
2018 and did not increase during 2014–2018. Coverage was not significantly different
among adults with diabetes mellitus compared with those without diabetes mellitus,
even after controlling for the assessed factors. Among adults with diabetes mellitus
aged 18–59 and ≥60 years, younger age, having some college or college education, having
been tested for HIV, being healthcare personnel, or having traveled to hepatitis B
virus–endemic areas were independently associated with an increased likelihood of
vaccination.
Conclusions
Self-reported hepatitis B vaccination coverage among adults with diabetes mellitus
remains suboptimal. Healthcare providers should assess patients’ diabetes status,
recommend and offer needed vaccinations to patients, or refer them to alternate sites
for vaccination.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of Preventive MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
REFERENCES
- Use of hepatitis B vaccination for adults with diabetes mellitus: recommendations of the Advisory Committee on Immunization Practices (ACIP).MMWR Morb Mortal Wkly Rep. 2011; 60: 1709-1711https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6050a4.htmDate accessed: January 7, 2021
- Prevention of hepatitis B virus infection in the United States: recommendations of the Advisory Committee on Immunization Practices.MMWR Recomm Rep. 2018; 67: 1-31https://doi.org/10.15585/mmwr.rr6701a1
- Increased risk of acute hepatitis B among adults with diagnosed diabetes mellitus.J Diabetes Sci Technol. 2012; 6: 858-866https://doi.org/10.1177/193229681200600417
- Centers for Disease Control and Prevention, Health care-associated hepatitis B and C outbreaks (≥2 cases) reported to the CDC 2008–2019.Centers for Disease Control and Prevention, 2020https://www.cdc.gov/hepatitis/outbreaks/healthcarehepoutbreaktable.htm(Updated May 11,)Date accessed: March 24, 2021
- Vaccination coverage among adults with diagnosed diabetes: United States, 2015.NCHS Data Brief. 2016; : 1-8https://www.cdc.gov/nchs/products/databriefs/db265.htmDate accessed: January 7, 2021
- Baseline hepatitis B vaccination coverage among persons with diabetes before implementing a U.S. recommendation for vaccination.Vaccine. 2012; 30: 3376-3382https://doi.org/10.1016/j.vaccine.2012.03.055
- Centers for Disease Control and Prevention.2020https://www.cdc.gov/nchs/nhis/1997-2018.htm#2018(Updated October 20,)Date accessed: January 13, 2021
- SUDAAN User's Manual, Release 11.1.Research Triangle Institute, Research Triangle Park, NC2010
- A National Strategy for the Elimination of Hepatitis B and C: Phase Two Report.The National Academies Press, Washington, DC2017https://doi.org/10.17226/24731
- Racial/ethnic differences in influenza vaccination coverage in high-risk adults.Am J Public Health. 2003; 93: 2074-2078https://doi.org/10.2105/ajph.93.12.2074
- Influenza vaccination of persons with cardiovascular disease in the United States.Tex Heart Inst J. 2004; 31: 22-27https://www.ncbi.nlm.nih.gov/pmc/articles/PMC387428/Date accessed: January 8, 2021
- Generalist and subspecialist physicians’ knowledge, attitudes, and practices regarding influenza and pneumococcal vaccinations for elderly and other high-risk patients: a nationwide survey.Arch Intern Med. 2001; 161: 2702-2708https://doi.org/10.1001/archinte.161.22.2702
- Meeting the challenges of immunizing adults.Am J Prev Med. 2015; 49: S455-S464https://doi.org/10.1016/j.amepre.2015.08.014
- Herpes zoster knowledge, prevalence, and vaccination rate by race.J Am Board Fam Med. 2013; 26: 45-51https://doi.org/10.3122/jabfm.2013.01.120154
- Barriers to adult immunization.Am J Med. 2008; 121: S28-S35https://doi.org/10.1016/j.amjmed.2008.05.005
- Factors associated with vaccination of Medicare beneficiaries in five U.S. communities: results from the Racial and Ethnic Adult Disparities in Immunization Initiative survey, 2003.J Am Geriatr Soc. 2006; 54: 303-310https://doi.org/10.1111/j.1532-5415.2005.00585.x
- U.S. physicians’ perspective of adult vaccine delivery.Ann Intern Med. 2014; 160: 161https://doi.org/10.7326/M13-2332
- The power to protect: vaccination guidelines for adults with chronic diseases.Medscape, New York, NY2017https://www.medscape.com/viewarticle/886087?src=par_cdc_stm_mscpedt&faf=1(Published October 2,)Date accessed: January 27, 2021
- Hepatitis B virus: a comprehensive strategy for eliminating transmission in the United States through universal childhood vaccination. Recommendations of the Immunization Practices Advisory Committee (ACIP).MMWR Recomm Rep. 1991; 40: 1-25https://www.cdc.gov/mmwr/preview/mmwrhtml/00033405.htmDate accessed: February 13, 2021
- Update: recommendations to prevent hepatitis B virus transmission–United States.MMWR Morb Mortal Wkly Rep. 1995; 44: 574-575https://www.cdc.gov/mmwr/preview/mmwrhtml/00038437.htmDate accessed: February 13, 2021
- Vaccination coverage by age 24 months among children born in 2015 and 2016—national Immunization Survey-Child, United States, 2016-2018.MMWR Morb Mortal Wkly Rep. 2019; 68: 913-918https://doi.org/10.15585/mmwr.mm6841e2
- National, regional, state, and selected local area vaccination coverage among adolescents aged 13–17 years - United States, 2018.MMWR Morb Mortal Wkly Rep. 2019; 68: 718-723https://doi.org/10.15585/mmwr.mm6833a2
- National, regional, state, and selected local area vaccination coverage among adolescents aged 13–17 years - United States, 2019.MMWR Morb Mortal Wkly Rep. 2020; 69: 1109-1116https://doi.org/10.15585/mmwr.mm6933a1
- Hepatitis A vaccination coverage among adults 18-49 years traveling to a country of high or intermediate endemicity, United States.Vaccine. 2013; 31: 2348-2357https://doi.org/10.1016/j.vaccine.2013.03.011
- Surveillance for acute viral hepatitis–United States, 2007.MMWR Surveill Summ. 2009; 58: 1-27https://www.cdc.gov/mmwr/preview/mmwrhtml/ss5803a1.htmDate accessed: February 13, 2021
Centers for Disease Control and Prevention. Surveillance for viral hepatitis – United States, 2017. https://www.cdc.gov/hepatitis/statistics/2017surveillance/index.htm. Updated November 14, 2019. Accessed January 27, 2021.
- Hepatitis B vaccination coverage among high-risk adults 18-49 years, U.S., 2009.Vaccine. 2011; 29: 7049-7057https://doi.org/10.1016/j.vaccine.2011.07.030
- Update: recommendations to prevent hepatitis B virus transmission–United States.MMWR Morb Mortal Wkly Rep. 1999; 48: 33-34https://www.cdc.gov/mmwr/preview/mmwrhtml/00056293.htmDate accessed: February 20, 2021
- A comprehensive immunization strategy to eliminate transmission of hepatitis B virus infection in the United States: recommendations of the Advisory Committee on Immunization Practices (ACIP) part II: immunization of adults [published correction appears in MMWR Morb Mortal Wkly Rep. 2007;56(42):1114].MMWR Recomm Rep. 2006; 55 (1–CE4)https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5516a1.htmDate accessed: February 20, 2021
- Immunity against infectious diseases: predictive value of self-reported history of vaccination and disease.Infect Control Hosp Epidemiol. 2007; 28: 564-569https://doi.org/10.1086/516657
- How valid are medical records and patient questionnaires for physician profiling and health services research? A comparison with direct observation of patients visits.Med Care. 1998; 36: 851-867https://doi.org/10.1097/00005650-199806000-00009
- Self-report compared to electronic medical record across eight adult vaccines: do results vary by demographic factors?.Vaccine. 2013; 31: 3928-3935https://doi.org/10.1016/j.vaccine.2013.06.041
- National diabetes statistics report 2020: estimates of diabetes and its burden in the United States.Centers for Disease Control and Prevention, HHS, Atlanta, GA2020https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf(Published)Date accessed: January 26, 2021
- An asthma and diabetes quality improvement project: enhancing care in clinics and community health centers [published correction appears in J Community Health. 2011;36(2):191–192].J Community Health. 2011; 36: 180-190https://doi.org/10.1007/s10900-010-9296-8
- The diabetes quality improvement project.Diabetes Spectr. 2000; 13: 5-10http://journal.diabetes.org/diabetesspectrum/00v13n1/pg5.htmDate accessed: February 20, 2021
- American Association of Diabetes Educators. Vaccination practice for people with diabetes.American Association of Diabetes Educators, Chicago, IL2019https://www.diabeteseducator.org/docs/default-source/practice/educator-tools/vaccination-practices-for-adults-with-diabetesv2.pdf?sfvrsn=2(Published)Date accessed: January 27, 2021
- National Vaccine Advisory Committee. Recommendations from the National Vaccine Advisory committee: standards for adult immunization practice.Public Health Rep. 2014; 129: 115-123https://doi.org/10.1177/003335491412900203
- Increasing appropriate vaccination: health care system-based interventions implemented in combination (2010 archived review).Community Preventive Services Task Force, 2015https://www.thecommunityguide.org/sites/default/files/Vaccination-Health-Care-System-Based-Interventions-Implemented-in-Combination-Archive.pdf(Updated June 5,)Date accessed: January 27, 2021
Article Info
Publication History
Published online: July 19, 2021
Identification
Copyright
Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.
