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Sex Disparity in Response to Hepatitis B Vaccine Related to the Age of Vaccination

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Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padova, 35128 Padova, Italy
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Environment and Health Department, Istituto Superiore di Sanità, 00161 Rome, Italy
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Istituto Superiore di Sanità, Center for Gender Specific Medicine, 00161 Rome, Italy
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Diagnostic Immunology Unit, Department of Laboratories and B cell Pathophysiology Unit, Immunology Research Area, Bambino Gesù Children Hospital, 00165 Rome, Italy
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Occupational Medicine, Health Directorate, Bambino Gesù Children’s Hospital, 00165 Rome, Italy
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Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian National Workers Compensation Authority, Monte Porzio Catone, 00078 Rome, Italy
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(1), 327; https://doi.org/10.3390/ijerph17010327
Received: 22 November 2019 / Revised: 24 December 2019 / Accepted: 31 December 2019 / Published: 2 January 2020
(This article belongs to the Section Infectious Disease Epidemiology)
Hepatitis B virus (HBV) infection is one of the major infectious hazards for health-care workers (HCWs) because of the frequency of percutaneous exposures to blood or body fluids. For this reason, all HCWs should be vaccinated, including students in medicine and health professional degree programs. The aim of this study was to assess the immune coverage to anti-HBV vaccine and long-lasting protective titres of anti-HBs antibodies in female and male students to evaluate gender-related differences in response to HBV vaccination. Data relative to anti-HBs antibody titre, sex, age, and age at vaccination were collected and analyzed from 5291 Italian students (1812 males and 3479 females) of the graduate courses at the School of Medicine, who underwent the mandatory health surveillance of workers exposed to biological risk. The results indicated that gender affects the immune response to HBV vaccine, particularly evident in the case of females vaccinated after one year of age who exhibited a statistically significant (p = 0.0023) 1.21-fold increase in median antibody titre with respect to males. Our findings could contribute to the optimization of HBV vaccination schedules in health surveillance of HCWs. View Full-Text
Keywords: hepatitis B; vaccine; HBs-antibodies; health care workers; sex; gender hepatitis B; vaccine; HBs-antibodies; health care workers; sex; gender
MDPI and ACS Style

Trevisan, A.; Giuliani, A.; Scapellato, M.L.; Anticoli, S.; Carsetti, R.; Zaffina, S.; Brugaletta, R.; Vonesch, N.; Tomao, P.; Ruggieri, A. Sex Disparity in Response to Hepatitis B Vaccine Related to the Age of Vaccination. Int. J. Environ. Res. Public Health 2020, 17, 327. https://doi.org/10.3390/ijerph17010327

AMA Style

Trevisan A, Giuliani A, Scapellato ML, Anticoli S, Carsetti R, Zaffina S, Brugaletta R, Vonesch N, Tomao P, Ruggieri A. Sex Disparity in Response to Hepatitis B Vaccine Related to the Age of Vaccination. International Journal of Environmental Research and Public Health. 2020; 17(1):327. https://doi.org/10.3390/ijerph17010327

Chicago/Turabian Style

Trevisan, Andrea, Alessandro Giuliani, Maria L. Scapellato, Simona Anticoli, Rita Carsetti, Salvatore Zaffina, Rita Brugaletta, Nicoletta Vonesch, Paola Tomao, and Anna Ruggieri. 2020. "Sex Disparity in Response to Hepatitis B Vaccine Related to the Age of Vaccination" International Journal of Environmental Research and Public Health 17, no. 1: 327. https://doi.org/10.3390/ijerph17010327

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