Socioeconomic inequalities in completion of hepatitis B vaccine series among Korean women

Results from a nationwide interview survey

Boyoung Park, Kui Son Choi, Hoo Yeon Lee, Jae Kwan Jun, Euncheol Park

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background: Hepatitis B virus (HBV) infection and its sequelae are major global health problems. This study was conducted to investigate the association between factors related to socioeconomic status and HBV vaccination in the general population of women in Korea. Methods: Data from annual nationwide cross-sectional interview surveys conducted between 2005 and 2008 were reviewed. These surveys included representative samples of cancer-free people and 4350 women interviewed within the study period were included in the present report. Polychotomous logistic regression was used in the analysis. Results: The complete HBV coverage rate was 39.8%. Older age, lower household income and lower education level showed significant unfavorable influences on the completion of the HBV vaccine series (P-trend <0.001 for all three variables). Lack of private insurance and having a routine and manual job were also associated with a lower complete vaccination rate (OR: 0.69, 95% CI: 0.57-0.84; OR: 0.56, 95% CI: 0.38-0.82, respectively), whereas living in an urban area was related to a higher rate (OR: 1.18, 95% CI: 1.02-1.37). Older age, lower education level, and not having private insurance were associated with incomplete vaccination compared with unvaccination (P-trend 0.001, <0.001, OR: 0.68, 95% CI: 0.53-0.78, respectively). Among women of reproductive age, similar results were seen for education level, household income, and occupation. Significant disparities in vaccination status according to socioeconomic status, as indicated by the combination of household income and education level, were seen (P-trend <0.001). The most common reason for unvaccination was lack of knowledge about the necessity for HBV vaccination. Conclusion: Considering that vertical transmission is the most common source of HBV infection, vaccination of women is important to prevent HBV transmission to newborn infants. Therefore governmental strategies to reduce socioeconomic inequalities related to the completion of the HBV vaccine series among women should be implemented.

Original languageEnglish
Pages (from-to)5844-5848
Number of pages5
JournalVaccine
Volume30
Issue number40
DOIs
Publication statusPublished - 2012 Aug 31

Fingerprint

Hepatitis B Vaccines
Hepatitis B virus
hepatitis B
socioeconomics
interviews
Interviews
vaccines
Vaccination
vaccination
educational status
Education
household income
insurance
Virus Diseases
socioeconomic status
Insurance
Social Class
low income households
Surveys and Questionnaires
complications (disease)

All Science Journal Classification (ASJC) codes

  • Molecular Medicine
  • Immunology and Microbiology(all)
  • veterinary(all)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Park, Boyoung ; Choi, Kui Son ; Lee, Hoo Yeon ; Jun, Jae Kwan ; Park, Euncheol. / Socioeconomic inequalities in completion of hepatitis B vaccine series among Korean women : Results from a nationwide interview survey. In: Vaccine. 2012 ; Vol. 30, No. 40. pp. 5844-5848.
@article{3ce6682e093e4cf3b0aa52bfbd8548d1,
title = "Socioeconomic inequalities in completion of hepatitis B vaccine series among Korean women: Results from a nationwide interview survey",
abstract = "Background: Hepatitis B virus (HBV) infection and its sequelae are major global health problems. This study was conducted to investigate the association between factors related to socioeconomic status and HBV vaccination in the general population of women in Korea. Methods: Data from annual nationwide cross-sectional interview surveys conducted between 2005 and 2008 were reviewed. These surveys included representative samples of cancer-free people and 4350 women interviewed within the study period were included in the present report. Polychotomous logistic regression was used in the analysis. Results: The complete HBV coverage rate was 39.8{\%}. Older age, lower household income and lower education level showed significant unfavorable influences on the completion of the HBV vaccine series (P-trend <0.001 for all three variables). Lack of private insurance and having a routine and manual job were also associated with a lower complete vaccination rate (OR: 0.69, 95{\%} CI: 0.57-0.84; OR: 0.56, 95{\%} CI: 0.38-0.82, respectively), whereas living in an urban area was related to a higher rate (OR: 1.18, 95{\%} CI: 1.02-1.37). Older age, lower education level, and not having private insurance were associated with incomplete vaccination compared with unvaccination (P-trend 0.001, <0.001, OR: 0.68, 95{\%} CI: 0.53-0.78, respectively). Among women of reproductive age, similar results were seen for education level, household income, and occupation. Significant disparities in vaccination status according to socioeconomic status, as indicated by the combination of household income and education level, were seen (P-trend <0.001). The most common reason for unvaccination was lack of knowledge about the necessity for HBV vaccination. Conclusion: Considering that vertical transmission is the most common source of HBV infection, vaccination of women is important to prevent HBV transmission to newborn infants. Therefore governmental strategies to reduce socioeconomic inequalities related to the completion of the HBV vaccine series among women should be implemented.",
author = "Boyoung Park and Choi, {Kui Son} and Lee, {Hoo Yeon} and Jun, {Jae Kwan} and Euncheol Park",
year = "2012",
month = "8",
day = "31",
doi = "10.1016/j.vaccine.2012.07.022",
language = "English",
volume = "30",
pages = "5844--5848",
journal = "Vaccine",
issn = "0264-410X",
publisher = "Elsevier BV",
number = "40",

}

Socioeconomic inequalities in completion of hepatitis B vaccine series among Korean women : Results from a nationwide interview survey. / Park, Boyoung; Choi, Kui Son; Lee, Hoo Yeon; Jun, Jae Kwan; Park, Euncheol.

In: Vaccine, Vol. 30, No. 40, 31.08.2012, p. 5844-5848.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Socioeconomic inequalities in completion of hepatitis B vaccine series among Korean women

T2 - Results from a nationwide interview survey

AU - Park, Boyoung

AU - Choi, Kui Son

AU - Lee, Hoo Yeon

AU - Jun, Jae Kwan

AU - Park, Euncheol

PY - 2012/8/31

Y1 - 2012/8/31

N2 - Background: Hepatitis B virus (HBV) infection and its sequelae are major global health problems. This study was conducted to investigate the association between factors related to socioeconomic status and HBV vaccination in the general population of women in Korea. Methods: Data from annual nationwide cross-sectional interview surveys conducted between 2005 and 2008 were reviewed. These surveys included representative samples of cancer-free people and 4350 women interviewed within the study period were included in the present report. Polychotomous logistic regression was used in the analysis. Results: The complete HBV coverage rate was 39.8%. Older age, lower household income and lower education level showed significant unfavorable influences on the completion of the HBV vaccine series (P-trend <0.001 for all three variables). Lack of private insurance and having a routine and manual job were also associated with a lower complete vaccination rate (OR: 0.69, 95% CI: 0.57-0.84; OR: 0.56, 95% CI: 0.38-0.82, respectively), whereas living in an urban area was related to a higher rate (OR: 1.18, 95% CI: 1.02-1.37). Older age, lower education level, and not having private insurance were associated with incomplete vaccination compared with unvaccination (P-trend 0.001, <0.001, OR: 0.68, 95% CI: 0.53-0.78, respectively). Among women of reproductive age, similar results were seen for education level, household income, and occupation. Significant disparities in vaccination status according to socioeconomic status, as indicated by the combination of household income and education level, were seen (P-trend <0.001). The most common reason for unvaccination was lack of knowledge about the necessity for HBV vaccination. Conclusion: Considering that vertical transmission is the most common source of HBV infection, vaccination of women is important to prevent HBV transmission to newborn infants. Therefore governmental strategies to reduce socioeconomic inequalities related to the completion of the HBV vaccine series among women should be implemented.

AB - Background: Hepatitis B virus (HBV) infection and its sequelae are major global health problems. This study was conducted to investigate the association between factors related to socioeconomic status and HBV vaccination in the general population of women in Korea. Methods: Data from annual nationwide cross-sectional interview surveys conducted between 2005 and 2008 were reviewed. These surveys included representative samples of cancer-free people and 4350 women interviewed within the study period were included in the present report. Polychotomous logistic regression was used in the analysis. Results: The complete HBV coverage rate was 39.8%. Older age, lower household income and lower education level showed significant unfavorable influences on the completion of the HBV vaccine series (P-trend <0.001 for all three variables). Lack of private insurance and having a routine and manual job were also associated with a lower complete vaccination rate (OR: 0.69, 95% CI: 0.57-0.84; OR: 0.56, 95% CI: 0.38-0.82, respectively), whereas living in an urban area was related to a higher rate (OR: 1.18, 95% CI: 1.02-1.37). Older age, lower education level, and not having private insurance were associated with incomplete vaccination compared with unvaccination (P-trend 0.001, <0.001, OR: 0.68, 95% CI: 0.53-0.78, respectively). Among women of reproductive age, similar results were seen for education level, household income, and occupation. Significant disparities in vaccination status according to socioeconomic status, as indicated by the combination of household income and education level, were seen (P-trend <0.001). The most common reason for unvaccination was lack of knowledge about the necessity for HBV vaccination. Conclusion: Considering that vertical transmission is the most common source of HBV infection, vaccination of women is important to prevent HBV transmission to newborn infants. Therefore governmental strategies to reduce socioeconomic inequalities related to the completion of the HBV vaccine series among women should be implemented.

UR - http://www.scopus.com/inward/record.url?scp=84864809074&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84864809074&partnerID=8YFLogxK

U2 - 10.1016/j.vaccine.2012.07.022

DO - 10.1016/j.vaccine.2012.07.022

M3 - Article

VL - 30

SP - 5844

EP - 5848

JO - Vaccine

JF - Vaccine

SN - 0264-410X

IS - 40

ER -