An assessment of the performance of self-reported vaccination status for Hepatitis B, National Health and Nutrition Examination Survey 1999-2008

M.M. Denniston, K.K. Byrd, R.M. Klevens, J. Drobeniuc, S. Kamili and R.B. Jiles

American Journal of Public Health, 2013, vol. 103, issue 10, 1865-1873

Abstract: Objectives. We sought to assess the performance of self-reported vaccination with hepatitis B vaccine (HepB) compared with serological status for hepatitis B markers in the general US civilian population. Methods. Using 1999 through 2008 National Health and Nutrition Examination Survey data, we calculated 3 measures of agreement between self-reported HepB vaccination status and serological status: percent concordance, and positive (PPV) and negative predictive values (NPV) of self-report. Logistic regression was used to identify factors associated with agreement between self-report and serological status. Results. Overall agreement was 83% (95% CI = 82.3, 83.7), NPV of self-report was high (0.95; 95% CI = 0.93, 0.95) and PPV was low (0.53; 95% CI = 0.51, 0.54). Birth year relative to the 1991 recommendation for universal infant HepB vaccination had a strong association with agreement, however, the association was positive for those who reported receiving at least 3 doses and negative for those who reported receiving no doses. Conclusions. Although the low PPV in our study could be attributable in part to waning of vaccine-induced anti-HBs over time, national adult HepB vaccination coverage may be lower than previously estimated because national estimates usually depend on self-report of vaccine receipt.

Keywords: hepatitis B antibody; hepatitis B vaccine, adolescent; adult; aged; article; blood; child; confidence interval; female; health survey; hepatitis B; human; immunization; immunology; male; middle aged; practice guideline; preschool child; self report; statistical model, Adolescent; Adult; Aged; Child; Child, Preschool; Confidence Intervals; Female; Guideline Adherence; Health Surveys; Hepatitis B; Hepatitis B Antibodies; Hepatitis B Vaccines; Humans; Immunization Schedule; Logistic Models; Male; Middle Aged; Self Report; Young Adult (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301313_6

DOI: 10.2105/AJPH.2013.301313

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