ACMJ
Anatolian Current Medical Journal

Anatolian Current Medical Journal (ACMJ) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

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Original Article
Determination of knowledge level and vaccination status of nursing students regarding hepatitis B infection and hepatitis B vaccine
Abstract
Aims: The study was conducted to determine the knowledge level and vaccination status of nursing students regarding hepatitis B infection and hepatitis B vaccine.
Methods: The universe of this descriptive and cross-sectional study consisted of 747 students studying at the department of nursing. In the study, a 43-item questionnaire form and the vaccine hesitancy scale were used.
Results: Of the students, 77.7% were female. The mean age was 20.68±1.68. Eight percent of the students had a chronic disease and 2.1% were diagnosed with hepatitis (71.4% hepatitis B). Of the students, 77.3% had hepatitis B vaccine. Students stated that those who were injected with the same injector (77.8%), who received blood transfusions (72.2%), and who had heterosexual intercourse ranked in the top three in the hepatitis risk group (63.9%). Students stated that the primary modes of hepatitis transmission were: 93.6% through blood, 78.8% through needlestick injuries with infected injectors, and 72.7% through sexual intercourse. The most accurate information that the students had about hepatitis was the existence of hepatitis B vaccine (96.9%) and hepatitis B carriers (77%). The mean knowledge level of the students about hepatitis was 5.22±1.92. The mean score that the students obtained from the vaccine hesitancy scale was 31.25±6.18. It was found that there was a significant relationship between knowledge level and vaccine hesitancy (p<0.005).
Conclusion: Levels of hepatitis B knowledge and vaccine hesitancy are moderate in nursing students. It is recommended to provide training and awareness activities for nursing students in this regard.

Keywords : Hepatitis, health knowledge, vaccine hesitancy, nursing, students

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1. Iannacone M, Guidotti LG. Immunobiology and pathogenesis of hepatitis B virus infection. Nat Rev Immunol. 2022;22(1):19-32. doi:10. 1038/s41577-021-00549-4
2. Apaydın H, Demir Ş, Karadeniz A. Hepatitis A, hepatitis B, hepatitis C seroprevalence and vaccination status of health providers in a university hospital. Sakarya Tıp Derg. 2021;11(2):360-365. doi:10.31832/smj.806090
3. Toy M, &Ouml;nder FO, W&ouml;rmann T, et al. Age-and region-specific hepatitis B prevalence in Turkey estimated using generalized linear mixed models: a systematic review. BMC Infect Dis. 2011;11(1):337. doi:10.1186/1471-2334-11-337
4. Akg&uuml;l F, Arslan Y. Evaluation of the knowledge and awareness of infected health workers about hepatitis B. Harran &Uuml;niversitesi Tıp Fak&uuml;ltesi Dergisi. 2023;20(2):286-291. doi:10.35440/hutfd.1286752
5. Kader &Ccedil;, Balcı M, Erdoğan Y, et al. Seroprevalences of hepatitis B, C, HIV and hepatitis B vaccination in healthcare workers in Bozok University Faculty of Medicine. FLORA. 2012;17(3):126-131.
6. World Health Organization (WHO). Report of the SAGE Working Group on Vaccine Hesitancy [Internet]. Geneva: WHO; 2014 [cited 2025 May 9]. Available from: https://www.assetscienceinsociety.eu/sites/default/files/sage_working_group_revised_report_vaccine_hesitancy.pdf
7. Yılmaz N, &Ouml;ke Karakaya P, S&ouml;nmez S. Aşı teredd&uuml;d&uuml; &ouml;l&ccedil;eğinin T&uuml;rk&ccedil;e ge&ccedil;erlik ve g&uuml;venirliği. İşletme Bilimi Dergisi. 2021;9(3):499-517. doi:10. 22139/jobs.962519
8. Luyten J, Bruyneel L, van Hoek AJ. Assessing vaccine hesitancy in the UK population using a generalized vaccine hesitancy survey instrument. Vaccine. 2019;37(18):2494-2501. doi:10.1016/j.vaccine.2019.03.041
9. S&ouml;nmez M, Akben M. Hemşirelik &ouml;ğrencilerinin hepatit B, hepatit C seroprevalansı ve bağışıklama durumları. Sağlık Hizmetleri Ve Eğitimi Dergisi. 2020;4(1):19-23. doi:10.35333/JOHSE.2020.191
10. Salduz İ, &Ouml;zder A. Knowledge, attitude, practices, seroprevalence and vaccination status concerning hepatitis B, hepatitis C, human immunodeficiency virus among health care students. Anadolu Klin. 2023;28(2):113-122. doi:10.21673/anadoluklin.1219187
11. Alkan S, Onder T, Kayta SBG, et al. Determining the level of knowledge and vaccination status of medical faculty students about hepatitis B infection/vaccination. J TOGU Heal Sci. 2022;2(1):13-24.
12. Aniaku JK, Amedonu EK, Fusheini A. Assessment of knowledge, attitude and vaccination status of hepatitis B among nursing training students in Ho, Ghana. Ann Glob Health. 2019;85(1):18. doi:10.5334/aogh.750
13. Şahin N. &Uuml;niversite &ouml;ğrencilerinin hepatit B&rsquo;ye ilişkin bilgi ve tutumlarının değerlendirilmesi [y&uuml;ksek lisans tezi]. İstanbul: İstanbul Bilim &Uuml;niversitesi, Sağlık Bilimleri Enstit&uuml;s&uuml;; 2009. Erişim adresi: https://acikbilim.yok.gov.tr/bitstream/handle/20.500.12812/627628/yokAcikBilim_351955.pdf
14. Sa&ccedil; R, Taşar MA, Yalaki Z, et al. Hepatitis A, hepatitis B, measles, mumps, rubella and varicella seroprevalence in Turkish adolescent nursing students. Nobel Med. 2019;15(1):33-40.
15. Acikgoz A, Yoruk S, Kissal A, et al. Healthcare students&#39; vaccination status, knowledge, and protective behaviors regarding hepatitis B: a cross-sectional study in Turkey. Hum Vaccin Immunother. 2021;17(11): 4595-4602. doi:10.1080/21645515.2021.1973321
16. Ko&ccedil; A. Hemşirelik &ouml;ğrencilerinin hepatit B ve C&rsquo;li hastalara bakım verme s&uuml;reci ile stres arasındaki ilişkinin incelenmesi. STED. 2017;26(6): 237-243.
17. Abdela A, Woldu B, Haile K, Mathewos B, Deressa T. Assessment of knowledge, attitudes and practices toward prevention of hepatitis B virus infection among students of medicine and health sciences in Northwest Ethiopia. BMC Res Notes. 2016;9(1):410. doi:10.1186/s13104-016-2216-y
18. Tamanna SS, Paul KD, Al Banna MH, et al. Assessment of preventive practices towards hepatitis B infection among nursing students in Bangladesh: role of knowledge, attitudes and sociodemographic factors. BMC Nurs. 2024;23(1):190. doi:10.1186/s12912-024-01870-8
19. Nalli SK, Sinha T, Arora G, et al. A study on knowledge, attitude and practices related to hepatitis B infection among nursing students of government nursing college, Jagdalpur, Bastar, Chhattisgarh. Int J Community Med Public Health. 2017;4(9):3407-3412. doi:10.18203/2394-6040.ijcmph20173853
20. Balegha AN, Yidana A, Abiiro GA. Knowledge, attitude and practice of hepatitis B infection prevention among nursing students in the Upper West Region of Ghana: a cross-sectional study. PLoS One. 2021;16(10): e0258757. doi:10.1371/journal.pone.0258757
21. Bar&ccedil;ın T, Taşova Y. Hepatit B ve aşı konusunda &Ccedil;ukurova &Uuml;niversitesi &ouml;ğrencilerinin bilgi, tutum ve davranışının araştırılması. KS&Uuml; Tıp Fak Der. 2023;18(1):59-66. doi:10.17517/ksutfd.1058823.
22. &Uuml;nsar S, Yacan L, Y&uuml;cel İ. &Uuml;niversite &ouml;ğrencilerinin HIV/AIDS, hepatit C, hepatit B enfeksiyon hastalıkları hakkındaki farkındalık d&uuml;zeyleri. G&uuml;m&uuml;şhane Sağlık Bilimleri Dergisi. 2019;8(3):250-255.
23. Atlam SA, Elsabagh HM, Shehab NS. Knowledge, attitude and practice of Tanta University medical students towards hepatitis B and C. Int J Res Med Sci. 2016;4(3):749-756. doi:10.18203/2320-6012.ijrms20160512
24. Shrestha DB, Khadka M, Khadka M, Subedi P, Pokharel S, Thapa BB. Hepatitis B vaccination status and knowledge, attitude, and practice regarding hepatitis B among preclinical medical students of a medical college in Nepal. PLoS One. 2020;15(11):e0242658. doi:10.1371/journal.pone.0242658
25. Pavlovic D, Sahoo P, Larson HJ, Karafillakis E. Factors influencing healthcare professionals&rsquo; confidence in vaccination in Europe: a literature review. Hum Vaccin Immunother. 2022;18(1):2041360. doi:10.1080/21645515.2022.2041360
26. Paterson P, Meurice F, Stanberry LR, Glismann S, Rosenthal SL, Larson HJ. Vaccine hesitancy and healthcare providers. Vaccine. 2016;34(52): 6700-6706. doi:10.1016/j.vaccine.2016.10.042
27. Repsha CL, Quinn BL, Peters AB. Implementing a concept-based nursing curriculum: a review of the literature. Teach Learn Nurs. 2020; 15(1):66-71. doi:10.1016/j.teln.2019.09.006
28. &Ccedil;etin AO, Şaşmaz A, Kurtuluş D, et al. Sağlık &ouml;ğrencilerinde aşı teredd&uuml;d&uuml;. Anatolian Clin. 2021;26(3):239-248. doi:10.21673/anadoluklin.831919
29. Shao M, He W, Zhao L, Su YS. The influence of parental involvement on parent satisfaction: the moderating effect of parental educational level and the number of children. Front Psychol. 2022;12:752802. doi:10.3389/fpsyg.2021.752802
30. Chen L, Hong J, Xiong D, et al. Are parents&#39; education levels associated with either their oral health knowledge or their children&#39;s oral health behaviors? A survey of 8446 families in Wuhan. BMC Oral Health. 2020; 20(1):203. doi:10.1186/s12903-020-01186-4
31. Ferreira RC, Guimar&atilde;es ALS, Pereira RD, Andrade RM, Xavier RP, Martins AMEBL. Vacina&ccedil;&atilde;o contra hepatite B e fatores associados entre cirurgi&otilde;es-dentistas. Rev Bras Epidemiol. 2012;15(2):315-323. doi:10. 1590/S1415-790X2012000200009
32. Machmud PB, Glasauer S, Gottschick C, et al. Knowledge, vaccination status, and reasons for avoiding vaccinations against hepatitis B in developing countries: a systematic review. Vaccines (Basel). 2021;9(6): 625. doi:10.3390/vaccines9060625
33. US Preventive Services Task Force; Krist AH, Davidson KW, Mangione CM, et al. Screening for hepatitis B virus infection in adolescents and adults: US Preventive Services Task Force recommendation statement. JAMA. 2020;324(23):2415-2422. doi:10.1001/jama.2020.22980
34. Kaushal K, Aggarwal P, Dahiya N, et al. Impact of educational interventions on hepatitis B and C awareness among school students of Delhi NCR, India. BMC Public Health. 2024;24(1):2112. doi:10.1186/s12889-024-19577-5
35. Almohammed OA, Aldwihi LA, Alragas AM, Almoteer AI, Gopalakrishnan S, Alqahtani NM. Knowledge, attitude, and practices associated with COVID-19 among healthcare workers in hospitals: a cross-sectional study in Saudi Arabia. Front Public Health. 2021;9: 643053. doi:10.3389/fpubh.2021.643053
36. T&uuml;rkoğlu E, Dindar Demiray EK, Yılmaz D, Alkan S, &Ouml;nt&uuml;rk Aky&uuml;z H, Demir O. Determination of knowledge levels and attitudes of healthcare workers on coronavirus disease-19 vaccines. KS&Uuml; Tıp Fak Der. 2023;18(1):41-50. doi:10.17517/ksutfd.1053968
Article available in :
Volume 7, Issue 3, 2025
Page : 343-352
https://doi.org/10.38053/acmj.1679398
Article Information
Received : 18 Nis 2025
Accepted : 14 May 2025
Published : 30 May 2025
Corresponding Author :

Rıdvan Bayram: Department of Internal Medicine Nursing, Faculty of Health Sciences, Uludağ University, Bursa, Turkiye

[email protected]
Citation : Bayram R. Determination of knowledge level and vaccination status of nursing students regarding hepatitis B infection and hepatitis B vaccine. Anatolian Curr Med J. 2025;7(3):343-352.

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