Vacinação contra hepatite B e fatores associados entre cirurgiões-dentistas / Hepatitis B vaccination and associated factors among dentists
Rev. bras. epidemiol
; 15(2): 315-323, jun. 2012. tab
Article
in Portuguese
| LILACS
| ID: lil-640958
Responsible library:
BR1.1
RESUMO
OBJETIVO:
Estimou-se a prevalência e investigaram-se os fatores associados à vacinação contra hepatite B e os motivos para não vacinação entre cirurgiões-dentistas.MÉTODOS:
Os dados foram coletados por meio de um questionário semiestruturado autoaplicável. Participaram cirurgiões-dentistas inscritos no Conselho Regional de Odontologia de Minas Gerais, subseção Montes Claros, que residiam e trabalhavam em clínicas odontológicas ou consultórios, com ou sem vínculo empregatício, no serviço privado ou público, em Montes Claros, MG. As variáveis associadas à vacinação contra hepatite B foram investigadas por meio de regressão logística não condicional.RESULTADOS:
Foram identificados 333 trabalhadores elegíveis, 297 (89,2%) participaram e 283 responderam à questão sobre vacinação; destes, 258 (91,2%) realizaram o esquema vacinal de três doses e 25 (8,8%) não vacinaram ou não completaram o esquema vacinal, relatando como principal motivo a falta de informação (48%). As variáveis associadas com relato de vacinação, após ajuste para todas as outras, foram consumo de tabaco (OR = 2,50; IC95% = 1,22-7,13), consumo de bebidas alcoólicas (OR = 2,99; IC95% = 1,16-7,74), satisfação com a profissão (OR = 4,62; IC95% = 1,50-8,25) e conhecimento sobre protocolo pós-exposição ocupacional (OR = 4,28; IC95% = 1,63-9,26).CONCLUSÕES:
Verificou-se alta prevalência de vacinação completa, sendo maior entre os não fumantes, os que não consumiam bebidas alcoólicas, os mais satisfeitos com a profissão e os que conheciam um protocolo pós-exposição ocupacional. O estudo sugere que os comportamentos negligentes com a própria saúde se repetem. Há necessidade de campanhas educativas sobre a transmissão da hepatite B, contribuindo para o controle e erradicação dessa grave infecção.ABSTRACT
OBJECTIVE:
We calculated the prevalence and studied the factors associated with hepatitis B vaccination. Reasons for non-vaccination among dentists were investigated.METHODS:
A cross-sectional study was performed in Montes Claros, Minas Gerais, from 2007 to 2008, to assess hepatitis B vaccination among practicing dental surgeons. Variables were evaluated using a previously tested structured questionnaire. Data underwent descriptive analysis. Non-conditional logistic regression was used to determine the variables associated with hepatitis B vaccination (p < 0.05).RESULTS:
There were 333 subjects eligible for the study, 297 (89.2%) participated, and 283 answered the question about vaccination; of these, 258 (91.2%) completed the three-dose schedule vaccination and 25 (8.8%) were not vaccinated or did not complete the vaccination schedule. Lack of information (48%) was stated as the main reason for not being vaccinated. Variables associated with vaccination were tobacco use (OR = 2.50; IC95% = 1.22-7.13), alcohol consumption (OR = 2.99; IC95% = 1.16-7.74), satisfaction with the profession (OR = 4.62; IC95% = 1.50-8.25) and knowledge on the post-exposure management protocol (OR = 4.28; IC95% = 1.63-9.26).CONCLUSIONS:
We found a high prevalence of complete vaccination among dentists in Montes Claros. It is higher among professionals who do not use tobacco and alcohol, are more satisfied with their profession and know the protocol after occupational exposure. The study suggests that the lack of information is the main reason for not being vaccinated.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.9 Reduce the amount of deaths produced by dangerous chemicals and the pollution of the air, water and soil
/
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
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SDG3 - Target 3.3 End transmission of communicable diseases
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SDG3 -Target 3.5 Prevention and treatment of consumption of psychoactive substances
Health problem:
Occupational Exposures
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Goal 10: Communicable diseases
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Target 3.3: End transmission of communicable diseases
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Hepatitis
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Alcohol
Database:
LILACS
Main subject:
Patient Acceptance of Health Care
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Occupational Health
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Vaccination
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Hepatitis B Vaccines
/
Dentistry
Type of study:
Practice guideline
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Observational study
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Prevalence study
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Prognostic study
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Qualitative research
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Risk factors
Aspects:
Social determinants of health
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Journal:
Rev. bras. epidemiol
Journal subject:
Epidemiology
/
Public Health
Year:
2012
Document type:
Article
Affiliation country:
Brazil