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Hepatitis A/B vaccine completion among homeless adults with history of incarceration

  1. Adeline M. Nyamathi ANP, PhD, FAAN1,
  2. Elizabeth Marlow FNP, PhD2,
  3. Catherine Branson MPH1,
  4. Mary Marfisee MD, MPH1,
  5. Karabi Nandy PhD1

Article first published online: 6 JAN 2012

DOI: 10.1111/j.1939-3938.2011.01123.x

Issue

Journal of Forensic Nursing

Journal of Forensic Nursing

Volume 8, Issue 1, pages 13–22, March 2012

Additional Information

How to Cite

Nyamathi, A. M., Marlow, E., Branson, C., Marfisee, M. and Nandy, K. (2012), Hepatitis A/B vaccine completion among homeless adults with history of incarceration. Journal of Forensic Nursing, 8: 13–22. doi: 10.1111/j.1939-3938.2011.01123.x

Author Information

  1. 1

    University of California, Los Angeles, California

  2. 2

    University of California, San Francisco, California

*Adeline M. Nyamathi, ANP, PhD, FAAN, Professor, School of Nursing, University of California, Los Angeles, CA 90095–1702. Tel: (310) 825–8405; E-mail: anyamath@sonnet.ucla.edu

Publication History

  1. Issue published online: 28 FEB 2012
  2. Article first published online: 6 JAN 2012
  3. Received: December 7, 2011; accepted: April 22, 2011

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Keywords:

  • Forensic nursing;
  • former prisoners;
  • Hepatitis B;
  • homeless;
  • men;
  • vaccine completion

Abstract

Hepatitis B virus (HBV) vaccination rates for incarcerated adults remain low despite their high risk for infection. This study determined predictors of vaccine completion in homeless adults (N= 297) who reported histories of incarceration and who participated in one of three nurse-led hepatitis programs of different intensity. Moreover time since release from incarceration was also considered. Just over half of the former prisoners completed the vaccine series. Older age (≥40), having a partner, and chronic homelessness were associated with vaccine completion. Recent research has documented the difficulty in providing vaccine services to younger homeless persons and homeless males at risk for HBV. Additional strategies are needed to achieve HBV vaccination completion rates greater than 50% for formerly incarcerated homeless men.

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