Table 3.
Hepatitis B vaccination coverage by demographic and access to care characteristics among adults with and without chronic liver disease (CLD), National Health Interview Survey, United States, 2014–2015
| With CLD | Without CLD | |||||
|---|---|---|---|---|---|---|
| Characteristic | Unweighted N |
Weighted % vaccinated (3+ doses) |
Adjusted prevalence difference* (95% CI)) |
Unweighted N |
Weighted % vaccinated (3+ doses) |
Adjusted prevalence difference* (95% CI)) |
| Total | 830† | 29.1 (25.3, 33.0) | 62,015† | 24.7 (24.2, 25.3) | ||
| Age | ||||||
| 18–49 | 227 | 37.1 (29.2, 45.0) | Referent | 30,418 | 32.2 (31.4, 33.6) | Referent |
| 50–64 | 366 | 33.4 (27.8, 39.0) | −4.5 (−14.7, 5.6) | 16,243 | 19.8 (18.9, 20.6)‡§ | −12.4 (−13.6, −11.2)‡ |
| ≥65 | 237 | 12.1 (7.4, 16.8)‡ | −24.9 (−35.7, −14.1)‡ | 15,354 | 10.7 (9.9, 11.4)‡ | −20.8 (−22.3, −19.4)‡ |
| Gender | ||||||
| Male | 394 | 24.9 (19.6, 30.2) | Referent | 27,591 | 20.8 (20.0, 21.6) | Referent |
| Female | 436 | 33.1 (27.7, 38.5) | 8.1 (−0.5, 16.7) | 34,424 | 28.3 (27.6, 29.1)‡ | 7.0 (5.9, 8.0)‡ |
| Education | ||||||
| < High school | 186 | 18.2 (11.6, 24.8) | Referent | 8,869 | 12.7 (11.6, 13.7) | Referent |
| High school graduate | 227 | 26.8 (19.7, 33.9) | 7.7 (−3.5, 18.8) | 15,844 | 17.4 (16.4, 18.3)‡§ | 3.5 (1.8, 5.1)‡ |
| Some college | 240 | 36.1 (28.8, 43.4)‡ | 14.4 (2.5, 26.3)‡ | 19,156 | 29.3 (28.3, 30.3)‡ | 11.7 (10.0, 13.5)‡ |
| College degree or higher | 175 | 32.7 (24.6, 40.8)‡ | 16.9 (2.6, 31.2)‡ | 17,899 | 31.4 (30.5, 32.4)‡ | 12.0 (10.2, 13.9)‡ |
| EmploymentStatus | ||||||
| Employed | 290 | 31.2 (24.4, 38.0) | Referent | 36,057 | 28.5 (27.8, 29.2) | Referent |
| Unemployed | 30 | 45.9 (23.9, 67.9) | 15.4 (−6.1, 36.9) | 2,484 | 25.9 (23.2, 28.5) | −0.5 (−3.1, 2.1) |
| Not in work force | 510 | 26.5 (21.6, 31.3) | 2.7 (−8.2, 13.5) | 23,452 | 17.9 (17.1, 18.7)‡§ | −2.8 (−3.9, −1.6)‡ |
| Poverty | ||||||
| Poverty or above | 579 | 29.0 (24.3, 33.7) | 2.9 (−7.8, 13.6) | 49,373 | 25.4 (24.8, 25.9)‡ | −0.2 (−1.8, −1.4) |
| Below Poverty | 220 | 31.7 (22.9, 40.6) | Referent | 9,645 | 22.9 (21.4, 24.5) | Referent |
| Insurance | ||||||
| Private | 350 | 28.7 (22.9, 34.5) | Referent | 37,767 | 27.4 (26.7, 28.1) | Referent |
| Public | 398 | 28.0 (22.6, 33.4) | 0 (−9.9,10.0) | 16,601 | 19.9 (18.9, 20.9)‡§ | 1.4 (−0.1, 2.8) |
| None | 81 | 36.9 (27.1, 46.7) | 0.7 (−12.6, 14.0) | 7,419 | 20.0 (18.6, 21.3)‡§ | −1.5 (−3.2, −0.2) |
| Race/Ethnicity‖ | ||||||
| Non-Hispanic white | 535 | 28.6 (23.6, 33.7) | Referent | 38,862 | 25.6 (24.8, 26.3) | Referent |
| Non-Hispanic black | 81 | 23.5 (13.0, 34.1) | −2.2 (−17.0, 12.5) | 8,284 | 23.9 (22.6, 25.2)‡ | −1.6 (−3.1, 0) |
| Non-Hispanic | 146 | 29.4 (19.9, 39.0) | 6.0 (−7.5, 19.4) | 10,019 | 19.0 (17.8, 20.2)‡ | −6.2 (−7.6, −4.7)‡ |
| other | 68 | 37.4 (23.0, 51.9) | 8.0 (−6.5, 22.4) | 4,850 | 30.5 (28.7, 32.2)‡ | 0.2 (−1.4, 1.9) |
| Region | ||||||
| Northeast | 139 | 22.3 (11.6, 33.1) | Referent | 10,016 | 23.0 (21.5, 24.5) | Referent |
| Midwest | 152 | 39.6 (31.3, 47.8)‡ | 13.0 (−2.2, 28.2) | 13,365 | 27.3 (26.0, 28.6)‡§ | 3.6 (1.7, 5.4)‡ |
| South | 265 | 25.7 (20.2, 31.3) | 2.4 (−11.1, 15.8) | 21,854 | 22.9 (22.1, 23.7) | 0.7 (−1.0, 2.4) |
| West | 274 | 31.2 (23.1, 39.3) | 0.7 (−14.0, 15.4) | 16,780 | 26.5 (25.4, 27.6)‡ | 3.0 (1.1, 4.8)‡ |
| Marital status | ||||||
| Married | 317 | 25.7 (20.1, 31.3) | Referent | 27,403 | 23.6 (22.9, 24.3) | Referent |
| Widowed | 101 | 20.2 (8.4, 32.1) | 3.0 (−11.6, 17.5) | 6,040 | 9.6 (8.6, 10.6)‡ | −5.4 (−7.3, −3.4)‡ |
| Divorced/Separated | 217 | 39.4 (31.9, 46.9)‡ | 10.1 (−1.3, 21.5) | 10,593 | 21.6 (20.5, 22.7)‡§ | 0.6 (−0.7, 2.0) |
| Never Married | 191 | 32.3 (23.1, 41.3) | 3.5 (−7.4, 14.5) | 17,855 | 31.2 (30.0, 32.4)‡ | 5.6 (4.3, 6.9)‡ |
| Influenza vaccination in past 12 months | ||||||
| Yes | 457 | 30.5 (25.8, 35.2) | 8.0 (0.1, 15.8)‡ | 27,491 | 27.9 (27.1, 28.8)‡ | 8.7 (7.5, 9.8)‡ |
| No | 373 | 27.4 (21.3, 33.4) | Referent | 34,524 | 22.3 (21.6, 23.1) | Referent |
| Has primary doctor | ||||||
| Yes | 766 | 28.4 (24.3, 32.4) | −6.6 (−23.6, 10.5) | 53,713 | 24.9 (24.3, 25.5)‡ | −0.7 (−2.3, 0.8) |
| No | 64 | 37.4 (23.9, 50.8) | Referent | 8,286 | 23.4 (22.1, 24.7) | Referent |
| Number of office visits, past 12 months | ||||||
| 0 | 61 | 25.5 (10.8, 40.2) | Referent | 10,907 | 19.7 (18.6, 20.8) | Referent |
| 1–3 | 247 | 26.8 (20.0, 33.7) | −0.5 (−17.0, 16.1) | 27,586 | 25.8 (25.0, 26.6)‡ | 3.9 (2.5, 5.3)‡ |
| 4–9 | 236 | 26.0 (19.5, 32.6) | 0 (−17.4, 17.3) | 14,981 | 25.4 (24.2, 26.5)‡ | 5.6 (3.9, 7.3)‡ |
| ≥10 | 281 | 35.3 (28.8, 41.8) | 10.3 (−8.3, 28.8) | 8,386 | 26.8 (25.4, 28.3)‡§ | 6.9 (5.0, 8.7)‡ |
| Travel¶ | ||||||
| Yes | 215 | 30.9 (23.1, 38.7) | 0.9 (−8.8, 10.5) | 20,116 | 31.2 (30.3, 32.1)‡ | 6.2 (5.1, 7.2)‡ |
| No | 615 | 28.4 (24.4, 32.4) | Referent | 41,857 | 21.3 (20.7, 22.0)§ | Referent |
| Diabetes | ||||||
| Yes | 203 | 27.1 (19.9, 34.4) | 1.2 (−8.5, 10.9) | 6,525 | 17.4 (16.1, 18.6)‡§ | −0.5, (−2.2, 1.3) |
| No | 627 | 29.7 (25.3, 34.1) | Referent | 55,469 | 25.5 (24.9, 26.1) | Referent |
*
Adjusted for all other variables in Table 3.
†
97 respondents with CLD and 6,053 respondents without CLD were excluded from the analysis due to missing data for HepB vaccination status.
‡
p < 0.05 compared with referent category.
§
p < 0.05 by t-test comparing coverage among those with CLD and without CLD.
‖
Persons identified as Hispanic could be of any race. “Other” includes American Indian/Alaska Native, Asian, and multiracial persons.
¶
Travel to regions with intermediate or high prevalence of hepatitis B virus infection, defined as reported travel outside of the USA since 1995 to location other than Europe, Japan, Australia, New Zealand, or Canada.