Knowledge, attitudes, practices, and vaccination coverage of medical students toward hepatitis B virus in North Sudan, 2023

PeerJ. 2025 Jan 2:13:e18339. doi: 10.7717/peerj.18339. eCollection 2025.

Abstract

Background: Hepatitis B virus (HBV) is a global health issue, particularly among healthcare personnel, including students because of its occupational exposure pattern. Healthcare Workers and medical students are recommended to have better knowledge, attitudes and good practices and vaccination toward infection control in general and HBV in particular. This study aimed to assess the knowledge, attitudes, and practices of medical students from North Sudan regarding HBV and its vaccination coverage.

Methods: A cross-sectional study was conducted from January to June 2023 among medical students in North Sudan. Data were collected using a structured scale using online Google Forms. Descriptive and comparative analyses were performed using SPSS version 26. Statistical significance was set at p ≤ 0.05.

Results: A total of 426 medical students were included in the study. The majority had good knowledge about HBV (86%) and its transmission methods (77%). The majority showed a favorable attitude (77%). The practice score was however very low (15.5%). Older age and advanced academic level were significantly associated with good knowledge (aOR: 3.9; CI 95% [3.69-12.92]; p = 0.016, and aOR: 2.6; CI 95% [1.16-6.15]; p = 0.020, respectively). Only a third of the students were vaccinated (33.0%), with only a few of them received complete doses (18.6%).

Conclusion: Students from medical colleges in North Sudan had good knowledge and favorable attitudes toward HBV. However, good practice was low. Older age and advanced academic level were significantly associated with knowledge level. Vaccination coverage was also low among the students in this study.

Keywords: Attitude; Hepatitis B virus; Knowledge; Medical students; North Sudan; Practice; Vaccination.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Hepatitis B Vaccines / administration & dosage
  • Hepatitis B virus / immunology
  • Hepatitis B* / epidemiology
  • Hepatitis B* / prevention & control
  • Humans
  • Male
  • Students, Medical* / psychology
  • Students, Medical* / statistics & numerical data
  • Sudan / epidemiology
  • Surveys and Questionnaires
  • Vaccination / psychology
  • Vaccination / statistics & numerical data
  • Vaccination Coverage* / statistics & numerical data
  • Young Adult

Substances

  • Hepatitis B Vaccines

Grants and funding

The authors received no funding for this work.