Hepatitis B vaccine adherence among homeless people





Homeless Persons; Hepatitis B; Immunization Schedule; Vaccination.


Objective: to estimate the adherence to hepatitis B vaccine in homeless people. Methods: a cross-sectional study with 90 homeless people, with the collection of 5 ml of blood for the detection of antibody against the surface antigen of the hepatitis B virus. Results: of the total, 89 (98.9%) were vaccinated with the first dose; of these, 45 (50.7%) had antibodies against hepatitis B virus surface antigen lower than 10 IU/L; 25 (53.3%) received the second dose of hepatitis B vaccine, and nine (45.8%) participants received the third dose of vaccine. Individuals who were related to both genders were more likely to adhere to the full hepatitis B vaccine schedule. Conclusion: the low adherence to hepatitis B vaccination and the small number of participants with antibodies that confer immunity against this infection were evidenced.


World Health Organization (WHO). Global hepatitis report 2017 [Internet]. 2017 [cited Jan 30, 2021]. Available from: https://www.who.int/hepatitis/publications/global-hepatitis-report2017/en/

Tan JH, Zhou WY, Zhou L, Cao RC, Zhang GW. Viral hepatitis B and C infections increase the risks of intrahepatic and extrahepatic cholangiocarcinoma: evidence from a systematic review and meta-analysis. Turk J Gastroenterol. 2020; 31(3):246-56. doi: https://dx.doi.org/10.5152/tjg.2020.19056

Hong CY, Sinn DH, Kang D, Paik SW, Guallar L, Cho J, et al. Incidence of extrahepatic cancers among individuals with chronic hepatitis B or C virus infection: a nationwide cohort study. J Viral Hepat. 2020; 27(9):896-903. doi: https://dx.doi.org/10.1111/jvh.13304

World Health Organization (WHO). Global health sector strategy on viral hepatitis, 2016–2021 [Internet]. 2016 [cited Jan 30, 2021]. Available from:https://www.who.int/hepatitis/strategy2016-2021/ghss-hep/en/

Carvalho PMRS, Matos MA, Martins RMB, Pinheiro RS, Caetano KAA, Souza MM, et al. Prevalence, risk factors and hepatitis B immunization: helping fill the gap on hepatitis B epidemiology among homeless people, Goiânia, Central Brazil. Cad Saúde Pública. 2017; 33(7):e00109216 doi: https://doi.org/10.1590/0102-311x00109216

Doosti-Irani A, Mokhaeri H, Sharafi AC, Aghasadeghi MR, Hajimiragha M, Saki M, et al. Prevalence of HIV, HBV, and HCV and related risk factors amongst male homeless people in Lorestan province, the west of Iran. J Res Health Sci [Internet]. 2017 [cited Jan 30, 2021]; 17(1):e00373. Available from: https://pubmed.ncbi.nlm.nih.gov/28413168/

Harris T, Rice E, Rhoades H, Winetrobe H, Wenzel S. Gender differences in the path from sexual victimization to HIV risk behavior among homeless youth. J Child Sex Abus. 2017; 26(3):334-51. doi: https://dx.doi.org/10.1080/10538712.2017.1287146

Maria DS, Padhye N, Yang Y, Gallardo K, Businelle M. Predicting sexual behaviors among homeless young adults: ecological momentary assessment study. JMIR Public Health Surveill. 2018; 4(2):e39. doi: https://dx.doi.org/10.2196/publichealth.9020

Weis-Torres SMDS, Fitts SMF, Cardoso WM, Higa Junior MG, Lima LA, Bandeira LM, et al. High level of exposure to hepatitis B virus infection in a vulnerable population of a low endemic area: a challenge for vaccination coverage. Int J Infect Dis. 2020; 90:46-52. doi: http://dx.doi.org/10.1016/j.ijid.2019.09.029

Melo LVL, Silva MAB, Perdoná GSC, Nascimento MMP, Secaf M, Monteiro RA, et al. Epidemiological study of hepatitis B and C in a municipality with rural characteristics: Cássia dos Coqueiros, State of São Paulo, Brazil. Rev Soc Bras Med Trop. 2015; 48(6):674-81. doi: https://dx.doi.org/10.1590/0037-8682-0222-2015

Ministério da Saúde (BR). Portaria nº 1.533, de 18 de agosto de 2016. Redefine o Calendário Nacional de Vacinação, o Calendário Nacional de Vacinação dos Povos Indígenas e as Campanhas Nacionais de Vacinação, no âmbito do Programa Nacional de Imunizações (PNI), em todo o território nacional. Brasília: Ministério da Saúde; 2016.

Magalhaes RLB, Teles SA, Reis RK, Galvao MTG, Gir E. Low completion rate of hepatitis B vaccination in female sex workers. Rev Bras Enferm. 2017; 70(3):489-94. doi: https://dx.doi.org/10.1590/0034-7167-2016-0567

Cheng T, Johnston C, Kerr T, Nguyen P, Wood E, Beck K. Substance use patterns and unprotected sex among street-involved youth in a Canadian setting: a prospective cohort study. BMC Public Health. 2015; 16:4. doi: https://doi.org/10.1186/s12889-015-2627-z

Coppola N, Alessio L, Gualdieri L, Pisaturo M, Sagnelli C, Minichini C, et al. Hepatitis B virus infection in undocumented immigrants and refugees in Southern Italy: demographic, virological, and clinical features. Infect Dis Poverty. 2017; 6(1):33. doi: http://doi.org/10.1186/s40249-016-0228-4

Ly TDA, Castaneda S, Hoang VT, Dao TL, Gautret P. Vaccine-preventable diseases other than tuberculosis, and homelessness: a scoping review of the published literature, 1980 to 2020. Vaccine. 2021; 39(8):1205-24. doi: https://dx.doi.org/10.1016/j.vaccine.2021.01.035

Maria DS, Hernandez DC, Arlinghaus KR, Gallardo KR, Maness SB, Kendzor DE, et al. Current age, age at first sex, age at first homelessness, and HIV risk perceptions predict sexual risk behaviors among sexually active homeless adults. Int J Environ Res Public Health. 2018; 15(2):218. doi: http://dx.doi.org/10.3390/ijerph15020218

Taylor JEB, Surey J, MacLellan J, Francis M, Abubakar I, Stagg HR. Hepatitis B vaccination uptake in hard-to-reach populations in London: a cross-sectional study. BMC Infect Dis. 2019; 19:372. doi: https://doi.org/10.1186/s12879-019-3926-2

Silva AA, Araújo TM, Teles SA, Magalhães RL, Andrade EL. Prevalence of hepatitis B and associated factors in prisoners. Acta Paul Enferm. 2017; 30(1):66-72. doi: https://doi.org/10.1590/1982-0194201700010

Figueiredo IR, Azevedo ARS, Carvelho LAD, Lawall ARN, Vaz MA, Silva FR, et al. Hepatite B congênita: uma revisão. Rev Med Saúde [Internet]. 2016 [cited Jan 30, 2021]; 5(2):322-32. Available from: https://portalrevistas.ucb.br/index.php/rmsbr/article/view/7201/4577



How to Cite

Oliveira, V. M. C. de, Galvão, M. T. G., Nunes, R. V., Carvalho, M. S. M., Gomes, C. N. da S., & Magalhães, R. de L. B. (2021). Hepatitis B vaccine adherence among homeless people. Rev Rene, 22, e60690. https://doi.org/10.15253/2175-6783.20212260690



Research Article

Most read articles by the same author(s)

<< < 1 2 3 4 5 6 7 8 > >>