Hepatitis B knowledge among secondary school students in Cote d'Ivoire

Aim: The purpose of this study was to assess hepatitis B knowledge among secondary school students' in Cote d'Ivoire in order to promote the inclusion of hepatitis B education in school curricula. Materials and methods: a single cross-sectional survey involving six schools (7,376 students) was conducted. Data were collected using a self-administered questionnaire. Results: All students present on the day of the survey agreed to participate in the study (100%, n = 3,352). The mean age of the participants was 17.9 years (10-26 years), with a male-to-female sex ratio of 1.68. Among them, 2,552 (76.6%) had heard of the HVB. School was the main source of information (12%), after the mass media (62%). The causative agent of the disease was known by 74.1% of students (n = 2,484), sexual transmission by 39.3% (n = 1316), and blood-borne transmission by 57.2% (n = 1919). Respectively 29%, 40% and 41% of the students were aware that acupuncture, body piercing and tattooing are high-risk practices. Only 35.7% of the students knew that there was an effective vaccine. The factors associated with hepatitis B knowledge were: being aged 16 to 20 years (OR = 1.73 [95% CI 1.198 to 2.49]), living in a permanent house or apartment (OR = 1.58 [95% CI 1.234 to 2.02]) or in a house or apartment with no more than 2 persons per room (OR = 1.41 [95% CI 1.15 to 1.74]), being in terminale (final year of high school) (OR = 2.54 [2.01 to 3, 20IC95%]), and having two working parents (OR = 1.54 [95% CI 1.25 to 1.88]). Conclusion: The students' knowledge of the hepatitis B virus was found to be inadequate and superficial. Early awareness programs provided as part of the official curriculum and measures to improve the social conditions of students should help to improve knowledge in this area.