Psychosocial predictors of hepatitis B vaccination among young African-American gay men in the deep south

Scott D. Rhodes, Ralph DiClemente

Research output: Contribution to journalArticle

Abstract

Background: Despite recommendations for vaccination against hepatitis B virus (HBV) of men who have sex with men (MSM), most remain unvaccinated. Goal: The goal of this study was to identify attitudes and beliefs associated with vaccination against HBV among black MSM. Study Design: The Birmingham Vaccine Acceptance Questionnaire was used to collect data from gay bar patrons. Results: Of the 143 participants, nearly 42% reported at least one dose of HBV vaccine. In multivariable analysis, characteristics associated with vaccination were a decreased perception of barriers to HBV vaccination (odds ratio [OR], 0.37; 95% confidence interval [CI], 0.22-0.61; P = 0.001); increased perceived medical severity (OR, 5.34; 95% CI, 2.38-11.96; P = 0.001) and personal severity (OR, 2.22; 95% CI, 1.38-3.56; P = 0.006) of HBV infection; and increased perceived general medical self-efficacy (OR, 9.22; 95% CI, 3.52-24.11; P = 0.0001) and personal self-efficacy (OR, 2.3; 95% CI, 1.14-4.63; P = 0.008) to complete the three-dose series. Conclusions: Our findings underscore the need to increase vaccination through innovative approaches to reduce perceived barriers to vaccination while increasing perceived severity of HBV infection and self-efficacy to complete the vaccine series.

Original languageEnglish (US)
Pages (from-to)449-454
Number of pages6
JournalSexually Transmitted Diseases
Volume30
Issue number5
DOIs
StatePublished - May 1 2003

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Hepatitis B
Hepatitis B virus
African Americans
Vaccination
Odds Ratio
Confidence Intervals
Self Efficacy
Virus Diseases
Vaccines
Hepatitis B Vaccines
Sexual Minorities

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)
  • Infectious Diseases

Cite this

Psychosocial predictors of hepatitis B vaccination among young African-American gay men in the deep south. / Rhodes, Scott D.; DiClemente, Ralph.

In: Sexually Transmitted Diseases, Vol. 30, No. 5, 01.05.2003, p. 449-454.

Research output: Contribution to journalArticle

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abstract = "Background: Despite recommendations for vaccination against hepatitis B virus (HBV) of men who have sex with men (MSM), most remain unvaccinated. Goal: The goal of this study was to identify attitudes and beliefs associated with vaccination against HBV among black MSM. Study Design: The Birmingham Vaccine Acceptance Questionnaire was used to collect data from gay bar patrons. Results: Of the 143 participants, nearly 42{\%} reported at least one dose of HBV vaccine. In multivariable analysis, characteristics associated with vaccination were a decreased perception of barriers to HBV vaccination (odds ratio [OR], 0.37; 95{\%} confidence interval [CI], 0.22-0.61; P = 0.001); increased perceived medical severity (OR, 5.34; 95{\%} CI, 2.38-11.96; P = 0.001) and personal severity (OR, 2.22; 95{\%} CI, 1.38-3.56; P = 0.006) of HBV infection; and increased perceived general medical self-efficacy (OR, 9.22; 95{\%} CI, 3.52-24.11; P = 0.0001) and personal self-efficacy (OR, 2.3; 95{\%} CI, 1.14-4.63; P = 0.008) to complete the three-dose series. Conclusions: Our findings underscore the need to increase vaccination through innovative approaches to reduce perceived barriers to vaccination while increasing perceived severity of HBV infection and self-efficacy to complete the vaccine series.",
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