[10-12] College freshmen living in dormitories are at particularly high risk for developing meningococcal disease. Because of this, students from overseas who are planning to live in college dormitories
are usually required to provide proof of meningococcal immunization in the United States and other countries such as the United Kingdom. Many Taiwanese students preparing to study in the United States are required selleck inhibitor to have the vaccination, which is not a routine immunization in Taiwan. In addition, the vaccine is available only at 12 Centers for Disease Control contracted hospitals due to the scarceness of the vaccine in Taiwan. However, receiving vaccination without learning about the disease is not enough to assure prevention and patient-level factors may influence immunization coverage. Furthermore, educating patients about the RG7204 risk of contracting the disease and the importance of the vaccine
should be an essential part of the physician–patient discussion about vaccination. Thus far, few studies have investigated the awareness and attitudes toward meningococcal disease among high-risk students. We designed a study to survey the knowledge, attitudes, and behaviors about the disease among Taiwanese students planning to study in the United States. A cross-sectional questionnaire survey on Taiwanese college students planning to study in the United States was conducted in National Taiwan University Hospital in Taipei, a medical center-based travel medicine clinic, from January 2009 to December 2010. The questionnaire and consent forms were distributed to all college-age nonmedical students from different universities planning to study in the United
States. All study procedures were approved by the ethical committee of Lumacaftor in vitro the National Taiwan University Hospital. A self-administered, single-choice questionnaire surveyed the background information, attitudes toward, and knowledge about meningococcal disease. The questionnaire was based upon personal practice experiences and designed after a careful literature review. Excluding background information, the questionnaire included two questions about attitudes, five questions about general knowledge of the disease, four questions on preventive or postexposure management, and two questions on individual preventive practices. Five experts tested the content validity, while the face validity was tested by five college students. Data management and statistical analyses were performed using SPSS 11.0 software. Frequency distributions were used to describe the demographic data. Stepwise logistic regression analysis determined the relative values of the variables related to positive attitudes on receiving vaccines and willingness to perform individual preventive practices. A p-value less than 0.05 was considered statistically significant.