Adolescents' knowledge, beliefs, and behaviors regarding hepatitis B

Insights and implications for programs targeting vaccine-preventable diseases

Amy B. Slonim, Anthony Roberto, Christi R. Downing, Inez F. Adams, Nancy J. Fasano, Loretta Davis-Satterla, Mark A. Miller

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Purpose: To gain a better understanding of adolescents' knowledge, beliefs, and behaviors regarding hepatitis B. Method: Three types of data were collected as part of this investigation: (a) 45 in-depth individual interviews with staff from 20 adolescent health, sexually transmitted disease (STD), and family planning clinics; (b) 96 individual interviews with adolescents and young adults; and (c) questionnaires completed by 17,063 adolescents and young adults. All instruments focused on one or more of the following five topics: (a) knowledge about vaccines; (b) knowledge about hepatitis B; (c) barriers to vaccine acceptance, and ways to overcome these barriers; (d) benefits of the vaccine acceptance, and ways to enhance these benefits; and (e) eight hepatitis B risk factors. Interview data was analyzed using qualitative thematic note-based analyses. Survey data was analyzed using descriptive statistics and Chi-square tests. Results: Adolescents and young adults seen in these clinics know very little about vaccinations in general, or hepatitis B, in particular. Adolescents exhibit low levels of perceived susceptibility, severity, response efficacy, and self-efficacy toward hepatitis B and the hepatitis B vaccine. On average, these adolescents engage in 2.36 high-risk behaviors (the most frequent of which include sexual activity, body piercing, and tattooing). Those who were sexually active, had a tattoo, had a STD, or worked with blood were significantly more likely to begin the vaccination series. Conclusions: There is a clear need for additional educational efforts regarding both vaccinations in general, and hepatitis B in particular. Though adolescents are engaging in a variety of high-risk behaviors, most perceive their risk to be low, and therefore many are not taking the necessary precautions to protect themselves.

Original languageEnglish (US)
Pages (from-to)178-186
Number of pages9
JournalJournal of Adolescent Health
Volume36
Issue number3
DOIs
StatePublished - Mar 2005
Externally publishedYes

Fingerprint

Hepatitis B
Vaccines
Young Adult
Vaccination
Interviews
Sexually Transmitted Diseases
Risk-Taking
Body Piercing
Tattooing
Hepatitis B Vaccines
Family Planning Services
Self Efficacy
Chi-Square Distribution
Sexual Behavior

Keywords

  • Hepatitis B
  • High-risk adolescents
  • Increasing vaccine acceptance rates

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Adolescents' knowledge, beliefs, and behaviors regarding hepatitis B : Insights and implications for programs targeting vaccine-preventable diseases. / Slonim, Amy B.; Roberto, Anthony; Downing, Christi R.; Adams, Inez F.; Fasano, Nancy J.; Davis-Satterla, Loretta; Miller, Mark A.

In: Journal of Adolescent Health, Vol. 36, No. 3, 03.2005, p. 178-186.

Research output: Contribution to journalArticle

Slonim, Amy B. ; Roberto, Anthony ; Downing, Christi R. ; Adams, Inez F. ; Fasano, Nancy J. ; Davis-Satterla, Loretta ; Miller, Mark A. / Adolescents' knowledge, beliefs, and behaviors regarding hepatitis B : Insights and implications for programs targeting vaccine-preventable diseases. In: Journal of Adolescent Health. 2005 ; Vol. 36, No. 3. pp. 178-186.
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