Objective: Hepatitis B virus infection is potentially life-threatening. The hepatitis B birth dose vaccination coverage was 68.6% per the 2011 National Immunization Survey. In this study, we aimed to study factors related to vaccine refusal. Material and Methods: We conducted a retrospective chart review of live births at The Unterberg Children’s Hospital at Monmouth Medical Center except for those patients whose mother’s hepatitis B antigen status was positive and those admitted/transferred to the NICU. Data collected on mothers and infants included race/ethnicity, language and gestational age, birth weight, and hepatitis B vaccine consent status. Results: A total of 259 infants were included in the study between May 2012 and February 2013. Caucasian and English-speaking mothers were found to have higher vaccine refusal rates. Conclusion: Although the Advisory Committee on Immunization Practices statement on hospital policies for the prevention of hepatitis B is very clear, newborn hepatitis B vaccination coverage at Monmouth Medical Center is only 29.7%. Quality improvement strategies have to be implemented.
- Hepatitis B virus
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Infectious Diseases