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Published in: BMC Infectious Diseases 1/2019

Open Access 01-12-2019 | Hepatitis B | Research article

Factors associated with self-reported non-completion of the hepatitis B vaccine series in men who have sex with men in Brazil

Authors: Artur Acelino Francisco Luz Nunes Queiroz, Álvaro Francisco Lopes de Sousa, Matheus Costa Brandão Matos, Telma Maria Evangelista de Araújo, Sandra Brignol, Renata Karina Reis, Elucir Gir, Maria Eliete Batista Moura

Published in: BMC Infectious Diseases | Issue 1/2019

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Abstract

Background

The objective of the present study was to analyze the factors associated with non-completion of the hepatitis B vaccine series among men who have sex with men and use geosocial dating apps in Brazil.

Methods

This was a cross-sectional, population survey-based, analytical study, conducted exclusively online in all the regions of Brazil, with a sample of 1855 men who have sex with men. The data was collected between November 2016 and February 2017, using the social networking website Facebook.

Results

Univariate, bivariate and multivariate analyses showed that 4.7% of the participants reported receiving one dose of the vaccine, 12.5% two doses, 19.4% three doses, and 45.8% did not know. Multivariate analysis showed that level of education (OR = 0.31; CI 95% 0.14–0.72; p = 0.007), identification as bisexual (OR = 0.6; CI 95% 0.38–0.95; p = 0.030), HIV serological status (OR:2.3; CI 95% 1.58–3.34; p = < 0.001) and frequency of access to health services (OR = 2.38; CI 95% 1.53–3.72; p = < 0.001) were associated with not completing the vaccine series. Low completion of the hepatitis B vaccine series was detected in the population studied.

Conclusion

Completion of the hepatitis B vaccine series was low among men who have sex with men and use geosocial dating apps in Brazil. The factors associated with non-completion were related to social, individual and healthcare (programmatic) vulnerabilities.
Literature
2.
go back to reference Chonwattana W, Raengsakulrach B, Holtz TH, Wasinrapee P, Tongtoyai J, Chaikummao S, et al. Hepatitis B vaccination uptake and correlates of serologic response among HIV-infected and uninfected men who have sex with men (MSM) in Bangkok. Thailand Vaccine. 2016;34(17):2044–50.CrossRef Chonwattana W, Raengsakulrach B, Holtz TH, Wasinrapee P, Tongtoyai J, Chaikummao S, et al. Hepatitis B vaccination uptake and correlates of serologic response among HIV-infected and uninfected men who have sex with men (MSM) in Bangkok. Thailand Vaccine. 2016;34(17):2044–50.CrossRef
3.
go back to reference Oliveira MP, Matos MAD, Silva ÁMC, Lopes CLR, Teles SA, Matos MA, et al. Prevalence, risk behaviors, and Virological characteristics of hepatitis B virus infection in a Group of men who Have sex with men in Brazil: results from a respondent-driven sampling survey. PLoS One. 2016;11(8):e0160916.CrossRef Oliveira MP, Matos MAD, Silva ÁMC, Lopes CLR, Teles SA, Matos MA, et al. Prevalence, risk behaviors, and Virological characteristics of hepatitis B virus infection in a Group of men who Have sex with men in Brazil: results from a respondent-driven sampling survey. PLoS One. 2016;11(8):e0160916.CrossRef
5.
go back to reference Nelson NP, Easterbrook PJ, McMahon BJ. Epidemiology of hepatitis B infection and impact of vaccination on disease. Clin Liver Dis. 2016;20:607–28.CrossRef Nelson NP, Easterbrook PJ, McMahon BJ. Epidemiology of hepatitis B infection and impact of vaccination on disease. Clin Liver Dis. 2016;20:607–28.CrossRef
6.
go back to reference Gusmão BM, Pereira FS, Rocha AP, Silva FMB, Dias OV, Costa SDM. Sociodemographic analysis of reported hepatitis B and immunization against the disease. Rev pesqui cuid fundam (Online). 2017;9(3):627–33.CrossRef Gusmão BM, Pereira FS, Rocha AP, Silva FMB, Dias OV, Costa SDM. Sociodemographic analysis of reported hepatitis B and immunization against the disease. Rev pesqui cuid fundam (Online). 2017;9(3):627–33.CrossRef
7.
go back to reference Rocon PC, Rodrigues A, Zamboni J, Pedrini MD. Difficulties experienced by trans people in accessing the unified Health system. Cienc saúde coletiva. 2016;21(8):2517–26.CrossRef Rocon PC, Rodrigues A, Zamboni J, Pedrini MD. Difficulties experienced by trans people in accessing the unified Health system. Cienc saúde coletiva. 2016;21(8):2517–26.CrossRef
8.
go back to reference Baptista CJ, Dourado I, Andrade TM, Brignol S, Bertoni N, Bastos FI, Brazilian Multicity Study Group on Drug Misuse. HIV Prevalence, Knowledge, Attitudes, and Practices Among Polydrug Users in Brazil: A Biological Survey Using Respondent Driven Sampling. AIDS and Behavior. 2017; 1–15. Baptista CJ, Dourado I, Andrade TM, Brignol S, Bertoni N, Bastos FI, Brazilian Multicity Study Group on Drug Misuse. HIV Prevalence, Knowledge, Attitudes, and Practices Among Polydrug Users in Brazil: A Biological Survey Using Respondent Driven Sampling. AIDS and Behavior. 2017; 1–15.
10.
go back to reference Levine DM, Berenson ML, David S. Estatística: teoria e aplicações usando Microsoft Excel em Português. Rio de Janeiro: LTC; 2000. Levine DM, Berenson ML, David S. Estatística: teoria e aplicações usando Microsoft Excel em Português. Rio de Janeiro: LTC; 2000.
11.
go back to reference Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis. Manual de normas e procedimentos para vacinação. Brasília: Ministério da Saúde; 2014. Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis. Manual de normas e procedimentos para vacinação. Brasília: Ministério da Saúde; 2014.
13.
go back to reference Wielding S, Ma AH, Clutterbuck DJ. An audit of hepatitis B vaccination for men who have sex with men before and after sexual health service integration. Int J STD AIDS. 2016;27:898–900.CrossRef Wielding S, Ma AH, Clutterbuck DJ. An audit of hepatitis B vaccination for men who have sex with men before and after sexual health service integration. Int J STD AIDS. 2016;27:898–900.CrossRef
14.
go back to reference Truong HHM, Fatch RTD, McFarland W. Hepatitis B vaccination and infection prevalence among men who have sex with men who travel internationally. Sex Transm Dis. 2018;45(5):e25–8.PubMed Truong HHM, Fatch RTD, McFarland W. Hepatitis B vaccination and infection prevalence among men who have sex with men who travel internationally. Sex Transm Dis. 2018;45(5):e25–8.PubMed
18.
go back to reference Ximenes RAA, Figueiredo GM, Cardoso MRA, Stein AT, Moreira RC, Coral G, et al. Population-based multicentric survey of hepatitis B infection and risk factors in the north, south, and southeast regions of Brazil, 10–20 years after the beginning of vaccination. Am J Trop Med Hyg. 2015;93(6):1341–8.CrossRef Ximenes RAA, Figueiredo GM, Cardoso MRA, Stein AT, Moreira RC, Coral G, et al. Population-based multicentric survey of hepatitis B infection and risk factors in the north, south, and southeast regions of Brazil, 10–20 years after the beginning of vaccination. Am J Trop Med Hyg. 2015;93(6):1341–8.CrossRef
19.
go back to reference Brazilian Ministry of Health. National Policy for comprehensive Health of lesbians, gays, bisexuals, transvestites and transsexuals. Brasília: Ministry of Health; 2010. Brazilian Ministry of Health. National Policy for comprehensive Health of lesbians, gays, bisexuals, transvestites and transsexuals. Brasília: Ministry of Health; 2010.
20.
go back to reference Pitasi MA, Bingham TA, Sey EK, Smith AJ, Teshale EH. Hepatitis B virus (HBV) infection, immunity and susceptibility among men who have sex with men (MSM), Los Angeles, county. USA AIDS Behav. 2014;18:248–55.CrossRef Pitasi MA, Bingham TA, Sey EK, Smith AJ, Teshale EH. Hepatitis B virus (HBV) infection, immunity and susceptibility among men who have sex with men (MSM), Los Angeles, county. USA AIDS Behav. 2014;18:248–55.CrossRef
21.
go back to reference Vet R, Wit JB, Das E. Factors associated with hepatitis B vaccination among men who have sex with men: a systematic review of published research. Int J STD AIDS. 2017;28(6):534–42.CrossRef Vet R, Wit JB, Das E. Factors associated with hepatitis B vaccination among men who have sex with men: a systematic review of published research. Int J STD AIDS. 2017;28(6):534–42.CrossRef
22.
go back to reference Brazil. Ministry of Health. Letter of the rights of healthcare users. Brasília: Ministry of Health, 2007. Brazil. Ministry of Health. Letter of the rights of healthcare users. Brasília: Ministry of Health, 2007.
23.
go back to reference Albuquerque GA, Lima GC, Silva QG, Alves MJH, Belém JM, Santos FFW, et al. Access to health services by lesbian, gay, bisexual, and transgender persons: systematic literature review. BMC Int Health Hum Rights. 2016;16(1):2.CrossRef Albuquerque GA, Lima GC, Silva QG, Alves MJH, Belém JM, Santos FFW, et al. Access to health services by lesbian, gay, bisexual, and transgender persons: systematic literature review. BMC Int Health Hum Rights. 2016;16(1):2.CrossRef
25.
go back to reference Queiroz AAFLN, Sousa AFL, Matos MCB, Moura MEB, Araujo TME, Reis RK. Knowledge about HIV/AIDS and implications of establishing partnerships among hornet® users. Rev Bras Enferm. 2018;71(4):1949–55.CrossRef Queiroz AAFLN, Sousa AFL, Matos MCB, Moura MEB, Araujo TME, Reis RK. Knowledge about HIV/AIDS and implications of establishing partnerships among hornet® users. Rev Bras Enferm. 2018;71(4):1949–55.CrossRef
26.
go back to reference Queiroz AAFLN, Sousa AFL, Araújo TM, Oliveira FB, Moura MEB, Reis RK. a review of risk behaviors for HIV infection by men who have sex with men through geosocial networking phone Apps. J Assoc Nurses AIDS Care. 2017:S1055–3290. Queiroz AAFLN, Sousa AFL, Araújo TM, Oliveira FB, Moura MEB, Reis RK. a review of risk behaviors for HIV infection by men who have sex with men through geosocial networking phone Apps. J Assoc Nurses AIDS Care. 2017:S1055–3290.
27.
go back to reference Ayres JRCM, França JI, Calazans GJ, Saletti FHC. O conceito de vulnerabilidade e as práticas de saúde: novas perspectivas e desafios. In: Czeresnia D, Freitas CM (orgs.) Promoção da saúde: conceitos, reflexões, tendências. Rio de Janeiro: Fiocruz, 2003;121–144. Ayres JRCM, França JI, Calazans GJ, Saletti FHC. O conceito de vulnerabilidade e as práticas de saúde: novas perspectivas e desafios. In: Czeresnia D, Freitas CM (orgs.) Promoção da saúde: conceitos, reflexões, tendências. Rio de Janeiro: Fiocruz, 2003;121–144.
28.
go back to reference Neighbors K, Oraka C, Shih L, Lurie P. Awareness and utilization of the hepatitis B vaccine among young men in the Ann Arbor area who have sex with men. J Am Coll Heal. 1999;47:173–8.CrossRef Neighbors K, Oraka C, Shih L, Lurie P. Awareness and utilization of the hepatitis B vaccine among young men in the Ann Arbor area who have sex with men. J Am Coll Heal. 1999;47:173–8.CrossRef
Metadata
Title
Factors associated with self-reported non-completion of the hepatitis B vaccine series in men who have sex with men in Brazil
Authors
Artur Acelino Francisco Luz Nunes Queiroz
Álvaro Francisco Lopes de Sousa
Matheus Costa Brandão Matos
Telma Maria Evangelista de Araújo
Sandra Brignol
Renata Karina Reis
Elucir Gir
Maria Eliete Batista Moura
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Infectious Diseases / Issue 1/2019
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-019-3970-y

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