Download or read book Understanding Human Papillomavirus Vaccination and Vaccine Hesitancy Among Canadian Parents written by Gilla Shapiro and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "The human papillomavirus (HPV) is the cause of several oral and genital cancers with potentially high morbidity and mortality. Vaccines that target the oncogenic strains of HPV have been developed and licensed in Canada for girls (since 2007) and boys (since 2010). These vaccines have been proven to be safe and efficacious and have been identified as a new frontier in cancer prevention. Achieving vaccine coverage targets is important for protecting individuals as well as the health of the general population. To support HPV-related cancer prevention, all Canadian provinces and territories have now implemented universal vaccination programs. However, problematically, school-based vaccination programs in Canada are not reaching coverage targets and vaccination uptake rates vary considerably along structural lines such as by region, child's gender, ethnicity, and other socio-demographic variables. Some have attributed suboptimal HPV vaccine coverage to anti-vaccine sentiments and HPV vaccine hesitancy. Understanding parental attitudes towards immunization and why children do not receive the HPV vaccine is paramount for understanding and improving the impact of Canada's HPV vaccination programs. This dissertation is comprised of four novel studies. Manuscript 1 and Manuscript 2 report on the psychometric characteristics of two new scales--the Vaccine Conspiracy Belief Scale and the Vaccine Hesitancy Scale--to identify and consistently measure these important attitudes. Manuscript 3, a project protocol paper, detailed the objectives and methodology of the first Canadian survey of a large national sample to examine HPV vaccine knowledge, attitudes, and behavioural change among parents of boys and girls. The final study, Manuscript 4, addressed one of the central objectives of this research; namely, to examine the modifying factors and individual health beliefs associated with Canadian parents' stage of decision-making using a theoretical stage model (the Precaution Adoption Process Model). Overall, this body of work contributes to the measurement of vaccine attitudes and the understanding of the psychosocial factors affecting HPV vaccination decisions and vaccine hesitancy in Canadian parents of boys and girls. " --
Download or read book Parents Human Papillomavirus Vaccine Decision making written by Samara Perez and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "The human papillomavirus (HPV) infects approximately 550,000 Canadians annually. Cancers of the cervix, mouth, genitals, anus, head and neck are caused by various strains of the HPV. The HPV also causes genital warts. The disease and economic burden of HPV infections is high. Three HPV vaccines are available: Cervarix®, Gardasil®, and Gardasil ® 9. Consistent with global practices in developed countries, these vaccines are currently publicly funded for girls and provided in school-based programs in all provinces and territories in Canada. As of September 2016, six provinces provide publicly funded school-based programs for boys. Despite well-documented vaccine efficacy and effectiveness with minimal adverse effects, uptake of the HPV vaccines remains suboptimal in most countries, including Canada. Although HPV immunization rates have increased over the last decade, they remain significantly below the rates of other vaccine-preventable diseases. One of the main challenges for boys' uptake has been to help parents understand that the HPV vaccine is now available, recommended and effective for boys in reducing health risks for themselves and transmission to their partners. With low HPV uptake rates in Canada, success of increased vaccination rates is contingent on parents' awareness, understanding and ultimately their decision-making process. Of the HPV vaccination research that has targeted parents of boys, most studies examined demographic and descriptive factors associated with vaccination intentions. While this research is informative, it treats decision-making as binary, when there are likely multiple stages of vaccination decision-making. Conceptualizing vaccine decision-making as distinct stages would allow us to examine those individuals who are vaccine hesitant, as well as parents who are not yet aware or engaged in HPV vaccine decision-making. Moreover, much of the existing research on the correlates and factors associated with vaccination intentions are unreliable, which is likely due to differences in the conceptualization of the factors and inconsistent and unstable measures. This in turn provides limited insight about leverage points of how to move individuals along the HPV vaccine decision-making trajectory and ultimately increase HPV vaccine uptake.This dissertation addresses some of these research gaps by using theory-based research, as well as the development of two psychometrically validated scales, an extended HPV and HPV vaccine knowledge scale and the HPV Attitudes and Beliefs Scale (HABS) to identify the factors that are associated with HPV vaccination decision-making among a nationally representative sample of Canadian parents of 9-16-year-old boys using a longitudinal design. The unique contributions of the four manuscripts in this thesis are that by conceptualizing HPV vaccine decision-making as a series of distinct stages, by using theory, psychometrically-tested and validated measures, as well as multinomial logistic regression models, we can have a greater understanding about what influences parents' HPV vaccine decision-making for their sons. This more nuanced understanding will help to better target our efforts to increase HPV vaccine uptake for boys. Future research directions and recommendations for better informed and targeted interventions are made." --
Download or read book Immunization Safety Review written by Institute of Medicine and published by National Academies Press. This book was released on 2003-11-26 with total page 118 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Immunization Safety Review Committee was established by the Institute of Medicine (IOM) to evaluate the evidence on possible causal associations between immunizations and certain adverse outcomes, and to then present conclusions and recommendations. The committee's mandate also includes assessing the broader societal significance of these immunization safety issues. While all the committee members share the view that immunization is generally beneficial, none of them has a vested interest in the specific immunization safety issues that come before the group. The committee reviews three immunization safety review topics each year, addressing each one at a time. In this fifth report in a series, the committee examines the hypothesis that exposure to polio vaccine contaminated with simian virus 40 (SV40), a virus that causes inapparent infection in some monkeys, can cause certain types of cancer.
Download or read book Vaccine Anxieties written by Melissa Leach and published by Routledge. This book was released on 2012-04-27 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores how parents understand and engage with childhood vaccination in contrasting global contexts. This rapidly advancing and universal technology has sparked dramatic controversy, whether over MMR in the UK or oral polio vaccines in Nigeria. Combining a fresh anthropological perspective with detailed field research, the book examines anxieties emerging as highly globalized vaccine technologies and technocracies encounter the deeply intimate personal and social worlds of parenting and childcare, and how these are part of transforming science-society relations. It retheorizes anxieties about technologies, integrating bodily, social and wider political dimensions, and challenges common views of ignorance, risk, trust and rumour - and related dichotomies between Northernrisk society and Southerndeveloping society - that dominate current scientific and policy debates. In so doing, the book reflects critically on the stereotypes that at times pass forexplanations of public engagement with both routine vaccination and vaccine research. It suggests routes to improved dialogue between health professionals and the people they serve, and new ways to address science-society relations in a globalized world.
Download or read book Knowledge Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao written by Choi-Wan Chan and published by Open Dissertation Press. This book was released on 2017-01-26 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Knowledge, Attitudes and Acceptability of Human Papillomavirus Vaccine Among Female Students and Parents in Macao" by Choi-wan, Chan, 陳彩環, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Human papillomavirus (HPV), a family of viruses with more than 40 genotypes is known to infect genital tract of males and females. High-risk HPV including genotypes 16, 18 can cause cervical cancer while low-risk HPV including genotypes 6, 11 can cause benign or low grade cervical lesions and genital warts. Considering HPV infection is the most common sexually transmitted infection worldwide, as well as in Macao, with prevalence up to 8.1%, and given that cervical cancer is the top ten most frequent female cancer which causes high burden in our health care system, it is important to have a comprehensive intervention for control HPV and cervical cancer. Since the HPV vaccine for preventing cervical cancer has been available in Macao, it is worth to know the willingness to be vaccinated among target population. Base on findings from previous studies, the parental attitudes and acceptance is the key factor of vaccination for young girls. Other potential factors, such as the HPV knowledge, vaccine safety and efficacy, cost, the age of daughter and the physician's attitudes, may also affect parental acceptance. Given that no previous study on this topic has been conducted, this study is aimed to understand the knowledge, attitudes and acceptability of HPV vaccination, and to explore and identify the affecting factors for acceptance among school girls and their parents. A school-based simple cluster random sampling method was used. Data was collected by anonymous self-administrated questionnaires among 574 school girls aged at 12-22 and 702 parents aged at 30-65. About 47% of the school girls had heard of HPV and 88.3% had heard of HPV vaccine, while 57.1% of parents had heard of HPV and 83.2% had heard of HPV vaccine. Although the HPV-related knowledge was poor among young girls and their parents, 92% of girls indicated a positive intention to be vaccinated for herself and 88% parents would willing to consent daughter to be vaccinated if the HPV vaccine became in routine immunization. However, the parental vaccination acceptability for daughters decreased to 40% and only 30% of mothers would willing to accept for themselves, if they had to pay a full course for three doses of HPV vaccine. About 97% of school girls and 95% of parents supported that HPV vaccine should be included in government immunization programme. We also found that young girls and parents are more favor in later HPV vaccination rather than vaccination at recommended age. Cost is the dominant affecting factor in determining parental acceptability of HPV vaccination. In addition, daughter's age, vaccine safety concern, Pap smear attendance and HPV knowledge are significantly associated with HPV vaccine acceptance. It may be worthwhile to further investigate the reasons for the delay vaccination among the young adolescent girls and among their parents, to examine if any underlying factors were unexpressed. DOI: 10.5353/th_b5022251 Subjects: Papillomavirus vaccines - China - Macau(Special Administrative Region)
Download or read book The Social Ecology of Infectious Diseases written by Kenneth H. Mayer and published by Elsevier. This book was released on 2011-04-28 with total page 523 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social Ecology of Infectious Diseases explores how human activities enable microbes to disseminate and evolve, thereby creating favorable conditions for the diverse manifestations of communicable diseases. Today, infectious and parasitic diseases cause about one-third of deaths and are the second leading cause of morbidity and mortality. The speed that changes in human behavior can produce epidemics is well illustrated by AIDS, but this is only one of numerous microbial threats whose severity and spread are determined by human behaviors. In this book, forty experts in the fields of infectious diseases, the life sciences and public health explore how demography, geography, migration, travel, environmental change, natural disaster, sexual behavior, drug use, food production and distribution, medical technology, training and preparedness, as well as governance, human conflict and social dislocation influence current and likely future epidemics. - Provides essential understanding of current and future epidemics - Presents a crossover perspective for disciplines in the medical and social sciences and public policy, including public health, infectious diseases, population science, epidemiology, microbiology, food safety, defense preparedness and humanitarian relief - Creates a new perspective on ecology based on the interaction of microbes and human activities
Download or read book Attitudes about Human Papillomavirus HPV Vaccine Among Parents of Rural Adolescents written by Natasha Louise Underwood and published by . This book was released on 2017 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: The importance of increasing human papillomavirus (HPV) vaccination coverage among adolescents is a public health imperative to prevent unnecessary morbidity and mortality associated with cervical, oropharyngeal and other HPV related cancers and conditions. Despite the availability of two vaccines that protect against 90% of genital warts and 70% of cervical cancers, national HPV vaccination rates remain below the Healthy People 2020 targets of 80% coverage for females and males. The purpose of this study is to investigate human papillomavirus vaccination behavior among rural adolescents in Georgia. Specifically, in an effort to increase HPV vaccination coverage among hard to reach populations, this study aims to understand barriers as well as facilitators to HPV initiation among adolescent males and females living in rural communities. This study used a cross-sectional survey implemented with parents of adolescents age 10-18 years old in rural communities to measure: 1) parental attitudes, 2) healthcare utilization, 3) subjective norms and 4) cues to action. A step-wise forward logistic regression analyses was conducted to better understand the correlates of HPV vaccination. A majority of the sample was African American (69%, n=131) and female (52%, n=100). The mean age was 14 years old (SD=2.1). Most adolescents were covered by Medicaid insurance (64%, n=123) and less than 2% were uninsured (1.6%, n=3). The final model contained three significant correlates: provider recommendation, social norm score and information exposure score (R2=0.41, Ï72 (3)=87.3, p
Download or read book Your Child s Best Shot written by Dorothy L. Moore and published by . This book was released on 2014-12 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Critical Public Health Value of Vaccines written by National Academies of Sciences, Engineering, and Medicine and published by . This book was released on 2022-01-29 with total page 230 pages. Available in PDF, EPUB and Kindle. Book excerpt: Immunization against disease is among the most successful global health efforts of the modern era, and substantial gains in vaccination coverage rates have been achieved worldwide. However, that progress has stagnated in recent years, leaving an estimated 20 million children worldwide either undervaccinated or completely unvaccinated. The determinants of vaccination uptake are complex, mutable, and context specific. A primary driver is vaccine hesitancy - defined as a "delay in acceptance or refusal of vaccines despite availability of vaccination services". The majority of vaccine-hesitant people fall somewhere on a spectrum from vaccine acceptance to vaccine denial. Vaccine uptake is also hampered by socioeconomic or structural barriers to access. On August 17-20, 2020, the Forum on Microbial Threats at the National Academies of Sciences, Engineering, and Medicine held a 4-day virtual workshop titled The Critical Public Health Value of Vaccines: Tackling Issues of Access and Hesitancy. The workshop focused on two main areas (vaccine access and vaccine confidence) and gave particular consideration to health systems, research opportunities, communication strategies, and policies that could be considered to address access, perception, attitudes, and behaviors toward vaccination. This publication summarizes the presentations and discussion of the workshop.
Download or read book Effective Health Risk Messages written by Kim Witte and published by SAGE. This book was released on 2001-04-12 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective Health Risk Messages provides step-by-step instructions for developing theoretically-based campaigns that work. Worksheets are provided at the end of each chapter to provide practical experience.
Download or read book Understanding Vaccine Hesitancy and Under immunization with Childhood and Human Papilloma Virus Vaccines in Switzerland written by Michael Deml and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Motivational Interviewing in Health Care written by Stephen Rollnick and published by Guilford Press. This book was released on 2012-03-07 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Much of health care today involves helping patients manage conditions whose outcomes can be greatly influenced by lifestyle or behavior change. Written specifically for health care professionals, this concise book presents powerful tools to enhance communication with patients and guide them in making choices to improve their health, from weight loss, exercise, and smoking cessation, to medication adherence and safer sex practices. Engaging dialogues and vignettes bring to life the core skills of motivational interviewing (MI) and show how to incorporate this brief evidence-based approach into any health care setting. Appendices include MI training resources and publications on specific medical conditions. This book is in the Applications of Motivational Interviewing series, edited by Stephen Rollnick, William R. Miller, and Theresa B. Moyers.
Download or read book Deadly Choices written by Paul A. Offit and published by Basic Books (AZ). This book was released on 2015-03-10 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: A renowned researcher vigorously challenges the anti-vaccine movement in this powerful defense of science in the face of fear.
Download or read book The Panic Virus written by Seth Mnookin and published by Simon and Schuster. This book was released on 2012-01-03 with total page 466 pages. Available in PDF, EPUB and Kindle. Book excerpt: A searing account of how vaccine opponents have used the media to spread their message of panic, despite no scientific evidence to support them.
Download or read book Pharmacoepidemiology written by Brian L. Strom and published by John Wiley & Sons. This book was released on 2019-12-16 with total page 1220 pages. Available in PDF, EPUB and Kindle. Book excerpt: This classic, field-defining textbook, now in its sixth edition, provides the most comprehensive guidance available for anyone needing up-to-date information in pharmacoepidemiology. This edition has been fully revised and updated throughout and continues to provide a rounded view on all perspectives from academia, industry and regulatory bodies, addressing data sources, applications and methodologies with great clarity.
Download or read book The Childhood Immunization Schedule and Safety written by Institute of Medicine and published by National Academies Press. This book was released on 2013-04-27 with total page 237 pages. Available in PDF, EPUB and Kindle. Book excerpt: Vaccines are among the most safe and effective public health interventions to prevent serious disease and death. Because of the success of vaccines, most Americans today have no firsthand experience with such devastating illnesses as polio or diphtheria. Health care providers who vaccinate young children follow a schedule prepared by the U.S. Advisory Committee on Immunization Practices. Under the current schedule, children younger than six may receive as many as 24 immunizations by their second birthday. New vaccines undergo rigorous testing prior to receiving FDA approval; however, like all medicines and medical interventions, vaccines carry some risk. Driven largely by concerns about potential side effects, there has been a shift in some parents' attitudes toward the child immunization schedule. The Childhood Immunization Schedule and Safety identifies research approaches, methodologies, and study designs that could address questions about the safety of the current schedule. This report is the most comprehensive examination of the immunization schedule to date. The IOM authoring committee uncovered no evidence of major safety concerns associated with adherence to the childhood immunization schedule. Should signals arise that there may be need for investigation, however, the report offers a framework for conducting safety research using existing or new data collection systems.
Download or read book Standards for Pediatric Immunization Practice written by and published by . This book was released on 1993 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt:
