Sex industry workers are recommended to receive hepatitis B vaccine if they are not immune.

Sex industry workers are at higher risk of hepatitis B virus infection. This industry is an important focus for preventing hepatitis B transmission.26 Sex industry workers are at a particularly high risk if they engage in unprotected sex.

Adult-formulation hepatitis B vaccine should be given in a 3-dose schedule. See Table. Monovalent hepatitis B vaccines for adolescents and adults in Vaccines, dosage and administration.

Levels of antibody to hepatitis B surface antigen should be checked after the vaccination course. See Serological testing after hepatitis B vaccination.

The combination hepatitis A-hepatitis B vaccine may be appropriate for sex workers if they are not immune to either disease. This is because they have an increased risk of both conditions. This is usually given in 3 doses using Twinrix (720/20). See Table. Combination hepatitis A-hepatitis B vaccines in Vaccines, dosage and administration.

For more details, see Hepatitis A and Vaccination for other groups.

Page history

Last updated: 
4 June 2018
Last reviewed: 
4 June 2018