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父母对乙型肝炎的了解和认识会影响其子女的疫苗接种情况。

Parents's knowledge and awareness about hepatitis B can influence the vaccination of their children.

作者信息

Chhavi Nanda, Srivastava Geetika, Waseem Mariya, Yadav Abhishek, Singh Surender, Singh Rajani, Goel Amit

机构信息

Department of Paediatrics, Era's Lucknow Medical College, Lucknow 226003, Uttar Pradesh, India.

Medical Consultant, National Disease Control Program, National Health Mission, Lucknow 226003, Uttar Pradesh, India.

出版信息

World J Virol. 2024 Jun 25;13(2):92115. doi: 10.5501/wjv.v13.i2.92115.

Abstract

BACKGROUND

Birth-dose (Hep-BD) followed by three additional doses (Hep-B3) of hepatitis B virus (HBV) vaccine are key to eliminating HBV by 2030. Unfortunately, Hep-BD and Hep-B3 coverage in our country is poor.

AIM

To studied the parent's knowledge and awareness about HBV infection, its prevention, consequences and vaccination.

METHODS

Parents of 6 months to 8 years old children were interviewed to assess their knowledge & awareness about hepatitis B, its transmission, prevention, illness caused by this, and vaccination. Eighteen close-ended questions were administered, and responses were recorded as 'yes', 'no', or 'not sure'. HBV knowledge score was calculated based on the sum of correct answers. Each correct response scored one point and incorrect, missing or 'not sure' responses received no points. Categorical data are presented as number (%) and numerical data are expressed as median. Data were compared using Chi tests and level of significance was kept as < 0.05.

RESULTS

Parents (58.3% mothers) of 384 children (89.9% age < 5 years; 82% age-appropriately vaccinated) were included. Three hundred and twenty-two (83.9%) children were Hep-B3 vaccinated. 94.3%, 87.5%, and 29.2% parents knew about polio, tetanus, and hepatitis B vaccine. Overall, 41.2%, 15.8%, and 23% parents knew about hepatitis B transmission, consequences of infection, and prevention respectively. Only 7.6% parents knew about three-dose schedule of hepatitis B vaccination. Only 23% parents believed that vaccine could prevent HBV, 15.7% knew that HBV affects liver. Parents of Hep-B3 vaccinated children were significantly more aware about HBV than the parents of unvaccinated children ( < 0.05 for 17/18 questions).

CONCLUSION

The knowledge and awareness among the parents about hepatitis B is poor. The Increasing knowledge/awareness about HBV among parents may improve Hep-B3 vaccination coverage.

摘要

背景

出生剂量的乙肝疫苗(Hep-BD)随后再接种三剂乙肝疫苗(Hep-B3)是到2030年消除乙肝病毒的关键。不幸的是,我国Hep-BD和Hep-B3的接种覆盖率很低。

目的

研究父母对乙肝病毒感染、其预防、后果及疫苗接种的知识和认识。

方法

对6个月至8岁儿童的父母进行访谈,以评估他们对乙肝、其传播、预防、由此引起的疾病及疫苗接种的知识和认识。提出了18个封闭式问题,回答记录为“是”“否”或“不确定”。根据正确答案的总和计算乙肝知识得分。每个正确答案得1分,错误、缺失或“不确定”的答案不得分。分类数据以数字(%)表示,数值数据以中位数表示。使用卡方检验比较数据,显著性水平设定为<0.05。

结果

纳入了384名儿童的父母(58.3%为母亲)(89.9%年龄<5岁;82%按年龄接种了疫苗)。322名(83.9%)儿童接种了Hep-B3。94.3%、87.5%和29.2%的父母了解脊髓灰质炎、破伤风和乙肝疫苗。总体而言,分别有41.2%、15.8%和23%的父母了解乙肝传播、感染后果和预防措施。只有7.6%的父母知道乙肝疫苗的三剂接种程序。只有23%的父母认为疫苗可以预防乙肝病毒,15.7%的父母知道乙肝病毒会影响肝脏。接种Hep-B3的儿童的父母比未接种疫苗的儿童的父母对乙肝病毒的了解明显更多(17/18个问题的P<0.05)。

结论

父母对乙肝的知识和认识较差。提高父母对乙肝病毒的知识/认识可能会提高Hep-B3的接种覆盖率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46b5/11229838/cd1ac4cdf525/92115-g001.jpg

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