{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:26:36Z","timestamp":1787840796850,"version":"build-2784847793"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T00:00:00Z","timestamp":1766448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Viral Hepatitis"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Despite long\u2010standing national vaccination recommendations targeting high\u2010risk groups, hepatitis B vaccination (HepB) coverage among US adults remains low. To inform efforts following the 2022 recommendation for universal adult HepB vaccination, we analysed data from the National Health Interview Survey (2000\u20132018) to estimate national HepB vaccination coverage and identify factors associated with vaccine uptake. We used Poisson regression and a health behaviour framework to examine associations across four domains: Sociodemographic characteristics, healthcare access, health\u2010seeking behaviours, and access to health information. Among 532,168 non\u2010institutionalised US adults aged \u2265\u200918\u2009years, the self\u2010reported HepB vaccination rate was 27.9% (95% CI 27.6\u201329.7), increasing from 22% in 2000 to 35% in 2018. Health\u2010related behaviours showed the strongest association with HepB vaccination, including prior hepatitis A vaccination (AOR 11.17, 95% CI 10.51\u201311.87), prior hepatitis B testing (AOR 4.70, 95% CI 4.47\u20134.93), and prior hepatitis C testing (AOR 1.28, 95% CI 1.21\u20131.35). Conversely, older age, lower educational level, and recent unemployment were associated with lower odds of HepB vaccination. Additionally, Black and Hispanic adults had lower odds of vaccination compared to white adults. These findings highlight persistent gaps in HepB vaccine coverage among particular segments of the US population and underscore the importance of vaccination efforts that focus on these communities to mitigate existing disparities and achieve the goal of universal HepB vaccination.<\/jats:p>","DOI":"10.1111\/jvh.70125","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T10:43:29Z","timestamp":1766486609000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Hepatitis B Vaccination Uptake and Associated Factors in the United States Before Implementing Universal Vaccination: A Nationally\u2010Representative Study"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1302-9243","authenticated-orcid":false,"given":"Mackenzie G.","family":"Cater","sequence":"first","affiliation":[{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio USA"},{"name":"Department of Medicine and Pediatrics University Hospitals Cleveland Medical Center  Cleveland Ohio USA"},{"name":"Department of Medicine, Division of Infectious Diseases and HIV Medicine University Hospitals Cleveland Medical Center  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Temitope","family":"Olasehinde","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio USA"},{"name":"Department of Medicine, Division of Infectious Diseases and HIV Medicine University Hospitals Cleveland Medical Center  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Kim","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio USA"},{"name":"Department of Medicine, Division of Infectious Diseases and HIV Medicine University Hospitals Cleveland Medical Center  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eshan","family":"Choudhary","sequence":"additional","affiliation":[{"name":"Northeast Ohio Medical University  Rootstown USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8474-1812","authenticated-orcid":false,"given":"George A.","family":"Yendewa","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio USA"},{"name":"Department of Medicine, Division of Infectious Diseases and HIV Medicine University Hospitals Cleveland Medical Center  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000000651"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/00333549231175548"},{"key":"e_1_2_8_4_1","unstructured":"Viral Hepatitis National Strategic Plan for the United States: A Roadmap to Elimination (2021\u20132025)."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7113a1"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr6701a1"},{"key":"e_1_2_8_7_1","unstructured":"Achievements in Public Health: Hepatitis B Vaccination \u2014 United States 1982\u20132002accessed March 11 2025.https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm5125a3.htm#tab."},{"key":"e_1_2_8_8_1","unstructured":"Products \u2010 Data Briefs \u2010 Number 361 \u2010 March 2020June 26 2020. accessed March 11 2025.https:\/\/www.cdc.gov\/nchs\/products\/databriefs\/db361.htm."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr7201a1"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd11.130245"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.7314\/APJCP.2012.13.4.1687"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvh.13985"},{"key":"e_1_2_8_13_1","unstructured":"CDC NHIS Methods. 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Published online April 2024.https:\/\/www2.census.gov\/library\/publications\/2024\/demo\/acsbr\u2010019.pdf."},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2017.1396401"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40249\u2010024\u201001225\u20100"},{"key":"e_1_2_8_23_1","unstructured":"STI Screening RecommendationsMarch 22 2024. accessed March 11 2025.https:\/\/www.cdc.gov\/std\/treatment\u2010guidelines\/screening\u2010recommendations.htm."},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1192676"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1077953"}],"container-title":["Journal of Viral Hepatitis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jvh.70125","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T12:56:39Z","timestamp":1767012999000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jvh.70125"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,23]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/jvh.70125"],"URL":"https:\/\/doi.org\/10.1111\/jvh.70125","archive":["Portico"],"relation":{},"ISSN":["1352-0504","1365-2893"],"issn-type":[{"value":"1352-0504","type":"print"},{"value":"1365-2893","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,23]]},"assertion":[{"value":"2025-06-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70125"}}