دورية أكاديمية

Uptake of hepatitis B vaccination and its determinants among health care workers in a tertiary health facility in Enugu, South-East, Nigeria.

التفاصيل البيبلوغرافية
العنوان: Uptake of hepatitis B vaccination and its determinants among health care workers in a tertiary health facility in Enugu, South-East, Nigeria.
المؤلفون: Omotowo IB; Department of Community Medicine, College of Medicine, University of Nigeria, Enugu Campus, Nigeria. babatundeomotowo@yahoo.com., Meka IA; Department of Chemical Pathology, College of Medicine, University of Nigeria, Enugu Campus, Nigeria., Ijoma UN; Department of Medicine, College of Medicine, University of Nigeria, Enugu Campus, Nigeria., Okoli VE; Department of Community Medicine, College of Medicine, University of Nigeria, Enugu Campus, Nigeria., Obienu O; Department of Medicine, College of Medicine, University of Nigeria, Enugu Campus, Nigeria., Nwagha T; Department of Haematology, College of Medicine, University of Nigeria, Enugu Campus, Nigeria., Ndu AC; Department of Community Medicine, College of Medicine, University of Nigeria, Enugu Campus, Nigeria., Onodugo DO; Department of Medicine, College of Medicine, University of Nigeria, Enugu Campus, Nigeria., Onyekonwu LC; Department of Dermatology, College of Medicine, University of Nigeria, Enugu Campus, Nigeria., Ugwu EO; Department of Obstetrics and Gynaecology, College of Medicine , University of Nigeria, Enugu Campus, Nigeria.
المصدر: BMC infectious diseases [BMC Infect Dis] 2018 Jun 28; Vol. 18 (1), pp. 288. Date of Electronic Publication: 2018 Jun 28.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968551 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2334 (Electronic) Linking ISSN: 14712334 NLM ISO Abbreviation: BMC Infect Dis Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Health Personnel/*statistics & numerical data , Hepatitis B/*prevention & control , Hepatitis B Vaccines/*therapeutic use , Vaccination/*statistics & numerical data, Adult ; Aged ; Cross-Sectional Studies ; Female ; Hepatitis B Vaccines/economics ; Hospitals, Teaching ; Humans ; Immunization Schedule ; Male ; Middle Aged ; Nigeria ; Nurses ; Physicians ; Surveys and Questionnaires ; Young Adult
مستخلص: Background: Hepatitis B vaccination is the most effective method of prevention for hepatitis B virus infection. It is a major public health problem in Nigeria, and health workers are at increased risk. This study determined the uptake of hepatitis B vaccination and assessed its determinants among health care workers (HCWs).
Methods: A hospital-based cross-sectional study was conducted between July and August, 2016 using self-administered structured questionnaires among 3132 HCWs in University of Nigeria Teaching Hospital, Enugu, South-East, Nigeria. Data was analysed using SPSS version 22. Binary logistic regression analysis was used to identify factors that influenced uptake of vaccination. Ethical clearance was obtained from the Research Ethics Committee of the health facility.
Results: The uptake of hepatitis B vaccination was 14.2% (n = 445). The number of doses received were: 3 doses (218/3132, 48.9%), 2 doses (71/3132, 16.0%), and one dose (156/3132, 35.1%). The reasons for non-uptake of vaccination included: cost of vaccine 48 (10.8%), 'did not believe they could be infected' 28 (6.6%), long vaccination schedule, and lack of time 150 (35.1%). The Odds for uptake of hepatitis B vaccination were 22% lower among nurses compared to doctors (AOR = 0.78, 95% CI = 0.54-0.98, P = 0.037). It increased with increasing age (AOR = 1.30, 95% CI = 1.08-1.59, P <  0.001), increasing duration of work in the hospital (AOR = 1.19, 95% CI = 1.09-1.32, P = 0.032), and was about twice higher among those that had tertiary education than others that had less education (AOR = 1.96, 95 CI = 0.76-5.07, P = 0.164).
Conclusions: The uptake of hepatitis B vaccination was low among HCWs in Enugu, Nigeria. Age, staff category, and duration of work in the hospital, were independently associated with hepatitis B vaccination. Provision of adequate hepatitis B surface antigen screening facilities and vaccination sites where the cost of vaccination is subsidized for all HCWs is recommended.
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فهرسة مساهمة: Keywords: Health care workers; Hepatitis B; Hepatitis B vaccine; Nigeria
المشرفين على المادة: 0 (Hepatitis B Vaccines)
تواريخ الأحداث: Date Created: 20180630 Date Completed: 20190429 Latest Revision: 20190429
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC6027786
DOI: 10.1186/s12879-018-3191-9
PMID: 29954344
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2334
DOI:10.1186/s12879-018-3191-9