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Uptake and behavioural and attitudinal determinants of immunization in an expanded routine infant hepatitis B

M Bigham1, V P Remple, K Pielak

  • 1Department of Health Care and Epidemiology, University of British Columbia, Vancouver, BC. mark.bigham@bloodservices.ca

Canadian Journal of Public Health = Revue Canadienne De Sante Publique
|April 20, 2006
PubMed

Insights

British Columbia

Area of Science:

  • Public Health
  • Immunization Programs
  • Pediatric Medicine

Background:

  • British Columbia initiated a universal infant hepatitis B (HB) immunization program in 2001.
  • This study focuses on infants outside the Vancouver-Richmond health region.

Purpose of the Study:

  • Evaluate HB immunization coverage in infants.
  • Assess parental determinants of HB immunization uptake.

Main Methods:

  • Cross-sectional survey of a random infant sample (born Jan-June 2001).
  • Data collected via provincial health system and telephone surveys (n=487).
  • Parental attitudes assessed using the Immunization Health Belief Model Scale.

Main Results:

  • 89% of infants received at least one HB vaccine dose; 78% completed the 3-dose schedule.
  • Healthcare professional recommendation significantly influenced HB immunization (p<0.001).
  • Parental concern regarding side effects was the primary reason for non-immunization.

Conclusions:

  • 78% of infants completed the 3-dose hepatitis B vaccination schedule.
  • Parental decisions on infant HB immunization were strongly influenced by healthcare provider recommendations.
Abstract

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