Knowledge, Attitude, and Practices toward Hepatitis B Infection among Healthcare Students—A Nationwide Cross-Sectional Study in Jordan
Abstract
:1. Introduction
2. Methodology
2.1. Questionnaire Administration
2.2. Measurement Tool
2.3. Ethical Considerations
2.4. Statistical Analysis
3. Results
3.1. Demographics of Survey Participants
3.2. Knowledge about Hepatitis B Virus and Its Associated Factors
3.3. Attitudes toward Hepatitis B Virus and Its Associated Factors
3.4. Practices toward Hepatitis B Virus and Its Associated Factors
3.5. Correlation between KAP
4. Discussion
Strengths and Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- WHO. Global Progress Report on Hiv, Viral Hepatitis and Sexually Transmitted Infections; WHO: Geneva, Switzerland, 2021. [Google Scholar]
- Nusair, M.; Rayyan, Y.; Hammoudeh, W.; Al-Khatib, M.A.; Mansour, E.; Snehanshu, S.; Bassil, N.; Kozma, S.; Ghazzawi, I.A. Hepatitis B care pathway in Jordan: Current situation, gaps and recommended actions. J. Virus Erad. 2020, 6, 1–6. [Google Scholar] [CrossRef] [PubMed]
- Margolis, H.; Alter, M.; Hadler, S. Viral Infections of Humans: Epidemiology and Control; Springer Science & Business Media: Berlin/Heidelberg, Germany, 1997. [Google Scholar]
- Schillie, S.; Vellozzi, C.; Reingold, A.; Harris, A.; Haber, P.; Ward, J.W.; Nelson, N.P. Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices. MMWR Recomm. Rep. 2018, 67, 1–31. [Google Scholar] [CrossRef] [PubMed]
- Hosseinipalangi, Z.; Golmohammadi, Z.; Ghashghaee, A.; Ahmadi, N.; Hosseinifard, H.; Mejareh, Z.N.; Dehnad, A.; Aghalou, S.; Jafarjalal, E.; Aryankhesal, A.; et al. Global, regional and national incidence and causes of needlestick injuries: A systematic review and meta-analysis. East Mediterr. Health J. 2022, 28, 233–241. [Google Scholar] [CrossRef] [PubMed]
- Hadler, S.C. Hepatitis B virus infection and health care workers. Vaccine 1990, 8 (Suppl. 1), S24–S28; discussion S41–S43. [Google Scholar] [CrossRef] [PubMed]
- Chhabra, D.; Mishra, S.; Gawande, K.; Sharma, A.; Kishore, S.; Bhadoria, A.S. Knowledge, attitude, and practice study on hepatitis B among medical and nursing undergraduate students of an apex healthcare institute at Uttarakhand foothills: A descriptive analysis. J. Fam. Med. Prim. Care 2019, 8, 2354–2360. [Google Scholar] [CrossRef] [PubMed]
- Abdela, A.; Woldu, B.; Haile, K.; Mathewos, B.; Deressa, T. Assessment of knowledge, attitudes and practices toward prevention of hepatitis B virus infection among students of medicine and health sciences in Northwest Ethiopia. BMC Res. Notes 2016, 9, 410. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Noubiap, J.J.; Nansseu, J.R.; Kengne, K.K.; Tchokfe Ndoula, S.; Agyingi, L.A. Occupational exposure to blood, hepatitis B vaccine knowledge and uptake among medical students in Cameroon. BMC Med. Educ. 2013, 13, 148. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Al-Hazmi, A.H. Knowledge, attitudes and practice of dentists concerning the occupational risks of hepatitis B virus in Al Jouf Province, Saudi Arabia. Niger. J. Clin. Pract. 2015, 18, 276–281. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Sannathimmappa, M.B.; Nambiar, V.; Arvindakshan, R. Hepatitis B: Knowledge and awareness among preclinical year medical students. Avicenna J. Med. 2019, 9, 43–47. [Google Scholar] [CrossRef] [PubMed]
- Prodanovska-Stojcevska, V.; Isjanovska, R.; Popova-Ramova, E. Knowledge of HCV infection among nursing students of the Medical College of Bitola. Arh. Za Hig. Rada I Toksikol. 2010, 61, 197–201. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Scully, C.; Bakaeen, G.; Levers, H. Hepatitis B vaccination and infection control practices of Jordanian clinical dental students. J. Oral Pathol. Med. 1991, 20, 350–351. [Google Scholar] [CrossRef]
- Nguyen, T.T.L.; Pham, T.T.H.; So, S.; Hoang, T.H.V.; Nguyen, T.T.U.; Ngo, T.B.; Nguyen, M.P.; Thai, Q.H.; Nguyen, N.K.; Le Ho, T.Q.A.; et al. Knowledge, Attitudes and Practices toward Hepatitis B Virus Infection among Students of Medicine in Vietnam. Int. J. Environ. Res. Public Health 2021, 18, 7081. [Google Scholar] [CrossRef]
- Hang Pham, T.T.; Le, T.X.; Nguyen, D.T.; Luu, C.M.; Truong, B.D.; Tran, P.D.; Toy, M.; Bozkurt, S.; So, S. Knowledge, attitudes and medical practice regarding hepatitis B prevention and management among healthcare workers in Northern Vietnam. PLoS ONE 2019, 14, e0223733. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Afihene, M.; Duduyemi, B.; A-Tetteh, H.-L.; Khatib, A. Knowledge, attitude and practices concerning Hepatitis B infection, among healthcare workers in Bantama, Ghana: A cross sectional study. Int. J. Community Med. Public Health 2015, 2, 244–253. [Google Scholar] [CrossRef] [Green Version]
- Akazong, W.E.; Tume, C.; Njouom, R.; Ayong, L.; Fondoh, V.; Kuiate, J.R. Knowledge, attitude and prevalence of hepatitis B virus among healthcare workers: A cross-sectional, hospital-based study in Bamenda Health District, NWR, Cameroon. BMJ Open 2020, 10, e031075. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Khan, N.; Ahmed, S.M.; Khalid, M.M.; Siddiqui, S.H.; Merchant, A.A. 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, 60, 450–455. [Google Scholar] [PubMed]
- Wahsheh, M.A.; Hassan, Z.M.; Hassan Al-Wahsh, F.M. Hepatitis Knowledge and Attitudes among Jordanian Nursing Students. Int. J. Health Promot. Educ. 2011, 49, 9–15. [Google Scholar] [CrossRef]
- Balegha, A.N.; Yidana, A.; Abiiro, G.A. Knowledge, attitude and practice of hepatitis B infection prevention among nursing students in the Upper West Region of Ghana: A cross-sectional study. PLoS ONE 2021, 16, e0258757. [Google Scholar] [CrossRef] [PubMed]
- Bakri, I.; Al-Omari, W.; Ananzeh, A.; Alshatrat, S. Evaluation of Knowledge, Attitude and Practice of Cross Infection Control Among Students of Dentistry, Dental Hygiene, and Dental Technology in Jordan. Open Dent. J. 2021, 15, 617–625. [Google Scholar] [CrossRef]
- Resende, V.L.S.; Abreu, M.H.G.; Paiva, S.M.; Teixeira, R.; Pordeus, I.A. Concerns regarding hepatitis B vaccination and post-vaccination test among Brazilian dentists. Virol. J. 2010, 7, 154. [Google Scholar] [CrossRef] [PubMed] [Green Version]
Respondents’ Demographics | n/Mean | %/SD | |
---|---|---|---|
Age | 22.2 | (±1.7) | |
Gender: | Male | 745 | 32.1% |
Female | 1577 | 67.9% | |
College: | Medicine | 612 | 26.4% |
Nursing | 581 | 25.0% | |
Pharmacy | 532 | 22.9% | |
Dentistry | 597 | 25.7% | |
Studying year: | 3rd year | 833 | 35.9% |
4th year | 541 | 23.3% | |
5th year | 324 | 14% | |
6th year | 624 | 26.9% | |
Extra courses about HBV: | Yes | 250 | 10.8% |
No | 2072 | 89.2% | |
History of HBV infection: | Yes | 29 | 1.2% |
No | 2293 | 98.8% | |
Family member infected with HBV: | Yes | 86 | 3.7% |
No | 2236 | 96.3% | |
Encountered HBV patient: | Yes | 749 | 32.3% |
No | 1573 | 67.7% |
Level of Knowledge | Level of Attitude | Level of Practice | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Low (1404) | High (921) | p-Value | Low (1355) | High (967) | p-Value | Bad (838) | Good (1484) | p-Value | ||
Age: | 21.9(±) | 22.6(±) | 0.000 | 220.1(±) | 220.3(±) | 0.000 | 210.9(±) | 220.4(±) | 0.000 | |
Gender: | Male | 470 | 275 | 0.063 | 387 | 358 | 0.000 | 234 | 511 | 0.001 |
Female | 931 | 646 | 968 | 609 | 604 | 973 | ||||
College: | Medicine | 278 | 334 | 0.000 | 298 | 314 | 0.000 | 287 | 325 | 0.000 |
Nursing | 385 | 196 | 305 | 276 | 168 | 413 | ||||
Pharmacy | 315 | 217 | 347 | 185 | 294 | 238 | ||||
Dentistry | 423 | 174 | 405 | 192 | 89 | 508 | ||||
Studying year: | 3rd year | 608 | 225 | 0.000 | 518 | 315 | 0.004 | 343 | 490 | 0.000 |
4th year | 353 | 188 | 303 | 238 | 216 | 325 | ||||
5th year | 169 | 155 | 199 | 125 | 108 | 216 | ||||
6th year | 271 | 353 | 335 | 289 | 171 | 453 | ||||
Extra courses about HBV: | Yes | 148 | 102 | 0.698 | 118 | 132 | 0.000 | 67 | 183 | 0.001 |
No | 1253 | 819 | 1237 | 835 | 771 | 1301 | ||||
History of HBV infection: | Yes | 17 | 12 | 0.849 | 12 | 17 | 0.062 | 9 | 20 | 0.568 |
No | 1384 | 909 | 1343 | 950 | 829 | 1464 | ||||
Family member infected with HBV: | Yes | 50 | 36 | 0.671 | 47 | 39 | 0.478 | 37 | 49 | 0.172 |
No | 1351 | 885 | 1308 | 928 | 801 | 1435 | ||||
Encountered HBV patient: | Yes | 364 | 385 | 0.000 | 369 | 380 | 0.000 | 192 | 557 | 0.000 |
No | 1037 | 536 | 986 | 587 | 646 | 927 |
Covariates | Knowledge | Attitude | Practice | ||||||
---|---|---|---|---|---|---|---|---|---|
OR | CI | p-Value | OR | CI | p-Value | OR | CI | p-Value | |
Age: | 1.007 | 0.934–1.087 | 0.852 | 1.051 | 0.976–1.133 | 0.189 | 1.046 | 0.960–1.140 | 0.300 |
Gender: | NA | ||||||||
Male | 1.322 | 1.100–1.590 | 0.003 | 1.197 | 0.974–1.470 | 0.087 | |||
Female | Reference | Reference | |||||||
College: | |||||||||
Pharmacy | Reference | Reference | Reference | ||||||
Medicine | 2.174 | 1.706–2.77 | 0.000 | 1.955 | 1.544–2.476 | 0.000 | 1.656 | 1.301–2.109 | 0.000 |
Nursing | 1.147 | 0.884–1.489 | 0.301 | 1.664 | 1.249–2.140 | 0.000 | 3.977 | 3.052–5.183 | 0.000 |
Dentistry | 0.681 | 0.531–0.873 | 0.000 | 0.876 | 0.687–1.113 | 0.274 | 7.698 | 5.876–10.087 | 0.000 |
Studying year: | |||||||||
3rd year | Reference | Reference | Reference | ||||||
4th year | 1.322 | 1.019–1.714 | 0.035 | 1.151 | 0.899–1.472 | 0.264 | 1.011 | 0.776–1.317 | 0.934 |
5th year | 2.764 | 1.984–3.850 | 0.000 | 1.223 | 0.884–1.692 | 0.225 | 1.943 | 1.354–2.787 | 0.000 |
6th year | 2.974 | 2.096–4.218 | 0.000 | 1.146 | 0.814–1.613 | 0.435 | 1.778 | 1.206–2.620 | 0.004 |
Encountered HBV patient: | |||||||||
Yes | 1.642 | 1.350–1.998 | 0.000 | 1.440 | 1.189–1.746 | 0.000 | 2.031 | 1.634–2.524 | 0.000 |
No | Reference | Reference | Reference | ||||||
Extra courses about HBV: | NA | ||||||||
Yes | 1.371 | 1.040–1.807 | 0.025 | 1.437 | 1.042–1.981 | 0.027 | |||
No | Reference | Reference |
Variable | Correlation Coefficient | p-Value * |
---|---|---|
Knowledge–attitude | 0.249 | 0.000 |
Knowledge–practice | 0.127 | 0.000 |
Attitude–practice | 0.156 | 0.000 |
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Alaridah, N.; Joudeh, R.M.; Al-Abdallat, H.; Jarrar, R.F.; Ismail, L.; Jum’ah, M.; Alnajjar, Z.; Alzyoud, E.; Battah, Z.; Battah, A.; et al. Knowledge, Attitude, and Practices toward Hepatitis B Infection among Healthcare Students—A Nationwide Cross-Sectional Study in Jordan. Int. J. Environ. Res. Public Health 2023, 20, 4348. https://doi.org/10.3390/ijerph20054348
Alaridah N, Joudeh RM, Al-Abdallat H, Jarrar RF, Ismail L, Jum’ah M, Alnajjar Z, Alzyoud E, Battah Z, Battah A, et al. Knowledge, Attitude, and Practices toward Hepatitis B Infection among Healthcare Students—A Nationwide Cross-Sectional Study in Jordan. International Journal of Environmental Research and Public Health. 2023; 20(5):4348. https://doi.org/10.3390/ijerph20054348
Chicago/Turabian StyleAlaridah, Nader, Rayan M. Joudeh, Haneen Al-Abdallat, Raba’a F. Jarrar, Layan Ismail, Mohammad Jum’ah, Zaina Alnajjar, Eman Alzyoud, Zaina Battah, Aya Battah, and et al. 2023. "Knowledge, Attitude, and Practices toward Hepatitis B Infection among Healthcare Students—A Nationwide Cross-Sectional Study in Jordan" International Journal of Environmental Research and Public Health 20, no. 5: 4348. https://doi.org/10.3390/ijerph20054348