JAM掲載論文検索
Japanese Acupuncture and Moxibustion (Online)
JAM 2024;Vol.18:8-14
An Internet-based survey of hepatitis B vaccination status among acupuncturists in Japan
Nobuyoshi Matsuki, MPH, PhD1) Etsuji Suzuki, MD, PhD1,2)Toshihide Tsuda, MD, PhD3) Hiroyuki Doi, MD, PhD1) Takashi Yorifuji, MD, PhD1)
1) Department of Epidemiology, Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama, Japan
2) Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, United States
3) Department of Human Ecology, Graduate School of Environmental and Life Science, Okayama University, Okayama, Japan
Abstract
[Introduction] A needle stick injury is one of the most serious concerns among healthcare professionals, including doctors, nurses, laboratory technicians, and others. Acupuncturists are no exception. However, acupuncturists are not included as a target occupation for hepatitis B vaccination in the "Vaccine Guidelines for Healthcare Professionals" published by the Japanese Society for Infection Prevention and Control. Therefore, a questionnaire survey was conducted to estimate the prevalence of acupuncturists who have received hepatitis B vaccination and whether vaccination practices have changed since 1993, when it became a requirement for national examination.
[Methods] We conducted a cross-sectional study among 778 acupuncturists from the Facebook group Liaison Council on Hospital and Acupuncture Clinic Cooperation (LCHACC). A questionnaire was used to survey the subjects about the year they graduated from educational institutions and their hepatitis B vaccination experience.
Using categorical analysis, we estimated prevalence odds ratios (PORs) and their 95% confidence intervals (CIs).
Furthermore, to estimate Mantel-Haenszel PORs, we stratified the data by medical institution, work status, and educational institution.
[Results] During the study period from August 1 to August 31, 2018, 128 acupuncturists were included in the study from the 778 LCHACC study participants. The vaccination proportion for all participants was 31.8%. A categorical analysis revealed that vaccination status was associated with a POR of 3.29 (95% CI: 0.69-31.31) among individuals who graduated after 1993. Furthermore, when stratified by medical institution work status, the Mantel-Haenszel POR was 3.18 (95% CI: 0.68-14.89). When stratified by educational institution, the Mantel Haenszel POR was 3.52 (95% CI: 0.73-16.94).
[Discussion] The overall vaccination proportion of participants in this study was 31.8%, suggesting an urgent need for vaccination recommendations for acupuncturists. Those who graduated after 1993 had a higher hepatitis B vaccination POR of 3.29 than those who graduated before 1992. We observed no substantial change in the stratified analyses by medical work status or educational institution.
[Conclusions] It was suggested that there was a difference in vaccination proportion among graduates after 1993 compared with those who graduated before 1992.