Hepatitis B vaccination coverage and postvaccination serologic testing among medical students at a public university in Brazil
The aim of this cross-sectional study was to determine the hepatitis B vaccination coverage among medical students at a public university in Rio de Janeiro, Brazil, and their compliance with the postvaccination serologic testing recommendations. Of the total of 858 students, 675 (78.7%) participated...
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| Published in: | Revista do Instituto de Medicina Tropical de São Paulo Vol. 56; no. 4; pp. 307 - 311 |
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Brazil
Instituto de Medicina Tropical de Sao Paulo
01-07-2014
Instituto de Medicina Tropical Universidade de São Paulo (USP) |
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| Abstract | The aim of this cross-sectional study was to determine the hepatitis B vaccination coverage among medical students at a public university in Rio de Janeiro, Brazil, and their compliance with the postvaccination serologic testing recommendations. Of the total of 858 students, 675 (78.7%) participated in the study. Among the participants, 48.9% (95% CI: 45.1% to 52.7%) were vaccinated against hepatitis B (received ≥ 3 doses of the vaccine), 31.6% were not (received 0, 1 or 2 doses), and 19.6% did not know their vaccination status. Hepatitis B vaccination coverage increased from 26.0% among first-year students to 70.6% among sixth-year students while the prevalence of unknown vaccination status decreased from 39.7% among first-year students to 2.4% among sixth-year students. The frequency of unvaccinated students ranged from 23.7% among fifth-year students to 34.4% among first-year students. Only 34.8% of the vaccinated students performed the anti-HBs testing after vaccination. Among these medical students, we found a low adherence to the hepatitis B vaccination and to the postvaccination serologic testing. A comprehensive hepatitis B immunization program should be offered to students at this medical school. |
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| AbstractList | The aim of this cross-sectional study was to determine the hepatitis B vaccination coverage among medical students at a public university in Rio de Janeiro, Brazil, and their compliance with the postvaccination serologic testing recommendations. Of the total of 858 students, 675 (78.7%) participated in the study. Among the participants, 48.9% (95% CI: 45.1% to 52.7%) were vaccinated against hepatitis B (received ≥ 3 doses of the vaccine), 31.6% were not (received 0, 1 or 2 doses), and 19.6% did not know their vaccination status. Hepatitis B vaccination coverage increased from 26.0% among first-year students to 70.6% among sixth-year students while the prevalence of unknown vaccination status decreased from 39.7% among first-year students to 2.4% among sixth-year students. The frequency of unvaccinated students ranged from 23.7% among fifth-year students to 34.4% among first-year students. Only 34.8% of the vaccinated students performed the anti-HBs testing after vaccination. Among these medical students, we found a low adherence to the hepatitis B vaccination and to the postvaccination serologic testing. A comprehensive hepatitis B immunization program should be offered to students at this medical school. The aim of this cross-sectional study was to determine the hepatitis B vaccination coverage among medical students at a public university in Rio de Janeiro, Brazil, and their compliance with the postvaccination serologic testing recommendations. Of the total of 858 students, 675 (78.7%) participated in the study. Among the participants, 48.9% (95% CI: 45.1% to 52.7%) were vaccinated against hepatitis B (received ≥ 3 doses of the vaccine), 31.6% were not (received 0, 1 or 2 doses), and 19.6% did not know their vaccination status. Hepatitis B vaccination coverage increased from 26.0% among first-year students to 70.6% among sixth-year students while the prevalence of unknown vaccination status decreased from 39.7% among first-year students to 2.4% among sixth-year students. The frequency of unvaccinated students ranged from 23.7% among fifth-year students to 34.4% among first-year students. Only 34.8% of the vaccinated students performed the anti-HBs testing after vaccination. Among these medical students, we found a low adherence to the hepatitis B vaccination and to the postvaccination serologic testing. A comprehensive hepatitis B immunization program should be offered to students at this medical school. The aim of this cross-sectional study was to determine the hepatitis B vaccination coverage among medical students at a public university in Rio de Janeiro, Brazil, and their compliance with the postvaccination serologic testing recommendations. Of the total of 858 students, 675 (78.7%) participated in the study. Among the participants, 48.9% (95% CI: 45.1% to 52.7%) were vaccinated against hepatitis B (received ≥ 3 doses of the vaccine), 31.6% were not (received 0, 1 or 2 doses), and 19.6% did not know their vaccination status. Hepatitis B vaccination coverage increased from 26.0% among first-year students to 70.6% among sixth-year students while the prevalence of unknown vaccination status decreased from 39.7% among first-year students to 2.4% among sixth-year students. The frequency of unvaccinated students ranged from 23.7% among fifth-year students to 34.4% among first-year students. Only 34.8% of the vaccinated students performed the anti-HBs testing after vaccination. Among these medical students, we found a low adherence to the hepatitis B vaccination and to the postvaccination serologic testing. A comprehensive hepatitis B immunization program should be offered to students at this medical school. O objetivo deste estudo transversal foi determinar a cobertura vacinal para a hepatite B entre estudantes de medicina de uma universidade pública no Rio de Janeiro, Brasil e a sua adesão às recomendações sobre o teste sorológico pós-vacinal. De um total de 858 estudantes, 675 (78,7%) participaram do estudo. Entre os participantes, 48,9% (IC de 95%: 45,1% a 52,7%) eram vacinados contra a hepatite B (receberam ≥ 3 doses da vacina), 31,6% não eram (receberam zero, uma ou duas doses) e 19,6% não sabiam o seu status vacinal. A cobertura vacinal para a hepatite B aumentou de 26,0% entre os estudantes do primeiro ano para 70,6% entre os estudantes do sexto ano, enquanto a prevalência de status vacinal ignorado diminuiu de 39,7% entre os estudantes do primeiro ano para 2,4% entre os estudantes do sexto ano. A frequência de estudantes não vacinados variou de 23,7% entre os estudantes do quinto ano a 34,4% entre os estudantes do primeiro ano. Apenas 34,8% dos estudantes vacinados realizaram o teste anti-HBs após a vacinação. Entre esses estudantes de medicina encontramos uma baixa adesão à vacinação contra a hepatite B e ao teste sorológico pós-vacinal. Um amplo programa de imunização contra a hepatite B deveria ser oferecido aos estudantes, nessa escola médica. |
| Author | Teixeira, Marcelo de Souza Souza, Eduardo Pernambuco de |
| AuthorAffiliation | Universidade Federal do Estado do Rio de Janeiro |
| AuthorAffiliation_xml | – name: Universidade Federal do Estado do Rio de Janeiro |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25076431$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_arcmed_2018_08_009 crossref_primary_10_3233_HAB_200412 crossref_primary_10_3390_ijerph18073595 crossref_primary_10_4236_ojim_2024_141011 crossref_primary_10_1016_j_jvacx_2023_100294 crossref_primary_10_1186_s12889_020_09032_6 crossref_primary_10_1155_2018_3673289 crossref_primary_10_3390_vaccines9060625 crossref_primary_10_1590_S0080_623420160000200011 crossref_primary_10_1016_j_jvacx_2021_100118 |
| Cites_doi | 10.7326/0003-4819-154-6-201103150-00004 10.1016/j.vaccine.2011.07.030 10.1067/mic.2003.44 10.1590/S0100-55022010000200011 10.1016/j.jhin.2006.01.019 10.5123/S1679-49742012000300014 10.1590/S0036-46652011000200003 10.1590/S1413-81232011000200018 10.1093/eurpub/ckq122 10.1590/S0102-311X2008000500020 10.1016/j.ajic.2009.04.283 10.1590/S0037-86822004000500007 10.1016/j.ajic.2010.07.010 10.1590/S0104-11692008000300011 10.5123/S1679-49742011000300009 10.1590/S0034-89102012005000042 10.1590/S0036-46652010000500005 |
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| Copyright | Copyright Instituto de Medicina Tropical de Sao Paulo Jul/Aug 2014 This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License. |
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| Keywords | Medical students Vaccination Hepatitis B |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 COMPETING INTERESTS AUTHOR CONTRIBUTIONS Both authors participated in all study phases. EPS coordinated the study. The authors declare that they have no competing interests. |
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| SubjectTerms | Adolescent Adult Brazil Cross-Sectional Studies Female Hepatitis Hepatitis B Hepatitis B - immunology Hepatitis B - prevention & control Hepatitis B Antibodies - immunology Hepatitis B Vaccines - administration & dosage Hepatitis B Vaccines - immunology Humans Male Medical students Middle Aged Students, Medical - statistics & numerical data TROPICAL MEDICINE Vaccination Vaccination - statistics & numerical data Young Adult |
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| Title | Hepatitis B vaccination coverage and postvaccination serologic testing among medical students at a public university in Brazil |
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