Department of Medicine, College of Medicine, King Saud University, Saudi Arabia.
Department of Medicine, College of Medicine, Liver Disease Research Center, King Saud University, Saudi Arabia.
J Infect Public Health. 2016 Jan-Feb;9(1):60-5. doi: 10.1016/j.jiph.2015.06.008. Epub 2015 Jul 14.
The hepatitis B virus (HBV) poses a health risk to healthcare workers who are in close proximity to infected individuals. Medical students are a particularly high-risk group due to the lack of an obligatory vaccination program and a post-vaccination screening program to determine immunity status, which results in a lack of awareness of and compliance with the HBV vaccine.
This cross-sectional survey was conducted in King Khalid University Hospital (KKUH), a tertiary care academic hospital in Riyadh, Saudi Arabia, from November 2013 to March 2014. Medical students in their second to fifth years (n=444; 213 men and 231 women) completed a self-administered questionnaire regarding awareness of HBV and compliance with the HBV vaccination program in KKUH.
Medium to low knowledge levels were present in 53.5% of the participants, and 44.3% reported that they were not compliant with the vaccination program provided by KKUH. While 93.9% received the HBV vaccine upon entry to medical school, only 59.5% received all 3 doses, citing forgetfulness and a busy schedule as common reasons for the low compliance. There was no association between the knowledge and awareness of the participants and their compliance (p=0.988).
Medical students had a low level of compliance with the HBV vaccination program, regardless of their knowledge and awareness of the disease and vaccination. We recommend that programs and campaigns be developed to increase the overall awareness of this disease. We also suggest that a mandatory HBV vaccination program should be implemented to improve the compliance rate among medical students.
乙型肝炎病毒 (HBV) 对与感染者近距离接触的医护人员构成健康威胁。医学生是一个特别高风险的群体，因为缺乏强制性疫苗接种计划和接种后筛查计划来确定免疫状态，这导致他们对 HBV 疫苗缺乏认识和遵守。
本横断面研究于 2013 年 11 月至 2014 年 3 月在沙特阿拉伯利雅得的三级保健学术医院——哈立德国王大学医院 (KKUH) 进行。来自第二至第五年的医学生（n=444；213 名男性和 231 名女性）完成了一份关于他们在 KKUH 对 HBV 的认识和对 HBV 疫苗接种计划的遵守情况的自我管理问卷。
53.5%的参与者表现出中等至低水平的知识，44.3%的人报告说他们不遵守 KKUH 提供的疫苗接种计划。虽然 93.9%的人在进入医学院时接种了 HBV 疫苗，但只有 59.5%的人接种了所有 3 剂，称健忘和繁忙的日程是低合规率的常见原因。参与者的知识和对疾病及疫苗接种的认识与他们的合规性之间没有关联（p=0.988）。
无论医学生对疾病和疫苗接种的知识和认识程度如何，他们对 HBV 疫苗接种计划的遵守率都很低。我们建议制定方案和开展运动，以提高对该病的整体认识。我们还建议实施强制性 HBV 疫苗接种计划，以提高医学生的遵约率。
