A community-based study of hepatitis B infection and immunization among young adults in a high-drug-use neighborhood in New York City

Benny J. Kottiri, Samuel R. Friedman, Gary L. Euler, Peter L. Flom, Milagros Sandoval, Alan Neaigus, Don Des Jarlais, Jonathan M. Zenilman

Research output: Contribution to journalArticle

Abstract

We conducted a community-based study of the prevalence and correlates of hepatitis B virus (HBV) infection and immunization among young adults in a "drug supermarket" neighborhood in New York City. Four hundred eighty-nine young adults ages 18-24 years were recruited from Bushwick, Brooklyn through multistage household probability sampling (n = 332) and targeted sampling (n = 157), interviewed, and tested for three hepatitis B markers (HBsAg, anti-HBc, and anti-HBs). Serological evidence of HBV infection was found in 8.0% (6.0% in the household sample and 12.1% in the targeted sample) and of hepatitis B immunization in 19.6% (22.6% in the household sample and 13.4% in the targeted sample). HBV infection was higher among young adults who either used crack or injected drugs and among those who traded sex for money or drugs. Having Medicaid was significantly associated with lower odds of infection in the household sample and higher odds of immunization in the targeted sample. Although adolescent hepatitis B immunization has been a public health priority in the United States since 1995, nearly three-quarters of young adults in this community did not have serological evidence of being either exposed or immunized. Whereas subsequent younger generations benefited from universal childhood hepatitis B immunization, this particular cohort of young adults who live in communities like Bushwick presents a unique group for prevention intervention.

Original languageEnglish (US)
Pages (from-to)479-487
Number of pages9
JournalJournal of Urban Health
Volume82
Issue number3
DOIs
StatePublished - Sep 1 2005

Fingerprint

Hepatitis B
contagious disease
drug use
young adult
Young Adult
Immunization
Virus Diseases
Hepatitis B virus
Infection
Pharmaceutical Preparations
community
drug
Health Priorities
Medicaid
Hepatitis B Surface Antigens
Public Health
Cross-Sectional Studies
evidence
money
public health

Keywords

  • Drug use
  • Hepatitis B infection
  • Hepatitis B vaccination
  • Youth

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Kottiri, B. J., Friedman, S. R., Euler, G. L., Flom, P. L., Sandoval, M., Neaigus, A., ... Zenilman, J. M. (2005). A community-based study of hepatitis B infection and immunization among young adults in a high-drug-use neighborhood in New York City. Journal of Urban Health, 82(3), 479-487. https://doi.org/10.1093/jurban/jti095

A community-based study of hepatitis B infection and immunization among young adults in a high-drug-use neighborhood in New York City. / Kottiri, Benny J.; Friedman, Samuel R.; Euler, Gary L.; Flom, Peter L.; Sandoval, Milagros; Neaigus, Alan; Des Jarlais, Don; Zenilman, Jonathan M.

In: Journal of Urban Health, Vol. 82, No. 3, 01.09.2005, p. 479-487.

Research output: Contribution to journalArticle

Kottiri, Benny J. ; Friedman, Samuel R. ; Euler, Gary L. ; Flom, Peter L. ; Sandoval, Milagros ; Neaigus, Alan ; Des Jarlais, Don ; Zenilman, Jonathan M. / A community-based study of hepatitis B infection and immunization among young adults in a high-drug-use neighborhood in New York City. In: Journal of Urban Health. 2005 ; Vol. 82, No. 3. pp. 479-487.
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