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oai:www.peertechzpublications.org:10.17352/ijcem.000018 2016-12-30 PTZ.IJCEM:VOL2

Hepatitis B Vaccination Rate in Patients with Diabetes: Assessment of Racial and Socioeconomic Disparity Ayse Aytaman Nwakile Ojike Samantha Zizi SR Pandi-Perumal Ismet Lukolic Amit Bhanvadia Felix Nwamaghinna Haroon Kamran Alla Akivis Olusegun Bankole Moro O SalifuSamy I McFarlane4<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&lt;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&lt;0.01), lack of college education (OR=0.71,95% CI=0.64-0.79, p&lt;0.01), foreign birth (OR=0.83, 95% CI=0.72-0.95, p&lt;0.01) , and Hispanic ethnicity (OR=0.88, 95% CI=0.78-1.00, P&lt;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> International Journal of Clinical Endocrinology and Metabolism - Peertechz Publications 2016-12-30 Research Article https://doi.org/10.17352/ijcem.000018 en Copyright © Ayse Aytaman et al.