Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
권호 표지
DOI QR코드

DOI QR Code

Knowledge, Health Belief, and Vaccination Behavior on Hepatitis A among University Students

대학생의 A형 간염에 대한 지식, 건강신념 및 예방접종 행태

  • Kim, Kyung-Ja (Yeungnam University Hospital) ;
  • Hwang, Tae-Yoon (Department of Health, Graduate School of Environment & Public Health Studies, Yeungnam University) ;
  • Lee, Kyeong-Soo (Department of Health, Graduate School of Environment & Public Health Studies, Yeungnam University)
  • Received : 2016.06.05
  • Accepted : 2016.09.20
  • Published : 2016.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This study was to investigate the knowledge, health belief, and vaccination behavior on hepatitis A among university students. Methods: A self-administered questionnaire survey was conducted from $3^{rd}$ to $25^{th}$ March, 2014 and 197 subjects were enrolled in statistical analysis. Results: The result showed that the score for knowledge of the subjects on hepatitis A was $4.59{\pm}3.06$ out of 15 points, for health belief $2.39{\pm}0.28$ out of 4 points, and the vaccination rate of the subjects was 12.7%. There was significant difference in hepatitis A knowledge score according to experience of hepatitis A check-up and hepatitis A vaccination history of family members, and in health belief according to gender. For hepatitis A vaccination there was significant difference according to experience of hepatitis A check-up, family history of liver disease, hepatitis A vaccination history of family members, and education history of hepatitis A. As a result of logistic regression analysis experience of hepatitis check-up and hepatitis A vaccination history of family members were significant factors for hepatitis A vaccination. Conclusions: The level of knowledge, health belief for hepatitis A of the subjects was low and vaccination rate also low. The experience of hepatitis A check-up and hepatitis A vaccination history of family members were factors affecting hepatitis A vaccination. It would be necessary to develop programs for improving level of knowledge and health belief and raising the rate of hepatitis A vaccination for the university students in Korea.

이 연구는 대학생의 A형 간염 지식, 건강신념, A형 간염 예방접종 행태를 파악하기 위하여 실시하였다. 대구 경북지역의 보건계열을 제외한 4년제 대학생을 대상으로 2014년 3월 3일부터 3월 25일까지 구조화된 설문지를 이용한 자기기입식 설문조사를 하였으며, 총 197부를 최종분석대상으로 하였다. 연구대상자들의 A형 간염 지식점수는 15점 만점에 $4.59{\pm}3.06$점이었으며, 건강신념 점수는 4점 만점에 $2.39{\pm}0.28$점이었고, A형 간염 예방접종률은 12.7%였다. A형 간염 지식은 A형 간염 검사 경험, 가족 중 A형 간염 예방접종 경험에 따라 유의한 차이가 있었고, 건강신념은 성별에 따라 유의한 차이가 있었다. A형 간염 예방접종은 A형 간염 검사 경험, 가족 중 간질환, 가족 중 A형 간염 예방접종 경험, A형 간염 교육 경험 등에 따라 유의한 차이가 있었다. 로지스틱 회귀분석 결과, A형 간염 예방접종 행태에 유의한 영향을 미치는 변수는 A형 간염 검사 경험과 가족 중 A형 간염 예방접종 경험이었다. 결과적으로 연구대상자들의 A형 간염 지식, 건강신념 수준이 낮았으며 A형 간염 예방접종률 또한 낮았다. 따라서 적절한 보건교육을 통해 지식을 습득할 수 있게 하고, 질병 예방행위 실천 및 A형 간염 예방접종률을 높일 수 있는 방안들이 모색될 필요가 있을 것이다.

Keywords

References

  1. Song YB, Lee JH, Choi MS, Koh KC, Paik SW, Yoo BC. The Age-specific seroprevalence of hepatitis A virus antibody in Korea. Korean J Hepatol 2007;13(1):27-33 (Korean)
  2. WHO. WHO position paper on hepatitis A vaccines. Wkly Epidemiol Rec. 2012;87(28-29):261-267
  3. Franco E, Meleleo C, Serino L, Sorbara D, Zaratti L. Hepatitis A: Epidemiology and prevention in developing countries. World J Hepatol 2012;4(3):68-73 https://doi.org/10.4254/wjh.v4.i3.68
  4. Jung YK, Kim JH. Epidemiology and clinical features of acute hepatitis A: from the domestic perspective. Korean J Hepatol 2009;15(4):483-445 (Korean) https://doi.org/10.3350/kjhep.2009.15.4.438
  5. Korea Centers for Disease Control and Prevention (KCDC): Infectious Disease Surveillance. Korea Center for Infectious Disease Control [cited 2014 May 20]. Available from http://www.cdc.go.kr/CDC.
  6. Kim TY, Sohn JH, Ahn SB, Son BG, Lee HL, Eun CS, Jeon YC, Han DS. Comparison of recent IgG Anti-HAV prevalence between two hospitals in Seoul and Gyeonggi area Clinical and Molecular Hepatology. Korean J Hepatol 2007;13(3):363-369 (Korean) https://doi.org/10.3350/kjhep.2007.13.3.363
  7. Hong WS, Kim YC. Seroepilemiology of type A and type B hepatitis in Seoul area. Korean J Med 1982;25(1):9-26 (Korean)
  8. Lee AN, Lim HS, Nam CM, Song SM, Yoon HR, Lee KR. An epidemiological analysis of hepatitis A virus serologic markers during the recent four years in Korea. Korean J Lab Med 2009;29(6):563-569 (Korean) https://doi.org/10.3343/kjlm.2009.29.6.563
  9. Lee H, Cho HK, Kim JH, Kim KH. Seroepidemiology of hepatitis A in Korea: changes 7 over the past 30 years. J Korean Med Sci 2011;26:791-796 (Korean) https://doi.org/10.3346/jkms.2011.26.6.791
  10. Gwak YW. A study on health care and eating habits according to the health concern of college students in ulsan area[dissertation]. Ulsan, Ulsan University, 2010 (Korean)
  11. Kim MJ, Park J. The Association between health beliefs and receiving hepatitis B Vaccinations among college students. Journal of Digital Convergence 2012;10(4): 309-316 (Korean) https://doi.org/10.14400/JDPM.2012.10.4.309
  12. Park JH. A study on mothers' knowledge, health beliefs and children's hepatitis A vaccination rate [dissertation]. Seoul, Ewha Womans University, 2010 (Korean)
  13. Yoon SH, Lee HY, Kim HW, Kong KA, Kim KH. Adolescents' and parental knowledge, health beliefs toward hepatitis A vaccination. Korean J Pediatr Infect Dis. 2013;20(3):147-160 (Korean)
  14. Oh HY, Park JY. Immunization, knowledge, and preventive health behaviors to hepatitis A in university students. Korean J Health Educ Promot 2011;28(5):83-95 (Korean)
  15. Park JY. Preventive behavior and health belief about hepatitis A of adults in their twenties to thirties. Korean J Adult Nurs, 2011;23(4):403-411 (Korean)
  16. Rosenstock IM. Historical origins of the health belief model. Health Educ Behav 1974;2(4):328-335 https://doi.org/10.1177/109019817400200403
  17. Baek JS, Han MA, Park J, Yun NR. Hepatitis A virus vaccination status and related factors among college students. Korean J Health Promot 2014;14(3):103-111 (Korean) https://doi.org/10.15384/kjhp.2014.14.3.103
  18. Zhuang FC, Qian W, Mao ZA, Gong YP, Jiang Q, Jiang LM, Mao JS. Persistent efficacy of live attenuated hepatitis A vaccine(H2-strain) after a mass vaccination program. Chin Med J 2005;118(22):1851-1856
  19. Daniels D, Grytdal S, Wasley A. Surveillance for acute viral hepatitis-United States. Morbidity and Mortality Weekly Report, Korea Centers for Disease Control and Prevention Department of Health and Human Services (MMWR). 2009;58[cited 2014 May 10]. Available from: http://www.cdc.gov/mmwr/pdf/ss/ss5803.pdf.
  20. Hanna JN, Hills SL, Humphreys JL. Impact of hepatitis A vaccination of indigenous children on notifications of hepatitis A in north Queensland. Med J Aust 2004;181(9):482-485
  21. Lopez EL, Controni MM, Mistchenko A, Debbag R. Long-term immunity after two dose of inactivated hepatitis A vaccine Argentinean children. Pediatr Infect Dis J 2010;29(6):568-570
  22. Chung MH. Hepatitis A Virus Vaccination. Korean J Med 2008;75(2):S661-S667 (Korean)
  23. Lee BS, Kim MY, Kim MH, Kim SK. Health belief and performance of health behaviors of some university students in Korea. J Korean Acad Nurs 2000;30(1):213-224 (Korea) https://doi.org/10.4040/jkan.2000.30.1.213
  24. Oh SJ, Kam S, Han CH. Behavioral intention and behavior for hepatitis B vaccination in rural residents. Korean J Rural Med 2002;27(1):125-142 (Korean)

Cited by

  1. The Factors related to Mothers' Intention to Vaccinate against Hepatitis A: Applying the Theory of Planned Behavior vol.25, pp.1, 2019, https://doi.org/10.4094/chnr.2019.25.1.1