Abstract:
INTRODUCTION:Genital human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. The Center for Disease Control Advisory Committee on Immunization Practices (ACIP) has recognized the potential benefits of immunizing young men beginning at age 11 or 12 years and continuing through age 21 years. The maximum age of immunization is extended through age 26 for men who have sex with men, transgender individuals, and immunocompromised men. In spite of these recommendations, vaccination of young men is currently limited by numerous patient and provider variables. The authors sought to delineate these variables as they pertain to members of the U.S. Air Force in order to guide future interventions. METHODS:The study consisted of two cross-sectional surveys at a single Air Force Base in California. The protocol was approved by the Institutional Review Board at David Grant Medical Center. The physician survey consisted of 10 questions that were formatted and designed to assess physicians' knowledge about the quadrivalent HPV vaccine (Gardasil) and 6 questions that were formatted and designed to assess physicians' counseling practices regarding Gardasil. The physician survey was distributed electronically via email in January 2017 to all 48 Family Medicine physicians, including both residents and staff, within the Family Medicine Residency Clinic at Travis Air Force Base. The email contained a link via Microsoft Share-point to an anonymous online survey. The patient survey was distributed in paper form to all male service members between the ages of 18 and 30 years who attended Commander's Calls over a 90-day period between January 2017 and March 2017. The patient survey included the primary outcome: proportion of respondents who had completed the HPV vaccination series. Descriptive statistics, including frequencies and percentages, were used to summarize the data. Contingency tables were constructed and the chi-square test or Fisher's Exact Test were performed to determine if particular demographic variables were associated with correct answers to individual knowledge questions. RESULTS:The majority of the Family Medicine physicians surveyed have adequate knowledge of HPV and the vaccine but do not routinely offer the vaccine to their male patients. Inadequate time during the office visit was cited as the major limitation to vaccine promotion. Of the Active Duty Air Force males surveyed, only 27% completed the vaccine series. A lack of knowledge regarding the personal benefits of the vaccine and failure to remember to receive subsequent doses were cited as barriers to completion. Only one-quarter of all surveyed males were interested in speaking with a healthcare provider about HPV and/or the HPV vaccine. CONCLUSION:Deficiencies in public knowledge and insufficient provider practices are likely contributing to the suboptimal rates of HPV vaccination among eligible males. Additionally, eligible males are not interested in speaking with their healthcare providers about either HPV or the HPV vaccine. If the rates of HPV vaccination within the male population are to increase, health educators, public health proponents, and vaccine advocates need to devise a more effective approach to disseminate this information to eligible male recipients.
journal_name
Mil Medjournal_title
Military medicineauthors
Halista CE,Kline RJ,Bepko Jdoi
10.1093/milmed/usz403subject
Has Abstractpub_date
2020-06-08 00:00:00pages
e878-e886issue
5-6eissn
0026-4075issn
1930-613Xpii
5663472journal_volume
185pub_type
杂志文章abstract:INTRODUCTION:Decreased hip joint space has been associated with poorer outcomes after hip arthroscopy. The purpose of this study was to determine if a difference exists in hip joint degenerative findings in military versus civilian patients with FAI. METHODS:A single surgeon's case series was reviewed to identify all ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz058
更新日期:2019-12-01 00:00:00
abstract:PURPOSE:To determine how students who are referred to a competency committee for concern over performance, and ultimately judged not to require remediation, perform during internship. METHODS:Uniformed Services University of the Health Sciences' students who graduated between 2007 and 2011 were included in this study....
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00575
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abstract::While on the surface the future of military GME appears uncertain, closer inspection demonstrates opportunities to achieve excellence in education. In many cases, programs will emerge with larger and more diverse faculty and increased collaboration with local institutions. On an individual level, military faculty will...
journal_title:Military medicine
pub_type: 社论
doi:
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journal_title:Military medicine
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doi:10.7205/milmed-d-11-00304
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journal_title:Military medicine
pub_type: 杂志文章
doi:
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abstract::Operation Desert Shield/Storm provided an opportunity to evaluate current medical assets and doctrine in support of Army air-land battle operations. The missions assigned to a medical company (clearing) during Operation Desert Shield/Storm demonstrated the value of the area support medical battalion as authorized unde...
journal_title:Military medicine
pub_type: 杂志文章
doi:
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abstract::Many preventable diseases affecting troop strength are directly attributed to disease-carrying insects. The first line of defense against arthropod vectors is the use of personal protective measures. The concurrent application of DEET (N,N-diethyl-m-toluamide) repellent on the skin and permethrin [(3-phenoxy-phenyl)me...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1998-05-01 00:00:00
abstract::There is a need for more work to understand the quality of life (QOL) outcomes of survivors of Operations Enduring Freedom and Iraqi Freedom combat injury to improve care and treatment, and prevent poor physical, psychological, and social outcomes. We describe the study design and methods of the Wounded Warrior Recove...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00444
更新日期:2014-03-01 00:00:00
abstract::Prior to recent advances in the field of molecular biology, prenatal diagnosis of hemoglobinopathies was accomplished by direct analysis of the gene product(s) in samples obtained by fetoscopy or, more recently, percutaneous umbilical blood sampling. The use of the polymerase chain reaction enables quicker diagnosis t...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00446
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journal_title:Military medicine
pub_type: 杂志文章
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journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1993-02-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
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journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/milmed.170.4.259
更新日期:2005-04-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00549
更新日期:2013-07-01 00:00:00
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journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/milmed-d-10-00374
更新日期:2011-06-01 00:00:00
abstract::Sternal wound complications after sternotomy carry significant morbidity and mortality rates. Sternal fractures attributable to blunt trauma may cause incapacitating pain or may be plagued by symptoms resulting from chronic nonunion. A sternal fixation system has been developed and used successfully for the management...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.10.1125
更新日期:2007-10-01 00:00:00
abstract:INTRODUCTION:Over 5,300 inguinal hernia repairs (IHR) were performed in the Military Health System in 2015. Chronic pain can be a debilitating complication, occurring in up to 34% of patients after IHR and impacts mission readiness. Gabapentin has been shown to be effective for postoperative analgesia in a variety of o...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.7205/MILMED-D-17-00107
更新日期:2017-11-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00245
更新日期:2012-01-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.2.146
更新日期:2008-02-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章,多中心研究
doi:10.1093/milmed/usz201
更新日期:2020-01-07 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.8.796
更新日期:2008-08-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-11-01 00:00:00
abstract::Adolescent pregnancy is a significant public health problem in the United States, but little is known about this condition in military-affiliated populations. This article reviews what is known about adolescent pregnancy among (1) dependent children of active duty and retired personnel and (2) active duty military per...
journal_title:Military medicine
pub_type: 杂志文章,评审
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更新日期:2008-07-01 00:00:00
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journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/MILMED-D-15-00390
更新日期:2016-10-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract::In high-performance aircraft, the need for total environmental awareness coupled with high-g loading (often with abrupt onset) creates a predilection for cervical spine injury while the pilot is performing routine movements within the cockpit. In this study, the prevalence and severity of cervical spine injury are ass...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract:INTRODUCTION:Commercially available junctional tourniquets (JTQs) have several drawbacks. We developed a low-cost, compact, easy to apply JTQ. The aim of this study was to assess the tourniquets' safety and efficacy in a swine model of controlled hemorrhage. MATERIALS AND METHODS:Five pigs were subjected to controlled...
journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2020-01-07 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00