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A Cross Sectional Study on Knowledge, Attitude and Practice of Hepatitis B Vaccination Among Medical Students in Malaysia
Current Issue
Volume 7, 2019
Issue 3 (September)
Pages: 83-92   |   Vol. 7, No. 3, September 2019   |   Follow on         
Paper in PDF Downloads: 57   Since Sep. 6, 2019 Views: 1190   Since Sep. 6, 2019
Authors
[1]
Lee Pei Shin, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education), Melaka, Malaysia.
[2]
Edzell Swamy Appasamy, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education), Melaka, Malaysia.
[3]
Roshanjit Singh Sandhu, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education), Melaka, Malaysia.
[4]
Thriya Lekka Appalanaidu, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education), Melaka, Malaysia.
[5]
Divyarn Jude Woodrow Samaratunga, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education), Melaka, Malaysia.
Abstract
Transmission of HBV commonly occurs through exposure to bodily fluids, therefore putting health care workers at a higher risk of becoming infected. It is important for the medical students to have a good knowledge, attitude and practice regarding Hepatitis B vaccination. A questionnaire based analytical cross sectional study was used to conduct the study of knowledge, attitude and practice of hepatitis B vaccination among the medical students of private medical college in Malaysia. Participants of this study comprised of 3rd and 4th academic year students who have enrolled for MBBS in private medical college in Malaysia. The sample size of this research is 171 students. The questionnaire consisted of 4 sections, which are demographic details, attitude and practice of Hepatitis B vaccination. For qualitative data such as gender, race and socioeconomic status are calculated by using frequency, percentage and mode. The hypothesis tested by applying the Unpaired t test, ANOVA and binary logistic regression, odds ratio and 95% CI were used to measure the associations. In this research, 95.91% of the students were vaccinated against Hepatitis B (HBV) and 74.85% of the students had full doses (3 doses) of HBV vaccine. 92.4% of the students had moderate to good attitude and knowledge regarding HB vaccination. There is no significant association between gender (P=0.565), ethnicity (P=0.135), socioeconomic status (P=0.593) and knowledge (P=0.066) with practice of HBV vaccination. Female has 3.69 attitudes percentage score higher than male with a significant association (P<0.001). Chinese has higher attitude mean score (mean=85.53%) compared with Indian (mean=82.42%), Malay (mean=73.79%) and other ethnicities (mean=83.28%), this has significant association (P=0.002). Lower (mean=64.81%) socioeconomic status also shows lower attitude mean score compared with upper class (mean=82.37%), upper middle class (mean=83.09%), lower middle class (mean=82.28%) and working class (mean=81.48%), this has significant association (P=0.001). There is significant association between attitude and knowledge of HBV vaccination (P=0.002), students with good attitude mean score were 1.09 more likely to have better practice of Hepatitis B vaccination. The medical students who were not completed the full doses of Hepatitis B vaccination requirement should be educated on the importance of hepatitis b vaccination. We recommend the future studies to collect responses from all academic years so that the study would be of higher significance.
Keywords
Knowledge, Attitude, Practice, Hepatitis B Vaccination, Medical Students, Survey
Reference
[1]
E. J. Aspinall G. Hawkins A. Fraser S. J. Hutchinson D. Goldberg. Hepatitis B prevention, diagnosis, treatment and care: a review. Occupational Medicine, Volume 61, Issue 8, Oxford Academic, December 2011, Pages 531–540.
[2]
World Health Organization [Internet]. Hepatitis B. 18 July 2018. Available from: https://www.who.int/news room/fact sheets/detail/hepatitis b.
[3]
Ruksana Raihan. Hepatitis in Malaysia: Past, Present, and Future. 2016 Jul 9. 6 (1): 52–55. PubMed PMCID: PMC5578560. PubMed PMID: 29201726.
[4]
Hepatitis B Foundation [Internet]. What Is Hepatitis B? [Cited 2019 May 18]. Available from: https://wayback.archiveit.org/org350/20190414183852/https://www.nlm.nih.gov/bsd/uniform_requirements.html#electronic.
[5]
Salisbury D, Ramsay M, Noakes K., Immunisation Against Infectious Disease, 2006 London Department of Health publication.
[6]
Liang TJ. Hepatitis B: the virus and disease. 2009 May; 49 (5 Suppl): S13 21. PubMed PMID: 19399811. PubMed PMCID: PMC2809016.
[7]
Daniel Shouval, Hepatitis B vaccines, Journal of Hepatology 39 (2003) S70 S76.
[8]
World Health Organization [Internet]. Immunization coverage. 16 July 2018. Available from: https://www.who.int/newsroom/factsheets/detail/immunization coverage.
[9]
Leora R. Feldstein, Stephanie Mariat, Marta Gacic Dobo, Mamadou S. Diallo, Laura M. Conklin, and Aaron S. Wallace. Global Routine Vaccination Coverage, 2016. 2017 Nov 17; 66 (45): 1252–1255. PubMed PMCID: PMC5726243. PubMed PMID: 29145357.
[10]
Ristinen E, Mamtani R. Ethics of transmission of hepatitis B virus by health care workers. Lancet 1998; 352: 1381–1383.
[11]
Prüss Üstün A, Rapiti E, Hutin Y. Estimation of the global burden of disease attributable to contaminated sharps injuries among health care workers. Am J Ind Med 2005; 48: 482–90.
[12]
Varsha Singhal, Dhrubajyoti Bora, and Sarman Singh, Hepatitis B in Health Care Workers: Indian Scenario, 2009 Jul Dec; 1 (2): 41–48, PMCID: PMC3167966, PMID: 21938248.
[13]
Khan N1, Ahmed SM, Khalid MM, Siddiqui SH, Merchant AA, Effect of gender and age on the knowledge, attitude and practice regarding hepatitis B and C and vaccination status of hepatitis B among medical students of Karachi, Pakistan, J Pak Med Assoc. 2010 Jun; 60 (6): 450 5, PMID: 20527642.
[14]
Stefan Ek, Gender differences in health information behaviour: a Finnish population based survey, Oxford academia, Health Promotion International, Volume 30, Issue 3, September 2015, Pages 736–745, https://doi.org/10.1093/heapro/dat063, available from: https://academic.oup.com/heapro/article/30/3/736/620016.
[15]
Yogambigai Rajamoorthy, corresponding, Niazlin Mohd Taib, Subramaniam Munusamy, Samsul Anwar, Abram Luther Wagner, Mudatsir, Knowledge and awareness of hepatitis B among households in Malaysia: a community based cross sectional survey, 2019 Jan 10. doi: 10.1186/s1288901863758, PMCID: PMC6327400, PMID: 30630464.
[16]
Elizabeth H. Baker, Socioeconomic Status, Definition, Wiley Online Library. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/9781118410868.wbehibs395.
[17]
Nancy E. Adler, Katherine Newman, Socioeconomic Disparities In Health: Pathways And Policies, health affairs vol. 21, no. 2: the determinants of health, april 2002, https://doi.org/10.1377/hlthaff.21.2.60.
[18]
Rajamoorthy Y, Radam A, Taib NM, Rahim KA, Munusamy S, Wagner AL, et al. (2019) Willingness to pay for hepatitis B vaccination in Selangor, Malaysia: A cross sectional household survey. PLoS ONE 14 (4): e0215125. https://doi.org/10.1371/journal.pone.0215125.
[19]
m. Riccò, l. Vezzosi, g. Gualerzi, and c. Signorelli, Knowledge, attitudes and practices (KAP) towards vaccinations in the school settings: an explorative survey, 2017 Dec; 58 (4): E266–E278, PMCID: PMC5912794, PMID: 29707657.
[20]
Siti Nurafifah Binti Sheikh Zainal Abidin, Nor Azlina A Rahman, Mainul Haque, Knowledge and attitudes of health based students in a public university in Malaysia on hepatitis B infection, Cukurova Med J 2019; 44 (1): 160–168, DOI: 10.17826/cumj.449400.
[21]
Abdulrahman Ahmad, Lye Munn Sann, Hejar Abdul Rahman, Factors associated with knowledge, attitude and practice related to hepatitis B and C among international students of Universiti Putra Malaysia, BMC Public Health, December 2016, 16: 611.
[22]
Desmond Aroke, Benjamin Momo Kadia, Ephesians Nkwetta Anutebeh, Awareness and Vaccine Coverage of Hepatitis B among Cameroonian Medical Students, BioMed Research International Volume 2018, Article ID 3673289, 6 pages, https://doi.org/10.1155/2018/3673289.
[23]
Kwame Y Boakye, assessing the knowledge and perception on hepatitis b among senior high school (shs) students in dunkwa on offin, Academia, available from https://www.academia.edu/10127035/ASSESSING_THE_KNOWLEDGE_AND_PERCEPTION_ON_HEPATITIS_B_AMONG_SENIOR_HIGH_SCHOOL_SHS_STUDENTS_IN_DUNKWA ON OFFIN.
[24]
Victoria M. Taylor, Hepatitis B Awareness, Testing, And Knowledge Among Vietnamese American Men And Women, J Community Health. 2005 Dec; 30 (6): 477–490. doi: 10.1007/s10900 00572823.
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