Hepatitis vaccine completion among the homeless

http://www.ncbi.nlm.nih.gov/pubmed/22372394

J Forensic Nurs. 2012 Mar;8(1):13-22. doi: 10.1111/j.1939-3938.2011.01123.x. Epub 2012 Jan 6.
Hepatitis A/B vaccine completion among homeless adults with history of incarceration.
Nyamathi AM, Marlow E, Branson C, Marfisee M, Nandy K.
Source
University of California, Los Angeles, California University of California, San Francisco, California.

Abstract
Hepatitis B virus (HBV) vaccination rates for incarcerated adults remain low despite their high risk for infection. This study determined predictors of vaccine completion in homeless adults (N= 297) who reported histories of incarceration and who participated in one of three nurse-led hepatitis programs of different intensity. Moreover time since release from incarceration was also considered. Just over half of the former prisoners completed the vaccine series. Older age (≥40), having a partner, and chronic homelessness were associated with vaccine completion. Recent research has documented the difficulty in providing vaccine services to younger homeless persons and homeless males at risk for HBV. Additional strategies are needed to achieve HBV vaccination completion rates greater than 50% for formerly incarcerated homeless men.