Abstract：
: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.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Vickers M,Green CL,Lee HY,Pierce JY,Daniel CLdoi
10.1007/s10900-019-00690-1subject
Has Abstractpub_date
2019-12-01 00:00:00pages
1214-1223issue
6eissn
0094-5145issn
1573-3610pii
10.1007/s10900-019-00690-1journal_volume
44pub_type
杂志文章abstract：:Although successful utilization of medical and preventive care by members of the non-US born communities is an important public health concern, our knowledge regarding health practices of different ethnic subgroups is limited. In the present study, participants of the health fairs organized during South Asian cultural...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9449-4
更新日期：2012-04-01 00:00:00
abstract：:Compared to white adults, blacks are less likely to be aware of their cardiovascular risk factors and are less likely to respond appropriately to signs and symptoms of a myocardial infarction or stroke. This fact highlights the need for better dissemination of health information about cardiovascular disease among comm...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-007-9074-4
更新日期：2008-04-01 00:00:00
abstract：:This study presents estimates of the prevalence of perceived needs and unmet needs among people with HIV disease in the United States for six areas of community services: mental health, drug treatment, home care, housing, transportation, and entitlements. The prevalence of service needs and unmet needs within racial, ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01321517
更新日期：1993-02-01 00:00:00
abstract：:Analysis of data obtained through a survey of 415 men in New Orleans, Louisiana, and Rochester, New York, indicates that the transfer of testicular self-examination (TSE) skills from the medical community to the public has been relatively ineffective. Only two of every 100 respondents reported monthly self-examination...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01341720
更新日期：1991-04-01 00:00:00
abstract：:This research assessed the clinical validity of a nutritional risk index (NRI). Subjects were 377 male veterans, aged 55+, attending general medicine and geriatric outpatient clinics. Data were collected by personal interviews, anthropometric measurements, laboratory assay of nutritional parameters, three-day food rec...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01324362
更新日期：1989-10-01 00:00:00
abstract：:Using a sample of 13,500 adolescents (53% female and 47% male) who participated in all four waves of the National Longitudinal Study of Adolescent Health, this study used multilevel regression to examine the influence of early structural community adversity (as measured by rates of community poverty, single-parent hea...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9511-2
更新日期：2012-08-01 00:00:00
abstract：:Vestibular rehabilitation therapy (VRT) can benefit patients with a variety of balance and vestibular disorders. This expanding field requires knowledgeable and experienced therapists; however, the practice and experience of those providing this care may vary greatly. The purpose of this study was to analyze variation...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0003-7
更新日期：2015-08-01 00:00:00
abstract：:The increasing number cases of coronavirus disease (COVID-19) infections in the general population in Indonesia raises questions concerning the public's knowledge and attitudes regarding this pandemic. To determine the correlation between the general public's knowledge and attitudes regarding the COVID-19 outbreak 1 m...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-020-00866-0
更新日期：2021-02-01 00:00:00
abstract：:This review aims to determine the prevalence of smoking among Saudi students and to study and to identify, synthesize and summarize the predictors that initiate smoking among students in different ages in Saudi Arabia. Different databases were searched (Web of Science, Google Scholar, Pub Med and Science Direct) with ...
journal_title：Journal of community health
pub_type： 杂志文章,评审
doi：10.1007/s10900-014-9909-8
更新日期：2014-10-01 00:00:00
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
doi：10.1007/s10900-015-0076-3
更新日期：2016-02-01 00:00:00
abstract：:Virtually all large employers engage in corporate philanthropy, but little is known about the extent to which it is directed toward improving community health. We conducted in-depth interviews with leaders of corporate philanthropy from 13 of the largest manufacturing companies in the US to understand how giving decis...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0452-2
更新日期：2018-06-01 00:00:00
abstract：:The majority of programs designed to promote physical activity in older Hispanic women includes few innovative theory-based interventions that address cultural relevant strategies. The purpose of this report is to describe the design and baseline data for Mujeres en Accion, a physical activity intervention to increase...
journal_title：Journal of community health
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10900-011-9363-9
更新日期：2011-10-01 00:00:00
abstract：:Hepatitis B virus (HBV) infection is an infectious disease that is specific to the liver, causing both acute and chronic hepatitis. This study determined the trend of HBV infection among blood donors in the Kpandai District Hospital from January 2014 to December 2018. Retrospective analysis of donor profiles for a per...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-020-00862-4
更新日期：2020-12-01 00:00:00
abstract：:The evaluation for Celebremos La Salud, a community randomized trial of Hispanic cancer prevention found no differences in mammography screening rates between intervention and control communities. The goal of the present study was to determine reasons for the intervention's lack of effectiveness. In the first aim, we ...
journal_title：Journal of community health
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10900-008-9127-3
更新日期：2009-02-01 00:00:00
abstract：:A SUNY-Upstate cohort was observed during the four-year matriculation (1974--1978) of the students for changes in their career choices. Medical school exposure seemed to increase students' interest in all major specialties, with the exception of family practice for which there was an overall 3% decrease. Internship an...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01324015
更新日期：1979-01-01 00:00:00
abstract：:This paper describes the approach of the Department of Community Medicine of the Mount Sinai School of Medicine in the education of local and foreign physicians and their participation in the development of community oriented health care systems. It also presents the first steps taken by this medical school to create ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01371014
更新日期：1985-01-01 00:00:00
abstract：:China is experiencing one of the fastest growing human immunodeficiency virus (HIV) epidemics in the world. Condom use is consistently low among Chinese college students. The purpose of this study was to identify the predictors that determine the intention to use condoms among Chinese college students applying the the...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-013-9816-4
更新日期：2014-08-01 00:00:00
abstract：:Women of reproductive age are at higher risk for depression than men; and depressive behaviors and endocrine imbalances could lead to adverse birth outcomes. The purpose of this study was to investigate whether maternal depression during pregnancy affected adverse birth outcomes, specifically preterm birth and small f...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0022-4
更新日期：2015-10-01 00:00:00
abstract：:Influenza and related pneumonia continue to cause significant amounts of morbidity and mortality despite the availability of effective vaccines. Two comparable counties in Massachusetts served as project areas of a national trial to see if reimbursement for immunizing Medicare-B eligible recipients against influenza w...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01557999
更新日期：1996-06-01 00:00:00
abstract：:Urban food swamps are typically situated in low-income, minority communities and contribute to overweight and obesity. Changing the food landscape in low income and underserved communities is one strategy to combat the negative health consequences associated with the lack of access to healthy food resources and an abu...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9941-8
更新日期：2015-04-01 00:00:00
abstract：:We assessed the role of promotoras--briefly trained community health workers--in depression care at community health centers. The intervention focused on four contextual sources of depression in underserved, low-income communities: underemployment, inadequate housing, food insecurity, and violence. A multi-method desi...
journal_title：Journal of community health
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10900-010-9313-y
更新日期：2011-04-01 00:00:00
abstract：:Ischemic heart disease (IHD) remains one of the most important disorders associated with disability and mortality worldwide, and is one of the major causes of cardiovascular diseases in Mongolia. The objective of the current study was to determine the prevalence of IHD and its related factors in a general population i...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-013-9702-0
更新日期：2013-10-01 00:00:00
abstract：:A recent case investigation of secondary syphilis in a 27-year-old heterosexual Micronesian male and his 19-year-old chlamydia and syphilis co-infected female partner, conducted by the Hawaii State Department of Health, June to August 2007, identified a cluster of 13 case-patients with undiagnosed syphilis, chlamydia,...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-009-9170-8
更新日期：2009-10-01 00:00:00
abstract：:Health disparities have long affected American Indian and Alaska Native (AI/AN) populations. Transformations are needed in academia to help understand Indigenous 'ways of knowing.' Lifting the voices of AI/ANs in telling their stories could improve the education of students, faculty and the lay public. We collaborated...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-019-00669-y
更新日期：2019-12-01 00:00:00
abstract：:Firearm violence remains a significant problem in the US (with 2787 adolescents killed in 2015). However, the research on school firearm violence prevention practices and policies is scant. Parents are major stakeholders in relation to firearm violence by youths and school safety in general. The purpose of this study ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0360-5
更新日期：2017-12-01 00:00:00
abstract：:Previous research has found that members of the public have a skewed sense of health risk. The purpose of this research was to investigate how mass media use influences perceptions of threat from cancer and eastern equine encephalitis (EEE). Investigators performed a media content analysis of 253 health-related articl...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9257-2
更新日期：2010-08-01 00:00:00
abstract：:The proportion of patients who receive intensive medical treatment outside the hospital environment has increased steadily over the past two decades. Active cancer chemotherapy outpatients (N = 413) receiving treatment in the community were surveyed to document the prevalence and to identify the correlates of their da...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01340467
更新日期：1991-02-01 00:00:00
abstract：:The number of reported outbreaks of typhoid fever in the United States has recently increased. Only six were reported from 1980-1989, but seven outbreaks were reported in 1990. In August 1990, health officials in Montgomery County, Maryland, were notified of two cases of typhoid fever among persons who had attended bo...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF02277062
更新日期：1995-12-01 00:00:00
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
doi：10.1007/BF01319089
更新日期：1976-01-01 00:00:00
abstract：:This study examines the living situation of elderly people in rural China whose children have left to work in other areas [the 'left behind' elderly (LBE)] and explores policy implications associated with their care. Based on survey data and interviews conducted in three villages in Jiangxi Province, China, we compare...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9864-4
更新日期：2014-08-01 00:00:00
