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加纳一家三级医院医护人员乙型肝炎疫苗接种的流行率和态度。

Prevalence and attitude towards hepatitis B vaccination among healthcare workers in a tertiary hospital in Ghana.

机构信息

Department of Internal Medicine, Cape Coast Teaching Hospital, Cape Coast, Ghana.

Clinical Microbiology/Public Health Unit, Cape Coast Teaching Hospital, Cape Coast, Ghana.

出版信息

Pan Afr Med J. 2020 Aug 5;36:244. doi: 10.11604/pamj.2020.36.244.24085. eCollection 2020.

Abstract

INTRODUCTION

adequate knowledge on hepatitis B virus (HBV) infection is important among healthcare workers (HCWs) as this impacts the vaccination seeking behaviour. This study sought to assess the knowledge, vaccination status and related factors amongst HCWs in a tertiary facility in Ghana.

METHODS

an analytical cross-sectional study was conducted amongst full-time HCWs of different categories at the Cape Coast Teaching Hospital, Ghana. Stratified sampling was used to arrive at the number needed for each category of HCW and then simple random sampling to recruit participants. A structured self-administered questionnaire was used. Descriptive statistics and logistics regression were carried out on the data.

RESULTS

a total of 303 HCWs participated with 78.07% (n=235) being between 20-30 years, and majority being females (62.38%, n=189). A total of 186 (61.39%) participants had adequate knowledge, mean knowledge score was 4.73/7 (±0.97). About 80% (n=218) had received the 3 doses of HBV vaccine. Among the unvaccinated, cost was the major barrier (62.07%, n=18). Participants who did not know that HBV was more infectious than HIV (aOR=5.31, 95%CI: 1.91-14.77), p<0.001) and those who did not have knowledge that HBV vaccine was effective were more likely to be unvaccinated (aOR=8.63, 95%CI: 2.99-24.94), p<0.0001). The gender and cadre of staff did not show statistical evidence of an association with vaccination status.

CONCLUSION

knowledge on HBV is paramount for all HCWs as well as the importance of receiving the full doses of the hepatitis B vaccines. Barriers to vaccination must be removed to ensure protection of HCWs.

摘要

简介

乙型肝炎病毒 (HBV) 感染相关知识对于医护人员 (HCWs) 来说非常重要,因为这会影响他们的疫苗接种行为。本研究旨在评估加纳一家三级医疗机构 HCWs 的知识、疫苗接种状况和相关因素。

方法

采用横断面分析研究,在加纳开普敦教学医院对不同类别的全职 HCWs 进行调查。采用分层抽样确定每种类别 HCW 的样本量,然后采用简单随机抽样招募参与者。使用结构化的自我管理问卷进行调查。对数据进行描述性统计和逻辑回归分析。

结果

共有 303 名 HCWs 参与了研究,其中 78.07%(n=235)年龄在 20-30 岁之间,大多数是女性(62.38%,n=189)。共有 186 名(61.39%)参与者具有足够的知识,平均知识得分为 4.73/7(±0.97)。约 80%(n=218)已接种 3 剂乙型肝炎病毒疫苗。在未接种疫苗的人群中,费用是主要障碍(62.07%,n=18)。那些不知道乙型肝炎病毒比艾滋病毒更具传染性的人(比值比[aOR]=5.31,95%置信区间[CI]:1.91-14.77),p<0.001)和那些不知道乙型肝炎病毒疫苗有效的人更有可能未接种疫苗(aOR=8.63,95%CI:2.99-24.94),p<0.0001)。性别和员工职级与接种状况没有统计学关联的证据。

结论

所有 HCWs 都必须了解乙型肝炎病毒的相关知识,以及接种乙型肝炎疫苗的重要性。必须消除接种疫苗的障碍,以确保 HCWs 的保护。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72f0/7519783/8a0f02948fff/PAMJ-36-244-g001.jpg

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