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：:In 2003, Seattle implemented an all-ages bicycle helmet law; King County outside of Seattle had implemented a similar law since 1994. For the period 2000-2010, the effect of the helmet legislation on helmet use, helmet-preventable injuries, and bicycle-related fatalities was examined, comparing Seattle to the rest of ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-016-0197-3
更新日期：2016-12-01 00:00:00
abstract：:To investigate the injury effects of bike share programs and the helmet usage status in bike share programs. We conducted a systematic review of peer reviewed scientific literature. Searches were conducted in three databases (Pubmed, Scopus, and Web of Science) on March 1 2020 to identify all articles on the injury in...
journal_title：Journal of community health
pub_type： 杂志文章,评审
doi：10.1007/s10900-020-00836-6
更新日期：2021-02-01 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：:During the past 20 years, suicide rates in the United States have risen consistently. The upward trend has been particularly pronounced for adolescents and males. The availability of a complete data set on all suicides that occurred between 1925 and 1979 in Sacramento County, California, allowed us to compare trends i...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01318930
更新日期：1983-10-01 00:00:00
abstract：:Care-delays can further exacerbate racial and ethnic health disparities in novel coronavirus disease 2019 (COVID-19) related complications. The purpose of our study was to describe and evaluate a Patient Engagement Messaging campaign (PEM campaign) promoting health care seeking behaviors among community and rural clin...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-020-00939-0
更新日期：2020-10-30 00:00:00
abstract：:Childhood obesity remains a significant public health concern. Children from lower income households have a greater risk of being obese. Low-income families generally have less access to healthy, affordable food choices and turn to federal food assistance programs. Few studies have examined the impact of food assistan...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0138-6
更新日期：2016-06-01 00:00:00
abstract：:We describe an outcome-based approach to quality assurance in primary care and present data from an initial study made to explore its usefulness. A questionnaire, which asked patients to report on the status of their problem in terms of the amount of symptoms, activity limitation, and anxiety it caused, was mailed to ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01498506
更新日期：1978-07-01 00:00:00
abstract：:Southeast Asian immigrants have lower levels of Pap testing than any other racial/ethnic group in the US, and are particularly unfamiliar with western culture and biomedical concepts of prevention. We completed an ethnographic study (N = 42) focusing on cervical cancer screening among Cambodian American women. We also...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1005123700284
更新日期：2000-10-01 00:00:00
abstract：:Variability of heat stress illness (HSI) by urbanicity and climate region has rarely been considered in previous HSI studies. We investigated temporal and geographic trends in HSI emergency department (ED) visits in CDC Environmental Public Health Tracking Network (Tracking) states for 2005-2010. We obtained county-le...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0064-7
更新日期：2016-02-01 00:00:00
abstract：:Because obesity is a grave public health concern, this study examined the percentage of disadvantaged women who recalled ever having received weight loss advice from a healthcare provider and factors associated with such advice. This study was part of a 5-clinic, cervical cancer prevention trial. Patients not immediat...
journal_title：Journal of community health
pub_type： 临床试验,杂志文章
doi：10.1007/s10900-011-9437-8
更新日期：2012-02-01 00:00:00
abstract：:To determine if the timing of prenatal care is associated with low birth weight delivery after adjusting for sociodemographic and behavioral risk factors, we performed a retrospective cross-sectional study of singleton births to white (2,945,595) or African-American (552,068) women in the United States in 1996. When a...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1022908307844
更新日期：2003-06-01 00:00:00
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
doi：10.1007/s10900-010-9277-y
更新日期：2011-02-01 00:00:00
abstract：:This paper describes the first year of an ongoing village health care and economic development project in the Krong Buk district of Dak Lak province in Vietnam's Central Highlands. The project serves 21 villages with a total population of just over 15,000. Most belong to ethnic minority groups. Physicians from the pro...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1026589131476
更新日期：2001-02-01 00:00:00
abstract：:Medical services provided to vacationers and employees in Yellowstone National Park were reviewed for the years 1975 through 1977. Both ambulatory and inpatient data were obtained, including diagnoses, place of residence, medications prescribed, and methods of payment. The types of problems and modes of treatment did ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01323990
更新日期：1980-04-01 00:00:00
abstract：:Throughout the 1980's, HIV antiretroviral therapy was non-existent or insufficient, and patients admitted to hospitals were frequently terminal. In 1988 we evaluated the HIV related hospitalizations at the Lutheran Medical Center in Brooklyn, New York, and found that only 1.3 % of the patients had an advanced directiv...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-012-9645-x
更新日期：2013-06-01 00:00:00
abstract：:Although it was presumed that moderate exercise is a healthy practice but long term high intensity exercise is not, studies observed a life expectancy benefit for both high-intensity endurance and fast power sports athlets, but the data for contact sports are conflicting. Therefore, the author aimed to investigate the...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-018-0553-6
更新日期：2019-02-01 00:00:00
abstract：:HIV counselling and testing was provided to 4267 individuals between September 1987 and June 1992 at a multi-site program, including community clinics, drug treatment programs, and a men's prison in central Massachusetts. Half of those tested reported the risk behaviors targeted by the programs: injection drug use (38...
journal_title：Journal of community health
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1007/BF01682760
更新日期：1996-02-01 00:00:00
abstract：:Seasonal variations in the incidence of the most common acute diseases in childhood during the inter-epidemic year 1978 were investigated using a sample of 7,068 walk-in patients attending. Aurora Hospital, Helsinki. At least seven out of the ten most common diseases were of infectious origin. Generally, boys and the ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01325512
更新日期：1982-04-01 00:00:00
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
doi：10.1023/a:1018790104934
更新日期：1999-08-01 00:00:00
abstract：:Thirty percent of tuberculosis (TB) patients in New York City in 2007 were not tested for HIV, which may be attributable to differential testing behaviors between private and public TB providers. Adult TB cases in New York City from 2001 to 2007 (n = 5,172) were evaluated for an association between TB provider type (p...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-013-9783-9
更新日期：2014-06-01 00:00:00
abstract：:This study is aimed at investigating the factors determining the timing of first prenatal care (PNC) visit and the number of PNC visits among a national representative sample of Nepali women. Data was drawn from the 2006 Nepal Demographic and Health Survey on women age 15-49 years old who had delivery within three yea...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9521-0
更新日期：2012-08-01 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
abstract：:The recent increases in childhood obesity rate among the Hispanics living in the US is a major public health concern. To date, interventions seeking to reduce childhood obesity often target the youth or the parents; however, few engage both groups within the intervention. This systematic review explores current studie...
journal_title：Journal of community health
pub_type： 杂志文章,评审
doi：10.1007/s10900-020-00897-7
更新日期：2020-07-30 00:00:00
abstract：:In an effort to improve Health Risk Appraisals and to induce individuals to change their lifestyles, comprehensive evaluations and counseling sessions were carried out for 476 participants of an experimental preventive care program (1984). Nurse practitioners interviewed participants in their homes and collected infor...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01321479
更新日期：1988-04-01 00:00:00
abstract：:Women residing in Eastern Africa are disproportionately affected by cervical cancer. Previous studies have identified risky sexual behavior as a major risk factor for cervical cancer. However, population-based studies examining the relationship between sexual behavior and cervical cancer screening are currently lackin...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0410-z
更新日期：2018-04-01 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：:This paper examines the success in implementing a major program involving a partnership between public and private providers to deliver primary health care services to the poor. In 1985, the 69th Texas Legislature passed the Primary Health Care Services Act, authorizing the Texas Department of Health to contract for o...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01321541
更新日期：1989-07-01 00:00:00
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
doi：10.1023/a:1013880210074
更新日期：2002-02-01 00:00:00
abstract：:Community organization has been viewed as a promising approach to changing preventive behaviors. We evaluated the impact of community organization strategies to promote breast cancer screening ordering by primary care physicians in Washington State. Physicians practicing in two intervention and two control communities...
journal_title：Journal of community health
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1007/BF01794878
更新日期：1996-08-01 00:00:00
abstract：:This paper examines volunteer ambulance corps that provide emergency medical care and transportation to their communities. The authors have compared volunteer corps to all ambulance services in Michigan and have focused on the relationship between organizational characteristics, such as membership and community charac...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01349703
更新日期：1977-04-01 00:00:00
