VACCINATION UPTAKE AND AWARENESS OF A FREE HEPATITIS B VACCINATION PROGRAM AMONG FEMALE COMMERCIAL SEX WORKERS
VACCINATION UPTAKE AND AWARENESS OF A FREE HEPATITIS B VACCINATION PROGRAM AMONG FEMALE COMMERCIAL SEX WORKERS
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DOI：
10.1016/j.whi.2008.09.002
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发表时间：
2009-01-01
影响因子：
3.2
通讯作者：
van de Mheen, Dike
中科院分区：
文献类型：
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作者：
Baars, Jessica E.;Boon, Brigitte J. F.;van de Mheen, Dike
目标.我们试图探讨在荷兰合法卖淫的女性商业性工作者（CSW）中免费接种B型肝炎疫苗的范围。我们还调查了不参与和不依从的原因。在这项基于人种学绘图和有针对性的抽样的横断面研究中，在荷兰3个地区的工作中采访了259名CSW。半结构式访谈包括社会人口统计学、性风险行为、性工作、获得免费B型肝炎疫苗接种机会的意识、疫苗接种率和遵守完整疫苗接种时间表等问题。在我们的样本中，79%的人报告了获得B型肝炎疫苗接种机会的意识，63%的人报告接种了B型肝炎疫苗（接受≥ 1次疫苗接种）。当分析中控制了特定的社会人口学变量、性行为和性工作相关协变量时，卫生专业人员的个人方法或与疫苗接种相关。窗口卖淫和在该地区工作的时间与获得免费B型肝炎疫苗接种机会的意识有关。这项研究的结果表明，外联活动（即，个人的方法）在这个程序中是有益的。在目前的疫苗接种计划中，临时性暗娼更难接触到。这些结果可用于提高这一风险群体未来健康计划的成功率。
Objectives. We sought to explore the reach of a free hepatitis B vaccination program among female commercial sex workers (CSWs) within a legalized prostitution setting in the Netherlands. We also investigated the reasons for nonparticipation and noncompliance.Methods. In this cross-sectional study based on ethnographic mapping and targeted sampling, 259 CSWs were interviewed at their work in 3 regions in the Netherlands. The semistructured interviews contained questions on sociodemographics, sexual risk behavior, sex work, awareness of the opportunity to obtain free hepatitis B vaccination, vaccination uptake, and compliance with the full vaccination schedule.Results. Of our sample, 79% reported awareness of the opportunity to obtain hepatitis B vaccination, and 63% reported to be vaccinated against hepatitis B (received >= 1 vaccination). A personal approach by health professionals or was associated with vaccination uptake, when specific sociodemographic variables, sexual behavior, and sex work related covariates were controlled for in the analysis. Window prostitution and the duration of working in the region were associated with awareness of the opportunity to obtain free hepatitis B vaccination.Conclusions. The results of this study suggest that outreach activities (i.e., a personal approach) within this program are beneficial. Transient CSWs are more difficult to reach within the current vaccination program. These results can be used to increase the success of future health programs among this risk group.