Background: Male sex workers are at risk of blood borne viruses but may have limited access to sexual health services, including vaccination. We explore factors associated with hepatitis B vaccination uptake among male sex workers in London
Methods: Follow up study of men attending the Working Men’s Project, a specialist health project for men who sell sex, between 1994 and 2003.
Results: At baseline 797 men were screened for hepatitis B; 308 were not eligible for vaccination because of past or current infection (155, 19.4%) or previous vaccination 153 (19.2%). Of the 489 men eligible for a full course of vaccination 292 (59.8%) completed the course. Completion rates fell over time: men recruited up to 1999 were more likely to complete the course than those recruited more recently (177/259, 68.3% compared with 115/229, 50.2%, OR 2.14, 95% CI 1.48 to 3.09).
Conclusion: This specialist service achieved a high rate of vaccine completion in the early years, but the decline is a concern. It may reflect wider availability of vaccination elsewhere and a more mobile population of sex workers. Shorter courses may achieve a higher completion.
- GUM, genitourinary medicine
- HBV, hepatitis B virus
- MSM, men who have sex with men
- MSWs, male sex workers
- hepatitis B virus
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This work received no funding.
HW is the editor of Sexually Transmitted Infections. The other authors declare that they have no competing interests.