Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
J Immigr Minor Health. 2010 Dec;12(6):847-52. doi: 10.1007/s10903-009-9309-9.
Hepatitis B Virus (HBV) vaccination prevalence and its predictors were estimated among Asian, Pacific Islander, Native American, and Multiracial (A-PI-NA-M) adults. Using 2005 National Health and Nutrition Examination Survey data, estimates of HBV vaccination among A-PI-NA-M adults (N = 233) were compared with all other racial/ethnic groups. Multivariable logistic regression was used to estimate predictors of vaccination. Among A-PI-NA-M adults 42% (95%CI 34, 50) were HBV immunized, higher than all other racial/ethnic groups. Some college was associated with a 31% (95%CI 7, 55); a college degree with a 28% (95%CI 8, 49) increased probability of HBV vaccination relative to less education. Each 10-year increase in age was associated with an 11% (95%CI -18, -4) lower probability of HBV vaccination. Access to medical care and immigrant status were not associated with vaccination. Interventions to increase HBV vaccination should target less-educated and older A-PI-NA-M adults, as well as develop strategies so that access to care may increase vaccination.
乙型肝炎病毒 (HBV) 疫苗接种率及其预测因素在亚洲、太平洋岛民、美国原住民和多种族 (A-PI-NA-M) 成年人中进行了估计。利用 2005 年全国健康和营养调查数据，比较了 A-PI-NA-M 成年人 (N=233) 的 HBV 疫苗接种率与所有其他种族/族裔群体的估计值。采用多变量逻辑回归估计疫苗接种的预测因素。在 A-PI-NA-M 成年人中，42%（95%CI 34, 50）进行了 HBV 免疫接种，高于所有其他种族/族裔群体。有些大学与 31%（95%CI 7, 55）相关；与接受较少教育相比，大学学位与 28%（95%CI 8, 49）的 HBV 疫苗接种概率增加相关。年龄每增加 10 岁，HBV 疫苗接种的概率就会降低 11%（95%CI -18, -4）。获得医疗保健和移民身份与疫苗接种无关。应针对受教育程度较低和年龄较大的 A-PI-NA-M 成年人开展增加 HBV 疫苗接种的干预措施，并制定相关策略，以增加获得医疗保健的机会，从而提高疫苗接种率。
