The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 25 , ISSUE 2 ( February, 2024 ) > List of Articles


Knowledge, Attitude, and Practice of Hepatitis B Vaccination among Dentists in Lebanon

Ghassan Yared, Elie S Sokhn, Aynaa Al-Khatib, Cynthia Kassis, Ronald Younes

Keywords : Dentists, Hepatitis B, Questionnaire, Vaccination

Citation Information : Yared G, Sokhn ES, Al-Khatib A, Kassis C, Younes R. Knowledge, Attitude, and Practice of Hepatitis B Vaccination among Dentists in Lebanon. J Contemp Dent Pract 2024; 25 (2):134-140.

DOI: 10.5005/jp-journals-10024-3635

License: CC BY-NC 4.0

Published Online: 14-03-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Background: The hepatitis B virus (HBV) is a serious occupational hazard for healthcare workers, including dentists. The purpose of this study is to assess dentists’ knowledge, attitude, and practice (KAP) with respect to hepatitis B vaccination. Materials and methods: A cross-sectional survey of a representative sample of dentists (n = 349) from Lebanon was carried out. Participants’ knowledge of hepatitis B, attitudes toward vaccination, and immunization habits were assessed using a standardized questionnaire. To examine the data, descriptive statistics were used, and associations between variables were investigated using appropriate statistical tests. Results: The study found that most participating dentists are HBV-vaccinated. These dentists boast a basic to a significantly substantial understanding of HBV infection prevention strategies, such as immunization, routine preventive measures, and handling equipment. Notwithstanding the generally positive attitudes towards vaccination, a proportion of dentists lacked some HBV prevention practices, specifically with respect to conducting regular follow-ups of anti-HBs titer levels and getting booster vaccination doses when warranted. Conclusion: This study sheds light on the KAP of hepatitis B immunization among Lebanese dentists. The findings emphasize the significance of focused educational efforts in view of improving awareness and encouraging a more thorough understanding of the benefits of vaccination. The study provides useful data that can be used to influence public health policies as well as activities aimed at increasing hepatitis B vaccination rates among dental professionals in Lebanon.

PDF Share
  1. Hamissi J, Tabari ZA, Najafi K, et al. Knowledge, attitudes and practice of hepatitis B vaccination among Iranian dentists. International Journal of Collaborative Research on Internal Medicine and Public Health 2014;6(7):199–206. International Journal of Collaborative Research on Internal Medicine & Public Health. Available from:
  2. Al Bakri D, Itani M, Fawaz M. Knowledge, attitude and practice of hepatitis B virus infection among dentists. BAU Journal Health and Wellbeing 2021;3(2). DOI: 10.54729/2789-8288.1137.
  3. Garbin CA, Vanzo KL, Moimaz SA, et al. Vaccination coverage and immunity against hepatitis B in public health dentists. Rev Soc Bras Med Trop 2019;52:e20180534. DOI: 10.1590/0037-8682-0534-2018.
  4. Iserson KV, Criss EA, Wright AL. Hepatitis B and vaccination in emergency physicians. Am J Emerg Med 1987;5(3):227–231. DOI: 10.1016/0735-6757(87)90327-5.
  5. Cleveland JL, Siew C, Lockwood SA. Hepatitis B vaccination and infection among U.S. dentists, 1983–1992. J Am Dent Assoc 1996;127(9):1385–1390. DOI: 10.14219/jada.archive.1996.0457.
  6. Quaranta P. Immunizations and oral health care providers. Dent Clin North Am 2003;47(4):641–664. DOI: 10.1016/s0011-8532(03)00042-9.
  7. Dahiya P, Kamal R, Sharma V, et al. “Hepatitis” - Prevention and management in dental practice. J Educ Health Promot 2015;4:33. DOI: 10.4103/2277-9531.157188.
  8. Di Giuseppe G, Nobile CGA, Marinelli P, et al. A survey of knowledge, attitudes, and behavior of Italian dentists toward immunization. Vaccine 2007;25(9):1669–1675. DOI: 10.1016/j.vaccine.2006.10.056.
  9. Hodgens A, Marathi R. Hepatitis B Vaccine. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. Available from:
  10. Kakisaka K, Sakai A, Yoshida Y, et al. Hepatitis B surface antibody titers at one and two years after hepatitis B virus vaccination in healthy young Japanese adults. Intern Med 2019;58(16):2349–2355. DOI: 10.2169/internalmedicine.2231-18.
  11. Hollinger FB. Factors influencing the immune response to hepatitis B vaccine, booster dose guidelines, and vaccine protocol recommendations. Am J Med 1989;87(3A):36S–40S. DOI: 10.1016/0002-9343(89)90530-5.
  12. Are booster immunisations needed for lifelong hepatitis B immunity? European Consensus Group on Hepatitis B Immunity. Lancet 2000;355(9203):561–565. DOI: 10.1016/s0140-6736(99)07239-6.
  13. Nasser Z, Fares Y, Daoud R, et al. Assessment of knowledge and practice of dentists towards coronavirus disease (COVID-19): A cross-sectional survey from Lebanon. BMC Oral Health 2020;20(1):281. DOI: 10.1186/s12903-020-01273-6.
  14. Ertem SY, Ozdogan S, Ozturk A, et al. Comparison of the practical and theoretical knowledge of the hepatitis B virus among Dental Hygiene Students. J Dent Hyg Sci 2020;20(3):136–145. DOI: 10.17135/jdhs.2020.20.3.136.
  15. Maltezou HC, Poland GA. Vaccination policies for healthcare workers in Europe. Vaccine 2014;32(38):4876–4880. DOI: 10.1016/j.vaccine.2013.10.046.
  16. Qabool H, Hamid F, Sukhia R. Acceptance of SARS-COV-2 vaccination and the associated factors among dental health care professionals: A cross-sectional survey. Dent Med Probl 2022;59(1):21–26. DOI: 10.17219/dmp/145491.
  17. Askarian M, Mirzaei K, McLaws M-L. Attitudes, beliefs, and infection control practices of Iranian dentists associated with HIV-positive patients. American Journal of Infection Control 2006;34(8):530–533. DOI: 10.1016/j.ajic.2006.03.006.
  18. Tariq QU, Tariq S, Tareen MA, et al. Assess the knowledge of dentists regarding hepatitis B serological profile: A cross-sectional study. J Infect Dev Ctries 2020;14(10):1210–1216. DOI: 10.3855/jidc.12295.
  19. Benarji K, Anitha A, Suresh B, et al. Knowledge and attitude of dental students toward hepatitis B virus and its vaccination – A cross-sectional study. J Oral Maxillofac Pathol 2021;25(3):553. DOI: 10.4103/jomfp.jomfp_387_21.
  20. Kareem FA, Mohammad RF, Zardawi FM, et al. Knowledge about hepatitis B virus and relevant safety precautions among dental students in Kurdistan Region, Iraq. J Environ Public Health 2022;2022:8516944. DOI: 10.1155/2022/8516944.
  21. Naik S, Khanagar S, Kumar A, et al. Knowledge, attitude, and practice of hand hygiene among dentists practicing in Bangalore City - A cross-sectional survey. J Int Soc Prev Community Dent 2014;4(3): 159–163. DOI: 10.4103/2231-0762.142013.
  22. Myers R, Larson E, Cheng B, et al. Hand hygiene among general practice dentists. J Am Dent Assoc 2008;139(7):948–957. DOI: 10.14219/jada.archive.2008.0282.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.