A Comparative Cross Sectional Study on the Awareness and Attitude towards Rubella Vaccine among the Medical and Non-Medical Students of Trichy District, Tamil Nadu

*Anna Vinu Varghese

• Department of Rehabilitation Science, Holy cross college, India

Received: May 21, 2017   Published: May 31, 2017

Corresponding author: Anna vinu varghese, Research Scholar, P.G and Research department of Rehabilitation Science, Holy Cross College, Trichy, Tamil Nadu, India

DOI: 10.26717/BJSTR.2017.01.000116

Introduction: Rubella virus when contracted by pregnant women, causes serious complications including rubella syndrome (CRS). Sensorineural hearing loss is one of the most common complication associated with CRS. In developing countries like India, the awareness towards rubella vaccine is minimal.

Aim: The aim of the study is to evaluate the awareness and attitudes of young females towards rubella vaccination. The study was carried out in female subjects from a medical college (n=100) and an arts college (n=100). Based on the previous literature, a questionnaire was developed and was distributed to the subjects after validity testing. There is a significance difference in the awareness level of rubella vaccine between the two groups. Majority of the non-medical students are unaware of the existence of rubella disease.

Conclusion: The study reveals the lack of awareness programs about rubella disease in Tamilnadu.

Keywords: Rubella Vaccine; Hearing loss; Awareness and attitudus

Rubella is a contagious, generally mild viral infection that occurs most often in children and young adults. The synonyms of Rubella are German Measles, 3 day measles etc. The pathogenic agent is Rubella virus of the genus of Rubivirus and belongs to the family of Togaviridae. The transmission of the virus is by airborne droplets when infected people sneeze or cough. Humans are the only known host. The symptoms include appearance of a rash all over the body, fever, swollen glands, joint pain, headache, conjunctivitis etc. Rubella infection in pregnant women may cause serious complications including fetal death or congenital defects known as Congenital Rubella Syndrome. When a woman is infected with the rubella virus early in pregnancy, she has a 90% chance of passing the virus on to her fetus. Worldwide, an estimated 110 000 babies are born with CRS every year (WHO, 2007) [1- 4]. Some of the complications of CRS include miscarriage/still born baby, neonatal thrombocytopenia, low birth weight, severe heart disorders, autism, thyroid dysfunction, diabetes mellitus, hepatitis, anemia, eye defects and hearing impairment. No specific treatment is available, but preventable with vaccination. Largescale rubella vaccination during the past decade has practically eliminated rubella and CRS in many developed and in some developing countries. The WHO Region of the Americas has had no endemic (naturally-transmitted) cases of rubella infection since 2009. (WHO, 2012) [5]. Sero-epidemiological studies in India have shown susceptibility of 20-46 per cent in women of child bearing age, hence it is necessary to prevent the infection among women of child bearing age. (WHO, 2012). The best way to prevent rubella and CRS is vaccination, which has been applied all over the world. About a third of the world’s countries still lack rubella vaccination programs including India.

Aim of the study

To study the awareness and attitudes towards Rubella vaccine among the Medical students and Non-Medical students in Trichy.

The present study was designed as a comparative cross sectional study conducted among the medical students and nonmedical students in two reputed colleges in Trichy [6-8].

Ethical considerations

Approval from the Independent Ethical Committee of Holy Cross college, Trichy was obtained before conducting the study. The study did not involve any interventional or invasive procedures. Informed consent was obtained from all the participants and they were informed about their right to opt out of the study any time and assured their confidentiality.

Participants

The participants were identified through the official rolls and enlisted for inclusion of the study.

Inclusionary criteria

1. Unmarried female participants
2. Age range : 18-22 years (Table 1)

Table 1: Demographic data of the participants.

Procedure

The study proceeded in four phases.

1. Questionnaire construction
2. Validity Check and Pilot Study
3. Data Collection
4. Statistical Analysis

Questionnaire construction: Based on previous literature an 18 item questionnaire was conducted. The questionnaire included 15 dichotomous, 2 multichotomous and 1 open ended questions.

Validity Check and Pilot study: The validity check was carried out by 3 Speech Language Pathologists and1 Physician. After making the recommended changes, pilot study was carried out in 10 medical and 10 non-medical students. The pilot study yielded expected results.

Data Collection: The data collection was conducted through survey method. The questionnaire was distributed to the participants and collected back after completion. The completion of the questionnaire lasted for approximately for 10-15 minutes.

Data analysis: Data analysis was carried out using SPSS 16 software. Independent samples test was used wherever necessary. A p-value <0.05 was considered statistically significant.

The General Awareness of Study Respondents (Figure 1)

Availability of rubella vaccine (Figure 2)

Rubella vaccine and Hearing Loss (Figure 3)

Sources of Information (Table 2)

Suggestions to create awareness

Figure 1: The general awareness about Rubella virus, its causes and vaccination.

Figure 2: The awareness about the availability of Rubella vaccine.

Figure 3: The association of Rubella virus and Hearing loss.

Figure 4: Suggestions to create awareness about Rubella.

Table 2: Sources of Information about Rubella vaccine.

All the medical students were well aware of Rubella disease, its causes and its vaccination where only 22% of the non-medical students were aware of the same (Figure 4). None of the non-medical students were aware about the availability of the vaccine in their area where 31% of the medical students were aware of the same. 99% of the non-medical students are unaware about the fact that Rubella can cause hearing loss where 47% of the medical students were aware of the same. 79% of the medical students opinioned that they are well aware of Rubella virus and its vaccination because it is included in their syllabus. When asked about the different ways in which we can create awareness about Rubella virus, its causes, complications and vaccination, the students suggested workshops, seminars, visual media, social media, street plays etc.

1. The study delineates the difference in the knowledge of rubella and vaccination status in medical students and non medical students.
2. There is quite high awareness about rubella disease and its vaccine among medical professionals when compared with the non medical students, because the topic is covered in their syllabus and due to the frequent interactions with gynecologists and pediatricians.
3. The study clearly shows the lack of awareness and nonseriousness of the issue in the society.
4. Neither the media nor the government has taken appropriate measures to make the population aware about rubella vaccination.
5. As “prevention and advocacy” is listed as a professional role and responsibility in Indain Speech and Hearing Association’s scope of practice, it is the duty of all Speech Language Pathologists and Audiologists to frame and execute awareness programs about CRS and its vaccination in India.

1. Webster WS (1998) Teratogen update: congenital rubella. Teratology 58(1): 13-23.
2. Low WL, Huang HY (1997) Rubella and congenital rubella syndrome. Contemp Med 24: 543-48.
3. Chakrabarty MS, Das BC, Gupta B, Sarkar JK (1975) Rubella as an aetiological factor of congenital malformation in Calcutta. A serological study Indian J Med Res 63(10): 1438-1445.
4. Chaturvedi UC, Tripathi BN, Mathur A, Singh, Mehrotra RM (1976) Role of rubella in congenital malformations in India. J Hyg (Lond.) 76(1): 33- 40.
5. Seth P, Manjunath N, Balaya S. Rubella (1985) infection, the Indian scene. Rev Infect Dis 7 (Suppl 1): S64-S67.
6. World health organization. The Immunological Basis for Immunization Series; Module 11: Rubella Immunization, Vaccines and Biologicals. World health organization.
7. World Health Organization. GLOBAL MEASLES AND RUBELLA: Strategic plan 2012 – 2020. WHO, Geneva, Switzerland.
8. Vijayalakshmi P, Anuradha R, Prakash K, Narendran K, Ravindran M, et al. (2004) Rubella serosurvey at three Aravind eye hospital in Tamil Nadu, India. Bull World Health Organ 82(4): 259-264.