KMID : 0605820130200030147
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Korean Journal of Pediatric Infectious Diseases 2013 Volume.20 No. 3 p.147 ~ p.160
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Adolescents¡¯ and Parental Knowledge, Health Beliefs Toward Hepatitis A Vaccination
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Yoon Seo-Hee
Lee Hyo-Yeon Kim Han-Wool Kong Kyoung-Ae Kim Kyung-Hyo
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Abstract
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Purpose: Although the overall incidence of hepatitis A in Korea has been decreasing recently, the adolescents born before the introduction of the hepatitis A vaccine remain to be highly vulnerable to outbreak. This study examines the unvaccinated adolescents¡¯ and their parents¡¯ knowledge and health beliefs toward hepatitis A vaccination.
Methods: Healthy adolescents aged 13-19 years old who had no previous history of hepatitis A vaccine and hepatitis A infection, and their parents or legal guardians were the subjects of the study. The survey was conducted using a structured questionnaire based on the Health Belief Model, and examined the subjects¡¯ demographics, knowledge, and health beliefs (i.e., perceived susceptibility, severity, benefits, and barriers).
Results: We included 157 adolescents and their parents/guardians (mean age: 16.0¡¾1.6 and 45.6¡¾4.7 years, respectively). The average knowledge item score for adolescents and parents was 6.4¡¾3.7 and 7.3¡¾3.4 (out of 18), respectively. Similarly, average Health Belief Model item scores were: susceptibility, 5.6¡¾1.6 and 5.9¡¾1.7 (range: 2-10); severity, 16.3¡¾4.1 and 18.3¡¾3.6 (range:5-25); benefits, 19.7¡¾3.3 and 20.6¡¾2.1 (range:5-25); and barriers, 41.3¡¾8.9 and 39.0¡¾9.1 (range:7-85). The major reason for not undergoing hepatitis A vaccination was lack of knowledge about its importance.
Conclusions: Refresher health lectures about hepatitis A and the vaccine are needed by both the adolescents and their parents. Furthermore, the inclusion of hepatitis A vaccine in the national immunization program should be considered to reduce the risk of hepatitis A outbreak and to raise the vaccination coverage among the adolescents in Korea.
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KEYWORD
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Hepatitis A, Vaccine, Adolescent, Parent, Knowledge
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