ArticlePublic health action2026
Uptake of hepatitis B vaccination among nursing students in Cameroon: a mixed-methods study.
Article in Public health action, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
settingThree purposively identified nursing education institutions (Ayos, EITMS/GS, and the Virginia Henderson Foundation) in the Centre Region of Cameroon.
objectiveTo evaluate the psychological, socio-cognitive, economic, and institutional factors associated with hepatitis B (HBV) vaccine uptake among nursing students.
designA mixed-methods cross-sectional study was conducted between June and July 2025. Quantitative data (
resultsHBV vaccination was critically low at 29.54%, with only 50.04% of those vaccinated completing the full three-dose series. Multivariate analysis identified female gender, age, advanced study level, a solid knowledge level, high perceived self-efficacy, low vaccine-related anxiety, and encouragement from the educational institution as significant predictors of uptake. Qualitative findings highlighted as primary barriers: prohibitive costs, inadequate information, weak institutional mandates, and traditional prejudices.
conclusionImmunisation rates among high-risk nursing students are alarmingly insufficient. To mitigate occupational risk, public health policy should mandate HBV vaccination at school matriculation and implement subsidies to facilitate economic access together with systematic sensitisation.
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