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

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 he...

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Autores principales: Omotowo, I. B., Meka, I. A., Ijoma, U. N., Okoli, V. E., Obienu, O., Nwagha, T., Ndu, A. C., Onodugo, D. O., Onyekonwu, L. C., Ugwu, E. O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6027786/
https://www.ncbi.nlm.nih.gov/pubmed/29954344
http://dx.doi.org/10.1186/s12879-018-3191-9
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author Omotowo, I. B.
Meka, I. A.
Ijoma, U. N.
Okoli, V. E.
Obienu, O.
Nwagha, T.
Ndu, A. C.
Onodugo, D. O.
Onyekonwu, L. C.
Ugwu, E. O.
author_facet Omotowo, I. B.
Meka, I. A.
Ijoma, U. N.
Okoli, V. E.
Obienu, O.
Nwagha, T.
Ndu, A. C.
Onodugo, D. O.
Onyekonwu, L. C.
Ugwu, E. O.
author_sort Omotowo, I. B.
collection PubMed
description 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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spelling pubmed-60277862018-07-09 Uptake of hepatitis B vaccination and its determinants among health care workers in a tertiary health facility in Enugu, South-East, Nigeria Omotowo, I. B. Meka, I. A. Ijoma, U. N. Okoli, V. E. Obienu, O. Nwagha, T. Ndu, A. C. Onodugo, D. O. Onyekonwu, L. C. Ugwu, E. O. BMC Infect Dis Research Article 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. BioMed Central 2018-06-28 /pmc/articles/PMC6027786/ /pubmed/29954344 http://dx.doi.org/10.1186/s12879-018-3191-9 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Omotowo, I. B.
Meka, I. A.
Ijoma, U. N.
Okoli, V. E.
Obienu, O.
Nwagha, T.
Ndu, A. C.
Onodugo, D. O.
Onyekonwu, L. C.
Ugwu, E. O.
Uptake of hepatitis B vaccination and its determinants among health care workers in a tertiary health facility in Enugu, South-East, Nigeria
title Uptake of hepatitis B vaccination and its determinants among health care workers in a tertiary health facility in Enugu, South-East, Nigeria
title_full Uptake of hepatitis B vaccination and its determinants among health care workers in a tertiary health facility in Enugu, South-East, Nigeria
title_fullStr Uptake of hepatitis B vaccination and its determinants among health care workers in a tertiary health facility in Enugu, South-East, Nigeria
title_full_unstemmed Uptake of hepatitis B vaccination and its determinants among health care workers in a tertiary health facility in Enugu, South-East, Nigeria
title_short Uptake of hepatitis B vaccination and its determinants among health care workers in a tertiary health facility in Enugu, South-East, Nigeria
title_sort uptake of hepatitis b vaccination and its determinants among health care workers in a tertiary health facility in enugu, south-east, nigeria
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6027786/
https://www.ncbi.nlm.nih.gov/pubmed/29954344
http://dx.doi.org/10.1186/s12879-018-3191-9
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