Evidence map›Paper›PMID 31303523›Full record

ArticleVaccine2019

Challenges with hepatitis B vaccination of high risk adults - A pilot program.

Carolyn B Bridges, Tureka L Watson, Noele P Nelson, Maribel Chavez-Torres, Patrick Fineis, Boatemaa Ntiri-Reid, Edward Wake, Judith M Leahy, Anita K Kurian, Mary Ann K Hall and 1 more

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Barriers Against Hepatitis B Vaccination in High-Risk Adults: A Cross-Sectional Study.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022
    Article
  7. Observational
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 11 institutions in 1 country.

Carolyn B BridgesBerry Technology Solutions, Inc., Peachtree City, GA, United States. Electronic address: carolyn.bridges@immunize.org.
Tureka L WatsonIHRC, Inc., Atlanta, GA, United States. Electronic address: twatson@cdc.gov.
Noele P NelsonDivision of Viral Hepatitis, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC, Atlanta, GA, United States. Electronic address: nnelson@cdc.gov.
Maribel Chavez-TorresCommunicable Disease Program, Chicago Department of Public Health, Chicago, IL, United States. Electronic address: maribel.chavez-torres@cityofchicago.org.
Patrick FineisDivision of Immunization, Michigan Department of Health & Human Services, Lansing, MI, United States. Electronic address: fineisp@michigan.gov.
Boatemaa Ntiri-ReidInfectious Disease Prevention and Health Services Bureau, Prevention and Health Promotion Administration, Maryland Department of Health, Baltimore, MD, United States. Electronic address: boatemaa.ntiri-reid@maryland.gov.
Edward WakeImmunization Services Division, NCIRD, CDC and Adult Immunization Unit, New York City Department of Health and Mental Hygiene, New York, NY, United States. Electronic address: ewake@health.nyc.gov.
Judith M LeahyPublic Health Division, Oregon Health Authority, Portland, OR, United States. Electronic address: Judith.m.leahy@state.or.us.
Anita K KurianSan Antonio Metropolitan Health District, San Antonio, TX, United States. Electronic address: anita.kurian@sanantonio.gov.
Mary Ann K HallCherokee Nation Assurance, Atlanta, GA, United States. Electronic address: nmp8@cdc.gov.
Erin D KennedyImmunization Services Division, NCIRD, CDC, Atlanta, GA, United States. Electronic address: edkennedy@cdc.gov.
Berry (United States) · USCDC Foundation · USCherokee Nation · USChicago Department of Public Health · USHealth Resources and Services Administration · USMichigan Department of Health and Human Services · USNational Center for HIV/AIDS Viral Hepatitis STD and TB Prevention · USNational Center for Immunization and Respiratory Diseases · USNew York City Department of Health and Mental Hygiene · USOregon Health Authority · USSan Antonio Metropolitan Health District · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundAcute hepatitis B virus (HBV) infections in the United States occur predominantly among persons aged 30-59 years. The Centers for Disease Control and Prevention (CDC) recommends vaccination of adults at increased risk for HBV infection. Completing the hepatitis B (HepB) vaccine dose-series is critical for optimal immune response.

objectivesCDC funded 14 health departments (awardees) from 2012 to 2015 to implement a pilot HepB vaccination program for high-risk adults. We evaluated the pilot program to assess vaccine utilization; vaccine dose-series completion, including by vaccination location type; and implementation challenges.

methodsAwardees collaborated with sites providing health care to persons at increased risk for HBV infection. Awardees collected information on doses administered, vaccine dose-series completion, and challenges completing and tracking vaccinations, including use of immunization information systems (IIS). Data were reported by each awardee in aggregate to CDC.

resultsSix of 14 awardees administered 47,911 doses and were able to report patient-level dose-series completion. Among persons who received dose 1, 40.4% received dose 2, and 22.3% received dose 3. Local health department clinics had the highest 3-dose-series completion, 60.6% (531/876), followed by federally qualified health centers at 38.0% (923/2432). While sexually transmitted diseases (STD) clinics administered the most doses in total (17,173 [35.8% of 47,911 doses]), 3-dose-series completion was low (17.1%). The 14 awardees reported challenges regarding completing and tracking dose-series, including reaching high-risk adults for follow-up and inconsistencies in use of IIS or other tracking systems across sites.

conclusionsDose-series completion was low in all settings, but lowest where patients may be less likely to return for follow-up (e.g., STD clinics). Routinely assessing HepB vaccination needs of high-risk adults, including through use of IIS where available, may facilitate HepB vaccine dose-series completion.

Indexed as

Immunization ProgramsProgram EvaluationAdultAgedCenters for Disease Control and Prevention, U.S.FemaleHealth Plan ImplementationHepatitis BHepatitis B VaccinesHumansImmunization ScheduleMaleMiddle AgedPilot ProjectsRisk FactorsUnited StatesHepatitis B VaccinesAdultsDose-series completionHepatitis BHepatitis B vaccineImmunization information systemsVaccination ratesVaccine implementationVaccine registry

Identifiers

PMID31303523
PMCPMC8819536
OpenAlexW2953833210

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.