The Barriers to Neonatal Hepatitis B Vaccination in Israel: A Prospective Study

Isr Med Assoc J. 2020 Mar;22(3):148-153.

Abstract

Background: Opposition to neonatal Hepatitis B vaccination is a growing trend in Israel.

Objectives: To assess the sociodemographic factors and attitudes associated with non-vaccination of term singleton newborns.

Methods: This prospective, pair-matched, controlled trial was conducted in a tertiary university-affiliated hospital. Data on maternal sociodemographic parameters, delivery, and infant care practices were gathered. Knowledge and references of Hepatitis B virus (HBV) vaccination, vaccination schedule, and health government policies were assessed. A follow-up telephone survey was completed at the age of 7 weeks postpartum regarding vaccine catch-up rate.

Results: Mothers in the study group were mostly Jewish white middle class married multiparous women with some higher education. Hepatitis B serology was not tested in most. Higher rates of rooming-in and exclusive breastfeeding were observed. Knowledge about HBV was stated, multiple sources of information were significantly associated with newborn non-vaccination. Many objected to the timing of the vaccine and its necessity. Multiple medical encounters are viewed as missed opportunities.

Conclusions: Multiple sources of vaccine information are associated with non-vaccination. Medical encounters prior and post-delivery should be used for vaccination education and may improve vaccination coverage.

MeSH terms

  • Adult
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Services Accessibility / statistics & numerical data*
  • Hepatitis B Vaccines / therapeutic use*
  • Humans
  • Infant Care / methods*
  • Infant Care / statistics & numerical data
  • Infant, Newborn
  • Israel
  • Male
  • Patient Education as Topic / methods*
  • Pregnancy
  • Prospective Studies
  • Vaccination / statistics & numerical data*

Substances

  • Hepatitis B Vaccines