PMID- 28576900
OWN - NLM
STAT- MEDLINE
DCOM- 20180409
LR  - 20220410
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 7
IP  - 5
DP  - 2017 Jun 2
TI  - Hepatitis B vaccination coverage, knowledge and sociodemographic determinants of 
      uptake in high risk public safety workers in Kaduna State, Nigeria: a cross 
      sectional survey.
PG  - e015845
LID - 10.1136/bmjopen-2017-015845 [doi]
LID - e015845
AB  - OBJECTIVES: To estimate hepatitis B vaccination (HBVc) coverage, and knowledge 
      and sociodemographic determinants of full dose uptake in Federal Road Safety 
      Corps (FRSC) members, Kaduna State, Nigeria, to inform relevant targeted 
      vaccination policies. DESIGN: A cross sectional survey of FRSC members, Kaduna 
      Sector Command. SETTINGS: Six randomly selected unit commands under Kaduna Sector 
      Command, Kaduna State, Nigeria. PARTICIPANTS: A pilot tested, structured, 
      self-administered questionnaire was administered to 341 participants aged >/=18 
      years with >/=6 months of service between 17 June and 22 July 2015. Excluded were 
      FRSC members in road safety 1 zonal command headquarters as the zonal command 
      includes other states beyond the study scope. PRIMARY OUTCOME: HBVc status of 
      participants categorised as 'not vaccinated' for uptake of <3 doses and 
      'vaccinated' for uptake of >/=3 doses. ANALYSIS: Descriptive analysis estimated 
      HBVc coverage while logistic regression ascertained associations. RESULTS: Most 
      participants were men, aged 30-39 years, with 3-10 years of service and of 
      marshal cadre. HBVc coverage was 60.9% for >/=1 dose and 30.5% for >/=3 doses. Less 
      than 47% of participants scored above the mean knowledge score for hepatitis B 
      virus (HBV) and HBVc. Female sex (AOR 2.28, 95% CI 1.15 to 4.52, p<0.05), 
      perceiving there to be an occupational risk of exposure to HBV (AOR 2.86, 95% CI 
      1.06 to 7.70, p<0.001) and increasing HBVc knowledge (AOR 2.68, 95% CI 1.83 to 
      3.92, p<0.001) were independent predictors of full dose HBVc in FRSC members, 
      Kaduna Sector Command. CONCLUSIONS: HBVc coverage and knowledge were poor among 
      FRSC members, Kaduna Sector Command. Educational intervention, geared towards 
      improving FRSC members' knowledge of HBVc and perception of risk of occupational 
      exposure to HBV, is recommended for these vulnerable public safety workers. Such 
      enlightenment could be a cheap and easy way of improving HBVc coverage in the 
      study population.
CI  - (c) Article author(s) (or their employer(s) unless otherwise stated in the text of 
      the article) 2017. All rights reserved. No commercial use is permitted unless 
      otherwise expressly granted.
FAU - Ochu, Chinwe Lucia
AU  - Ochu CL
AD  - Family Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
FAU - Beynon, Caryl M
AU  - Beynon CM
AD  - Public Health, University of Liverpool, Liverpool, UK.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20170602
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
RN  - 0 (Hepatitis B Vaccines)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cross-Sectional Studies
MH  - Female
MH  - *Health Knowledge, Attitudes, Practice
MH  - Hepatitis B/epidemiology/*prevention & control
MH  - Hepatitis B Vaccines/*administration & dosage
MH  - Humans
MH  - Logistic Models
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Nigeria/epidemiology
MH  - Occupational Exposure/*adverse effects
MH  - Surveys and Questionnaires
MH  - Vaccination Coverage/*statistics & numerical data
MH  - Young Adult
PMC - PMC5541342
OTO - NOTNLM
OT  - hepatitis B virus
OT  - infection control
OT  - public safety workers
OT  - vaccination coverage
COIS- Competing interests: None declared.
EDAT- 2017/06/04 06:00
MHDA- 2018/04/10 06:00
PMCR- 2017/06/02
CRDT- 2017/06/04 06:00
PHST- 2017/06/04 06:00 [entrez]
PHST- 2017/06/04 06:00 [pubmed]
PHST- 2018/04/10 06:00 [medline]
PHST- 2017/06/02 00:00 [pmc-release]
AID - bmjopen-2017-015845 [pii]
AID - 10.1136/bmjopen-2017-015845 [doi]
PST - epublish
SO  - BMJ Open. 2017 Jun 2;7(5):e015845. doi: 10.1136/bmjopen-2017-015845.