Knowledge, attitudes, and practices regarding hepatitis B vaccination among hospital-based doctors and nurses in China: Results of a multi-site survey

被引：12

作者：

Liu, Yan ^{[1
,2
]}

Ma, Chao ^{[3
]}

Jia, Haimei ^{[2
,4
]}

Xu, Erping ^{[1
]}

Zhou, Yong ^{[5
]}

Zhang, Zhujiazi ^{[6
]}

Lu, Li ^{[6
]}

Rodewald, Lance ^{[7
]}

Hao, Lixin ^{[3
]}

机构：

[1] Hangzhou Ctr Dis Control & Prevent, Dept Expanded Program Immunizat, Hangzhou 310021, Zhejiang, Peoples R China

[2] Chinese Ctr Dis Control & Prevent, Chinese Field Epidemiol Training Program, Beijing 100050, Peoples R China

[3] Chinese Ctr Dis Control & Prevent, Dept Natl Immunizat Program, Beijing 100050, Peoples R China

[4] Fuzhou Ctr Dis Control & Prevent, Dept Expanded Program Immunizat, Fuzhou 350004, Fujian, Peoples R China

[5] Fujian Ctr Dis Control & Prevent, Dept Expanded Program Immunizat, Fuzhou 350001, Fujian, Peoples R China

[6] Beijing Ctr Dis Control & Prevent, Dept Expanded Program Immunizat, Beijing 100013, Peoples R China

[7] World Hlth Org China Off, Beijing 100600, Peoples R China

来源：

VACCINE | 2018年 / 36卷 / 17期

关键词：

Hepatitis B vaccine; Vaccination; Health care worker; HEALTH-CARE WORKERS; SHARPS INJURIES; UNITED-STATES; VACCINES; COVERAGE; DISEASE; IMPACT; MEDIA;

D O I：

10.1016/j.vaccine.2018.03.018

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Background: Hepatitis B virus (HBV) can cause chronic HBV infection, which may lead to advanced cirrhosis and liver cancer. Healthcare workers (HCWs) are at risk HBV infection as an occupational hazard. Hepatitis B vaccination of HCWs is recommended by WHO, but the status of hepatitis B vaccination among HCWs in China is seldom reported. Methodology: We conducted a cross-sectional study in 22 hospitals of 3 developed cities in China. We interviewed managers in infectious diseases and occupational health departments, and at least 40 HCWs per hospital. Results: We interviewed 929 HCWs; 80.8% were vaccinated against hepatitis B and 96.7% were willing to be vaccinated; 38.2% of HCWs reported having at least one needle stick or sharps injury. Three hospitals provide free hepatitis B vaccination for HCWs; hospitals with a hepatitis B vaccination policy, more HCWs reported being vaccinated (91.7% vs 79.0%, P < 0.001). HCWs in high risk departments (P = 0.011), with more knowledge of hepatitis B vaccine (P < 0.001), and with fewer working years (P = 0.002) were more likely to be vaccinated against HBV. Infectious diseases and occupational health managers had positive attitudes towards hepatitis B vaccination. Conclusions: Hepatitis B vaccination was well accepted among HCWs. Hospital provision of free vaccine, greater HCW knowledge of HBV, and working in higher-risk settings were associated with being vaccinated. A national policy of offering hepatitis B vaccine to HCWs should be considered in China. Provision of free hepatitis B vaccine for HBsAb negative HCWs may be acceptable. Education about HBV and hepatitis B vaccine may help promote policy implementation. (C) 2018 Elsevier Ltd. All rights reserved.

引用

页码：2307 / 2313

页数：7