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Assessment of Knowledge, Attitudes and Practices of Medical Students Regarding Hepatitis B Infection at a Private University of Medicine in Senegal.

Context: Senegal is among the most endemic countries for viral hepatitis B with 11% of chronic HBV carriers. Stu- dents in the health sector are among those most at risk. The objectives of this study were to determine the Knowledge, Attitudes and Practices (KAP) of students at a private uni- versity in Dakar regarding viral hepatitis B and to identify associated factors. Methodology: A cross-sectional, descriptive, and analyt- ical study has been conducted among students of the St Christopher Iba Mar Diop School from April 1 to 30, 2019. The questionnaire was self-administered. Chi2 testing and logistic regression were used to identify factors associated with the level of knowledge, as well as attitudes and practic- es regarding viral hepatitis B. The data was analyzed using SPSS version 22 software. Results: In total, we interviewed 317 students, which cor- responds to a participation rate of 60.5%. The main sourc- es of information were predominately training (85.9%) and the media (68.2%). Jaundice (85.9%), hepatomegaly (79.2%) and fever (78.5%) were the main clinical signs known to students. Blood and sexual transmission routes were cited by more than 80% of the respondents. Howev- er, 19.4% of students reported that hepatitis B could be transmitted by the fecal-oral route. People with multiple sexual partners (77.5%) and health workers (76.4%) were the most frequently cited at-risk groups. Incarceration as a risk factor was known by only 38.7% of respondents. The complications of hepatitis B, namely cirrhosis (81.3%) and hepatocellular carcinoma (69.0%), were also known. The antivirals effective on HBV were not well known to stu- dents: Tenofovir (44.7%), entecavir (21.1%) and lamivudine (10.2%). Sixty-two percent (62%) of students said that all HBV patients should be systematically treated. Almost two thirds (65.5%) of students said that it took 3 doses for a complete immunization. More than half (55.6%) of the stu- dents had been screened for the hepatitis B virus and 61.3% reported having been vaccinated against it. Of the 284 students, 27% had a good level of knowledge while 32.4% had good practices and attitudes regarding hepati- tis B. Factors associated with good knowledge of hepati- tis B were level of education (second year of Master’s de- gree and above) (ORa = 3.96 [2.11-7.41]) and the number ???????????? ???????????????????????????????? ???????????? ???????????????????????????????????????????????? ???????????? ???????????? ???????????? ???????????????????????????????????????? ???????? ???????????????????? ???????? ???????????????????? [1.11-3.69]). The same factors were also related to good practices and attitudes. Conclusion: The results of this survey administered to students in the health sciences are generally unsatisfac- tory. To improve the knowledge of students in the health sciences, were commend organizing awareness campaigns in addition to lectures about the hepatitis B and spreading key messages through social media networks and students' associations.


Auteur(s) : FORTES DEGUENONVO L, MASSALY A, NGOM GUEYE NF, DIALLO MBAYE K, CISSE DIALLO VMP, LAKHE NA, KA D, THIOUB D, BADIANE AS, EDZANG TB, FALL NM, DIEYE A, MA
Année de publication : 2019
Revue : J Infect Dis Epidemiol.2
Type : Article
Mise en ligne par : FORTES Louise