Download or read book Barriers To HPV Vaccination Among Male Adolescents written by Kelli Gora and published by . This book was released on 2014 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: To identify barriers to implementing practice recommendations regarding HPV (human papillomavirus) vaccination for male adolescent patients among Family Nurse Practitioners (FNPs). Rationale/Background: HPV infection is a source of numerous cancers. More than one-quarter of the HPV-associated cancers in the United States occur in males. The quadrivalent vaccine is approved in young males and is effective in the prevention of genital warts and reducing HPV related cancers yet vaccination rates are low and expected to remain low. Barriers to vaccination exist even after the 2011 recommendation for routine use. Method: Quantitative, surveys. A 22-item instrument was administered to FNPs working in primary care settings. Participants were surveyed regarding financial, logistic, provider, and parental barriers to vaccination among adolescent males. Results: Descriptive analysis at both the item and scale level demonstrated that FNPs report financial barriers as the most significant barrier. The barriers of least concern were provider attitudes. Barriers regarding FNPs' perception of parental attitudes were seen as moderately concerning. Independent samples t-tests showed that FNPs who did not administer the HPV vaccine to male adolescent patients reported having significantly more financing barriers as compared to FNPs who did. Conclusion: Results suggested that financial issues may constrain FNPs' implementation of practice recommendations for the HPV vaccine and that FNPs who did not administer the HPV vaccination to adolescent male patients may be unable to do so due to financial reasons. Perceptions of parental attitudes are also seen as playing a role in preventing male adolescent patients from receiving the HPV vaccine. Efforts to reduce barriers to implementing recommended HPV vaccine practices should focus on lessening the expense of the vaccine for both providers and parents and increasing parental knowledge and understanding of the HPV vaccine for their sons. Definitions: HPV4 is used to reference the quadrivalent and Gardasil® vaccinations; permissive refers to the 2009 Advisory Committee on Immunization Practices (ACIP) support of allowing adolescent males aged 9-26 to decide, in collaboration with their health care providers, to vaccinate; recommended is the ACIP's modification from permissive to routine recommendation.
Download or read book Understanding Provider Barriers to Recommending and Administering the HPV Vaccine to Adolescents in Colorado written by Roman A. Ayele and published by . This book was released on 2018 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: HPV vaccination among adolescents lags behind those of other adolescent vaccines, including the tetanus-diphtheria-acellular pertussis (Tdap) and the meningococcal conjugate vaccine (MCV4). This research sought to understand barriers to HPV vaccine uptake among adolescents in Colorado, with focus on providers serving low-income populations who are at high risk for HPV related cancer and other diseases. Colorado's Vaccine for Children (VFC) and primary care service area data were used to identify high and low HPV vaccine ordering practices compared to Tdap vaccine and compared to neighboring practices. Using adapted grounded theory, semi-structured interviews were conducted with 26 providers from these practices. Hypotheses from qualitative findings were tested using All Payer Claims Database data. Logit regression was used to model likelihood of HPV vaccine initiation and completion among children ages 11-18. Oaxaca-Blinder (OB) regression decomposition was used to identify explained and unexplained factors between ethnicity and public- versus privately-insured groups. Qualitative research results described parental, provider, and policy level barriers and facilitators to HPV vaccine delivery. Barriers included parental vaccine hesitancy and lack of consistent recommendation by providers. Steps taken to improve HPV vaccine acceptability included creative communications with parents and adolescents about HPV and extended office hours to administer vaccines. Quantitative analysis showed that males, adolescents with male providers, and patients who saw non-primary care providers were significantly less likely to initiate and complete the HPV vaccine series. Hispanics were 12.15 percentage point more likely to initiate and 2.99 percentage points more likely to complete the HPV vaccine series compared to non-Hispanics. Additionally, publicly insured adolescents were 3.99 more likely to initiate HPV vaccine compared to non-publicly insured, however, non-publicly insured were 5.4 percentage points more likely to complete the three dose HPV vaccine series compared to publicly insured adolescents. OB decomposition showed explained and unexplained factors that drove the observed disparity in HPV vaccine rate. Even though higher vaccination rates among low income groups than non-low income groups are observed, significant challenges to HPV vaccine initiation and completion remain. However, understanding the specific factors that influence and explain HPV vaccine uptake is crucial for implementing interventions to improve HPV vaccination.
Download or read book Benefits Barriers and Cues to Male HPV Vaccination Among University Students written by Julie B. Anderson and published by . This book was released on 2013 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human Papillomavirus (HPV) is the most common sexually transmitted disease (STD) in the United States. HPV can lead to cancers of the cervix, vulva, vagina, penis, anus and throat, as well as genital warts. College students are at great risk of acquiring HPV, as they disproportionally acquire the most sexually transmitted diseases out of the sexually active populations. Recently, the quadrivalent human papillomavirus vaccine, Gardasil, created by Merck, is the first vaccine developed to prevent cervical cancer, precancerous genital lesions and genital warts related to HPV types 6, 11, 16, and 18. The vaccine is given in a three dose series and is instructed to be administered to adolescents ages 11 to 12 years old. The vaccine was initially recommended exclusively for females but this recommendation has been expanded to be administered among males. A large proportion of adolescents have not been given or completed the three dose series, therefore catch up vaccinations are needed, particularly among adolescent males. The purpose of this study is to assess college students' knowledge and attitudes of HPV, the HPV4 vaccine, and vaccination of college-aged males by utilizing the Health Belief Model. Analyses were conducted to examine whether the perceived benefits, barriers, and cues to action for the HPV4 vaccination differs based on: grade level, ever having had sexual intercourse, number of sexual partners, previously been tested for an STD, previously been diagnosed with an STD, or knowing someone who has been HPV4 vaccinated. A convenience sample of 204 male participants were surveyed during the 2011 autumn quarter. The sample included students from a variety of general education courses. Valid and reliable subscales were developed for the 72-item. Descriptive statistics, independent samples t-tests, and Pearson correlations were used to analyze the data. Results indicated that overall, participants' knowledge of HPV and the HPV vaccine was low. The results also found that the number of perceived barriers and the number of perceived cues significantly correlated with males' likelihood of receiving the HPV vaccine. Recommendations have been made for future studies.
Download or read book Determinants of HPV Vaccination Uptake Among Adolescent Males in Federally Qualified Healthcare Centers in the Seattle Area written by Farah Sahoo and published by . This book was released on 2017 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: To determine facilitators and barriers in Human Papilloma Virus (HPV) vaccination uptake among adolescent males in Federally Qualified Healthcare Centers (FQHCs) in the Seattle area. Study Design: A qualitative study utilizing the Health Belief model conducted through individual interviews of parents, and providers, of 11-17 year old males in FQHCs in the Seattle area. Methods: The study involved semi-structured individual interviews with 6 parents/guardians and 3 healthcare providers of 11-17 year old adolescent boys in a FQHC setting. The questions were aimed at determining the facilitators and barriers in the uptake of HPV vaccination in this particular population from the perspective of both the parents/guardians and the providers. The interviews were recorded and transcribed verbatim for coding. The coded data was analyzed to determine common themes among parents and providers separately. Results: Several emergent themes related to HPV vaccine uptake were identified from the analyzed data from parent and provider interviews. The resulting themes included both barriers and facilitators to HPV vaccine uptake among 11-17 years old boys in FQHCs in the Seattle area. The themes involved parents, providers, healthcare system and health policy. Recommendation In the absence of a mandate for HPV vaccine as a requirement for school entry, lack of parental awareness and blind faith in providers by parents in FQHCs in the Seattle area, we suggest a strong providers’ recommendation as a mean for improving HPV vaccination uptake in this particular population. We recommend a multifaceted intervention that involves providers/staff training to effectively deliver strong recommendation for HPV vaccination to parents and a reminder system to help providers/staff deliver that recommendation urgently and consistently to 11-12 years old boys.
Download or read book Provider Recommendations for Human Papillomavirus Vaccine HPV Among Adolescent Males in Southwest Georgia Counties and the Associated Hpv Prevalence in This Population written by Benjamin K. Poku and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Author's abstract: Objective: The purpose of this research study was to examine the variation in healthcare providers’ behavior in recommending the Human Papillomavirus (HPV) vaccine to young male adolescents (aged 11-12), middle male adolescents (aged 13-17) and late male adolescents (aged 18-26) in rural Southwest Georgia counties. This research also aimed to identify factors associated with providers’ behaviors concerning HPV vaccination recommendation to youth in various age groups. Methods: Upon IRB approval, secondary data were obtained from Albany Area Primary Care for a paper-based survey that was conducted in 2014 using a representative random sample of family physicians (n=12), pediatricians (n=6), and nurse practitioners (n=33). The survey had a response rate of 76% and the researcher employed descriptive statistics, paired t tests and analysis of variance (ANOVA) to describe the pediatricians’ (Peds), nurse practitioners’ (NPs/Nurses), and family physicians’ (FPs) recommendations to HPV vaccinations and the association of HPV prevalence in Rural Southwest GA. Results: Statistical testing and analysis show barriers such as healthcare providers’ and parents’ discomfort with the vaccination of pre-teens when it concerns a sexually transmitted disease, lack of awareness to the role that males play in the spread of HPV, absence of government mandates, and non-completion of the three-dose series of vaccination due to financial or logistical reasons. Provider specialty, age, ethnicity, and reported barriers were significantly associated with recommendations and association to HPV prevalence. Conclusions: Findings suggest missed HPV vaccination opportunities for adolescent males. Perceived barriers and support to HPV vaccination to providers may drive decisions about HPV vaccine uptake and completion of vaccination series. Findings also suggest the need for policy level interventions to increase HPV vaccination among US adolescent males.
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 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 Red Book 2015 written by David W. Kimberlin and published by . This book was released on 2015-05 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The AAP's authoritative guide to the manifestations, etiology, epidemiology, diagnosis, and treatment of more than 200 childhood conditions." -- Provided by publisher.
Download or read book Disease Control Priorities Third Edition Volume 8 written by Donald A. P. Bundy and published by World Bank Publications. This book was released on 2017-11-20 with total page 977 pages. Available in PDF, EPUB and Kindle. Book excerpt: More children born today will survive to adulthood than at any time in history. It is now time to emphasize health and development in middle childhood and adolescence--developmental phases that are critical to health in adulthood and the next generation. Child and Adolescent Health and Development explores the benefits that accrue from sustained and targeted interventions across the first two decades of life. The volume outlines the investment case for effective, costed, and scalable interventions for low-resource settings, emphasizing the cross-sectoral role of education. This evidence base can guide policy makers in prioritizing actions to promote survival, health, cognition, and physical growth throughout childhood and adolescence.
Download or read book Qualitative Research Methods written by Monique Hennink and published by SAGE. This book was released on 2010-11-30 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lecturers, click here to request an e-inspection copy of this text Qualitative Research Methods is based on the authors′ highly successful multidisciplinary qualitative methods workshops, which have been conducted for over a decade. In this book the authors propose a ′qualitative research cycle′ that leads students through the selection of appropriate methods, the collection of data and the transformation of findings into a finished project. It provides a clear explanation of the nature of qualitative research and its key concepts. Topics covered include: o formulating qualitative research questions o ethical issues o in-depth interviews o focus group discussions o observation o coding o data analysis o writing up qualitative research This text is ideal for any students taking a qualitative methods course or producing a qualitative research project at undergraduate or graduate level. It is illustrated throughout with case studies and field examples from a range of international contexts. The practical techniques are also accompanied by the author′s own research tools including interview guides, real coded data and comprehensive research checklists.
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 Attitudes Toward the HPV Vaccine Among University Students Identifying Barriers to Vaccine Uptake written by Kristina L. Harbaugh and published by . This book was released on 2020 with total page 99 pages. Available in PDF, EPUB and Kindle. Book excerpt: Author's abstract: Background: In the United States, the Centers for Disease Control and Prevention (CDC) estimates that 32,000 cancers occur annually that can be directly attributable to the acquisition of the Human Papilloma Virus (HPV). Gender specificity data posits that 21,000 of the annual cancer cases are female and the remaining 11,000 cases occur among males. However, because the implementation and trajectory of HPV vaccination and prevention programs have been historically aimed toward women, vaccination rates for men remain significantly lower. The purpose of this study was to assess gender differences in knowledge attitude, subjective norms and perceived behavioral control about HPV and the intention to be vaccinated among a sample of university students. The Theory of Planned Behavior was employed as the theoretical framework for the study. Methods: a stratified proportional random sample of students attending one university with multiple campuses was utilized to collect data. Each campus site constituted a stratum, with two or more classes of an undergraduate level randomly selected from each campus. Results: A total of 383 usable surveys were obtained, which is consistent with obtaining a final sample size of 380 based on the power analysis of p≤0.05. A response rate of 84% was obtained which included face to face and on-line administrations. Overall results indicate a significant difference in male and female vaccination rates with females 1.945 times (1.450, 2.607) more likely to have been vaccinated against HPV than males (received all three doses); Males were less knowledgeable than females on specific facts about HPV and the vaccination; were less likely to be influenced by family or peers to receive the vaccination and less likely to perceive their ability (perceived behavioral control) to obtain the HPV vaccine as high. Best practices for health education emphasize skill acquisition however, the results of this study suggest university health education programs need to include a strong knowledge component along with self-efficacy skills and positive awareness messages on the benefits of receiving the HPV vaccine.
Download or read book Examining the Facilitators and Barriers of Human Papillomavirus Vaccine Uptake in College Males written by Desiree Rondeau and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This was a study of college males aged 18 to 26 to determine the facilitators and barriers of human papillomavirus (HPV) vaccine uptake, the association between knowledge about the HPV vaccinate and intent to be vaccinated, and the association between various demographic characteristics and knowledge of HPV and the intent to receive the vaccine. Undergraduate males from a public university in the Northeastern United States were recruited via convenience and snowball sampling during the spring 2020 semester. A 28-item survey assessing male students' knowledge and vaccine intentions was used, and an interview to determine the facilitators and barriers of vaccine uptake. Quantitative data analysis took place on SPSS. Qualitative data were transcribed and coded for themes. Findings showed that a healthcare provider can influence vaccine intent. Friends, family, and knowledge, also played a role. Demographic characteristics were not associated with knowledge or intent to receive the vaccine. These findings can be used to guide policy and educational interventions that target both males and healthcare providers to encourage vaccine uptake in college-aged males.
Download or read book Analyzing the Effect of Financial Barriers as a Social Determinant to Human Papilomavirus Vaccine Uptake in Adolescents written by Ana Beatriz Corra and published by . This book was released on 2022 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recent studies have revealed that HPV vaccine uptake in the U.S. is lower than desired. This low coverage can predispose adolescents to high incidence of genital warts, and various cancers, including cervical, anal, vaginal, vulvar, penile, and oropharyngeal. The purpose of this study was to investigate the economic determinants of HPV vaccination in the United States and describe their association with HPV vaccine uptake in adolescents. This study utilized the 2019 NIS-Teen data and statistical analysis was conducted using SAS® version 9.4. The final analytic dataset consisted of 9,069 boys and 8,372 girls with provider-verified vaccination data. The dependent variable in this study was uptake of the HPV vaccine series, defined as a dichotomous (yes/no) response to whether the adolescent received at least one dose of the vaccine. The six independent variables were: income-to-poverty ratio, family income, poverty status, housing stability, access to health care, and insurance status. Weighted logistic regressions were conducted to assess the associations between the dependent and independent variables.The findings showed that there is a statistically significant association between socioeconomic variables and vaccine uptake in adolescents, aged 13-17 years in the U.S. Bivariate analysis revealed a significant finding related the income-to-poverty ratio, access to health care, and insurance status covariates. Logistic regression analysis revealed that the uptake of the HPV vaccine in adolescents was predicted by gender, age, income-to-poverty ratio, poverty status, access to health care, and insurance status. Males in the above $75,000 income category had significantly decreased odds of being vaccinated. Insurance status was shown to be the strongest predictor for HPV vaccine uptake in adolescents, and this association remained even when controlling for all other markers of socioeconomic status. In summary, it is imperative that vaccination as a means for preventing HPV infections and consequent cervical cancers remain a top public health priority. The results of this study could be applied in the enhancement of school-based educational health programs or health insurance policies for teens with aims of improving HPV vaccine uptake and reducing the costly burden of cervical cancer throughout the U.S.
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 Meta Ethnography written by George W. Noblit and published by SAGE. This book was released on 1988-02 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can ethnographic studies be generalized, in contrast to concentrating on the individual case? Noblit and Hare propose a new method for synthesizing from qualitative studies: meta-ethnography. After citing the criteria to be used in comparing qualitative research projects, the authors define the ways these can then be aggregated to create more cogent syntheses of research. Using examples from numerous studies ranging from ethnographic work in educational settings to the Mead-Freeman controversy over Samoan youth, Meta-Ethnography offers useful procedural advice from both comparative and cumulative analyses of qualitative data. This provocative volume will be read with interest by researchers and students in qualitative research methods, ethnography, education, sociology, and anthropology. "After defining metaphor and synthesis, these authors provide a step-by-step program that will allow the researcher to show similarity (reciprocal translation), difference (refutation), or similarity at a higher level (lines or argument synthesis) among sample studies....Contain(s) valuable strategies at a seldom-used level of analysis." --Contemporary Sociology "The authors made an important contribution by reframing how we think of ethnography comparison in a way that is compatible with the new developments in interpretive ethnography. Meta-Ethnography is well worth consulting for the problem definition it offers." --The Journal of Nervous and Mental Disease "This book had to be written and I am pleased it was. Someone needed to break the ice and offer a strategy for summarizing multiple ethnographic studies. Noblit and Hare have done a commendable job of giving the research community one approach for doing so. Further, no one else can now venture into this area of synthesizing qualitative studies without making references to and positioning themselves vis-a-vis this volume." -Educational Studies
Download or read book Self Efficacy Beliefs of Adolescents written by Tim Urdan and published by IAP. This book was released on 2006-02-01 with total page 379 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of the psychological construct of self-efficacy is widely acknowledged as one of the most important developments in the history of psychology. Today, it is simply not possible to explain phenomena such as human motivation, learning, self-regulation, and accomplishment without discussing the role played by self-efficacy beliefs. In this, the fifth volume of our series on adolescence and education, we focus on the self-efficacy beliefs of adolescents. We are proud and fortunate to be able to bring together the most prominent voices in the study of self-efficacy, including that of the Father of Social Cognitive Theory and of self-efficacy, Professor Albert Bandura. It is our hope, and our expectation, that this volume will become required reading for all students and scholars in the areas of adolescence and of motivation and, of course, for all who play a pivotal role in the education and care of youth.
