Exploring knowledge and attitudes toward the hepatitis B virus: an internet-based study among Vietnamese healthcare students

Context: Hepatitis B is a serious global public health problem, especially in developing countries such as Vietnam. Many studies worldwide have focused on health care workers, a population at high risk of infection with the hepatitis B virus (HBV), but there is little research that explores the high levels of risk faced by health care students. Aims: To assess the knowledge and attitudes of Vietnamese undergraduate students toward hepatitis B vaccination. Methods: A cross-sectional study was conducted among 1291 Vietnamese healthcare students between November 2017 and March 2018 via social media. Results: The mean score for knowledge was 4.0 ± 0.4, and the mean score for attitude was lower (3.5 ± 0.6). Levels of knowledge were higher (p<0.001) among sixth-year students, students who had been vaccinated, and students attending public universities. Most participants were well-informed about the diseases caused by HBV, with 1128 (87.4%) agreeing that HBV infection can lead to liver cancer. Nevertheless, 259 students believed that HBV cannot be spread by sharing a toothbrush with an infected person, and 18.7% thought that asymptomatic carriers are incapable of transmitting HBV. Conclusions: Although students had adequate knowledge of HBV, their scores for attitude and their rates of vaccination were low. This study therefore recommends improving the knowledge and attitudes of health care students through orientation and sensitization programs and improvements in their educational environment.