Honors Theses

Date of Award

2017

Document Type

Undergraduate Thesis

Department

Biology

First Advisor

Wayne Gray

Relational Format

Dissertation/Thesis

Abstract

Background: Hepatitis B virus (HBV) can be prevented and controlled through vaccination. However, vaccination among high-risks adults in the U.S. is still low (50%). This poses serious threats for HBV transmission between infected individuals and high-risk individuals. Objective: The specific aims of this research were to (a) explore the prevalence of hepatitis B vaccination uptake from 2011-2014 (b) to examine intrapersonal, interpersonal, and organizational level factors associated with receiving hepatitis B vaccination among high-risk adults. Methods: Data were analyzed from the National Health and Nutrition Examination Survey (NHANES) from 2011-2014 to (1) assess the prevalence of hepatitis B vaccination and (2) examine the interpersonal, intrapersonal, and organizational level factors associated with receiving the hepatitis B vaccination among U.S. adults. Results: Of the 5,379 participants, 464 (weighted 8.6%) were considered high-risk adults and 4,915 (weighted 91.4%) were considered non-high-risk adults. Overall, vaccination uptake for high-risk adults was (50.5%) and (53.7%) for non-high-risk adults. There were statistically significant differences between high-risk and non-high-risk based on race, education, and previous reception of Hep A vaccination. Discussion: This study illustrated that: (a) hepatitis B vaccination uptake among high-risk adults is improving but is still less than optimal (b) individual, social, and environmental factors play a role in receipt of vaccination among high-risk adults. As a result, these individual, social, and environmental factors could serve as a driving force to improve vaccination among high-risk adults. Conclusion: Efforts to increase access and use of educational programs may significantly combat certain social and environmental factors that have been linked to low vaccination rates among high-risk populations. Additionally, the implementation of stricter ACIP vaccination recommendations should be considered by Federal associations as a means of increasing vaccination among the general population.

Included in

Biology Commons

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.