Daniel Bancovsky
Pediatric neurology unit, Safra Children's Hospital. Sheba Medical Center
Manjushree Shastry
Department of Medical safety surveillance and Medical Data Review - Oncology, IQVIA RDS INDIA LTD, Bangalore, India
Martina Caccamo
Neurology Unit, ‘A. Perrino’ Hospital, Brindisi, Apulia, Italy.
Omar E. Vasquez-Perez
Hope Medical and Dental Centre, Corozal, Belize
Merce Avellanet
Rehabilitation Department. Hospital N. Sra de Meritxell, Andorra
Kumud Chapagain
Clinical Pharmacology and Therapeutics, B P Koirala Institute of Health Sciences, Dharan, Nepal
Rebecca Soares
Harvard T. H. Chan School of Public Health - ECPE - PPCR Program, Boston, MA, USA
Magali Coyoy
San Carlos University, Guatemala, Guatemala.
Hoang Nguyen
Clinic for Cardiac, Thoracic and Vascular Surgery, Brunwick, Municipal Hospital, Brunwick, Lower Saxony, Germany
Juliana Calit
University of Sao Paulo (USP), Brazil
Asma Qudayr
Department of Clinical Pharmacy, College of Pharmacy, Taif University, Taif 21944, Saudi Arabia
Rintu Sharma
Department of Medical Oncology and Hematology, Princess Margaret Cancer Center, Toronto, Canada
Cynthia L. P. de Borborema
Grupo Fleury, São Paulo, São Paulo, Brazil
Sebastine Oiwoh
Dermatology and Venereology unit, Department of Internal Medicine, Irrua Specialist Teaching Hospital, Irrua, Edo state, Nigeria
Jorge Alave
School of Medicine, Universidad Peruana Unión, Lima, Peru
Beatrice Dalbianco
Pio Albergo Trivulzio Rehabilitation clinic, Milan, Lombardy, Italy
Maria Antonieta Lopes
Real Hospital Português, Recife, Brazil
Ricardo E. Nunez-Rocha
Postdoctoral Research Fellow, University of Texas Southwestern Medical Center, TX, USA
Maria Magalhaes
São Leopoldo Mandic, Campinas, Brazil
Faiez Alsatou
Department of Thoracic and Vascular Surgery, Klinikum Chemnitz, Germany
Felipe Duarte
Critical Care Department, German Hospital Osvaldo Cruz, São Paulo, Brazil
Jessica Rodriguez
Universidad de Cuenca, Ecuador
Ilgin Genc
McLean Hospital, Boston, USA
Walter Ramos
National Scoliosis Center, Virginia, US
Fabricio Kleber
Universidade de Caxias do Sul, RS, Brazil
Patricia Rioja
Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru
Ignacio Montealegre
Peace Corps Medical Officer, Peace Corps, Costa Rica
Isabel Cabral
Pontificia Universidad Catolica Madre y Maestra Campus Santiago. Dominican Republic
Luiz Viola
Federal University of Sao Paulo - UNIFESP
Barbara Grohmann
Faculdade São Leopoldo Mandic, Campinas, Brazil
Yoldyz Huynh
Pediatric Department , Kazan State Medical University , Russia
Lucas Vidoto
Hapvida, Brazil
Arantxa Ramirez
Department of Medicine, Beth-Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
Anny Christina Chin
Syneos Health, Functional Service Provider dedicated to AbbVie, São Paulo, Brazil
Alessandra Carvalho
SARAH Network of Rehabilitation Hospitals, Salvador, Bahia, Brazil
Abstract
Background: High social support is easily assessed and associated with a healthier lifestyle, including vaccination adherence. Similarly, immunization is a widely available public health statistic associated with healthier behaviors. However, the link between the hepatitis immunization status and social support needs to be explored.
Methods: We assessed the association between levels of social support and hepatitis immunization status using the National Health and Nutrition Examination Survey (NHANES), a cross-sectional multidisciplinary database publicly available for researchers. With 2005–2006 data, 2997 participants were included. Statistical analyses were conducted using STATA18.5v software, including the odds ratio of both univariable logistic regression and multivariable logistic regression. After adjusting for clinically relevant confounders, two distinct models were designed: 1) full immunization, and 2) incomplete immunization.
Results: Multivariable analysis revealed significantly greater odds of high social support for participants fully or partially immunized against both hepatitis A and B: 3.15 (95% CI 1.03–9.66,p=0.04) and 3.35 (95% CI 1.15–9.75,p=0.03), respectively.
Conclusion: Our findings show an association between vaccination and social support in both adjusted models. Individuals not vaccinated at all may behave differently from those willing to be, at least partially, immunized. It seems that a similar behavior that may lead to vaccination may also lead to increased social support. Therefore, our study suggests that hepatitis vaccination could perhaps be a surrogate marker for public-health-related outcomes.
