Factors associated with hepatitis B vaccination among men having sexual relations with men in Montreal, Quebec, Canada

Annie Dufour, Robert S. Remis, Michel Alary*, Joanne Otis, Benoît Mâsse, Bruno Turmel, Jean Vincelette, René Lavoie, Roger LeClerc, Raymond Parent, Michel Bouchard, Michel Châteauvert, André Desmarais, Frédéric Doutrelepont, Micheline Dupuis, Yves Jalbert, Pierre Junod, Ralf Jürgens, Roger Leblanc, Éric LefebvreRené Légaré, Catherine Lowndes, Eva Nonn, Sylvie Savard, Robert Steinman, Réjean Thomas, Anne Vassal

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    35 Citations (Scopus)

    Abstract

    Objective: To determine factors associated with hepatitis B virus (HBV) vaccination status among HIV-uninfected men who have affective and sexual relations with men (MASM) in Montreal, Quebec, Canada. Methods: The Omega Cohort is a study of the incidence and psychosocial determinants of HIV infection among MASM in Montreal. Participants complete a questionnaire and are HIV-tested every 6 months. At baseline, we also performed testing for HBV markers and collected data on HBV vaccination history. Results: Forty-six percent of 653 participants had received at least one dose of HBV vaccination, whereas 28% were completely vaccinated. Lack of vaccination was associated with injection drug use, having ≥220 regular lifetime partners, living outside Montreal, not having sex in bathhouses, and not having consulted a physician aware of the participant's sexual orientation. Among vaccinated MASM, incomplete vaccination was associated with having <20 lifetime casual partners, trading sex for drugs, having given goods for sex, having had unprotected anal sex with regular partners, and having no history of a previous sexually transmitted disease. Conclusion: A significant proportion of Montreal's MASM, some of whom are at risk of contracting HBV through sexual and parenteral transmission, have not been vaccinated for HBV. Men who have affective and sexual relations with men should be educated about the risk of HBV transmission and the seriousness of the disease.

    Original languageEnglish
    Pages (from-to)317-324
    Number of pages8
    JournalSexually Transmitted Diseases
    Volume26
    Issue number6
    DOIs
    Publication statusPublished - Jul 1999

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