Factors Associated with HPV Vaccination Uptake and HPV-Associated Cancers: A County-Level Analysis in the State of Alabama.


:Despite availability of a safe, effective vaccination, uptake and completion rates of human papillomavirus (HPV) vaccination remain low in the United States. This is particularly true in the southeast, which also sees some of the highest rates of HPV-associated (HPVa) cancers. We aimed to identify areas in Alabama in need of intervention with respect to HPVa cancers and HPV vaccination, and factors potentially associated with these rates by performing county-level secondary data analysis using state and national data sources. Alabama ranks 15th nationally in HPVa cancer rates, with 66.7% and 80.8% of counties having higher HPVa cancer rates than the national incidences of males and females, respectively. Regarding HPV vaccination, 95.5% and 98.5% of Alabama's counties have uptake rates less than the national averages for males and females, respectively. The seven counties with the highest HPV vaccination uptake ranged in rates from 60.2 to 73.6%. Counties with the highest HPV vaccination rates for adolescents were majority African American with low adult educational attainment rates and high rates of poverty and publicly-insured children/adolescents. These counties were also located in Alabama's Black Belt region, traditionally known for low socioeconomics, reduced access to social services, and negative health outcomes. Some counties with the highest rates of HPVa cancers also had among the highest rates of HPV vaccination, indicating a potential association between perceived susceptibility and desire to get HPV vaccine in these communities, warranting further investigation. Future work is needed to translate these findings into actionable intervention practices to increase HPV vaccination.


J Community Health


Vickers M,Green CL,Lee HY,Pierce JY,Daniel CL




Has Abstract


2019-12-01 00:00:00














  • Health care utilization in homeless youth.

    abstract::To examine common reasons for utilization of health care services at a free homeless youth clinic. This is a retrospective chart review for visits over a 1 year period. Data on age, gender, and up to 3 chief complaints per visit were collected from the electronic medical record. Of the 744 clinical encounters, the mea...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Evans YN,Handschin SM,Giesel AE

    更新日期:2014-06-01 00:00:00

  • Is there a future for smoking cessation programs?

    abstract::Given the marginal success rates of formal smoking cessation clinics and the small number of smokers who have participated in such clinics, it must be concluded that their impact on the public health problem of smoking has been negligible. This paper speculates about changes that would improve their performance and su...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Stachnik TJ,Stoffelmayr BE

    更新日期:1981-10-01 00:00:00

  • Community Gardens for Refugee and Immigrant Communities as a Means of Health Promotion.

    abstract::Refugees and new immigrants arriving in the United States (U.S.) often encounter a multitude of stressors adjusting to a new country and potentially coping with past traumas. Community gardens have been celebrated for their role in improving physical and emotional health, and in the Twin Cities of Minnesota, have been...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Hartwig KA,Mason M

    更新日期:2016-12-01 00:00:00

  • Variation in recommendations for cancer screening among primary care physicians in New Mexico.

    abstract::The acceptance of age-appropriate cancer screening as an integral part of primary care has grown among physicians over the past decade. We conducted a mailed survey of all primary care physicians in New Mexico in order to better understand their current cancer screening practices. We found a high rate of self-reported...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Herman CJ,Hoffman RM,Altobelli KK

    更新日期:1999-08-01 00:00:00

  • Clinical networks and clinician retention: the case of CDN.

    abstract::Since the mid-1980s, clinicians working in community and migrant health centers formed clinical networks to provide administrative and clinical training, regular interaction with peers, and opportunities for participation in policy formulation. The subject of this article is the most developed of the regional clinical...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Sardell A

    更新日期:1996-12-01 00:00:00

  • Process and outcome evaluation of a community intervention for orphan adolescents in western Kenya.

    abstract::We conducted a 2-year pilot randomized controlled trial (N = 105) in a high HIV-prevalence area in rural western Kenya to test whether providing young orphan adolescents with uniforms, school fees, and community visitors improves school retention and reduces HIV risk factors. The trial was a community intervention, li...

    journal_title:Journal of community health

    pub_type: 杂志文章,随机对照试验


    authors: Hallfors DD,Cho H,Mbai I,Milimo B,Itindi J

    更新日期:2012-10-01 00:00:00

  • Level of Integration of Community Health Workers in Missouri Health Systems.

    abstract::The purpose of this study was to describe the level of integration of community health workers (CHWs) into Missouri public healthcare systems using a cross-sectional survey research design. Representatives of all Missouri Local Public Health Agencies, Rural Health Clinics, and Federally Qualified Health Centers were p...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Rhodes D,Visker J,Cox C,Banez JC,Wang A

    更新日期:2017-06-01 00:00:00

  • Knowledge of hepatitis B risk factors and prevention practices among individuals chronically infected with hepatitis B in San Francisco, California.

    abstract::Asian/Pacific Islanders (A/PIs) in the United States are disproportionately affected by the hepatitis B virus (HBV), which can cause a lifelong liver infection that may result in cirrhosis, liver failure, liver cancer, or death. Although previous studies have measured knowledge of hepatitis B transmission and preventi...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Nishimura A,Shiono P,Stier D,Shallow S,Sanchez M,Huang S

    更新日期:2012-02-01 00:00:00

  • Patient telephone interviews: a valuable technique for finding problems and assessing quality in ambulatory medical care.

    abstract::Telephone interviews to obtain direct patient feedback about medical care can provide an important means for inducing behavior change of providers as part of an ongoing quality assurance program. This article reviews development of our telephone interview methodology and summarizes our experience with 1.110 patient in...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Zimney L,McClain MP,Batalden PB,O'Connor JP

    更新日期:1980-10-01 00:00:00

  • Evaluating drugs and determining the drug needs of developed and developing countries.

    abstract::The practice of reviewing drug utilization provides a surveillance system for monitoring the efficiency of drug distribution and drug consumption; it also provides a data base for the interpretation of the frequency of adverse drug reactions and helps to identify gaps in the delivery of a crucial aspect of health serv...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Stolley PD

    更新日期:1976-01-01 00:00:00

  • Improving physician coverage of pneumococcal vaccine: a randomized trial of a telephone intervention.

    abstract::Improved pneumococcal vaccine (PPV) immunization for seniors is a national goal of the Medicare program. This study examined whether adding a simple telephone follow-up to an existing mailed physician performance feedback under the Medicare program would increase the impact on billed pneumococcal immunizations. Medica...

    journal_title:Journal of community health

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Quinley JC,Shih A

    更新日期:2004-04-01 00:00:00

  • A Social Needs Assessment Tool for an Urban Latino Population.

    abstract::Unmet social needs contribute significantly to health outcomes, yet they are not routinely assessed in health care settings. Identifying modifiable social needs and feasible tools to assess them may improve health and decrease costs. We conducted 18 focus groups with 115 participants, stratified by age (18-35, 36-64, ...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Careyva BA,Hamadani R,Friel T,Coyne CA

    更新日期:2018-02-01 00:00:00

  • Success of an EMR-Driven Postpartum Intervention to Improve HPV Vaccination Rates.

    abstract::Human papillomavirus vaccination (HPV) remains low in the United States. The inpatient postpartum setting provides an innovative opportunity to vaccinate eligible patients. This study evaluated two different interventions to improve HPV vaccination rates in hospitalized postpartum patients: a nurse based protocol and ...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Park SK,Holschneider CH,Chen J,Saleeby E,Singhal R

    更新日期:2020-06-01 00:00:00

  • A multimedia breast cancer education intervention for low-income Latinas.

    abstract::This paper discusses the results from the field test of a multimedia health education intervention, designed to provide breast cancer education for low income Latinas. The purpose of the field test was to ascertain whether the intervention produced significant changes in breast cancer knowledge and attitude, and scree...

    journal_title:Journal of community health

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Valdez A,Banerjee K,Ackerson L,Fernandez M

    更新日期:2002-02-01 00:00:00

  • Community-based perinatal care for disadvantaged adolescents: evaluation of The Resource Mothers Program.

    abstract::This study compared the effects of a community-based lay home visiting initiative for pregnant adolescents, the Norfolk Resource Mothers Program, with the effects of a more traditional clinic-based program. The Resource Mothers Program (RMP) supports disadvantaged teens through the use of para-professional home visito...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Julnes G,Konefal M,Pindur W,Kim P

    更新日期:1994-02-01 00:00:00

  • Determinants of Utilization and Community Experiences with Community Health Volunteers for Treatment of Childhood Illnesses in Rural Sierra Leone.

    abstract::In 2010, at the same time as the national roll out of the Free Health Care Initiative (FHCI), which removed user fees for facility based health care, trained community health volunteers (CHVs) were deployed to provide integrated community case management of diarrhea, malaria and pneumonia to children under 5 years of ...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Yansaneh AI,George AS,Sharkey A,Brieger WR,Moulton LH,Yumkella F,Bangura P,Kabano A,Diaz T

    更新日期:2016-04-01 00:00:00

  • Why Uninsured Free Clinic Patients Don't Apply for Affordable Care Act Health Insurance in a Non-expanding Medicaid State.

    abstract::Even after the introduction of the Patient Protection and Affordable Care Act (ACA), uninsured visits remain high, especially in states that opted out of Medicaid expansion. Since the ACA does not provide universal coverage, free clinics serve as safety nets for the un- or under-insured, and will likely continue servi...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Kamimura A,Tabler J,Chernenko A,Aguilera G,Nourian MM,Prudencio L,Ashby J

    更新日期:2016-02-01 00:00:00

  • Community based organizations addressing South Asian American health.

    abstract::Addressing the health needs of all Americans is central to the public health agenda in the US. Although some progress has been made in documenting health disparities among South Asians living in the US, more attention is needed to fully understand how communities are addressing the health needs of this community. Comm...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Chaudhary N,Vyas A,Parrish EB

    更新日期:2010-08-01 00:00:00

  • Food Insecurity, Food Deserts, and Waist-to-Height Ratio: Variation by Sex and Race/Ethnicity.

    abstract::The purpose of this study is to investigate the association between two food-related hardships-food insecurity and living in a food desert-on waist-to-height ratio (WHtR). Data on participants from waves I and IV of the National Longitudinal Study of Adolescent to Adult Health (Add Health) were analyzed. The associati...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Testa A,Jackson DB

    更新日期:2019-06-01 00:00:00

  • Commentary: physician retirement and physician shortages.

    abstract::Considerable recent discussion has taken place regarding the predicted future shortage of physicians, especially in primary care. Much of the attention has focused on the difficulty of recruiting new physicians into primary care practice. It is suggested that part of the solution may be increased efforts to recruit an...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Nusbaum NJ

    更新日期:2009-10-01 00:00:00

  • Health literacy, health information seeking behaviors and internet use among patients attending a private and public clinic in the same geographic area.

    abstract::Despite the growing body of health information available online, patients with limited health literacy may lack either internet access or skills necessary to utilize this information. Nonetheless, patients at all health literacy levels may prefer other primary sources to obtain health information. We conducted a cross...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Gutierrez N,Kindratt TB,Pagels P,Foster B,Gimpel NE

    更新日期:2014-02-01 00:00:00

  • Factors associated with utilization of insecticide-treated nets in children seeking health care at a Ugandan hospital: perspective of child caregivers.

    abstract::In Uganda malaria causes more morbidity and mortality than any other disease and children below 5 years contribute the biggest percentage of malaria related mortality. Insecticide treated nets (ITNs) are currently one of the most cost effective option for reducing malaria-related morbidity and mortality, however the f...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Nankinga Z,Muliira JK,Kalyango J,Nankabirwa J,Kiwuwa S,Njama-Meya D,Karamagi C

    更新日期:2012-10-01 00:00:00

  • Project update: evaluating the community health legacy of WWI chemical weapons testing.

    abstract::The Spring Valley community of Washington, District of Columbia, was built on the site of a World War I chemical weapons lab where testing activities had distributed arsenic to surface soil and waste disposal had resulted in localized subsurface contamination. In previous work, findings were suggestive of potential si...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Fox MA

    更新日期:2014-10-01 00:00:00

  • Implementation of the Community Health Assistant (CHA) Cadre in Zambia: A Process Evaluation to Guide Future Scale-Up Decisions.

    abstract::Universal health coverage requires an adequate health workforce, including community health workers (CHWs) to reach rural communities. To improve healthcare access in rural areas, in 2010 the Government of Zambia implemented a national CHW strategy that introduced a new cadre of healthcare workers called community hea...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Shelley KD,Belete YW,Phiri SC,Musonda M,Kawesha EC,Muleya EM,Chibawe CP,van den Broek JW,Vosburg KB

    更新日期:2016-04-01 00:00:00

  • Establishing the Prevalence of Intimate Partner Violence Among Hair Salon Clients.

    abstract::This study determined prevalence of intimate partner violence (IPV) victimization among female clients at three hair salons in Connecticut using an anonymous tablet based screening tool. While many may assume that women receive services at hair salons, victims of IPV are often isolated by their partners and unable to ...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Beebe RF,DiVietro SC,Dunn M,Bentivegna K,Clough ME,Lapidus GD,Joseph DK

    更新日期:2018-04-01 00:00:00

  • Community-Based Assessment of Knowledge, Attitude, Practices and Risk Factors Regarding COVID-19 Among Pakistanis Residents During a Recent Outbreak: A Cross-Sectional Survey.

    abstract::Exceptional precautionary measures have been adopted to stop the transmission and control of COVID-19 through the world and Pakistan is facing lockdown in this scenario. Public loyalty to precautionary measures is affected by their knowledge, attitude, risk factors and practices (KAP) towards COVID-19. The present stu...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Afzal MS,Khan A,Qureshi UUR,Saleem S,Saqib MAN,Shabbir RMK,Naveed M,Jabbar M,Zahoor S,Ahmed H

    更新日期:2020-07-13 00:00:00

  • Mexican urban occupational health in the US: a population at risk.

    abstract::Mexicans are the largest immigrant group in the US. Little is known about their urban occupational health status. We assess occupational illness, injury, and safety training among New York City Mexican immigrants. This study is a consecutive sample of the Mexican immigrant population utilizing Mexican Consulate servic...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Gany F,Dobslaw R,Ramirez J,Tonda J,Lobach I,Leng J

    更新日期:2011-04-01 00:00:00

  • Loneliness, emotional repression, marital quality, and major life events in women who develop breast cancer.

    abstract::Women awaiting mammograms at a breast clinic were given questionnaires to investigate the role of psychosocial variables in the development of breast cancer while controlling for established breast cancer risk factors. Questionnaires to determine loneliness, emotional repression, marital quality, and major life change...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Fox CM,Harper AP,Hyner GC,Lyle RM

    更新日期:1994-12-01 00:00:00

  • Chumnguh thleum: understanding liver illness and hepatitis B among Cambodian immigrants.

    abstract::Cambodian immigrants are over 25 times more likely to have evidence of chronic hepatitis B infection than the general US population. Carriers of HBV are over 100 times more likely to develop liver cancer than non-carriers. Liver cancer incidence is the second leading cancer for Cambodian men and the sixth for Cambodia...

    journal_title:Journal of community health

    pub_type: 杂志文章,随机对照试验


    authors: Burke NJ,Do HH,Talbot J,Sos C,Svy D,Taylor VM

    更新日期:2011-02-01 00:00:00

  • The case against mandatory newborn screening for HIV antibodies.

    abstract::The paper examines the controversy surrounding legislative proposals in New York State that would require amending the public health law's stringent confidentiality provisions; the legislation calls for "unblinding" the results of a 7-year old statewide HIV seroprevalence study that tests newborns for HIV antibodies i...

    journal_title:Journal of community health

    pub_type: 杂志文章


    authors: Dumois AO

    更新日期:1995-04-01 00:00:00