Original Article Exploring the Link Between Hepatitis A and B Vaccination and Social Support in the US Population: Insights from the NHANES 2005-2006 Cohort
Year: 2025
Type: article
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.
Authors: Daniel Bancovsky, Manjushree Shastry, Martina Caccamo, Omar E. Vasquez-Perez, Merce Avellanet, Kumud Chapagain, Rebecca Soares, Magali Coyoy-Say, Hoang Nguyen, Juliana Calit, Asma Qudayr, Rintu Sharma, Cynthia L. P. de Borborema, Grupo Fleury, São Paulo, Brazil, Sebastine Oiwoh, Jorge Alave, Beatrice Dal Bianco, Maria Antonieta Lopes, Ricardo E. Nunez-Rocha, Maria Magalhaes, São Leopoldo Mandic, Campinas, Brazil, Faiez Alsatou, Felipe Duarte, Jessica Rodriguez, Universidad de Cuenca, Ecuador, Ilgin Genc, Walter Ramos, Fabricio Kleber, Patricia Rioja, Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru, Ignacio Montealegre, Isabel Cabral, Pontificia Universidad Catolica Madre y Maestra Campus Santiago. Dominican Republic, Luiz Viola, Barbara Grohmann, Faculdade São Leopoldo Mandic, Campinas, Brazil, Yoldyz Huynh, Lucas Vidoto, Hapvida, Brazil, Arantxa Ramirez, Anny Christina Chin, Syneos Health, functional service provider dedicated to AbbVie, São Paulo, Brazil, Alessandra Carvalho
Language: English
Subfield: Health
Field: Social Sciences
Domain: Social Sciences
Open Access status: diamond
OpenAlex ID: W4414409280
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