TY  - JOUR
TI  - Barriers Against Hepatitis B Vaccination in High-Risk Adults: 
A Cross-Sectional Study
AB  - Background: The hepatitis B vaccination has been strongly recommended by regulatory bodies. However, there are great discrepancies between routine practices and the recommendations of regulatory agencies in many countries. We aimed to identify the barriers 
against Hepatitis B Vaccination (HBV) for high-risk patients by comparing the awareness, attitude, and knowledge among vaccinated 
and unvaccinated patients.
Methods: A 34-item questionnaire was applied to 156 patients, consisting of renal transplant recipients, allogeneic hematopoietic stem 
cell transplant recipients, and patients with chronic hepatitis C. Multiple logistic regression analysis was employed to identify independent predictors for patients receiving the hepatitis B virus vaccination.
Results: The multiple logistic regression analysis revealed that the independent risk factors against the HBV vaccination were a requirement of a separate appointment for hepatitis B virus vaccination (aOR: 3.35, 95% CI, 1.18-9.47), and fear of severe side effects that 
can be related with hepatitis B virus vaccination (aOR: 3.67, 95% CI, 1.18-9.47). However, taking a recommendation for hepatitis B virus 
vaccination at least once from a health care provider (aOR: 0.04, 95% CI, 0.01-0.11), and having a health insurance (aOR: 0.09, 95% CI, 
0.01-0.55) were independent protective factors for being vaccinated. In further analysis among patients with at least a single dose of 
vaccine, the lack of recommendation from a health care provider for hepatitis B virus vaccination and the absence of a healthcare provider who is responsible for monitoring the completion of the 3-dose vaccination were identified as independent risk factors for failure 
to complete the 3-dose hepatitis B virus vaccination.
Conclusion: In high-risk adults, the barriers against hepatitis B virus vaccination should be handled by a comprehensive action plan to 
achieve the WHO 2030 hepatitis elimination target.
AU  - Ayar, Yasin
AU  - Şaşmazer, Başak
AU  - Çalışkan, Zeynep Cansu
AU  - AKOVA, MURAT
AU  - Aslan, Abdullah Tarık
DO  - 10.5152/tjg.2022.21257
PY  - 2022
JO  - Turkish Journal of Gastroenterology
VL  - 33
IS  - 5
SN  - 1300-4948
SP  - 427
EP  - 433
DB  - TRDizin
UR  - http://search/yayin/detay/532791
ER  -