Hepatitis B vaccine among healthcare workers: factors associated with the dimensions of the Health Belief Model.

Autor: Farias Junior YC; Universidade Federal do Recôncavo da Bahia, Health, Education and Work Center - Santo Antônio de Jesus (BA), Brazil., Souza FO; Universidade Federal do Recôncavo da Bahia, Health, Education and Work Center - Santo Antônio de Jesus (BA), Brazil.; Universidade Estadual de Feira de Santana, Epidemiology Center - Feira de Santana (BA), Brazil., Santos DVD; Universidade Federal do Recôncavo da Bahia, Health, Education and Work Center - Santo Antônio de Jesus (BA), Brazil., Heliotério MC; Universidade Federal do Recôncavo da Bahia, Health, Education and Work Center - Santo Antônio de Jesus (BA), Brazil., Pinho PS; Universidade Federal do Recôncavo da Bahia, Health, Education and Work Center - Santo Antônio de Jesus (BA), Brazil.; Universidade Estadual de Feira de Santana, Epidemiology Center - Feira de Santana (BA), Brazil., Araújo TM; Universidade Estadual de Feira de Santana, Epidemiology Center - Feira de Santana (BA), Brazil.
Jazyk: English; Portuguese
Zdroj: Revista brasileira de epidemiologia = Brazilian journal of epidemiology [Rev Bras Epidemiol] 2024 Jul 01; Vol. 27, pp. e240036. Date of Electronic Publication: 2024 Jul 01 (Print Publication: 2024).
DOI: 10.1590/1980-549720240036
Abstrakt: Objective: To investigate the association between the dimensions of the Health Belief Model (HBM) and complete vaccination for hepatitis B among healthcare workers (HCW).
Methods: Cross-sectional epidemiological study with HCW in Primary Health and Medium Complexity Care. Univariate and bivariate analyses were performed to test the association between the outcome variable (complete vaccination for hepatitis B based on self-report) and the variables of the HBM dimensions. Prevalence ratio (PR) and its respective 95% confidence intervals (95%CI) were calculated.
Results: 453 HCW participated. The prevalence of complete vaccination for hepatitis B was 56.9%. In the final analysis model, the following variables were associated with complete vaccination for hepatitis B: chances of having hepatitis B (PR=1.73) - related to the susceptibility dimension; disease severity (PR=0.74) - related to severity; reduced risk of absenteeism (PR=1.29) - related to benefits; not spending time to get vaccinated (PR=1.41) and not worrying about Events Supposedly Attributable to Vaccination or Immunization (PR=1.43) - related to barriers.
Conclusions: The completeness of the hepatitis B vaccination schedule, reported by the investigated HCW, reveals the prevalence is below the target established by the Ministry of Health, which follows the national scenario of low coverage presented for other age groups. Understanding the risk perception and severity of hepatitis B can contribute to increasing the prevalence of vaccination for this infection.
Databáze: MEDLINE