Using Peer Health Educators to Conduct Community Level Surveillance of HPV Vaccination Status: Findings Among Women Who Live in Medically Underserved Areas of Chicago

2020 ◽  
Vol 45 (5) ◽  
pp. 1043-1049
Author(s):  
Jessica M. Madrigal ◽  
Camille A. Johnson ◽  
Jenna Green ◽  
Ashlesha Patel
2021 ◽  
Vol 32 (3) ◽  
pp. 1301-1311
Author(s):  
Lisa D. Le ◽  
Isabel Rose Paulk ◽  
David R. Axon ◽  
Jennifer M. Bingham

10.2196/32407 ◽  
2021 ◽  
Vol 7 (12) ◽  
pp. e32407
Author(s):  
Eric PF Chow ◽  
Christopher K Fairley ◽  
Rebecca Wigan ◽  
Jane S Hocking ◽  
Suzanne M Garland ◽  
...  

Background Men who have sex with men are a risk group for anal human papillomavirus (HPV) and anal cancer. Australia introduced a universal school-based HPV vaccination program in 2013. Self-reported HPV vaccination status has been widely used in clinical and research settings, but its accuracy is understudied. Objective We aimed to examine the accuracy of self-reported HPV vaccination status among gay and bisexual adolescent males. Methods We included 192 gay and bisexual males aged 16-20 years from the Human Papillomavirus in Young People Epidemiological Research 2 (HYPER2) study in Melbourne, Australia. All participants had been eligible for the universal school-based HPV vaccination program implemented in 2013 and were asked to self-report their HPV vaccination status. Written informed consent was obtained to verify their HPV vaccination status using records at the National HPV Vaccination Program Register and the Australian Immunisation Register. We calculated the sensitivity, specificity, positive predictive value, and negative predictive value of self-reported HPV vaccination status. Results The median age of the 192 males was 19 (IQR 18-20) years. There were 128 males (67%) who had HPV vaccination records documented on either registry. Self-reported HPV vaccination had a sensitivity of 47.7% (95% CI 38.8%-56.7%; 61/128), a specificity of 85.9% (95% CI 75.0%-93.4%; 55/64), a positive predictive value of 87.1% (95% CI 77.0%-93.9%; 61/70), and a negative predictive value of 45.1% (95% CI 36.1%-54.3%; 55/122). Conclusions Self-reported HPV vaccination status among Australian gay and bisexual adolescent males underestimates actual vaccination and may be inaccurate for clinical and research purposes.


2019 ◽  
Vol 51 (10) ◽  
pp. 823-829
Author(s):  
Yeri Park ◽  
Mark H. Ryan ◽  
Sally A. Santen ◽  
Roy Sabo ◽  
Courtney Blondino ◽  
...  

Background and Objectives: Specialized medical school educational tracks aim to increase the primary care workforce. The International/Inner-City/Rural Preceptorship (I2CRP) Program is unique in addressing multiple communities, a large cohort and applying the Self Determination Theory framework. This study examined program impact by analyzing the numbers of graduates matched into primary care and practicing in medically underserved communities. Methods: We compared the match list of I2CRP graduates between 2000 and 2017 (n=204) to non-I2CRP Virginia Commonwealth University School of Medicine (VCU SOM) graduates (n=3,037). We analyzed the matches into primary care, National Health Service Corps (NHSC) priority specialties, and NHSC priority plus general surgery. We searched a federal database to determine which graduates are practicing in workforce shortage areas. Results: Many more I2CRP graduates matched to primary care (71.1%), compared to non-I2CRP graduates (38.2%; P<.001). Within primary care, I2CRP graduates matched to family medicine more frequently than non-I2CRP graduates (36.3% vs 8.4%). Eighteen percent of posttraining I2CRP graduates work in rural areas and 41% work in medically underserved areas. Conclusions: I2CRP graduates are more likely to match to family medicine and primary care. I2CRP curriculum nurtures new medical students’ interest in primary care, and self-determination theory provides a framework to organize the program curriculum. The program’s impact endures as evidenced by participants’ continued work in underserved areas after residency. Increasing support for such programs may help address the primary care physician shortage in medically underserved areas.


2019 ◽  
Vol 13 ◽  
Author(s):  
Larysse Gonçalves Feitosa ◽  
Débora Leão Alves ◽  
Elayne Carolyne Torres Pereira ◽  
Viviane Reis Nunes ◽  
Ulisses Vilela Hipólito ◽  
...  

Objetivo: descrever a experiência da realização de atividades educativas, análise do estado vacinal e imunização contra o papilomavírus humano (HPV) em estudantes da rede municipal da região norte de Palmas - TO. Método: trata-se de um estudo descritivo, do tipo relato de experiência, desenvolvido a partir de ações do projeto de extensão universitária “Imuniza Escola” do Curso de Enfermagem da Universidade Federal do Tocantins em parceria com quatro escolas municipais e Centros de Saúde da Comunidade de Palmas – TO. Formaram-se grupos de educação em saúde alertando sobre a importância da vacinação contra o HPV e foram solicitados os cartões de vacina para análise e imunização. Resultados: organizaram-se grupos educativos com 1756 estudantes, sendo que, destes, 440 apresentaram os cartões de vacina para análise e 237 estavam com estado vacinal contra o HPV em atraso. Imunizaram-se 161 estudantes com a primeira dose e 73 com a segunda dose da vacina contra o HPV. Conclusão: observou-se que a experiência proporcionou, aos extensionistas, a oportunidade de vivenciar, na prática, os conteúdos ministrados na academia, além de contribuir para o aumento da cobertura vacinal e, consequentemente, a diminuição do número de casos de câncer evitados pela imunização contra o HPV. Descritores: Enfermagem; Enfermagem em Saúde Pública; Educação em Saúde; Imunização; Cobertura Vacinal; Papillomaviridae.ABSTRACTObjective: to describe the experience of conducting educational activities, analysis of vaccination status and immunization against human papillomavirus (HPV) in students from the municipal system of northern Palmas-TO. Method: this is a descriptive study, of the experience report type, developed from actions of the university extension project “Immuniza Escola” of the Nursing Course of the Federal University of Tocantins in partnership with four municipal schools and Health Centers of the Palms Community-TO. Health education groups were formed warning about the importance of HPV vaccination and vaccination cards for analysis and immunization were requested. Results: educational groups were organized with 1756 students, of which 440 presented the vaccination cards for analysis and 237 were in delayed HPV vaccination status. 161 students with the first dose and 73 students with the second dose of the HPV vaccine were immunized. Conclusion: it was observed that the experience provided, to extensionists, the opportunity to experience, in practice, the contents taught in the academy, besides contributing to the increase of the vaccination coverage and, consequently, the decrease of the number of cancer cases avoided by the HPV immunization. Descriptors: Nursing; Public Health Nursing; Health Education; Immunization; Vaccination Coverage; Papillomaviridae.RESUMENObjetivo: describir la experiencia de realizar actividades educativas, análisis del estado de vacunación e inmunización contra el virus del papiloma humano (VPH) en estudiantes del sistema municipal, en el norte de Palmas-TO. Método: este es un estudio descriptivo, del tipo de informe de experiencia, desarrollado a partir de acciones del proyecto de extensión universitaria "Immuniza Escola" del Curso de Enfermería de la Universidad Federal de Tocantins en colaboración con cuatro escuelas municipales y Centros de Salud de la Comunidad de Palmas-TO. Los grupos de educación sanitaria se hicieron advertir sobre la importancia de la vacunación contra el VPH y se solicitaron tarjetas de vacunación para su análisis e inmunización. Resultados: se organizaron grupos educativos con 1756 estudiantes, de los cuales 440 presentaron las tarjetas de vacunación para su análisis y 237 tenían el estado de la vacuna contra el VPH en mora. Se inmunizaron 161 estudiantes con la primera dosis y 73 con la segunda dosis de la vacuna contra el VPH. Conclusión: se observó que la experiencia brindó a los extensionistas la oportunidad de experimentar en la práctica los contenidos enseñados en la academia, además de contribuir al aumento de la cobertura de vacunación y, en consecuencia, a la reducción del número de casos de cáncer prevenidos por la inmunización contra el VPH. Descriptores: Enfermería; Enfermería en Salud Pública; Educación en Salud; Inmunización; Cobertura de Vacunación; Papillomaviridae.


2021 ◽  
Vol 85 (3) ◽  
pp. AB116
Author(s):  
Anuk Burli ◽  
Sarah Hancock ◽  
Yu Zhao ◽  
Deborah Paul ◽  
Maria Cordisco

2009 ◽  
Vol 5 (6) ◽  
pp. 315-317

ASCO's Diversity in Oncology Initiative, funded by Susan G. Komen for the Cure, is the first program of its kind designed to increase the number of oncologists practicing in medically underserved areas.


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