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. 2016;2(1):024-27.
Epub 2016 Dec 30.

Hepatitis B Vaccination Rate in Patients with Diabetes: Assessment of Racial and Socioeconomic Disparity

Ayse Aytaman  1 , Nwakile Ojike  2 , Samantha Zizi  2 , S R Pandi-Perumal  3 , Ismet Lukolic  4 , Amit Bhanvadia  4 , Felix Nwamaghinna  4 , Haroon Kamran  4 , Alla Akivis  5 , Olusegun Bankole  4 , Moro O Salifu  4 , Samy I McFarlane  4
Affiliations

Hepatitis B Vaccination Rate in Patients with Diabetes: Assessment of Racial and Socioeconomic Disparity

Ayse Aytaman et al. Int J Clin Endocrinol Metab. 2016.

Abstract

Introduction: Less hygienic use of blood glucose monitoring equipment such as blood glucose meters, lancets, finger stick devices or other diabetes-care equipment such as syringes or insulin pens by self-administration often exposes the diabetic patient to Hepatitis B infection. This study evaluates hepatitis B vaccination among individuals with diabetes.

Methods: The study used data from the 2000-2013 National Health Interview Survey (NHIS). Vaccination rates among adult individuals with diabetes of various ethnic backgrounds was accessed and compared using chis-square tests. Multivariable logistic regression model was used to compare factors affecting hepatitis B vaccination among individuals with diabetes.

Results: The crude rate of diabetes in this population was 5.4%. The rate of vaccination among individuals with diabetes differed across racial groups (Asians 31.8% vs. blacks 30.7%; and whites 26.5%; p<0.01). After multivariate regression, the leading factors affecting hepatitis B vaccination included Age (40-60 years) (OR=0.51, 95% CI=0.47-0.57, p<0.01), lack of college education (OR=0.71,95% CI=0.64-0.79, p<0.01), foreign birth (OR=0.83, 95% CI=0.72-0.95, p<0.01), and Hispanic ethnicity (OR=0.88, 95% CI=0.78-1.00, P<0.05).

Conclusion: Social and economic factors-education, insurance status, age, poverty level, and place of birth affect rates of vaccination among individuals with diabetes.

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References

    1. Gotz HM, Schutten M, Borsboom GJ, Hendriks B, van Doornum G, et al. A cluster of hepatitis B infections associated with incorrect use of a capillary blood sampling device in a nursing home in the Netherlands, 2007. Euro Surveill. 2008;13:2007. :2008. Link: https://goo.gl/bZcvX5. - PubMed
    1. Duffell EF, Milne LM, Seng C, Young Y, Xavier S, et al. Five hepatitis B outbreaks in care homes in the UK associated with deficiencies in infection control practice in blood glucose monitoring. Epidemiol Infect. 2011;139:327–335. Link: https://goo.gl/kZBB0g. - PubMed
    1. Schillie SF, Xing J, Murphy TV, Hu DJ. Prevalence of hepatitis B virus infection among persons with diagnosed diabetes mellitus in the United States, 1999–2010. J Viral Hepat. 2012;19:674–676. Link: https://goo.gl/XIvRCu. - PubMed
    1. Klonoff DC, Perz JF. Assisted monitoring of blood glucose: special safety needs for a new paradigm in testing glucose. J Diabetes Sci Technol. 2010;4:1027–1031. Link: https://goo.gl/IopBHi. - PMC - PubMed
    1. Meyers JL, Parasuraman S, Bell KF, Graham JP, Candrilli SD, et al. The high-cost, type 2 diabetes mellitus patient: an analysis of managed care administrative data. Arch Public Health. 2014;72:2014. :2016. Link: https://goo.gl/YdTGKy. - PMC - PubMed

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