Abstract：
:Despite the availability of HPV prophylactic vaccines, uptake has been suboptimal in the US. In the state of Hawaii, HPV vaccine coverage has decreased among females and remains low among males aged 13-17. The reasons for low uptake are unknown and may indicate the existence of critical barriers to HPV vaccination. The purpose of this investigation was to identify policy, system and environmental barriers and promoters of pediatric HPV vaccination in Hawaii. An online 86-item survey addressing knowledge, attitudes, beliefs, practices, and barriers to HPV vaccination was distributed to practicing physicians in Hawaii specializing in Pediatrics, Family Medicine, and Obstetrics-Gynecology. Survey responses were received from a total of 120 physicians. Private practice physicians reported more concerns with vaccine ordering and stocking costs (p < 0.0001), reimbursement levels (p < 0.0001), and insurance coverage (p < 0.0001) compared to physicians in large group practices. Eighty-three percent of providers cited lack of parent knowledge and understanding of HPV infection as a barrier. Over half of physicians (58 %) reported that completion of the 3-dose schedule was a barrier. Most physicians did not use tracking or reminder systems to ensure dose completion. A majority (58 %) of providers cited the lack of school-based vaccination requirements as a barrier. Uptake of HPV vaccination in Hawaii may be impeded by physician perception of parent knowledge and attitudes. Cost-related system barriers are particular barriers among those in private practice. Completion of the 3-dose schedule also remains a challenge.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Tom A,Robinett H,Buenconsejo-Lum L,Soon R,Hamilton M,Francisco-Natanauan P,Cruz MR,Balajadia R,Hernandez BYdoi
10.1007/s10900-016-0191-9subject
Has Abstractpub_date
2016-10-01 00:00:00pages
1069-77issue
5eissn
0094-5145issn
1573-3610pii
10.1007/s10900-016-0191-9journal_volume
41pub_type
杂志文章abstract：:Hepatitis C (HCV) care cascades have been described in diverse clinical settings, patient populations and countries, highlighting the steps in HCV care where improvements can be made and resources allocated. However, more research is needed to examine barriers to HCV treatment in rural, underserved populations and in ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-019-00736-4
更新日期：2020-04-01 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：: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：:Asthma 1-2-3 is a newly-developed low-literacy multimedia education tool designed to promote asthma self-care concepts among African American adults. An expert panel (n = 10) informed content development for the tool. The video script and storyboard imagery were shown to 30 African Americans recruited from the America...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-009-9153-9
更新日期：2009-08-01 00:00:00
abstract：:The issue of adolescent pregnancy is one which physicians, social workers, ministers, politicians, parents and other concerned citizens now recognize as being of paramount importance. The New York City Board of Education, in accepting its responsibility for helping young people to live healthy and fulfilling lives, ha...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01341637
更新日期：1986-04-01 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：:The impact of a community-based heart disease risk factor screening program was evaluated after three years. The study population was predominantly white, older, and upper-middle class. Rescreening of the 211 study subjects showed improvements in both health-related behaviors and in risk factor distributions to a degr...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01324396
更新日期：1982-10-01 00:00:00
abstract：:Despite the need for parents to support their children's healthy behaviors, knowledge of factors preventing parents from doing so is still rudimentary. This study primarily aimed to explore perceived parental barriers to and strategies for supporting physical activity and healthy eating among Head Start children. A se...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0134-x
更新日期：2016-06-01 00:00:00
abstract：:Asian Indians are the largest Asian subgroup in the state of Michigan; however, data on the prevalence and correlates of cardiovascular disease for this group is limited. The sample consisted of 273 Asian Indians (AI) recruited through health fairs for surveys and blood tests throughout the state of Michigan. The prev...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9456-5
更新日期：2012-04-01 00:00:00
abstract：:In 1984-85, 1855 elderly residents of an urban community responded to a comprehensive baseline interview that included questions regarding an extensive set of sleep characteristics and problems. During the subsequent 3 1/2 years of follow-up, 16.7% of the respondents died and 3.5% were placed in nursing homes. The pre...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01321316
更新日期：1990-04-01 00:00:00
abstract：:Self-care has become a topic of widespread interest in recent years. However, few studies of the content and methods of self-care are available to inform health education program design. The present study identified common illnesses that were reported by 258 western university students and how those illnesses were typ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01325140
更新日期：1990-10-01 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：:Older adults are at risk of problems of medication use including underuse, overuse, and misuse. The purposes of this study were to investigate the prevalence of the use of conventional and complementary and alternative medications (CAM) in older adults and to explore which factors related to their medication use. For ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9934-7
更新日期：2015-04-01 00:00:00
abstract：:Latinas have the highest incidence of cervical cancer. Latino parents' perceptions of the human papillomavirus (HPV) and willingness to have their sons and daughters vaccinated in Utah is largely unknown. Latino parents/guardians of children ages 11-17 years were recruited from two community organizations (N = 52) to ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9949-0
更新日期：2015-06-01 00:00:00
abstract：:The original version of this article unfortunately contains mistakes. 1. On page 315, in the last sentence under the "Tobacco Use" subheading, the percentage should read "59.3%" rather than "55.6%". 2. On page 315, in the last sentence under the "Secondhand Smoke Exposure" subheading, the percentage "28.2%" should rea...
journal_title：Journal of community health
pub_type： 杂志文章,已发布勘误
doi：10.1007/s10900-018-0504-2
更新日期：2018-06-01 00:00:00
abstract：:Significant differences in adult obesity prevalence exist between rural and urban settings throughout the world. Here, we estimate and evaluate the prevalence of adult obesity in rural Independent Samoa, rural American Samoa, and urban American Samoa in 2009. Volunteers over the age of 40 years were weighed and measur...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9338-2
更新日期：2011-08-01 00:00:00
abstract：:Despite established country's tobacco control law, cigarette smoking by the young people and the magnitude of nicotine dependence among the students is alarming in Bangladesh. This study was aimed to determine the prevalence of smoking and factors influencing it among the secondary school students. A two-stage cluster...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9382-6
更新日期：2011-10-01 00:00:00
abstract：:This study examined disparities in lung cancer mortality rates among US men and women in metropolitan and non-metropolitan areas from 1950 through 2007. Annual age-adjusted mortality rates were calculated for men and women in metropolitan and non-metropolitan areas, and differences in mortality rates were tested for s...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9458-3
更新日期：2012-04-01 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：:This study examined the sexually transmitted infections (STIs), cervical cancer, and human papillomavirus virus (HPV) vaccine-related awareness and knowledge among married Bhutanese refugee and Nepali women living in eastern Nepal. Participants were recruited from a women's health camp in Jhapa District in eastern Nep...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-019-00770-2
更新日期：2020-06-01 00:00:00
abstract：:We assessed the relationship between sun protection policies and practices at child care centers in Massachusetts. We hypothesized that centers with sun protection policies were more likely to have regular sun protection practices in place compared to centers without these policies. We conducted a telephone survey wit...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-005-7283-2
更新日期：2005-12-01 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：: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
doi：10.1007/s10900-015-0107-0
更新日期：2016-04-01 00:00:00
abstract：:According to hope theory, hope is defined as goal-directed thinking in which people perceive that they can find routes to desired goals and the motivation to use those routes. The purpose of this study was to explore relationships between hope and body mass index and hope and self-rated health among women completing a...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9390-6
更新日期：2011-12-01 00:00:00
abstract：:Consumer participation and influence were studied in one Health Systems Agency in the southeastern United States over a 20-month period (July 1976--February 1978). Consumer board members were found to be significantly less influential in agency decision making than were provider board members. This difference in influ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01323009
更新日期：1981-04-01 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：:Data from Wave 1 of the National Survey of Personal Health Practices and Consequences were used to examine the association between perceived control over future health and 13 health behavior indices. Analyses were conducted within three strata of health status, defined by a cross-tabulation of subjective and functiona...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01338800
更新日期：1986-10-01 00:00:00
abstract：:The objectives of this Community-based National Epidemiological Household Survey, conducted between 1990-1993, were to estimate the prevalence of overweight and obesity in Saudi Arabia and to examine its association with the socio-demographic characteristics of the adult population. A sample of Saudis 20 years and ove...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1025177108996
更新日期：1997-06-01 00:00:00
abstract：:Health Service Package is the package of services that the government is providing or is aspiring to provide to its citizens in an equitable manner. The Ethiopia Family Health Service Package is part of the health extension program consisting of antenatal care, delivery service, postnatal care, immunization, and famil...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-020-00801-3
更新日期：2020-08-01 00:00:00
abstract：:Threatened use of the smallpox virus in bioterrorist attacks recently prompted national concerns in the United States. Smallpox, the "speckled monster," was known in antiquity. In 1856, New York City opened its first hospital devoted to caring for victims of smallpox. Essentially, the hospital isolated and quarantined...
journal_title：Journal of community health
pub_type： 历史文章,杂志文章
doi：10.1007/s10900-005-5519-9
更新日期：2005-10-01 00:00:00
