Authors' contribution: Designed the study: MTY, NZJ and ARS. Supervise data collection: MTY. Guided analyses: NZJ and MTY. Analyzed the data: MTY. MTY wrote the first draft and other contributed to revisions. All authors have access to the data (including statistical reports and tables) and can take responsibility for the study.
Article first published online: 19 SEP 2012
Copyright © 2012 Wiley Periodicals, Inc.
American Journal of Industrial Medicine
Volume 56, Issue 4, pages 479–487, April 2013
How to Cite
Yousafzai, M. T., Siddiqui, A. R. and Janjua, N. Z. (2013), Health belief model to predict sharps injuries among health care workers at first level care facilities in rural Pakistan. Am. J. Ind. Med., 56: 479–487. doi: 10.1002/ajim.22117
Conflict of Interest: None
- Issue published online: 18 MAR 2013
- Article first published online: 19 SEP 2012
- Manuscript Accepted: 14 AUG 2012
- Aga Khan University, University Research Council. Grant Number: 082F41070199
- sharp injury;
- first level care facilities;
- health care workers;
- negative binomial regression;
- blood borne pathogens;
- universal precautions;
- standard precautions
We assessed the frequency and predictors of sharp injuries (SIs) among health care workers (HCWs) at first level care facilities (FLCF) in rural Pakistan.
HCWs working at public clinic (PC), privately owned licensed practitioners' clinic (LPC) and non-licensed practitioners' clinic(NLC) were interviewed on universal precautions (UPs) and constructs of health belief model (HBM) to assess their association with SIs through negative-binomial regression.
From 365 clinics, 485 HCWs were interviewed. Overall annual rate of SIs was 192/100 HCWs/year; 78/100 HCWs among licensed prescribers, 191/100 HCWs among non-licensed prescribers, 248/100 HCWs among qualified assistants, and 321/100 HCWs among non-qualified assistants. Increasing knowledge score about bloodborne pathogens (BBPs) transmission (rate-ratio (RR): 0.93; 95%CI: 0.89–0.96), fewer years of work experience, being a non-licensed prescriber (RR: 2.02; 95%CI: 1.36–2.98) licensed (RR: 2.86; 9%CI: 1.81–4.51) or non-licensed assistant (RR: 2.78; 95%CI: 1.72–4.47) compared to a licensed prescriber, perceived barriers (RR: 1.06; 95%CI: 1.03–1.08), and compliance with UPs scores (RR: 0.93; 95%CI: 0.87–0.97) were significant predictors of SIs.
Improved knowledge about BBPs, compliance with UPs and reduced barriers to follow UPs could reduce SIs to HCWs. Am. J. Ind. Med. 56:479–487, 2013. © 2012 Wiley Periodicals, Inc.