1887
Research article Open Access
Like 0

Abstract

Despite the availability of a safe and effective vaccine since 1982, overall coverage of hepatitis B vaccination among healthcare workers (HCWs) has not reached a satisfactory level in many countries worldwide. The aim of this study was to estimate the prevalence of hepatitis B vaccination, and to assess the predictors of hepatitis B vaccination status among HCWs in Serbia. Of 380 randomly selected HCWs, 352 (92.6%) were included in the study. The prevalence of hepatitis B vaccination acceptance was 66.2%. The exploratory factor analyses using the vaccination-refusal scale showed that items clustered under ‘threat of disease’ explained the highest proportion (30.4%) of variance among those declining vaccination. The factor analyses model of the potential reasons for receiving the hepatitis B vaccine showed that ‘social influence’ had the highest contribution (47.5%) in explaining variance among those vaccinated. In the multivariate adjusted model the following variables were independent predictors of hepatitis B vaccination status: occupation, duration of work experience, exposure to blood in the previous year, and total hepatitis B-related knowledge score. Our results highlight the need for well-planned national policies, possibly including mandatory hepatitis B immunisation, in the Serbian healthcare environment.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2017.22.16.30515
2017-04-20
2024-11-19
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2017.22.16.30515
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/22/16/eurosurv-22-30515-4.html?itemId=/content/10.2807/1560-7917.ES.2017.22.16.30515&mimeType=html&fmt=ahah

References

  1. Sharma R, Rasania S, Verma A, Singh S. Study of prevalence and response to needle stick injuries among health care workers in a tertiary care hospital in Delhi, India. Indian J Community Med. 2010;35(1):74-7.  https://doi.org/10.4103/0970-0218.62565  PMID: 20606925 
  2. Prüss-Ustün 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(6):482-90.  https://doi.org/10.1002/ajim.20230  PMID: 16299710 
  3. Singhal V, Bora D, Singh S. Hepatitis B in health care workers: Indian scenario. J Lab Physicians. 2009;1(2):41-8.  https://doi.org/10.4103/0974-2727.59697  PMID: 21938248 
  4. Maltezou HC, Poland GA. Immunization of healthcare providers: a critical step toward patient safety. Vaccine. 2014;32(38):4813.  https://doi.org/10.1016/j.vaccine.2014.05.046  PMID: 24863487 
  5. Sydnor E, Perl TM. Healthcare providers as sources of vaccine-preventable diseases. Vaccine. 2014;32(38):4814-22.  https://doi.org/10.1016/j.vaccine.2014.03.097  PMID: 24726251 
  6. Maltezou HC, Poland GA. Vaccination policies for healthcare workers in Europe. Vaccine. 2014;32(38):4876-80.  https://doi.org/10.1016/j.vaccine.2013.10.046  PMID: 24161573 
  7. Galanakis E, Jansen A, Lopalco PL, Giesecke J. Ethics of mandatory vaccination for healthcare workers. Euro Surveill. 2013;18(45):20627.  https://doi.org/10.2807/1560-7917.ES2013.18.45.20627  PMID: 24229791 
  8. Morowatishaifabad MA, Zare Sakhvidi MJ, Gholianavval M, Masoudi Boroujeni D, Alavijeh MM. Predictors of Hepatitis B preventive behavioral intentions in healthcare workers. Saf Health Work. 2015;6(2):139-42.  https://doi.org/10.1016/j.shaw.2014.12.001  PMID: 26106514 
  9. Maltezou HC, Gargalianos P, Nikolaidis P, Katerelos P, Tedoma N, Maltezos E, et al. Attitudes towards mandatory vaccination and vaccination coverage against vaccine-preventable diseases among health-care workers in tertiary-care hospitals. J Infect. 2012;64(3):319-24.  https://doi.org/10.1016/j.jinf.2011.12.004  PMID: 22198739 
  10. Singhal V, Bora D, Singh S. Prevalence of Hepatitis B virus infection in healthcare workers of a tertiary care centre in India and their vaccination status. J Vaccines Vaccin. 2011;2(02):2.  https://doi.org/10.4172/2157-7560.1000118 
  11. Galanakis E, D’Ancona F, Jansen A, Lopalco PL. The issue of mandatory vaccination for healthcare workers in Europe. Expert Rev Vaccines. 2014;13(2):277-83.  https://doi.org/10.1586/14760584.2014.869174  PMID: 24350731 
  12. Abiola AO, Omoyeni OE, Akodu BA. Knowledge, attitude and practice of hepatitis B vaccination among health workers at the Lagos State accident and emergency centre, Toll-Gate, Alausa, Lagos State. West Afr J Med. 2013;32(4):257-62. PMID: 24488279 
  13. Doebbeling BN, Ferguson KJ, Kohout FJ. Predictors of hepatitis B vaccine acceptance in health care workers. Med Care. 1996;34(1):58-72.  https://doi.org/10.1097/00005650-199601000-00005  PMID: 8551812 
  14. Ministry of Health. Republic of Serbia. Zakon o zaštiti stanovništva od zaraznih bolesti. [Law on protection of population from infectious diseases of Serbia]. Belgrade: Ministry of Health; 2014. Serbian. Available from: http://www.zdravlje.gov.rs/tmpmz-admin/downloads/zakoni1/zakon_zastita_od_zaraznih_bolesti.pdf
  15. Mansour-Ghanaei R, Joukar F, Souti F, Atrkar-Roushan Z. Knowledge and attitude of medical science students toward hepatitis B and C infections. Int J Clin Exp Med. 2013;6(3):197-205. PMID: 23573351 
  16. Topuridze M, Butsashvili M, Kamkamidze G, Kajaia M, Morse D, McNutt LA. Barriers to hepatitis B vaccine coverage among healthcare workers in the Republic of Georgia: An international perspective. Infect Control Hosp Epidemiol. 2010;31(2):158-64.  https://doi.org/10.1086/649795  PMID: 20038247 
  17. Loulergue P, Moulin F, Vidal-Trecan G, Absi Z, Demontpion C, Menager C, et al. Knowledge, attitudes and vaccination coverage of healthcare workers regarding occupational vaccinations. Vaccine. 2009;27(31):4240-3.  https://doi.org/10.1016/j.vaccine.2009.03.039  PMID: 19481314 
  18. Dannetun E, Tegnell A, Torner A, Giesecke J. Coverage of hepatitis B vaccination in Swedish healthcare workers. J Hosp Infect. 2006;63(2):201-4.  https://doi.org/10.1016/j.jhin.2006.01.014  PMID: 16621139 
  19. Pathak R, Chaudhary C, Pathania D, Ahluwalia SK, Mishra PK, Kahlon AS. Hepatitis B vaccine: Coverage and factors relating to its acceptance among health care workers of a tertiary care center in North India. Int J Med Public Health. 2013;3(1):55-9.
  20. Resende VL, Abreu MH, Paiva SM, Teixeira R, Pordeus IA. Concerns regarding hepatitis B vaccination and post-vaccination test among Brazilian dentists. Virol J. 2010;7(1):154.  https://doi.org/10.1186/1743-422X-7-154  PMID: 20626908 
  21. Yousafzai MT, Qasim R, Khalil R, Kakakhel MF, Rehman SU. Hepatitis B vaccination among primary health care workers in Northwest Pakistan. Int J Health Sci (Qassim). 2014;8(1):67-76.  https://doi.org/10.12816/0006073  PMID: 24899881 
  22. Batra V, Goswami A, Dadhich S, Kothari D, Bhargava N. Hepatitis B immunization in healthcare workers. Ann Gastroenterol. 2015;28(2):276-80. PMID: 25830669 
  23. Mengal HU, Howteerakul N, Suwannapong N, Rajatanun T. Factors relating to acceptance of hepatitis B virus vaccination by nursing students in a tertiary hospital, Pakistan. J Health Popul Nutr. 2008;26(1):46-53. PMID: 18637527 
  24. Doebbeling BN, Ferguson KJ, Kohout FJ. Predictors of hepatitis B vaccine acceptance in health care workers. Med Care. 1996;34(1):58-72.  https://doi.org/10.1097/00005650-199601000-00005  PMID: 8551812 
/content/10.2807/1560-7917.ES.2017.22.16.30515
Loading

Data & Media loading...

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error