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    Jan 27, 2021
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    Gaps in Hepatitis B Vaccination Completion and Sero-Protection for People Who Inject Drugs in Hpakant, Myanmar, 2015-2018

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    Yee et al 2020 Gaps in Hepatitis ...
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    Authors
    Yee, NS
    Naing, AY
    Cuesta, JG
    Das, M
    Dave, K
    Issue Date
    2020-05-12
    Submitted date
    2020-07-10
    
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    Journal
    Tropical Medicine and Infectious Disease
    Abstract
    Hepatitis B vaccination (HBV) is recommended for high-risk groups, such as people who inject drugs (PWIDs). As part of a harm reduction program by a non-governmental organization, hepatitis B screening, vaccination and antibody (HBAb) testing after completion of the vaccination schedule were offered to PWIDS in Myanmar. We determined the proportions of HBV non-completion and sero-unprotection among PWIDs enrolled in the program and their association with socio-demographic and clinical characteristics. We conducted a descriptive study based on routine program data in five selected clinics in Hpakant Township, Myanmar. PWIDs who were Hepatitis B antigen negative at screening during January 2015-December 2018 were included. Among 5386 participants eligible for HBV, 9% refused vaccination. Among those who accepted vaccination (n = 3177 individuals), 65% completed vaccination. Of those tested for HBsAb (n = 2202), 30% were sero-unprotected. Young-adults (aged 18-44 years) and migrant workers had a higher risk of incomplete vaccination. However, participants who used methadone had a lower risk of incomplete vaccination. Migrant workers had higher risk of not returning for HBsAb testing and HIV-positive participants had a higher risk of being HBV sero-unprotected. Efforts to increase HBV vaccination in PWIDs for young adults and clients during methadone and anti-retroviral services should be prioritized.
    Publisher
    MDPI
    URI
    http://hdl.handle.net/10144/619690
    DOI
    10.3390/tropicalmed5020077
    PubMed ID
    32408591
    Type
    Article
    Language
    en
    EISSN
    2414-6366
    ae974a485f413a2113503eed53cd6c53
    10.3390/tropicalmed5020077
    Scopus Count
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    Operational Research Courses

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