Adolescents’ knowledge, beliefs, and behaviors regarding hepatitis B: Insights and implications for programs targeting vaccine-preventable diseases

Slonim, Amy; Roberto, Anthony J.; Downing, Christi R.; Adams, Inez; Fasano, Nancy; Davis-Satterla, Loretta; Miller, Mark A.

doi:10.1016/j.jadohealth.2004.08.002

Cited by 42 publications

(28 citation statements)

References 13 publications

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“…A similar result was observed in a research performed in the United States of America (23) , which assessed risk factors related to not accepting the vaccine, and revealed that female teenagers were more likely to accept the vaccine against hepatitis B. On the other hand, a study that assessed risk factors associated to not accepting the vaccine (24) revealed that men were significantly more likely to accept the vaccine against hepatitis B than women (43.2%) (c2 = 175.16; p < 0.01).…”

Section: Discussionsupporting

confidence: 83%

Fatores associados à cobertura vacinal em adolescentes

Carvalho¹,

Araújo

2010

Acta paul. enferm.

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Objective: To analyze the factors associated to the condition of to be vaccinated among adolescents in an area of the Strategy Health of the Family, in the city of Teresina, state of Piaui. Methods: Is a study of quantitative nature and sectional type. The sample was constituted by 261 adolescents and the analysis was carried out through the descriptive statistic. Results: The vaccination covering against German measles, measles and mumps was 5.4 %; the vaccination against diphtheria and tetanus was 22.9 %; the vaccination against hepatitis-B was 27.2 % and of 35.2 % against the yellow fever. Conclusion: The low vaccination covering found in this study had the following causes: lost of vaccination opportunities (65.5 %); deficiency of knowledge on vaccines, the age group -more than 15 years (Reason of Predominance (RP) = 2.85; Rate of Confidence (IC) 95 % = 1.63-4.99); and the masculine gender (RP = 2.04; IC95 % =1.15-3.62). Keywords: Hepatitis B; Epidemiology; Imunization; Vaccination RESUMO Objetivo: Analisar os fatores associados à condição de estar vacinado entre adolescentes de uma área da Estratégia Saúde da Família de Teresina -PI. Métodos: Estudo de natureza quantitativa e do tipo seccional. A amostra foi constituída por 261 adolescentes e a análise foi realizada por meio da estatística descritiva. Resultados: A cobertura vacinal contra rubéola, sarampo e caxumba foi de 5,4%; para a vacina contra difteria e tétano, foi de 22,9%; para a vacina contra hepatite-B: foi 27,2% e 35,2% para a vacina contra febre amarela. Conclusão: A baixa cobertura vacinal encontrada neste estudo está relacionada: às oportunidades perdidas de vacinação (65,5%); à deficiência de conhecimento sobre as vacinas, a faixa etária maior de 15 anos (Razão da Prevalência (RP) = 2,85; Índice de Confiança (IC) 95% = 1,63-4,99); o sexo masculino (RP = 2,04; IC95% =1,15-3,62). Descritores: Hepatite B; Epidemiologia; Imunização; Vacinação RESUMENObjetivo: Analizar los factores asociados a la condición de estar vacunado entre adolescentes, en un área de la Estrategia Salud de la Familia, en la ciudad de Teresina, en el estado de Piauí. Métodos: Estudio de naturaleza cuantitativa y de tipo seccional. La muestra fue constituida por 261 adolescentes y el análisis fue realizado por medio de la estadística descriptiva. Resultados: La cobertura por vacuna contra rubéola, sarampión e caxumba fue de 5,4%; para la vacuna contra la difteria y tétano, fue de 22,9%; para la vacuna contra hepatitis-B, fue 27,2% y de 35,2% para la vacuna contra la fiebre amarilla. Conclusión: La baja cobertura por vacunación encontrada en este estudio está relacionada a: 1) las oportunidades perdidas de vacunación (65,5%); a la deficiencia de conocimiento sobre las vacunas, al intervalo de edad mayor de 15 años [Razón de la Prevalencia (RP) = 2,85; Índice de Confianza (IC) 95% = 1,63-4,99]; al sexo masculino (RP = 2,04; IC95% =1,15-3,62).

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Section: Discussionsupporting

confidence: 83%

Fatores associados à cobertura vacinal em adolescentes

Carvalho¹,

Araújo

2010

Acta paul. enferm.

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“…This finding is reflective of the experience in adolescent vaccination generally,4 although it is still surprising, as most girls in this study had received information about HPV. Simply providing a leaflet about the vaccine appears not to be sufficient to ensure HPV knowledge.…”

Section: Discussionmentioning

confidence: 54%

Attitudes towards human papillomavirus vaccination: a qualitative study of vaccinated and unvaccinated girls aged 17–18 years

Williams

Forster

Marlow

et al. 2011

J Fam Plann Reprod Health Care

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Background and methodology This study explored knowledge about human papillomavirus (HPV) and attitudes towards HPV vaccination among girls who were part of the 'catch-up' vaccination programme. Interviews were carried out between March and May 2009 with girls (aged 17-18 years) who had received HPV vaccine (n=5) and girls who had opted not to receive HPV vaccine (n=5). Interviews lasted approximately 25 minutes, were recorded and transcribed verbatim. The data were analysed qualitatively using framework analysis. Results Most girls were aware that HPV is sexually transmitted, but beyond this had limited understanding of HPV and HPV vaccination, and expressed a desire for further information. Girls were uncertain about the need for the vaccine both in terms of perceived risk (e.g. because they were not sexually active) and because of its novelty. Some had concerns about the effi cacy and safety of the vaccine, while others were mistrusting of the information provided. Being embarrassed about discussing the vaccine with parents and practical barriers to vaccination were also discussed. Discussion and conclusions Understanding of HPV was poor, despite participants having been offered the vaccine. Schoolbased interventions might be a useful supplement to leafl ets, and should focus on improving knowledge of HPV and awareness of the purpose of HPV vaccination.

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“…26 Outside China, HBV vaccination has also been associated with perceived low risk of contracting HBV, 27 and low levels of perceived susceptibility have been reported. 28 For other types of vaccines, a Chinese study reported that the majority of surveyed individuals were unwilling to pay the market price forself-paidvaccines, but that willingness to pay was associated with perceived risk and severity of disease. 29 The associations between vaccine uptake and perceived risk of infection or severity of disease have been found in other countries.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with adults' perceived need to vaccinate against hepatitis B in rural China

Wang

Wangen

et al. 2016

Human Vaccines & Immunotherapeutics

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Hepatitis B virus (HBV) infection is a serious public-health issue in China. While the hepatitis B vaccine is effective in preventing HBV infection, the HBV vaccination coverage rates among Chinese adults remain low. From a survey of rural adults from 7 provinces in China, we identified a unique HBV at-risk group: rural adults who had no history of HBV vaccination and had no plan to HBV vaccinate in the future. We divided this 'no history-no plan' group into those who identified No-need to vaccinate and those that perceived a Need to vaccinate (even if they had no plan to do so). We found age, marital status, health status, perceived HBV infection environment, perceived HBV infection risk and perceived HBV infection severity explained differences between the 'No-need' and 'Need" to HBV vaccinate groups. Education, occupation and knowledge of hepatitis B and HBV transmission were not associated with HBV vaccination need. Our results showed that free HBV vaccinations and reimbursement for vaccinating could significantly increase the HBV vaccinate take-up rate for both Need and No-need rural adults. A tailored public health HBV campaign, especially targeting the No-need subgroup, would increase vaccination rates by better informing rural adults about HBV transmission routes, the dangers of HBV infection, the effectiveness of HBV vaccinations and the safety of HBV vaccinations.

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Adolescents’ knowledge, beliefs, and behaviors regarding hepatitis B: Insights and implications for programs targeting vaccine-preventable diseases

Cited by 42 publications

References 13 publications

Fatores associados à cobertura vacinal em adolescentes

Fatores associados à cobertura vacinal em adolescentes

Attitudes towards human papillomavirus vaccination: a qualitative study of vaccinated and unvaccinated girls aged 17–18 years

Factors associated with adults' perceived need to vaccinate against hepatitis B in rural China

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