Identifying Missed Opportunities for Routine Vaccination among People Who Use Drugs

Bibliographic Data

ID15465830
AuthorsPaula M Frew (0000-0002-3078-9124, University of Nevada, Las Vegas), Jay Schamel (0000-0002-0038-0686, University of Nevada, Las Vegas), Laura Randall (0000-0001-7642-7236, University of Nevada, Las Vegas), Alan R King (0000-0003-1418-6494, University of Nevada, Las Vegas), Ian W Holloway (0000-0001-7454-8632), Katherine Burris (University of Nevada, Las Vegas), Anne C Spaulding (0000-0002-0281-0248, Emory University, corresponding author), HBOU Project Team
Year2021
Volume18
Issue4
Pages1447-1447
Publication date2021-02-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18041447
PMID33557231
OpenAlexW3128703129
LanguageEN
Citations received3
References cited8

In the US, adult immunization coverage remains low, especially among vulnerable populations, as recent hepatitis A outbreaks have demonstrated. We studied the vaccination history variation among the US adults who use drugs by implementing a community-engaged research survey to identify reported immunization coverage, missed opportunities (MO), and places where immunizations might be delivered. Our analysis of a sample of 1127 participants recruited at community syringe exchanges in three cities identified higher overall vaccination receipt in Los Angeles compared to Atlanta or Las Vegas (e.g., HAV receipt 52.2% LA, 42.1% LV, 41.4% Atlanta). Overall, fewer participants reported having received HAV (45.9%), HBV (47.5%), or influenza (47.6%) vaccines than MMR (57.1%) or Td/Tdap (61.1%). Across sites, HAV receipt was higher for participants incarcerated ≥ 5 years (54.2% vs. 43.6% for those incarcerated p = 0.02). HBV receipt was higher among participants who were not intravenous drug users (56.1% vs. 46.0%, p = 0.03). Additionally, income >$20k predicted higher rates of MMR receipt (67.0% vs. 56.5%, p = 0.009), as did stable housing (62.8% vs. 54.3%, p = 0.01). To address the need to expand vaccine coverage among vulnerable adults, delivering vaccine at sites where persons who use drugs access services, or in correctional facilities, may be warranted

Atlanta · Environmental health · Family medicine · Immunization · Metropolitan area · Outbreak · Receipt · Vaccination · Demography · Hepatitis B Virus Studies · Influenza Virus Research Studies · Medicine · Vaccine Coverage and Hesitancy · Immunology · Virology