Hepatitis B Vaccination of Men Who Have Sex With Men Attending an Urban STD Clinic: Impact of an Ongoing Vaccination Program, 1998–2003

Gunn, Robert A.; Lee, Marjorie A.; Murray, Paula J.; Gilchick, Robert A.; Margolis, Harold S.

doi:10.1097/01.olq.0000258306.20287.a7

Cited by 21 publications

(10 citation statements)

References 21 publications

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“…Since sexual activity is the most commonly reported risk factor among persons with acute hepatitis B, STI clinics can serve as a particularly effective venue for delivering Hepatitis B vaccinations. 29,30 The findings of the present study support the need for a more proactive approach to vaccinate uninfected adults at risk for hepatitis B.…”

Section: Stis Among South Indians At High Risk For Hiv Infection 679supporting

confidence: 57%

Prevalence and Incidence of Sexually Transmitted Infections among South Indians at Increased Risk of HIV Infection

Kumarasamy¹,

Balakrishnan²,

Venkatesh³

et al. 2008

AIDS Patient Care and STDs

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Sexually transmitted infections (STIs) have been identified as cofactors of HIV transmission. Greater understanding of local STI burdens can assist in the development of more effective STI and HIV prevention strategies. The aim of this study is to determine the prevalence and incidence of STIs among South Indian men and women identified to be at increased risk for HIV infection. Individuals at increased risk for HIV infection were enrolled in a prospective longitudinal study in Chennai, India (n ϭ 480) between August 2002 and December 2003. Participants were enrolled from patients seeking services at an sexually transmitted disease (STD) clinic and a confidential HIV testing and counseling program. The most common prevalent STIs were herpes simplex virus (HSV)-2 (50% of women, 29% of men), syphilis (11% of women, 8% of men), and Trichomonas vaginalis (6% of women). At enrollment, women, participants with no schooling, participants with greater than four sex partners, and single participants were found to be at increased risk for HSV-2 infection (p Ͻ 0.05). The two most common incident STIs at 12 months were HSV-2 with 12% of men and 8% of women testing positive and hepatitis B with 2% of men and 5% of women testing hepatitis B surface antigen (HBsAg) positive. In this cohort of South Indian men and women with a high background prevalence of HSV-2, suppressive therapy against herpes replication may have a substantial impact in reducing both HSV-2 transmission and HIV acquisition. With the high incidence of STIs, targeted prevention and clinical management strategies among individuals practicing high risk behaviors may help to slow the continued spread of HIV in India.

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Section: Stis Among South Indians At High Risk For Hiv Infection 679supporting

confidence: 57%

Prevalence and Incidence of Sexually Transmitted Infections among South Indians at Increased Risk of HIV Infection

Kumarasamy¹,

Balakrishnan²,

Venkatesh³

et al. 2008

AIDS Patient Care and STDs

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“…The annual number of client visits to these STD clinics ranged from 2,883 9 In addition, staff from all six STD clinics reported that clients have increasingly reported prior vaccination. By the late 1990s, all of the states represented by participating clinics had laws requiring hepatitis B vaccination for middle school or high school entry.…”

Section: Resultsmentioning

confidence: 99%

Hepatitis B Vaccination in Six STD Clinics in the United States Committed to Integrating Viral Hepatitis Prevention Services

2007

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SynopSiSobjectives. Hepatitis B vaccination is recommended for clients of sexually transmitted disease (STD) clinics. The Healthy People 2010 goal is for 90% of STD clinics to offer hepatitis B vaccine to all unprotected clients. This report describes hepatitis B vaccination trends in six STD clinics in the United States and discusses implications for policy and practice.Methods. We conducted a retrospective study in six STD clinics to evaluate hepatitis B vaccination. We collected data on client visits and hepatitis B vaccinations for the period 1997-2005. To compare clinics, we calculated vaccination rates per 100 client visits. We interviewed staff to explore factors associated with hepatitis B vaccination trends.Results. STD clinic client visits ranged from 2,883 to 23,109 per year. The median rate of hepatitis B vaccination was 28 per 100 client visits. Vaccination rates declined in all six clinics in later years, which was associated with eligibility restrictions caused by fiscal problems and increasing levels of prior vaccination. The median rate of vaccine series completion was 30%. Staff cited multiple provider-and client-level barriers to series completion.Conclusions. This study shows that STD clinics can implement hepatitis B vaccination and reach large numbers of high-risk adults. Adequate funding and vaccine supply are needed to implement current federal recommendations to offer hepatitis B vaccine to adults seen in STD clinics and to achieve the Healthy People 2010 objective.

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“…37 It has been shown that hepatitis B vaccination can be integrated into STD clinic services with reasonable levels of vaccine acceptance and series completion. 38 In summary, a high prevalence of HBV serologic markers suggesting previous exposure to or natural infection was found to be high among Peruvian MSM and was also found to be associated with high-risk sexual behavior, syphilis, HIV-1, and HSV-2 infection, suggesting sexual contact as a main mode of transmission. Given the potential likelihood of HBV acquisition and transmission, MSM in Peru constitute a target population for further HBV preventive interventions.…”

Section: Discussionmentioning

confidence: 99%

Hepatitis B Infection and Association with Other Sexually Transmitted Infections Among Men Who Have Sex with Men in Peru

Lama¹,

Agurto²,

Guanira³

et al. 2010

The American Society of Tropical Medicine and Hygiene

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Hepatitis B Vaccination of Men Who Have Sex With Men Attending an Urban STD Clinic: Impact of an Ongoing Vaccination Program, 1998–2003

Cited by 21 publications

References 21 publications

Prevalence and Incidence of Sexually Transmitted Infections among South Indians at Increased Risk of HIV Infection

Prevalence and Incidence of Sexually Transmitted Infections among South Indians at Increased Risk of HIV Infection

Hepatitis B Vaccination in Six STD Clinics in the United States Committed to Integrating Viral Hepatitis Prevention Services

Hepatitis B Infection and Association with Other Sexually Transmitted Infections Among Men Who Have Sex with Men in Peru

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