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Nursing Case Management, Peer Coaching, and Hepatitis A and B Vaccine Completion Among Homeless Men Recently Released on Parole

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The study focused on completion of the HAV and HBV vaccine series among homeless men on parole. The efficacy of three levels of peer coaching (PC) and nurse-delivered interventions was compared at 12-month follow-up: (a) intensive peer coaching and nurse case management (PC-NCM); (b) intensive PC intervention condition, with minimal nurse involvement;and (c) usual care (UC) intervention condition, which included minimal PC and nurse involvement. Furthermore, we assessed the predictors of vaccine completion among this targeted sample. Although hepatitis A virus (HAV) and hepatitis B virus (H...

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Question Preview:

The study focused on completion of the HAV and HBV vaccine series among homeless men on parole. The efficacy of three levels of peer coaching (PC) and nurse-delivered interventions was compared at 12-month follow-up: (a) intensive peer coaching and nurse case management (PC-NCM); (b) intensive PC intervention condition, with minimal nurse involvement;and (c) usual care (UC) intervention condition, which included minimal PC and nurse involvement. Furthermore, we assessed the predictors of vaccine completion among this targeted sample. Although hepatitis A virus (HAV) and hepatitis B virus (HBV) infections are vaccine-preventable diseases, few homeless parolees coming out of prisons and jails have received the hepatitis A and B vaccination series.

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Homeless parolees who have recently been out of jail fail to have received proper vaccines against serious diseases. These include diseases such as Hepatitis A and Hepatitis B that are vaccine-preventable but have certain risk factors. Intervention programs have been issued to solve these issues for the people who have been incarcerated.

The factors that affect the completion of vaccination are significant and they can be assessed for programs that are highly effective along with the population of men at high-risk who are part of the homeless parolees. It has also been identified how viral hepatitis is being able to disproportionately impact the homeless people due to increased sexual behaviour that is risky as well as drug use with living standards that are substandard.

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