Hepatitis B vaccination status and knowledge, attitude, and practice of hepatitis B among medical students at a medical college in central India


  • Subodh R. Thote Department of Community Medicine, Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra, India
  • Gajanan C. Soyam Department of Community Medicine, Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra, India
  • Manish A. Dhakate Department of Community Medicine, Government Medical College, Gondia, Maharashtra, India




Hepatitis B, Students, Knowledge, Attitudes, Practice


Background: Hepatitis B virus (HBV) infection imposes a major public health problem with an increased risk of occupational exposure among unvaccinated health care workers (HCWs). This study was conducted to determine the Hepatitis B vaccination status, along with the knowledge, attitude, and practice regarding Hepatitis B, among medical students at a medical college in a central India.

Methods: A cross-sectional study was conducted from February 2022 to July 2022. A total of 477 students of health care professions were included into the study using a whole sampling technique. Data were collected using self-administered structured questionnaire and analyzed by using statistical package for the social sciences (SPSS) version 26.

Results: Response rate was 91.61% (437). Majority of the students (>80%) had an adequate knowledge on risk factors for HBV, its mode of transmissions, and preventions. About 192 of 437 (43.9%) participants had positive attitude towards following infection control guidelines, and 310 (70.9%) respondents believe that all HCWs should take HBV vaccine. However, only 11.2% students had completed the three doses schedule of HBV vaccination. Whereas, a significant number of students, 142 (32.5%), had been exposed to blood/body fluid via needle stick injury at least once since they started their training in the health facility.

Conclusions: Study found that trainees in health profession are at a very high risk of contracting HBV infection during their training due to the low HBV vaccine uptake rate and high rate of accidental exposure to blood. We recommend that all students in the health profession should be vaccinated prior to their entry into professional practices.



World Health Organization. Global hepatitis report. 2017. Available at: https://www.who.int/ publications/i/item/9789241565455. Accessed on 06 December 2022.

World Health Organization. WHO SEARO | World Hepatitis Day 2016 | World Hepatitis Day. 2016. Available at: http://www.searo.who.int/india/topics/ hepatitis/factsheet_b__hepatitisday2016.pdf?ua=1. Accessed on 06 December 2022.

Singhal V, Bora D, Singh S. Hepatitis B in Health Care Workers: Indian Scenario. J Lab Physicians. 2009;1(02):41-8.

States M, Strategic WHO, Group A, Grade T, Sage T. Hepatitis B vaccines: WHO position paper – July 2017. Relev Epidemiol Hebd. 2017;92(27):369-92.

Anjum FB, Qazi IM, Rohul SJ, Abdul GM. Study on hepatitis B vaccination coverage among workforce of a tertiary care hospital in North India. Int J Med Res Heal Sci. 2016;5:115-20.

Sachidananda MH, Dhanalakshmi TA, Venkatesha D. Knowledge, attitude and practices toward prevention of Hepatitis B Virus infection among medical students: A cross-sectional study Introduction. J Acad Clin Microbiol. 2022;8-11.

Demsiss W, Seid AF. Operational definition. PLoS One. 2018;13(5):1-12.

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;15:1-11.

Paul N, Peterside O. Hepatitis B Vaccination Rate among Medical Students at the University of Port Harcourt Teaching Hospital (Upth). World J Vaccines. 2015;05(01):1-7.

Aynalem A, Deribe B, Ayalew M, Mamuye A, Israel E, Mebratu A, et al. Practice towards Hepatitis B Virus Infection Prevention and Its Associated Factors among Undergraduate Students at Hawassa University College of Medicine and Health Sciences, Hawassa. Int J Hepatol. 2022;2673740.

Halwiindi C. Knowledge, Attitude and Practice towards Hepatitis B Prevention Among Medical Students at Copperbelt. J Clin Res. 2021;5(5):1-6.

Jayakiruthiga S, Rajkamal R, Gopalakrishnan S, Umadevi R. Knowledge, attitude and practices concerning hepatitis B infection, among medical students in urban area of Chennai, Tamil Nadu. Int J Community Med Public Heal. 2018;5(8):3635.

Hussain S, Ahmad S, Muslehuddin O, Muslehuddin H. Knowledge, attitude and practice regarding hepatitis B among medical students. Int J Community Med Public Heal. 2016;3(11):2977-81.

Gebremeskel T, Beshah T, Tesfaye M, Beletew B, Mengesha A, Getie A. Assessment of Knowledge and Practice on Hepatitis B Infection Prevention and Associated Factors among Health Science Students in Woldia University, Northeast Ethiopia. Adv Prev Med. 2020;2020:1-6.

Baig VN, Gupta PK, Sharma AK, Swarnkar M. Assessment of knowledge, attitude and practice about hepatitis B among Clinicians & Medical students: a cross sectional study. Natl J Community Med. 2015;6(3):415-22.

Samuel SO, Aderibigbe SA, Salami TAT, Babatunde OA. Health workers’ knowledge, attitude and behaviour towards hepatitis B infection in Southern Nigeria. Int J Med Med Sci. 2009;1(10):418-24.

Nguyen TTL, Pham TTH, So S, Hoang THV, Nguyen TTU, Ngo TB, et al. Knowledge, Attitudes and Practices toward Hepatitis B VirusInfection among Students of Medicine in Vietnam. Int J Environ Res Public Heal. 2021;18(7081):2-13.

Sannathimmappa MB, Nambiar V, Arvindakshan R. Hepatitis B: Knowledge and awareness among preclinical year medical students. Avicenna J Med. 2019;9(02):43-7.

Hussain Q, Bhutto A, Zahid H, Shaikh BH, Maheshwary N, Khan MA. Needle stick injuries: Knowledge, attitude, practices (KAP) and frequency of hepatitis B & C among nursing students in karachi. Med Forum Mon. 2016;27(11):66-70.

Saleem T, Khalid U, Ishaque S, Zafar A. Knowledge, attitudes and practices of medical students regarding needle stick injuries. J Pak Med Assoc. 2010;60(2):151-6.

Balegha AN, Yidana AA. 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):1-18.

Abdela A, Woldu B, Kassahun Haile BM. 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(410):2-7.

Fortes Déguénonvo L, Massaly A, Ngom Gueye N, Diallo Mbaye K, Cisse Diallo V, Lakhe N, et al. Assessment of Knowledge, Attitudes and Practices of Medical Students Regarding Hepatitis B Infection at a Private University of Medicine in Senegal. J Infect Dis Epidemiol. 2019;5(6).




How to Cite

Subodh R. Thote, Gajanan C. Soyam, & Dhakate, M. A. (2023). Hepatitis B vaccination status and knowledge, attitude, and practice of hepatitis B among medical students at a medical college in central India. International Journal Of Community Medicine And Public Health, 10(3), 1244–1249. https://doi.org/10.18203/2394-6040.ijcmph20230647



Original Research Articles