Motivation for hepatitis B vaccine acceptance among medical and physical assistant students.
Diekema-DJ; Ferguson-KJ; Doebbeling-BN
J Gen Intern Med 1995 Jan; 10(1):1-6
A study of motivation of medical students and physician assistant (PA) students for accepting vaccination against hepatitis-B virus (HBV) was conducted. The study group consisted of 151 second year medical students and 19 preclinical PA students at the University of Iowa College of Medicine. They were given a questionnaire that requested information on demographic characteristics, whether or not they had been vaccinated against HBV, the frequency of influenza vaccination in the past 3 years (yr), and the frequency of seat belt use. The questionnaire also asked the subjects to rate the extent of their agreement with a series of questions listing reasons to receive or not receive the HBV vaccine. A total of 162 subjects, 109 males, mean age 25.2yr, completed the questionnaire. Of these, 159 (99%) had received at least one dose of HBV vaccine; 82% had received at least three doses and 15% had received two doses. Male students were significantly more likely to receive the full course of vaccine than females. A total of 144 subjects (89%) reported using seat belts and 43 (26.5%) had been vaccinated against influenza for the past 3yr. When compared to the results of a previous study among residents and staff physicians at the university, the proportion of students receiving at least one dose of HBV vaccine was significantly higher than that of the residents or staff physicians. Influenza vaccine acceptance and frequent seat belt use, however, were significantly greater among the residents and staff physicians than among the students. Factor analysis revealed that recommendations of authority figures such as professional sources, medical school teachers, and role models, threat of illness, and perceived risk of exposure or infection were important factors, ranked in decreasing order of importance, influencing the students to accept the HBV vaccine. Threat of illness was the most important reason for accepting HBV vaccination cited by the residents and staff physicians. The authors conclude that excellent HBV vaccine acceptance rates can be achieved among medical and PA students. Recommendations of authority figures are important factors for motivating medical students to accept HBV vaccination.
NIOSH-Publication; NIOSH-Grant; Infectious-diseases; Viral-infections; Vaccines; Medical-personnel; Education; Worker-motivation; Disease-prevention; Universal-precautions; Infection-control; Health-care-personnel; Bloodborne-pathogens
Internal Medicine University of Iowa 200 Hawkins Drive Iowa City, IA 52242
Journal of General Internal Medicine
University of Iowa, Iowa City, Iowa