Introduction: Viral hepatitis B (HBV) remains a major public health concern in Mali, where its prevalence is still very high. The aim of this study was to identify factors associated with the levels of knowledge, attitudes, and practices (KAP) toward hepatitis B virus infection among students at Kankou Moussa University (UKM). Methods: A cross-sectional study was conducted from 1 January to 18 December 2025, among 425 medical and pharmacy students. Data were collected using a structured questionnaire and analyzed using SPSS software (version 25.0). Results: The mean age of the participants was 21.25 ± 2.64 years, with a female predominance. More than half (50.1%) of the participants had good knowledge, 88.7% had a positive attitude, and 51.3% demonstrated good practices. A statistically significant association was found between students’ knowledge and level of education (aOR = 0.30; 95% CI [0.11–0.78]). Students’ attitudes were significantly associated with age (aOR = 0.31; 95% CI [0.10–0.98]), second-year level of study (aOR = 0.14; 95% CI [0.04–0.49]), and third-year level of study (aOR = 0.16; 95% CI [0.05–0.56]). Students’ practices were associated with close contact with parents or relatives affected by HBV (aOR = 0.58; 95% CI [0.34–0.98]). Conclusion: Students at UKM demonstrated a moderate level of knowledge and a favorable attitude toward hepatitis B. However, preventive measures, particularly screening and vaccination, remained low. In addition, general biosafety practices did not comply with recommended standards. The factors associated with the dependent variables were age, academic level, frequent contact with relatives or close acquaintances infected with HBV, and experience in patient management. Strengthening training and awareness from the early years of study is therefore essential. In addition, regular vaccination and screening campaigns should be organized within the university to reduce the risk of infection.
| Published in | World Journal of Public Health (Volume 11, Issue 2) |
| DOI | 10.11648/j.wjph.20261102.15 |
| Page(s) | 137-145 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2026. Published by Science Publishing Group |
Hepatitis B Virus (HBV), Associated Factors, Knowledge, Attitudes and Practices (KAP), Health Science Students, Mali
| [1] | W, E. A.; Tume, C.; Njouom, R.; Ayong, L.; Fondoh, V.; Kuiate, J.-R. Knowledge, Attitude and Prevalence of Hepatitis B Virus among Healthcare Workers: A Cross-Sectional, Hospital-Based Study in Bamenda Health District, NWR, Cameroon. BMJ Open 2020, 10(3), e031075. |
| [2] | Naqid, I. A., Mosa, A. A., Ibrahim, S. V., Ibrahim, N. H. & Hussein, N. R. Hepatitis B vaccination status and knowledge, attitude, and practice towards Hepatitis B virus among medical sciences students: A cross-sectional study. PloS One 18, e0293822 (2023). |
| [3] | Sangho, O. et al. Study of Knowledge, Attitudes and Practices of Students at Kankou Moussa University Regarding Hepatitis B Virus in 2025. Open J. Epidemiol. 16, 238–251 (2026). DOI: 10.4236/ojepi.2026.162018 |
| [4] | Hiebert-Suwondo, L. et al. A 2024 global report on national policy, programmes, and progress towards hepatitis B elimination: findings from 33 hepatitis elimination profiles. Lancet Gastroenterol. Hepatol. 10, 671–684 (2025). |
| [5] | Hsu, Y.-C., Huang, D. Q. & Nguyen, M. H. Global burden of hepatitis B virus: current status, missed opportunities and a call for action. Nat. Rev. Gastroenterol. Hepatol. 20, 524–537 (2023). |
| [6] | Spearman, C. W. et al. Hepatitis B in sub-Saharan Africa: strategies to achieve the 2030 elimination targets. Lancet Gastroenterol. Hepatol. 2, 900–909 (2017). |
| [7] | Fofana, D. B. et al. Hepatitis B Virus in West African Children: Systematic Review and Meta-Analysis of HIV and Other Factors Associated with Hepatitis B Infection. Int. J. Environ. Res. Public. Health 20, 4142 (2023). |
| [8] |
Preventing needlestick injuries among healthcare workers: a WHO–ICN collaboration. International Journal of Occupational and Environmental Health, Vol. 10, No. 4.
https://www.tandfonline.com/doi/abs/10.1179/oeh.2004.10.4.451 (accessed 2025-02-01). |
| [9] | Tarantola, A.; Abiteboul, D.; Rachline, A. Infection Risks Following Accidental Exposure to Blood or Body Fluids in Health Care Workers: A Review of Pathogens Transmitted in Published Cases. American Journal of Infection Control 2006, 34(6), 367–375. |
| [10] | Ciorlia, L. A. S.; Zanetta, D. M. T. Hepatitis B in Healthcare Workers: Prevalence, Vaccination and Relation to Occupational Factors. Braz J Infect Dis 2005, 9, 384–389. |
| [11] | Abdoulaye, P. M. B. HBsAg carriage among adolescents at the Kadiolo Reference Health Center, 2021. [Medical Thesis]; University of Sciences, Techniques and Technologies of Bamako; 2021. |
| [12] | Angelo, A. A.; Teketelew, B. B.; Berta, D. M.; Chane, E.; Cherie, N.; Nigus, M.; Girmay, G.; Tamir, M.; Bitew, M. Knowledge, Attitude, and Practices towards Hepatitis Infection and Its Associated Factors among Adults in Gondar Town, Northwest Ethiopia; a Community-Based Study, 2021. Journal of Health, Population and Nutrition 2024, 43(1), 178. |
| [13] | Alaridah, N. et al. Knowledge, Attitude, and Practices toward Hepatitis B Infection among Healthcare Students—A Nationwide Cross-Sectional Study in Jordan. Int. J. Environ. Res. Public. Health 20, 4348 (2023). |
| [14] | Abdela, A., Woldu, B., Haile, K. et al. Assessment of knowledge, attitudes and practices toward prevention of hepatitis B virus infection among students of medicine and health sciences in Northwest Ethiopia. BMC Res Notes 9, 410 (2016). |
| [15] | Mursy, S. M. M.; Mohamed, S. O. O. Knowledge, Attitude, and Practice towards Hepatitis B Infection among Nurses and Midwives in Two Maternity Hospitals in Khartoum, Sudan. BMC Public Health 2019, 19, 1597. |
| [16] | Bentouhami, M. R.; Chakib, A.; El Fane, M. Hepatitis B Knowledge, Attitudes and Practices among Moroccan College Students. Rev Epidemiol Sante Publique 2019, 67(6), 397–402. |
| [17] | Alaridah, N.; Jarrar, R. F.; Joudeh, R. M.; Al-Abdallat, H.; Ismail, L.; Alnajjar, Z.; Jum’ah, M.; Abu-Humaidan, A. H. Knowledge Gaps and Determination of Attitude and Practice among Medical Students toward Hepatitis B Infection: A Nationwide Cross-Sectional Study. International Journal of Hepatology 2024, 2024, 2730516. |
| [18] | Gebremeskel, T.; Beshah, T.; Tesfaye, M.; Beletew, B.; Mengesha, A.; Getie, A. Assessment of Knowledge and Practice on Hepatitis B Infection Prevention and Associated Factors among Health Science Students in Woldia University, Northeast Ethiopia. Adv Prev Med 2020, 2020, 9421964. |
| [19] | World Health Organization (2022) Implementation Guide for Vaccination of Health Workers. World Health Organization. |
| [20] | Tesfa, T., Hawulte, B., Tolera, A. and Abate, D. (2021) Hepatitis B Virus Infection and Associated Risk Factors among Medical Students in Eastern Ethiopia. PLOS ONE, 16, e0247267. |
| [21] | Adenlewo, O. J., Adeosun, P. O. & Fatusi, O. A. Medical and dental students’ attitude and practice of prevention strategies against hepatitis B virus infection in a Nigerian university. Pan Afr. Med. J. 28, 33(2017). |
| [22] | Kisangau, E. N., Awour, A., Juma, B., Odhiambo, D., Muasya, T., Kiio, S. N., et al. (2018) Prevalence of Hepatitis B Virus Infection and Uptake of Hepatitis B Vaccine among Healthcare Workers, Makueni County, Kenya 2017. Journal of Public Health, 41, 765-771. |
| [23] | Hang Pham, T. T.; Le, T. X.; Nguyen, D. T.; Luu, C. M.; Truong, B. D.; Tran, P. D.; Toy, M.; Bozkurt, S.; So, S. Knowledge, Attitudes and Medical Practice Regarding Hepatitis B Prevention and Management among Healthcare Workers in Northern Vietnam. PLoS One 2019, 14(10), e0223733. |
APA Style
Diarra, A. S., Sangho, O., Sangho, F., Doumbia, S., Sarro, Y. D. S., et al. (2026). Factors Associated with Knowledge, Attitudes, and Practices (KAP) of Students at Kankou Moussa University Regarding Hepatitis B Virus Infection, 2025. World Journal of Public Health, 11(2), 137-145. https://doi.org/10.11648/j.wjph.20261102.15
ACS Style
Diarra, A. S.; Sangho, O.; Sangho, F.; Doumbia, S.; Sarro, Y. D. S., et al. Factors Associated with Knowledge, Attitudes, and Practices (KAP) of Students at Kankou Moussa University Regarding Hepatitis B Virus Infection, 2025. World J. Public Health 2026, 11(2), 137-145. doi: 10.11648/j.wjph.20261102.15
AMA Style
Diarra AS, Sangho O, Sangho F, Doumbia S, Sarro YDS, et al. Factors Associated with Knowledge, Attitudes, and Practices (KAP) of Students at Kankou Moussa University Regarding Hepatitis B Virus Infection, 2025. World J Public Health. 2026;11(2):137-145. doi: 10.11648/j.wjph.20261102.15
@article{10.11648/j.wjph.20261102.15,
author = {Abdoul Salam Diarra and Oumar Sangho and Fanta Sangho and Sata Doumbia and Yeya Dit Sadio Sarro and Salia Keita and Abou Sogodogo and Nouhoum Telly and Cheick Abou Coulibaly and Housseini Dolo and Lancina Doumbia and Borodjan Diarra and Hamadoun Sangho},
title = {Factors Associated with Knowledge, Attitudes, and Practices (KAP) of Students at Kankou Moussa University Regarding Hepatitis B Virus Infection, 2025},
journal = {World Journal of Public Health},
volume = {11},
number = {2},
pages = {137-145},
doi = {10.11648/j.wjph.20261102.15},
url = {https://doi.org/10.11648/j.wjph.20261102.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20261102.15},
abstract = {Introduction: Viral hepatitis B (HBV) remains a major public health concern in Mali, where its prevalence is still very high. The aim of this study was to identify factors associated with the levels of knowledge, attitudes, and practices (KAP) toward hepatitis B virus infection among students at Kankou Moussa University (UKM). Methods: A cross-sectional study was conducted from 1 January to 18 December 2025, among 425 medical and pharmacy students. Data were collected using a structured questionnaire and analyzed using SPSS software (version 25.0). Results: The mean age of the participants was 21.25 ± 2.64 years, with a female predominance. More than half (50.1%) of the participants had good knowledge, 88.7% had a positive attitude, and 51.3% demonstrated good practices. A statistically significant association was found between students’ knowledge and level of education (aOR = 0.30; 95% CI [0.11–0.78]). Students’ attitudes were significantly associated with age (aOR = 0.31; 95% CI [0.10–0.98]), second-year level of study (aOR = 0.14; 95% CI [0.04–0.49]), and third-year level of study (aOR = 0.16; 95% CI [0.05–0.56]). Students’ practices were associated with close contact with parents or relatives affected by HBV (aOR = 0.58; 95% CI [0.34–0.98]). Conclusion: Students at UKM demonstrated a moderate level of knowledge and a favorable attitude toward hepatitis B. However, preventive measures, particularly screening and vaccination, remained low. In addition, general biosafety practices did not comply with recommended standards. The factors associated with the dependent variables were age, academic level, frequent contact with relatives or close acquaintances infected with HBV, and experience in patient management. Strengthening training and awareness from the early years of study is therefore essential. In addition, regular vaccination and screening campaigns should be organized within the university to reduce the risk of infection.},
year = {2026}
}
TY - JOUR T1 - Factors Associated with Knowledge, Attitudes, and Practices (KAP) of Students at Kankou Moussa University Regarding Hepatitis B Virus Infection, 2025 AU - Abdoul Salam Diarra AU - Oumar Sangho AU - Fanta Sangho AU - Sata Doumbia AU - Yeya Dit Sadio Sarro AU - Salia Keita AU - Abou Sogodogo AU - Nouhoum Telly AU - Cheick Abou Coulibaly AU - Housseini Dolo AU - Lancina Doumbia AU - Borodjan Diarra AU - Hamadoun Sangho Y1 - 2026/04/20 PY - 2026 N1 - https://doi.org/10.11648/j.wjph.20261102.15 DO - 10.11648/j.wjph.20261102.15 T2 - World Journal of Public Health JF - World Journal of Public Health JO - World Journal of Public Health SP - 137 EP - 145 PB - Science Publishing Group SN - 2637-6059 UR - https://doi.org/10.11648/j.wjph.20261102.15 AB - Introduction: Viral hepatitis B (HBV) remains a major public health concern in Mali, where its prevalence is still very high. The aim of this study was to identify factors associated with the levels of knowledge, attitudes, and practices (KAP) toward hepatitis B virus infection among students at Kankou Moussa University (UKM). Methods: A cross-sectional study was conducted from 1 January to 18 December 2025, among 425 medical and pharmacy students. Data were collected using a structured questionnaire and analyzed using SPSS software (version 25.0). Results: The mean age of the participants was 21.25 ± 2.64 years, with a female predominance. More than half (50.1%) of the participants had good knowledge, 88.7% had a positive attitude, and 51.3% demonstrated good practices. A statistically significant association was found between students’ knowledge and level of education (aOR = 0.30; 95% CI [0.11–0.78]). Students’ attitudes were significantly associated with age (aOR = 0.31; 95% CI [0.10–0.98]), second-year level of study (aOR = 0.14; 95% CI [0.04–0.49]), and third-year level of study (aOR = 0.16; 95% CI [0.05–0.56]). Students’ practices were associated with close contact with parents or relatives affected by HBV (aOR = 0.58; 95% CI [0.34–0.98]). Conclusion: Students at UKM demonstrated a moderate level of knowledge and a favorable attitude toward hepatitis B. However, preventive measures, particularly screening and vaccination, remained low. In addition, general biosafety practices did not comply with recommended standards. The factors associated with the dependent variables were age, academic level, frequent contact with relatives or close acquaintances infected with HBV, and experience in patient management. Strengthening training and awareness from the early years of study is therefore essential. In addition, regular vaccination and screening campaigns should be organized within the university to reduce the risk of infection. VL - 11 IS - 2 ER -