The World Health Organization has estimated that around 66 thousand HBV infection cases are caused by needlestick injuries annually. Healthcare students should be aware of HBV transmission routes and preventive measures. This study assessed the knowledge, attitudes, and practices toward HBV among Jordanian healthcare students and its associated factors. A cross-national study was conducted from March to August 2022. The questionnaire was composed of four sections: participants’ sociodemographics, knowledge, attitudes, and practices about HBV, and 2322 participants were enrolled. The collected responses were analyzed with SPSS software (version 25 (IBM Corp., Armonk, NY, USA)) using descriptive statistics, unpaired t-tests, chi-square tests, and multivariate regression analyses. A p-value ≤ 0.05 was considered statistically significant. The results showed that 67.9% were females, 26.4% were medical students, and 35.9% were in their 3rd year. Overall, 40% of the participants held high levels of knowledge and attitudes. Further, 63.9% of participants had good practices toward HBV. Gender, year of study, encountering HBV patients, college, and having extra HBV courses were associated with high levels of KAP. This study demonstrated insufficient knowledge and attitudes toward HBV; however, the practice level toward HBV among healthcare students was promising. Therefore, public health efforts should modify the knowledge and attitude gaps to reinforce awareness and minimize the risk of infection.
21 March 2024 in International Journal of Hepatology
Introduction. As reported by the World Health Organization (WHO), annually, there are 1.5 million new infections, with more than 290 million people living with chronic hepatitis B diseases in 2019. Medical students (MSs), a subgroup of health care workers (HCWs), are at high occupational risk for HBV infection since HCWs have a 210 times greater risk of getting the virus than the general population. Therefore, they must have a broad understanding of hepatitis B infection. In this study, we aimed to assess the level of knowledge, attitude, and practices among MSs, and to explore its predictors. Methodology. A descriptive cross-sectional research was done among MSs, those who finished their infectious disease course. MSs were asked to participate in a self-administered online-structured questionnaire. Results. 612 MSs were enrolled in our study. 67.5 were females, and 36.9 were in their 6th year. Around half of the participants held a high level of knowledge, attitude, and practices toward HBV infection. MSs in the last year of the study who encountered HBV patients showed to have better knowledge. Male MSs who encountered HBV patients and took extra HBV courses showed better attitudes. High practice level among MSs was associated with being in the 6th year and taking extra HBV courses. Conclusions. This study demonstrated a satisfactory level of knowledge, attitude, and practices toward HBV infection among MSs. However, awareness must be enhanced in some areas especially transmission routes of HBV. Thus, it will strengthen the level of attitude and practices to omit the effect of the stigma while delivering care to HBV patients.
The World Health Organization estimated that around 66 thousand HBV are caused by needlestick injuries annually. Healthcare students should be aware of HBV transmission route and preventive measures. This study assessed the knowledge, attitudes, and practices toward HBV among Jordanian healthcare students and its associated factor. A cross-national study conducted from March to August. The participants were asked to complete the questionnaire. It had four sections: participants' sociodemographic, knowledge, attitudes, and practices about HBV. 2322 participants were enrolled, 67.9% were females, 26.4% were medical student, 35.9% were in the 3rd year. 40% of the participants held a high level of knowledge and attitude. 63.9% of participants had good practices toward HBV. Medical students in the last year of study, encountered HBV patients , had better knowledge. Male students from medicine college, encountered HBV patients and had extra HBV courses showed better attitude. High practice level was associated with being dentistry student, at 5th year, encountered HBV patient and extras HBV courses. This study demonstrated insufficient knowledge and attitudes toward HBV, the practices level toward HBV among healthcare students was promising. Subsequently, public health efforts should modify the knowledge and attitude gaps to reinforce awareness and minimizing risks of the infection.
Background and Aims: Hepatitis B is a serious, communicable liver disease resulting from hepatitis B virus infection. Healthcare workers (HCWs), including nursing students, are at elevated risk of exposure. We assessed Jordanian nursing students' knowledge, attitudes, and practices (KAP) toward HBV and explored predictors of better KAP. Methods: We conducted a cross‐sectional online survey (March–August 2022) among 617 nursing students (years 3–5) at two Jordanian universities using a previously validated questionnaire (43 knowledge, 8 attitude, 3 practice items). Scores ≥ 70% were classified as “good.” Descriptive statistics and χ² tests were used, and multivariable logistic regression examined associations with KAP (α = 0.05). Results: Overall knowledge was satisfactory, particularly for transmission routes; 73.1% answered diagnostic items correctly. Misconceptions persisted about oral and airborne transmission (≤ 50% correct). Only 8.1% and 18.6% correctly identified treatment criteria and the urgency of treatment, respectively. Most students reported prior HBV vaccination (75.7%) and personal protective equipment use during patient contact (~71%); however, only 45.4% had undergone anti‐HBV testing before clinical rotations. In multivariable analyses, higher academic year, prior HBV‐related coursework, and clinical encounters with HBV patients were associated with better KAP (all p < 0.05). Conclusion: Jordanian nursing students demonstrated acceptable knowledge of HBV transmission but notable gaps in treatment knowledge, newborn immunization timing, and safe sharps disposal. Curricular enhancements should correct misconceptions about non‐transmission via food or air, reinforce post‐vaccination antibody testing and revaccination of nonresponders, and strengthen training on treatment indications and neonatal prophylaxis. Targeted education—particularly in earlier academic years—may improve HBV‐related KAP among future HCWs.
Background: Knowledge, attitudes, and practices (KAP) studies provide essential insight into public awareness, perceptions, and behaviors toward health issues. Hepatitis B virus (HBV) remains a major public health problem in Jordan. Transfusion‐dependent patients are at higher risk of infection due to frequent exposure to blood products. This study aimed to assess KAP toward HBV among transfusion‐dependent patients in Jordan. Methods: A cross‐sectional study was conducted among 407 transfusion‐dependent patients attending hematology clinics in governmental hospitals in Jordan. A validated questionnaire assessed socio‐demographic data and KAP regarding HBV. Knowledge, attitude, and practice were each scored out of their respective items; participants scoring ≥ 75% correct were classified as having good knowledge, positive attitude, or safe practices, respectively. Statistical analyses included descriptive statistics, chi‐square tests, and logistic regression to determine associations, with p ‐values < 0.05 considered significant. Results: Of the 407 participants, 114 (28%) had good knowledge, 170 (41.8%) had positive attitudes, and 156 (38.3%) demonstrated safe practices toward HBV. Key predictors of good knowledge included older age (AOR 3.81, 95% CI 2.09–6.94) and higher education (AOR 3.05, 95% CI 1.80–5.16). Safe practice was significantly associated with family history of HBV infection. Significant associations were found between knowledge scores and educational level, employment status, and history of HBV vaccination ( p < 0.05). Conclusion: HBV knowledge, attitudes, and practices among transfusion‐dependent patients in Jordan were suboptimal. These findings highlight the need for targeted health education programs and HBV vaccination campaigns for this high‐risk group.