Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
권호 표지

Immunization, Knowledge, and Preventive Health Behaviors to Hepatitis A in University Students

일부 대학생의 A형 간염에 대한 예방접종 실태, 지식 및 예방적 건강행위

  • Received : 2011.11.15
  • Accepted : 2011.12.29
  • Published : 2011.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study was conducted to examine the immunization, knowledge, and preventive health behaviors for hepatitis A in college students. Methods: Structured questionnaire survey data were collected from a convenient sample of 266 students at two universities in urban areas. Data were analyzed with Pearson correlation coefficient, t-test, ANOVA, and multiple logistic regression analysis. Results: Only 10.5 percent of the students reported having had hepatitis A vaccination. The levels of knowledge and compliance of preventive health behavior were moderate with the mean scores of 15.56(${\pm}2.12$), and 26.78(${\pm}3.41$), respectively. A significant correlation was found between knowledge and preventive health behaviors. The compliance to preventive health behaviors differed by education on hepatitis A in the past. Conclusions: Vaccination rate of hepatitis A found to be low and the knowledge and health behaviors for hepatitis A prevention among university students are limited. Provision of vaccination, education and strategies to enhance preventive health behaviors are warranted to prevent hepatitis A.

Keywords

References

  1. Ajelli, M., & Merler, S. (2009). An individual-based model of hepatitis A transmission. Journal of Theoretical Biology, 259, 478-488. https://doi.org/10.1016/j.jtbi.2009.03.038
  2. Bang, K. S., Sung, S., Koo, B., Kim, M., Kim, Y., Kim, J., & Ryu, S. (2011). Female University Students' HPV-related Knowledge and Influencing Factors on HPV Vaccination. Journal of Korean Oncology Nursing, 11(3), 186-192. https://doi.org/10.5388/jkon.2011.11.3.186
  3. Chung, M. H. (2008). Hepatitis A immunization. The Korean Journal of Medicine, 75(2) 661-667.
  4. Choi, H. J., Lee, S. Y., Ma, S. H., Kim, J. H., Hur, J. K., & Kang, J. H. (2005). Age related prevalence of antibodies to hepatitis A virus performed in Korea in 2005. Korean Journal of Pediatric Infectious Disease, 12, 186-194.
  5. Fardy, P. S., White, R. E., Calrk, L. T., Amodio, G., Hurster, M. H., McDermott, K. J., & Magel, J. R. (1995). Health promotion in minority adolescents: a healthy people 2000 pilot study. Journal of Cardiopulmonary Rehabilitation, 15(1), 47-72.
  6. Gwak, Y. W. (2010). A study on health care and eating habits according to the health concern of college students in ulsan area. Unpublished master's thesis, Ulsan University, Ulsan.
  7. Hong, W. S., & Kim, C. Y. (1982). Seroepidemiology of type A and type B hepatitis in Seoul area. The Korean Journal of Medicine, 25(1), 19-26.
  8. Jeong, H. S., Cho, O. K., & Yoo, Y. S. (2009). High blood pressure-related knowledge and health behavior among forst-year college students. Journal of Korean Academy of Public Health Nursing, 23(2), 285-295.
  9. Jung, G. M., Yeon, J. E., Bak, Y. T., Kim, J. H., Kwon, S. Y., Byun, K. S., & Lee, C. H. (1995). Epidemiology of hepatitis A virus infection in Seoul. Korean Journal of Gastroenterology, 27, 117A.
  10. Kang, H. M., Jeong, S .H., Kim, J. W., Lee, D., Choi, C. K., Park, Y. S., et al. (2007). Recent etiology and clinicl features of acute viral hepatitis in a single center of Korea. Korean Journal of Hepatology, 13(4), 495-502. https://doi.org/10.3350/kjhep.2007.13.4.495
  11. Kim, D. H., Park, K. J., Kim, S. H., Cho, S. B., Lee, W. S., Park, C. H., ... Kim, S. J.(2007). Clinical characteristics of patients with acute hepatitis A in Gwangju-Chonnam province for recent 10 years. The Korean Journal of Medicine, 72(2), 131- 137.
  12. Kim, H. S., Oh, E. G., Hyong, H. K., & Cho, E. S. (2008) A study on factors influencing health promotion lifestyle in college students. Journal of Korean Academy of Community Health Nursing, 19(3), 506-520.
  13. Kim, J. H. (2008). Recent epidemiological status and vaccination of hepatitis A in Korea. Journal of Korean Medical Association, 51, 110-118. https://doi.org/10.5124/jkma.2008.51.2.110
  14. Kim, T. Y., Sohn, J. H., Ahn, S. B., Son, B. K., Lee, H. L., & Eun, C. S. (2007). Comparison of recent IgG Anti-HAV prevalence between two hospitals in Seoul and Gyeonggi area. The Korean Journal of Hepatology, 13, 363-369. https://doi.org/10.3350/kjhep.2007.13.3.363
  15. Kim, Y. J. (2008). Current status and a measure to control hepatitis a infection in korea. Korean Journal of Hepatology, 14(5), 97-101.
  16. Kim, Y. S. (2010). The relationships of knowledge, attitudes about cancer and health behavior for cancer prevention in high school students. Journal of Korean Academy of Pediatric Nursing, 16(2), 102-111.
  17. Ko, Y. S., Yoo, K. D., Hyun, Y. S., Chung, H. R., Park, S. Y., Kim, S. M., & Jeon, Y. D. (2010). A case of pleural efusion associated with acute hepatitis A. The Korean Journal of Gastroenterology, 55, 198-202. https://doi.org/10.4166/kjg.2010.55.3.198
  18. Korea Centers for Disease Control & Prevention. (2009, July 20). Management and prevention guidelines of hepatitis A. Retrieved March 4, 2011. from http://www.mw.go.kr/front/index.jsp
  19. Korea Centers for Disease Control & Prevention. (2011, August 14). Prevention education of hepatitis A at the university campus. Retrieved June 9, 2011. from http://www.mw.go.kr/front/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=252866&page=1
  20. Lee A., Lim, H. S., Nam, C. M., Song, S. M., Yoon, H. R., & Lee, K. R. (2009). An epidemiology analysis of hepatitis A virus serologic markers during the recent four years in Korea. Korean Journal of Laboratory Medicine, 29, 563-569. https://doi.org/10.3343/kjlm.2009.29.6.563
  21. Lee, B. S., Kim, M. Y., Kim, M. H., & Kim, S. K. (2000). Health belief and performance of health behaviors of some university students in Korea. Journal of Korean Academy of Nursing, 30(1). 213-224.
  22. Lee, D., Cho, Y. A., Park, Y., Hwang, J. H., Kim, J. W., Kim, N. Y., ... Jeong, S. Y. (2008). Hepatitis A in Korea: epidemiological shift and call for vaccine strategy. Intervirology, 51(2), 70-74. https://doi.org/10.1159/000127428
  23. Lee, J. H., Moon, S. C., Gwak., G. Y., Lee, J. H., Koh, K. C., Paik, S. W., & Yoo, B. C. (2010). Clinical features and predictive factors of acute hepatitis A complicated with acute kidney injury. The Korean Journal of Gastroenterology, 56, 359-364. https://doi.org/10.4166/kjg.2010.56.6.359
  24. Lee, T. H., Kim, S. M., Lee, G. S., Im, E. H., Huh, K. C., Choi, Y.W., & Kang, Y. W. (2006). Clinical features of acute hepatitis A in the western part of Daejeon and Chungnam providence: single center experience. The Korean Journal of Gastroenterology, 47, 136-143.
  25. Lee, Y. W., Yang, H. W., Lee, J. A., Yun, K. H., Yang, S. E., Lee, M. J., ... Kim, S. Y. (2011). Clinical Differences According togenotype in Acute Viral Hepatitis A in Daejeon, Korea. The Korean Journal of Medicine, 80(5), 553-561.
  26. Marriner, T. A, & Raile, A.M. (2005). Nursing theorists and their work. 5th ed. Sakraida T.Nola J. Pender. The Health Promotion Model. St Louis: Mosby
  27. Mayer, C. A., & Neilson, A. A. (2010). Hepatitis A-prevention in travellers. Australian Family Physician, 39(12), 924-928.
  28. Moon, J. S. (2004). Compare the Knowledge, Attitude and Behavior about Smoking in the Elementary Students according to Anti-smoking Education. Journal of Korean Academy of Child Health Nursing, 10(1), 59-65.
  29. Oh, Y. S. (2011). A study of relationship among health prevention, health knowledge, and health promoting behavior of the elderly. The Korean Journal of Sport Science, 20(2), 719-727.
  30. Park, K. S. (2011). The association between severity of acute hepatitis A and immune/inflammatory response related factors: IgM anti-HAV, C-reactive protein and platelet. Unpublished doctoral dissertation, Kwandong University, Kangwondo.
  31. Park, M. J. (2002). Knowledge, health belief and preventive health behavior on hepatitis in hepatitis B carriers. Unpublished master's thesis, Yonsei University, Seoul.
  32. Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2002). Health Promotion in Nursing Practice (4th ed.). Saddle Rive, NJ: Prentice-Hall.
  33. Rosenstock. I. M. (1974). Historical origin of the Health Belief Model: The Health Belief Model and personal health behavior. Thorofare, New: Charles B. sLAC, Inc, Jersey.
  34. Ryu, H. S., Park, S. Y., Lim, S. R., Kim, H. I., Kee, W. J., Lee, G. S., ... Rew, J. S. (2010). Clinical characteristics and gestational complications associated with acute hepatis A in pregnancy. The Korean Journal of Gastroenterology, 56, 307-313. https://doi.org/10.4166/kjg.2010.56.5.307
  35. Song, K. S., Kim, M. J., Jang, C. S., Jung, H. S., Lee, H. H., Kwon, O. S., ... Ha, S. Y. (2010). Clinical Features of Acute Viral Hepatitis A Complicated with Acute Renal Failure. Korean Journal of Hepatology, 13(2), 166-173.
  36. Song, M. H., Lim, Y. S., Song, T., J., Choi, J. M., Kim J. I., Jun, J. B., ... Suh, D. J. (2005). The etiology of acute viral hepatitis for the lst 3 years. The Korean Journal of Medicine, 68(3), 256-260.
  37. Yoon, S. K. (2006). Clinical significance of outbreak of hepaitis A virus infection in endemic area with hepatitis B and C virus infection. Clinical Journal of Gastroenterology, 47, 173-175.
  38. Yu, J. M., & Suh, D. J. (1987). The etiology of acute viral hepatitis in Korean. The Korean Journal of Medicine, 33(2), 203-210.