Poor Validity of Self-Reported Hepatitis B Virus Infection and Vaccination Status among Young Drug Users

[Guest guest]

Clinical Infectious Diseases 2004;38:000

© 2004 by the Infectious Diseases Society of America. All rights reserved.

1058-4838/2004/3804-00XX$15.00

Poor Validity of Self-Reported Hepatitis B Virus Infection and Vaccination

Status among Young Drug Users

Irene Kuo,1 W. Mudrick,3 Steffanie A. Strathdee,1 L. 1,2

and G. Sherman1

1Department of Epidemiology, s Hopkins Bloomberg School of Public

Health, and 2 Department of Medicine, Division of Infectious Diseases, s

Hopkins School of Medicine, Baltimore, land; and 3Brigham and Women's

Hospital, Harvard School of Medicine, Boston, Massachusetts

Self-reported hepatitis B virus (HBV) infection status and immunization

status were compared with HBV serological markers among 324 young injection

drug users (IDUs) and noninjection drug users (NIDUs). The overall validity

of self-reported status was poor; 52% claiming to be vaccinated were

actually susceptible to HBV. There was no difference in validity of

self-reported HBV status between IDUs and NIDUs. Clinicians should adopt a

" Don't Ask, Vaccinate " vaccination policy for young drug users.

Received 3 September 2003; accepted 22 October 2003; electronically

published 29 January 2004.

Financial support: National Institute on Drug Abuse grants R01-DA11880

and F31-DA15291.

[Guest guest]

Clinical Infectious Diseases 2004;38:000

© 2004 by the Infectious Diseases Society of America. All rights reserved.

1058-4838/2004/3804-00XX$15.00

Poor Validity of Self-Reported Hepatitis B Virus Infection and Vaccination

Status among Young Drug Users

Irene Kuo,1 W. Mudrick,3 Steffanie A. Strathdee,1 L. 1,2

and G. Sherman1

1Department of Epidemiology, s Hopkins Bloomberg School of Public

Health, and 2 Department of Medicine, Division of Infectious Diseases, s

Hopkins School of Medicine, Baltimore, land; and 3Brigham and Women's

Hospital, Harvard School of Medicine, Boston, Massachusetts

Self-reported hepatitis B virus (HBV) infection status and immunization

status were compared with HBV serological markers among 324 young injection

drug users (IDUs) and noninjection drug users (NIDUs). The overall validity

of self-reported status was poor; 52% claiming to be vaccinated were

actually susceptible to HBV. There was no difference in validity of

self-reported HBV status between IDUs and NIDUs. Clinicians should adopt a

" Don't Ask, Vaccinate " vaccination policy for young drug users.

Received 3 September 2003; accepted 22 October 2003; electronically

published 29 January 2004.

Financial support: National Institute on Drug Abuse grants R01-DA11880

and F31-DA15291.

[Guest guest]

Clinical Infectious Diseases 2004;38:000

© 2004 by the Infectious Diseases Society of America. All rights reserved.

1058-4838/2004/3804-00XX$15.00

Poor Validity of Self-Reported Hepatitis B Virus Infection and Vaccination

Status among Young Drug Users

Irene Kuo,1 W. Mudrick,3 Steffanie A. Strathdee,1 L. 1,2

and G. Sherman1

1Department of Epidemiology, s Hopkins Bloomberg School of Public

Health, and 2 Department of Medicine, Division of Infectious Diseases, s

Hopkins School of Medicine, Baltimore, land; and 3Brigham and Women's

Hospital, Harvard School of Medicine, Boston, Massachusetts

Self-reported hepatitis B virus (HBV) infection status and immunization

status were compared with HBV serological markers among 324 young injection

drug users (IDUs) and noninjection drug users (NIDUs). The overall validity

of self-reported status was poor; 52% claiming to be vaccinated were

actually susceptible to HBV. There was no difference in validity of

self-reported HBV status between IDUs and NIDUs. Clinicians should adopt a

" Don't Ask, Vaccinate " vaccination policy for young drug users.

Received 3 September 2003; accepted 22 October 2003; electronically

published 29 January 2004.

Financial support: National Institute on Drug Abuse grants R01-DA11880

and F31-DA15291.

[Guest guest]

Clinical Infectious Diseases 2004;38:000

© 2004 by the Infectious Diseases Society of America. All rights reserved.

1058-4838/2004/3804-00XX$15.00

Poor Validity of Self-Reported Hepatitis B Virus Infection and Vaccination

Status among Young Drug Users

Irene Kuo,1 W. Mudrick,3 Steffanie A. Strathdee,1 L. 1,2

and G. Sherman1

1Department of Epidemiology, s Hopkins Bloomberg School of Public

Health, and 2 Department of Medicine, Division of Infectious Diseases, s

Hopkins School of Medicine, Baltimore, land; and 3Brigham and Women's

Hospital, Harvard School of Medicine, Boston, Massachusetts

Self-reported hepatitis B virus (HBV) infection status and immunization

status were compared with HBV serological markers among 324 young injection

drug users (IDUs) and noninjection drug users (NIDUs). The overall validity

of self-reported status was poor; 52% claiming to be vaccinated were

actually susceptible to HBV. There was no difference in validity of

self-reported HBV status between IDUs and NIDUs. Clinicians should adopt a

" Don't Ask, Vaccinate " vaccination policy for young drug users.

Received 3 September 2003; accepted 22 October 2003; electronically

published 29 January 2004.

Financial support: National Institute on Drug Abuse grants R01-DA11880

and F31-DA15291.