Robust Hepatitis A Vaccination Response Within the United States Veterans Health Administration in the Wake of State Outbreaks

Am J Public Health. 2022 Jul;112(7):990-994. doi: 10.2105/AJPH.2022.306845. Epub 2022 May 26.

Abstract

We assessed hepatitis A (HepA) vaccine receipt among susceptible individuals in outbreak and matched nonoutbreak states. Difference-in-differences models and multivariable logistic regression were used to compare HepA vaccination rates in these states. In the postoutbreak year, there was a 112% increase in HepA vaccinations in outbreak states versus a 6% decrease in nonoutbreak states. Differences persisted in our multivariable model (adjusted odds ratio = 2.53; 95% confidence interval = 2.45, 2.61). HepA vaccination rates increased dramatically in outbreak states, but many individuals susceptible to hepatitis A virus remain unvaccinated. (Am J Public Health. 2022;112(7):990-994. https://doi.org/10.2105/AJPH.2022.306845).

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Disease Outbreaks / prevention & control
  • Hepatitis A Vaccines
  • Hepatitis A* / epidemiology
  • Hepatitis A* / prevention & control
  • Humans
  • United States / epidemiology
  • Vaccination
  • Veterans Health

Substances

  • Hepatitis A Vaccines