Download or read book The Impact of a Group Health Cooperative HPV Vaccination Promotion Program on Initiation of the HPV Vaccine written by Gabrielle D. Gundersen and published by . This book was released on 2016 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: The purpose of this study is to examine the impact of a Group Health Cooperative outreach and reminder program on initiation of the HPV vaccine among 10-12 year olds receiving care at seven Group Health clinics in Western Washington. Study Design: The outreach and reminder initiative was a randomized control trial. Eligible children were randomized to receive an outreach letter and reminder calls about the HPV vaccine (intervention) or usual care (control). Randomization was at the child-level and stratified by clinic and gender, but outreach and reminder efforts were addressed and targeted to parents. Methods: This study conducted a preliminary analysis of the impact of the outreach and reminder program on initiation of the HPV vaccine for the overall study population and stratified by age. Chi-square tests were used to assess associations between group assignment (intervention or control) and receipt of HPV dose 1. Kaplan-Meier survival curves with log-rank tests were used to compare HPV vaccine initiation over time between the intervention and control groups. Results: A total of 1,805 children were included in the study; 1,354 were randomized to the intervention and 451 to control. Our analysis included 1,770 children after excluding 35 children who disenrolled after randomization, but before the intervention began. Overall, the intervention was not significantly associated with initiation of the HPV vaccine; 398 (30.1%) intervention children received HPV dose 1 compared to 121 (27.1%) control children (Chi-square test, p=0.23). There was also no association between the intervention and initiation of the HPV vaccine when the children were stratified by age (Chi-square test, 10 yrs, p=0.78; 11 yrs, p=0.31; 12 yrs, p=0.38). The Kaplan-Meier analyses showed that the difference in the vaccine initiation rates between the groups was not significant, overall (Log-rank test, p=0.08), nor when the children were stratified by age (Log-rank test, 10 yrs, p=0.71; 11 yrs, p=0.10; 12 yrs, p=0.31). Yet, a secondary analysis looking at vaccine initiation from the start of the reminder calls to the end of the analysis period showed a 6.2% difference in vaccine initiation rates between the intervention and control groups for 11 year olds (Chi-square test, p=0.07, Log-rank test, p=0.06). Conclusions: Group Health’s outreach and reminder program was not significantly associated with an increase in initiation of the HPV vaccine. However, while not significant, our data suggests that reminder calls may increase the initiation of the HPV vaccine among 11 year old children eligible for the vaccine in an insured population.
Download or read book Examining the Impact of Healthcare Providers in Relation to Gaining Patient s Acceptance and Initiation of the HPV Vaccine written by Millie Elizabeth Knox and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The human papillomavirus (HPV) is a prevalent virus and the most common sexually transmitted infection (STI) worldwide. Nearly 80 million people, approximately one in four, are currently infected in the United States (US). Given that HPV infections affects over 20 million Americans with possible life-threatening consequences, the importance of adhering to the recommended two-dose or three-dose vaccination series has a significant impact on cancer prevention. Research studies have suggested that adolescents and young adults are at an increased risk of STIs and low HPV vaccination rates. For this integrative review, the target population was adolescents to young adults, ages 9-26 years. Education on the benefits of HPV vaccination has been key to increasing vaccination rates. Healthcare costs associated with preventing and treating HPV-related conditions in the US have been at least $8.0 billion annually. HPV vaccines are the most effective and safest way to protect against HPV and a significant element in reducing future adverse health outcomes related to HPV. The Gardasil 9 vaccine is the recommended HPV vaccine, and it protects against the most high-risk strands of HPV, strands 16 and 18, plus several other high-risk strands that cause HPV-associated cancers and other abnormalities. The Centers for Disease Control and Prevention (CDC) recommends that males and females between the ages of 9 and 26 be offered the Gardasil vaccine to combat HPV-related infections and cancers. The primary purpose of this integrative review was to examine the impact of the vaccine provider in relation to gaining the patient's acceptance and initiation of the HPV vaccine. Implications from this project may influence healthcare organizations to make HPV Gardasil vaccination a priority. Keywords: HPV, HPV vaccine, adolescents, prevention, education strategies, primary care providers (PCP)
Download or read book The Impact of Human Papillomavirus Vaccination on Adolescent Health Outcomes written by Leah Smith and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "In 2006, Canada approved Gardasil, a quadrivalent human papillomavirus (HPV) vaccine designed to protect against types of HPV that cause 70% of cervical cancers and virtually all anogenital warts. Soon after, the Canadian government launched a publicly funded, school-based HPV vaccination program aimed at immunizing young girls. Despite considerable hype about Canada's HPV vaccination program, it also faced a great deal of controversy. For example, concerns were raised about the effectiveness of the vaccine, particularly in the young age group targeted for vaccination, as well as about the possibility that vaccination would lead to increased risky sexual behaviour. Today, there continues to be limited information on the real-world effects of this vaccine and none on the population-level impact of vaccination programs on the burden of disease. Moreover, the few observational studies on this topic have used a methodological approach that is vulnerable to irremediable confounding bias. The overall aim of my thesis work was to assess causal effects of HPV vaccination on adolescent health outcomes in Ontario, Canada. To this end, I used provincial administrative health and immunization databases to carry out a population-based, retrospective cohort study of 260,493 girls.The first objective of this thesis was to assess whether a quasi-experimental approach, known as the regression discontinuity design (RDD), would be appropriate for assessing the causal effects of Ontario's Grade 8 HPV vaccination program. This was done by assessing the assumptions of the RDD. The findings suggested that although the assumptions were generally satisfied, certain modifications to the standard RDD analyses were required. This manuscript is presented as an introduction to the RDD for health researchers and provides a tutorial on how to assess the fundamental assumptions of the RDD for a given study question.The second objective of this thesis was to use the RDD to evaluate the impact of the HPV vaccine and of Ontario's Grade 8 HPV vaccination program on cervical dysplasia and anogenital warts. Statistically significant reductions in dysplasia attributable to both vaccination (risk ratio [RR] 0.56, 95% confidence interval [CI] 0.36 to 0.87) and program eligibility (RR=0.79; 95% CI 0.66 to 0.94) were observed. Although not statistically significant, results also suggested clinically meaningful reductions in anogenital warts at both the vaccine level (RR=0.57 to 95% CI 0.20 to 1.58) and the program level (RR=0.81, 95% CI 0.52 to 1.25). These findings provide strong evidence of the early health benefits of publicly funded HPV vaccination in Canada.The third objective of this thesis was to assess the potential indirect effect of HPV vaccination on clinical indicators of sexual behaviour (i.e., pregnancy and non-HPV-related sexually transmitted infections). The results of this study provided no indication of an increase in risk of the composite endpoint attributable to the vaccine (RR=0.96, 95% CI 0.81 to 1.14) or the vaccination program (RR=0.99, 95% CI 0.93 to 1.06). Findings were similar when each endpoint was assessed separately. The results of this study suggest concerns over increased risky sexual behaviour following HPV vaccination are unwarranted and should not be a barrier to vaccination. This thesis contributes to advancing public health policy in Canada by providing the first evidence of the health effects of Canada's publicly funded HPV vaccination program. These results can be used to assist HPV vaccine educational efforts across Canada and to guide future HPV vaccine program research. This thesis also contributes to advancing epidemiological methodology by applying the regression discontinuity design, which is relatively new to epidemiology, to these questions. Additional research is needed to monitor and strengthen Canada's HPV vaccination program, as well as to further develop the flexibility of the RDD for epidemiological questions." --
Download or read book Getting to the Point written by Meryia D. Throop and published by . This book was released on 2012 with total page 123 pages. Available in PDF, EPUB and Kindle. Book excerpt: Successful implimentation of a human papillomavirus (HPV) vaccine has the potential to eliminate 70% of all cervical cancers, 18% of head and necks cancers, and 90% of genital warts in the United States. However, although cancers associated with HPV, which include cervical cancer in women and tonsiliar in males, are overrepresented in the military population, few Military Healthcare System beneficiaries eligible for the vaccine (i.e., between the ages of 9 and 26 years of age) have started the HPV series. The purpose of this evidence-based practice (EBP) project was to initiate and evaluate a HPV vaccination program within a military family practice clinic. Guided by the Rosswurm and Larrabee Model (1999), a two prong approach with deliberate organizational and individual strategies was utilized to promote HPV vaccination. Organizational strategies include identifying and engaging key stakeholders and ensuring the vaccine was available in the the clinic. Individual strategies include synthesizing the literature, presenting a formal staff education program regarding HPV and current clinical practice guidelines for adminstration of the vaccine, and providing updates via posters and short presentations, as needed. The primary process indicator for successful implimentation of this project was measuring the change in patient vaccination over a three month period after the implimentation of the formal educationprogram. At the end of the three month period a small increase in the number of HPV immunizations was noted at the clinic (increasing from 59 the month before the interventio to 70 for three months following the intervention), and an increase from 25% to 38% in males receiving the vaccine. Although modest, this increase over the three month period was nearly equal to half of the total number of HPV vaccinations given in the previous year (210 in three months following the intervention, 409 in the previous year). In addition, this EBP effort generated several new research questions for the investigator, gave this clinic and overwhelming desire to develop future nurse-ld EBP programs, and motivated staff to continue to monitor and promote HPV vaccination among men and women.
Download or read book Relationship Between Parental Initiation of the HPV Vaccine and Method of Education written by Victoria Natalie Volz and published by . This book was released on 2018 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human Papillomavirus (HPV) is a common sexually transmitted infection that may lead to medical conditions, such as genital warts and cancers of the reproductive and oropharyngeal tracts in both men and women. The HPV vaccine offers protection against this infection, and has been available since 2006; it is recommended that adolescents receive the vaccine to provide protection before their sexual debut. Using the health belief model (HBM) and testing through hierarchical binary logistic regression, this quantitative nonexperimental correlational project was an investigation into the role that proactive provider education and recommendation has on the acceptance of the HPV vaccine among parents of adolescents when compared to provision of vaccine information statements (VIS). This project was conducted within four school-based health centers (SBHCs) in Las Vegas, NV. The participants were from families with a lower than average socioeconomic status. The sample consisted of 67 participants, 42 of whom received standard vaccine education and 25 of whom received targeted vaccine education. Findings indicated that when providers had direct conversations with participants about the vaccine, parents were 8.54 times more likely to accept vaccination for their child than when they were provided the VIS. This information about best practices may help protect children prior to exposure to HPV. In turn, this change may reduce the incidence of HPV-related infections and cancers, thus protecting the health of future generations.
Download or read book An Implementation and Evaluation Plan to Overcome Operational Barriers for School based Health Centers to Provide Adolescent Vaccines written by Therese Hidalgo and published by . This book was released on 2015 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human papillomavirus (HPV) is the most common sexually transmitted infection, with 14 million new cases in the U.S. annually. Adolescents bear 49% of this burden, placing them at increased risk for HPV-related cancers that could be prevented with the HPV vaccine. Unfortunately, national and New Mexico (NM) immunization rates for HPV are well below the Healthy People 2020 target of 80% (U.S. Department of Health & Human Services [USDHHS], 2011). School-based vaccine programs are strong predictors for higher vaccination rates, however less than 50% of the NM school-based health centers (SBHCs) have the ability to provide vaccines. Operational barriers interfere with some SBHC's ability to store vaccines in accordance of the Centers for Disease Control and Prevention (CDC) guidelines. This situation prevents SBHCs from being able to access vaccines through the universal vaccine purchase programs (UVP) and the federally-funded Vaccines for Children (VFC) program at no cost to the SBHC clinic or patients. The Precede-Proceed model was utilized to develop a health promotion implementation and evaluation program at the organizational policy level to improve vaccine access for SBHCs. A collaborative partnership between the SBHC and the local Public Health Office (PHO) through a Memorandom of Agreement (MOA) is reflective of the health policy necessary for a formalized shared vaccine program. This partnership reduces barriers related to vaccine storage and provides access for adolescents to receive HPV vaccines at the SBHC at the time of their health care visit. Keywords: adolescents, HPV vaccine, universal vaccine purchase, Precede-Proceed model, Vaccines for Children program, and school-based health centers.
Download or read book Development and Evaluation of a Theory informed Culturally Specific Educational Human Papillomavirus HPV Vaccine Comic Book for College Students in Northeast Ohio written by Obianuju Genevieve Aguolu and published by . This book was released on 2018 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: Development and Evaluation of a Theory-Informed, Culturally Specific, Graphic Narrative Messaging about HPV and HPV Vaccination for College Students in Northeast Ohio: An Application of the Integrative Model of Behavioral PredictionDissertation AbstractBy Obianuju Genevieve Aguolu MBBS, MPHDepartment of Biostatistics, Environmental Health Sciences, and EpidemiologyCollege of Public HealthKent State UniversityABSTRACTDevelopment and Evaluation of a Theory-Informed, Culturally Specific, Graphic Narrative Messaging about HPV and HPV Vaccination for College Students in Northeast Ohio: An Application of the Integrative Model of Behavioral PredictionBackgroundHuman papillomaviruses (HPV) cause cancers and genital warts in both sexes. In the United States (US), young adults, especially college students, are mostly affected. HPV vaccine was approved in the US since 2006. They are safe and effective, but coverage remains lower than other vaccines for young adults, implying missed vaccination chances, and a need to improve HPV vaccination promotion strategies. Comics are potentially effective for health education of diverse groups, because they are easily accessible, low-cost, engaging, and unobtrusive. They may help to improve knowledge and beliefs regarding HPV vaccine, increase its uptake, and decrease HPV sequelae.MethodsWe conducted a mixed methods study to examine predictors of intention to complete HPV vaccination among college students in northeast Ohio. We developed an educational HPV/HPV vaccine comic book for college students informed by evidence from current target population-based studies on HPV vaccination, pilot testing, and the Integrated Behavior Model (IBM). We hypothesized that the intervention would improve their HPV vaccine knowledge, beliefs, attitude, perceived norm, personal agency, and intention to complete HPV vaccination within 12 months. Using a quasi-experimental pretest/posttest survey design, we evaluated the effect of the intervention on a diverse population of 18 to 26-year-old male and female students recruited from a college in northeast Ohio in 2017 to review the comic book. ResultsA majority of participants, n=314, males (28%), females (72%) were satisfied with the comic and reported it is an acceptable way to get HPV vaccine information, easy to read, culturally relevant, with good quality information and graphics. Only 29% reported they have completed the recommended three doses of HPV vaccine. Multiple linear regression (n=157) showed age (ß ^=-0.11*); race (ß ^=0.81*); instrumental attitudes (ß ^=0.43*); injunctive norms (ß ^=0.20*); and descriptive norm (ß ^=0.55**) were significant predictors of intention to complete HPV vaccination in the next 12 months [R2=0.47, F (8) =16.12, p
Download or read book Investing in the Health and Well Being of Young Adults written by National Research Council and published by National Academies Press. This book was released on 2015-01-27 with total page 431 pages. Available in PDF, EPUB and Kindle. Book excerpt: Young adulthood - ages approximately 18 to 26 - is a critical period of development with long-lasting implications for a person's economic security, health and well-being. Young adults are key contributors to the nation's workforce and military services and, since many are parents, to the healthy development of the next generation. Although 'millennials' have received attention in the popular media in recent years, young adults are too rarely treated as a distinct population in policy, programs, and research. Instead, they are often grouped with adolescents or, more often, with all adults. Currently, the nation is experiencing economic restructuring, widening inequality, a rapidly rising ratio of older adults, and an increasingly diverse population. The possible transformative effects of these features make focus on young adults especially important. A systematic approach to understanding and responding to the unique circumstances and needs of today's young adults can help to pave the way to a more productive and equitable tomorrow for young adults in particular and our society at large. Investing in The Health and Well-Being of Young Adults describes what is meant by the term young adulthood, who young adults are, what they are doing, and what they need. This study recommends actions that nonprofit programs and federal, state, and local agencies can take to help young adults make a successful transition from adolescence to adulthood. According to this report, young adults should be considered as a separate group from adolescents and older adults. Investing in The Health and Well-Being of Young Adults makes the case that increased efforts to improve high school and college graduate rates and education and workforce development systems that are more closely tied to high-demand economic sectors will help this age group achieve greater opportunity and success. The report also discusses the health status of young adults and makes recommendations to develop evidence-based practices for young adults for medical and behavioral health, including preventions. What happens during the young adult years has profound implications for the rest of the life course, and the stability and progress of society at large depends on how any cohort of young adults fares as a whole. Investing in The Health and Well-Being of Young Adults will provide a roadmap to improving outcomes for this age group as they transition from adolescence to adulthood.
Download or read book Global Health and the Future Role of the United States written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-10-05 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: While much progress has been made on achieving the Millenium Development Goals over the last decade, the number and complexity of global health challenges has persisted. Growing forces for globalization have increased the interconnectedness of the world and our interdependency on other countries, economies, and cultures. Monumental growth in international travel and trade have brought improved access to goods and services for many, but also carry ongoing and ever-present threats of zoonotic spillover and infectious disease outbreaks that threaten all. Global Health and the Future Role of the United States identifies global health priorities in light of current and emerging world threats. This report assesses the current global health landscape and how challenges, actions, and players have evolved over the last decade across a wide range of issues, and provides recommendations on how to increase responsiveness, coordination, and efficiency â€" both within the U.S. government and across the global health field.
Download or read book Health Communication Message Design written by Hyunyi Cho and published by SAGE. This book was released on 2012 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This text illustrates the importance of effective communication in disease prevention and health promotion by building theory-based messages while being responsive to diverse audience needs. This book clearly explains core health communication principles and processes for designing effective messages for health communication interventions and campaigns while integrating perspectives from multiple areas including psychology, public health, and social marketing. Key features: &• theory-based message design links theory and practice by explaining how psychosocial theories of behaviour change can be used to design effective health communication messages &• audience-centered message design provides clarity on how diverse audiences' cultures, beliefs, barriers, and needs can be effectively addressed &• suggested further readings guide students through additional theory and research &• end-of-chapter discussion questions encourage critical thinking about the implication of each chapter on future theory, research, and practice relevant to health communication message design and evaluation "--Pubisher.
Download or read book Vaccine Delivery Strategies written by Guido Dietrich and published by Garland Science. This book was released on 2002-01 with total page 404 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by leading experts in the field, this book examines the current state of research of all the most important and modern vaccine delivery systems available to date. The immunological principles upon which these systems are based, their potential applications and current clinical status are detailed. Topics covered include: bacterial polysaccharide conjugate vaccines, virosomes and liposomes, bacterial ghosts, attenuated Salmonella and Shigella vaccines, vaccines against tumors, edible vaccines and much more. An essential text for all vaccinologists, microbiologists, health professionals, biotechnologists, and pharmaceutial companies.
Download or read book Current Topics in Public Health written by Alfonso J. Rodriguez-Morales and published by IntechOpen. This book was released on 2013-05-15 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: Public Health is regarded as the basis and cornerstone of health, generally and in medicine. Defined as the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals, this discipline has been renewed by the incorporation of multiple actors, professions, knowledge areas and it has also been impacted and promoted by multiple technologies, particularly - the information technology. As a changing field of knowledge, Public Health requires evidence-based information and regular updates. Current Topics in Public Health presents updated information on multiple topics related to actual areas of interest in this growing and exciting medical science, with the conception and philosophy that we are working to improve the health of the population, rather than treating diseases of individual patients, taking decisions about collective health care that are based on the best available, current, valid and relevant evidence, and finally within the context of available resources. With participation of authors from multiple countries, many from developed and developing ones, this book offers a wide geographical perspective. Finally, all these characteristics make this book an excellent update on many subjects of world public health.
Download or read book Guide to Introducing HPV Vaccine Into National Immunization Programmes written by World Health Organization and published by . This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This document is intended for use by national immunization programme managers and immunization partners to inform the policy discussions and operational aspects for the introduction of HPV vaccine into national immunization programmes and to provide upto-date references on the global policy, as well as the technical and strategic issues related to the introduction of HPV vaccine."--Publisher's description.
Download or read book Theory at a Glance written by Karen Glanz and published by . This book was released on 1997 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Health Care Data Guide written by Lloyd P. Provost and published by John Wiley & Sons. This book was released on 2011-12-06 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Health Care Data Guide is designed to help students and professionals build a skill set specific to using data for improvement of health care processes and systems. Even experienced data users will find valuable resources among the tools and cases that enrich The Health Care Data Guide. Practical and step-by-step, this book spotlights statistical process control (SPC) and develops a philosophy, a strategy, and a set of methods for ongoing improvement to yield better outcomes. Provost and Murray reveal how to put SPC into practice for a wide range of applications including evaluating current process performance, searching for ideas for and determining evidence of improvement, and tracking and documenting sustainability of improvement. A comprehensive overview of graphical methods in SPC includes Shewhart charts, run charts, frequency plots, Pareto analysis, and scatter diagrams. Other topics include stratification and rational sub-grouping of data and methods to help predict performance of processes. Illustrative examples and case studies encourage users to evaluate their knowledge and skills interactively and provide opportunity to develop additional skills and confidence in displaying and interpreting data. Companion Web site: www.josseybass.com/go/provost
Download or read book Sexually Transmitted Infections written by National Academies of Sciences, Engineering, and Medicine and published by . This book was released on 2021-12-24 with total page 750 pages. Available in PDF, EPUB and Kindle. Book excerpt: One in five people in the United States had a sexually transmitted infection (STI) on any given day in 2018, totaling nearly 68 million estimated infections. STIs are often asymptomatic (especially in women) and are therefore often undiagnosed and unreported. Untreated STIs can have severe health consequences, including chronic pelvic pain, infertility, miscarriage or newborn death, and increased risk of HIV infection, genital and oral cancers, neurological and rheumatological effects. In light of this, the Centers for Disease Control and Prevention, through the National Association of County and City Health Officials, commissioned the National Academies of Sciences, Engineering, and Medicine to convene a committee to examine the prevention and control of sexually transmitted infections in the United States and provide recommendations for action. In 1997, the Institute of Medicine released a report, The Hidden Epidemic: Confronting Sexually Transmitted Diseases. Although significant scientific advances have been made since that time, many of the problems and barriers described in that report persist today; STIs remain an underfunded and comparatively neglected field of public health practice and research. The committee reviewed the current state of STIs in the United States, and the resulting report, Sexually Transmitted Infections: Advancing a Sexual Health Paradigm, provides advice on future public health programs, policy, and research.
Download or read book Promoting Access to Medical Technologies and Innovation Intersections between Public Health Intellectual Property and Trade written by World Intellectual Property Organization and published by WIPO. This book was released on 2013 with total page 259 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study has emerged from an ongoing program of trilateral cooperation between WHO, WTO and WIPO. It responds to an increasing demand, particularly in developing countries, for strengthened capacity for informed policy-making in areas of intersection between health, trade and IP, focusing on access to and innovation of medicines and other medical technologies.
