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

<p><strong>Introduction: </strong>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 Hepat...

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Main Authors: Ayse Aytaman (Author), Nwakile Ojike (Author), Samantha Zizi (Author), SR Pandi-Perumal (Author), Ismet Lukolic (Author), Amit Bhanvadia (Author), Felix Nwamaghinna (Author), Haroon Kamran (Author), Alla Akivis (Author), Olusegun Bankole (Author), Moro O Salifu (Author), Samy I McFarlane4 (Author)
Format: Book
Published: International Journal of Clinical Endocrinology and Metabolism - Peertechz Publications, 2016-12-30.
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Summary:<p><strong>Introduction: </strong>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 evaluateshepatitis 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.</p><p><strong>Results:</strong> 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).</p><p><strong>Conclusion:</strong> Social and economic factors- education, insurance status, age, poverty level, and place of birth affect rates of vaccination among individuals with diabetes.</p><p>Pubmed link: <a href="https://www.ncbi.nlm.nih.gov/pubmed/28638894">https://www.ncbi.nlm.nih.gov/pubmed/28638894</a> </p>
DOI:10.17352/ijcem.000018