Assessment of Knowledge, Attitude and Practices Regarding Hepatitis B Virus Infection Among Sulaimaniyah Registered Dentists: A Cross-Sectional Study
DOI:
https://doi.org/10.61166/clean.v3i1.30Keywords:
Hepatitis B, dentists, knowledge, attitude, practice, oral healthAbstract
Background: The dental profession faces a significant risk of hepatitis B virus (HBV) contamination, highlighting the crucial role dentists play in controlling HBV cross-contamination. Objectives: To delve into various aspects related to HBV infection control among dentists including assessment of knowledge, examination of preventive measures, and exploration of attitudes. Methodology: In this observational cross-sectional study, a total of 100 dentists were interviewed regarding their knowledge, practice, and attitude towards HBV-positive patients in Sulaimaniyah city, Iraq between January 2024 to 2025. Data collection was carried out using google forms and later was inserted into Microsoft excel and IBM SPSS for analysis. Results: Majority of participants were aged 36-40 years (36%), married (51%), held a Master's degree (42%), had their own clinic (79%), being vaccinated for HBV (87%), received 3 doses of vaccination (61%), checked for antibodies after vaccination (55%), and had 2-7 years in practice (34%). There were a significant association between knowledge, attitude and practice (p=0.000), as 50% exhibited good knowledge, 2% had good attitude, and 20% has good practice. Overall, the majority of individuals had fair to good levels of knowledge, while attitudes and practices toward oral health varied, with a significant portion demonstrating poor levels. Also, a significant association (p<0.05) between knowledge and each of gender, age and qualification were seen, while attitude was significantly related to marital status only (p=0.032), and practice had no significant association with either variable. Conclusion: The strong association between knowledge, attitude and practice has important implications for healthcare policies and interventions. It suggests that improving dentists' knowledge about HBV may positively influence their attitudes towards HBV-positive patients and lead to better practices in terms of patient care and infection control measures.
References
N. R. Hussein, D. H. Musa, D. Hawezy, F. Ahmed, F. K. Khalid, I. A. Naqid, et al., "A study on the prevalence and the risk factors of Hepatitis B Virus infection in Kurdistan Region, Iraq: a multicenter study," Journal of Contemporary Medical Sciences, vol. 7, pp. 282-285, 2021.
S. Cheemerla and M. Balakrishnan, "Global epidemiology of chronic liver disease," Clinical Liver Disease, vol. 17, pp. 365-370, 2021.
N. Díez-Padrisa and L. G. Castellanos, "Viral hepatitis in Latin America and the Caribbean: a public health challenge," Revista Panamericana de Salud Pública, vol. 34, pp. 275-281, 2013.
S. Sabeena and N. Ravishankar, "Horizontal modes of transmission of hepatitis B virus (HBV): a systematic review and meta-analysis," Iranian Journal of Public Health, vol. 51, p. 2181, 2022.
M.-F. Yuen, D.-S. Chen, G. M. Dusheiko, H. L. Janssen, D. T. Lau, S. A. Locarnini, et al., "Hepatitis B virus infection," Nature Reviews Disease Primers, vol. 4, pp. 1-20, 2018.
S. Walayat, Z. Ahmed, D. Martin, S. Puli, M. Cashman, and S. Dhillon, "Recent advances in vaccination of non-responders to standard dose hepatitis B virus vaccine," World Journal of Hepatology, vol. 7, p. 2503, 2015.
Lamb, C. Hong, H. De Silva, W. Thomson, and J. Broadbent, "New Zealand oral health practitioners’ cross-infection control practices," NZ Dent J, vol. 115, pp. 5-10, 2019.
J. L. Cleveland, S. K. Gray, J. A. Harte, V. A. Robison, A. C. Moorman, and B. F. Gooch, "Transmission of blood-borne pathogens in US dental health care settings: 2016 update," The Journal of the American Dental Association, vol. 147, pp. 729-738, 2016.
P. Dahiya, R. Kamal, V. Sharma, and S. Kaur, "“Hepatitis”–Prevention and management in dental practice," Journal of Education and Health Promotion, vol. 4, p. 33, 2015.
Y. Rajamoorthy, N. M. Taib, S. Munusamy, S. Anwar, A. L. Wagner, M. Mudatsir, et al., "Knowledge and awareness of hepatitis B among households in Malaysia: a community-based cross-sectional survey," BMC Public Health, vol. 19, p. 47, 2019.
B. Nagpal, U. Hegde, and M. Kulkarni, "Hepatitis B Seropositivity and Immune Status in Dental Students," Journal of Advanced Medical and Dental Sciences Research, vol. 7, pp. 9-12, 2019.
S. Sufia, "Cross Infection Control Protocol Awareness Amongst Fresh Dental Graduates in Lahore," Journal of the Pakistan Dental Association, vol. 28, 2019.
C. A. S. Garbin, K. L. T. Vanzo, S. A. S. Moimaz, A. J. Í. Garbin, and F. Y. Chiba, "Vaccination coverage and immunity against hepatitis B in public health dentists," Revista da Sociedade Brasileira de Medicina Tropical, vol. 52, p. e20180534, 2019.
M. Kaviani and J. Kia, "Determination of hepatitis B antibody titration and related factors in dental students in Guilan University of Medical Sciences," International Journal of Scientific Research in Dental and Medical Sciences, vol. 1, pp. 40-47, 2019.
V. Brailo, I. Pelivan, J. Škaričić, M. Vuletić, N. Dulčić, and G. Cerjan‐Letica, "Treating patients with HIV and Hepatitis B and C infections: Croatian dental students’ knowledge, attitudes, and risk perceptions," Journal of Dental Education, vol. 75, pp. 1115-1126, 2011.
T. Paul, R. Omar, and A. Maktabi, "Self-reported needlestick injuries in dental health care workers at Armed Forces Hospital Riyadh, Saudi Arabia," Military Medicine, vol. 165, pp. 208- 210, 2000.
C. Costa, M. Teodoro, G. Nutile, R. Catanoso, C. Alibrando, and C. Fenga, "Biological risk for healthcare workers: current Italian law and guidelines on vaccination strategies," Future Microbiology, vol. 14, pp. 21-25, 2019.
L. Tavoschi, L. Mason, U. Petriti, E. Bunge, I. Veldhuijzen, and E. Duffell, "Hepatitis B and C among healthcare workers and patient groups at increased risk of iatrogenic transmission in the European Union/European Economic Area," Journal of Hospital Infection, vol. 102, pp. 359- 368, 2019.
Fatusi, A. Esimai, A. Onayade, and O. Ojo, "Aceptance of Hepatitis B vaccine by workers in a Nigerian Teaching Hospital," East African Medical Journal, vol. 77, 2000.
M. Rabiee and E. Kazennezhad, "Knowledge and attitude of general dentists regarding HIV and Hepatitis Infections in Rasht," Research in Medical Education, vol. 4, pp. 58-67, 2012.
S. Kakouei, G. R. Sheybani, and A. S. Mohammad, "Awareness and Practice Of Kerman Dentists About B Hepatitis, 2004," Journal of Dental School, vol. 25, pp. 66-72, 2007.
D. Al Bakri, M. Itani, and M. Fawaz, "Knowledge, attitude and practice of hepatitis B virus infection among dentists," BAU Journal-Health and Wellbeing, vol. 3, p. 8, 2021.
S. Y. Alsaigh, A. A. Alasmari, A. H. Hakeem, A. F. Aloushan, F. S. B. Saleh, A. Althubaiti, et al., "Gender differences in practicing standard precautions against blood-borne pathogens among surgeons at a tertiary care center: A cross-sectional study," Avicenna Journal of Medicine, vol. 9, pp. 15-22, 2019.
C. Azodo, A. Ehizele, I. Uche, and P. Erhabor, "Hepatitis-B vaccination status among dental surgeons in Benin City, Nigeria," Annals of Medical and Health Sciences Research, vol. 2, pp. 24-28, 2012.
B. Ajami, M. Ebrahimi, and Z. Seddighi, "Evaluation of awareness and behavior of dental students of Mashhad dental school on infection control," Journal of Mashhad Dental School, vol. 33, pp. 53-62, 2009.
G. G. Fay and J. Naglik, "Postexposure Prophylaxis, Monitoring, and the Exposure Control Plan," Infection Control in the Dental Office: A Global Perspective, pp. 139-155, 2019.
M. Askarian, K. Mirzaei, and M.-L. McLaws, "Attitudes, beliefs, and infection control practices of Iranian dentists associated with HIV-positive patients," American Journal of Infection Control, vol. 34, pp. 530-533, 2006.
B. Khosravanifard, V. Rakhshan, L. Najafi-Salehi, and S. Sherafat, "Tehran dentists’ knowledge and attitudes towards hepatitis B and their willingness to treat simulated hepatitis B positive patients," East Mediterr Health J, vol. 20, pp. 498-507, 2014.
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Copyright (c) 2026 Ali Mohammed Karim Jabary, Abdullah Ezedeen Fakhraldeen, Koraz Kamil Tofiq, Anna Khasraw Mohamed
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