[A survey on knowledge, attitude, practice, and vaccination willingness regarding hepatitis B among students in a college in Dezhou City, 2026].

A census-based questionnaire survey was conducted among all students enrolled in a college in Dezhou City in March 2026. The results showed that the overall qualified rate of hepatitis B-related knowledge, attitude and practice (KAP) among 1 334 students was 29.16%, with the qualified rates for knowledge, attitude, and practice being 29.46% (393 students), 39.28% (524 students), and 39.66% (529 students), respectively. The overall willingness rate for hepatitis B vaccination was 37.93% (506 students). Multivariate logistic regression analysis showed that, compared with medical students, non-medical students were less likely to have qualified KAP (OR=0.540, 95%CI: 0.354-0.826). Compared with heterosexual students, bisexual students (OR=0.207, 95%CI: 0.059-0.722) and students with uncertain sexual orientation (OR=0.275, 95%CI: 0.165-0.457) were less likely to have qualified KAP. Compared with students who had completed full-dose vaccination, those with partial-dose vaccination (OR=0.122, 95%CI: 0.046-0.322), unvaccinated students (OR=0.281, 95%CI: 0.168-0.468), and students with unknown vaccination history (OR=0.241, 95%CI: 0.180-0.323) were less likely to have qualified KAP. Compared with heterosexual students, students with uncertain sexual orientation showed lower willingness to receive hepatitis B vaccination (OR=0.649, 95%CI: 0.430-0.978). Students with unqualified KAP scores were less willing to receive hepatitis B vaccination than those with qualified scores (OR=0.097, 95%CI: 0.073-0.128).