Uptake of the HPV vaccination programme in England: a cross-sectional survey of young women attending sexual health services

2014 ◽  
Vol 90 (4) ◽  
pp. 315-321 ◽  
Author(s):  
Rachel J Sacks ◽  
Andrew J Copas ◽  
Dawn M Wilkinson ◽  
Angela J Robinson
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Young Women ◽  
Vaccination Programme ◽  
Hpv Vaccination ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Do gay and bisexual men who conceal their same-sex behavior prefer different kinds of health services? Findings across four cities to inform client-centered HIV prevention in China

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Rong Fu ◽  
Bryan A. Kutner ◽  
Yumeng Wu ◽  
Lu Xie ◽  
Siyan Meng ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Sexual Health ◽  
Health Clinic ◽  
Sex Behavior ◽  
Bisexual Men ◽  
Same Sex ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sexual Health Service

Abstract Background In China, addressing disparities in the HIV epidemic among men who have sex with men (MSM) requires targeted efforts to increase their engagement and retention in prevention. In an effort to advance MSM-friendly HIV services within China, and informed by community-based partnerships, we tested whether MSM who have ever versus never disclosed their same-sex behavior to healthcare providers (HCP) differ in sociodemographic and behavioral characteristics as well as the qualities of sexual health services each group would prefer to access. Methods We conducted a cross-sectional survey among HIV-negative MSM who went to MSM-focused voluntary counseling and testing clinics in four cities in China. The survey was anonymous and collected information on sociodemographic characteristics, testing behaviors, sexual-health related behavior, and sexual health service model preferences. Results Of 357 respondents, 68.1% participants had ever disclosed same-sex behavior to HCPs when seeking advice for sexual health. Younger age (aOR = 1.04; 95% CI: 1.01-1.08), and worry of HIV acquisition (aOR = 1.39; 95% CI: 1.05–1.84) were associated with higher odds of past disclosure. The availability of comprehensive sexual health services was one of the most valued characteristics of the ideal sexual health clinic. Those who ever disclosed and never disclosed differed significantly in their ranking of the importance of three out of ten dimensions: sexual health counseling services available (M = 3.99 vs. M = 3.65, p = .002), gay identity support available (M = 3.91 vs. M = 3.62, p = .016) and clinic collaborates with a gay CBO (M = 3.81 vs. M = 3.56, p = .036). Conclusions Our hypothesis that MSM who had disclosed versus never disclosed same-sex behavior would differ in the value they placed on different dimensions of sexual health service was partially borne out. As health authorities in China decide on implementation models for pre-exposure prophylaxis (PrEP) delivery and specifically within which institutions to integrate PrEP services, the preferences of target populations should be considered to develop comprehensive, patient-centric and LGBT-friendly services.

scholarly journals Examining Facilitators of HPV Vaccination Uptake in Men Who Have Sex with Men: A Cross-Sectional Survey Design

2020 ◽  
Vol 17 (21) ◽  
pp. 7713
Author(s):  
Selma Stearns ◽  
Samantha L. Quaife ◽  
Alice Forster
Keyword(s):  
Sexual Health ◽  
Survey Design ◽  
Hpv Vaccination ◽  
Vaccination Status ◽  
Vaccine Uptake ◽  
Hepatitis B Vaccination ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Sex With Men

Men who have sex with men (MSM) in England are eligible for vaccination against human papillomavirus (HPV) via specialist sexual health services and HIV clinics. Uptake among clinic attendees is incomplete, but the reason for this is unclear. We do not know who is accessing and being offered the vaccine. This cross-sectional study conducted in England examined socio-demographic correlates of vaccine uptake for MSM and how frequently the vaccine is being offered in clinics. MSM completed an online questionnaire asking about socio-demographic characteristics, whether they had recently attended a sexual health or HIV clinic, and if so, whether they had been offered the vaccine, and vaccination status. Around 52% of MSM (N = 115; mean age = 30.2) had received at least one dose of the vaccine, and 70% of clinic attendees had been offered the vaccine. MSM were more likely to have initiated the vaccine series if they were homosexual (versus bisexual; OR: 5.22; 95% CI: 1.55–17.51) or had heard about the vaccine from one or two types of sources (versus no sources: OR: 14.70; 95% CI: 4.00–54.00 and OR: 26.00; 5.74–117.77 respectively). Initiation was not associated with age, ethnicity, education level, or number of sexual partners. Hepatitis B vaccination status was associated with vaccination initiation only in unadjusted models. The majority of eligible MSM are being offered the vaccine in clinics. Socio-demographic differences in uptake of the HPV vaccine among MSM may lead to inequalities in HPV-related disease.

scholarly journals Pathways between depression, substance use and multiple sex partners among Northern and Indigenous young women in the Northwest Territories, Canada: results from a cross-sectional survey

2017 ◽  
Vol 94 (8) ◽  
pp. 604-606 ◽  
Author(s):  
Carmen H Logie ◽  
Candice Lys ◽  
Moses Okumu ◽  
Cristina Leone
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Sexual Health ◽  
Peer Support ◽  
Young Women ◽  
Sex Partners ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Multiple Sex Partners ◽  
History Of

ObjectivesSexual and mental health disparities exist in the Northwest Territories (NWT) compared with other Canadian regions. STI rates are 10-fold higher, and youth suicide rates double the Canadian average. Scant research has examined associations between mental and sexual health among youth in the NWT. The study objective was to explore pathways from depression to multiple sex partners (MSP) among young women in the NWT, Canada.MethodsWe implemented a cross-sectional survey in 2015–2016 with a venue-based recruitment sample of young women aged 13–17 attending secondary schools in 17 NWT communities. We conducted path analysis to test a conceptual model examining associations between depression and a history of MSP, examining substance use and peer support as mediators.ResultsParticipants (n=199; mean age: 13.8, SD: 1.27) mostly identified were Indigenous (n=154; 77.4%) and one-fifth (n=39; 20.5%) were sexually diverse/non-heterosexual. Almost two-thirds (n=119; 63.3%) reported depression symptoms. One-quarter (n=53; 26.6%) were currently dating, and 16.1% (n=32) reported a lifetime history of >1 sex partner (classified as having MSP). There was no direct effect between depression and MSP (β=0.189, p=0.087, 95% CI 0.046 to 0.260). Depression had a direct effect on substance use (β=0.023, p<0.050, 95% CI 0.118 to 0.500), and an indirect effect on MSP through substance use (β=0.498, SE=0.10, p<0.001, 95% CI 0.141 to 0.280). Depression was associated with lower peer support (β=−0.168, p<0.010, 95% CI −0.126 to 0.280); peer support was not associated with MSP (β=−0.158, p=0.130, 95% CI −0.126 to 0.001).ConclusionThis research is among the first to identify mental health factors associated with STI vulnerability among young women in the NWT. Findings demonstrate the importance of addressing depression and substance use in sexual health interventions in Northern contexts.

scholarly journals Danish Health Professional Students' Attitudes Toward Addressing Sexual Health: A Cross-Sectional Survey

2021 ◽  
Vol 9 (2) ◽  
pp. 100323
Author(s):  
Helle Gerbild ◽  
Camilla Marie Larsen ◽  
Tina Junge ◽  
Birgitte Schantz Laursen ◽  
Kristina Areskoug-Josefsson
Keyword(s):  
Sexual Health ◽  
Health Professional ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Professional Students ◽  
Danish Health ◽  
Health Professional Students ◽  
Students Attitudes

scholarly journals Utilization of key preventive measures for pregnancy complications and malaria among women in Jimma Zone, Ethiopia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mariame Ouedraogo ◽  
Jaameeta Kurji ◽  
Lakew Abebe ◽  
Ronald Labonté ◽  
Sudhakar Morankar ◽  
...  
Keyword(s):  
Health Services ◽  
Pregnant Women ◽  
Malaria Infection ◽  
Preventive Measures ◽  
Health Sector ◽  
Maternal Health Services ◽  
Cross Sectional Survey ◽  
Wealth Status ◽  
Cross Sectional ◽  
Jimma Zone

Abstract Background In Ethiopia, malaria infections and other complications during pregnancy contribute to the high burden of maternal morbidity and mortality. Preventive measures are available, however little is known about the factors influencing the uptake of maternal health services and interventions by pregnant women in Ethiopia. Methods We analyzed data from a community-based cross-sectional survey conducted in 2016 in three rural districts of Jimma Zone, Ethiopia, with 3784 women who had a pregnancy outcome in the year preceding the survey. We used multivariable logistic regression models accounting for clustering to identify the determinants of antenatal care (ANC) attendance and insecticide-treated net (ITN) ownership and use, and the prevalence and predictors of malaria infection among pregnant women. Results Eighty-four percent of interviewed women reported receiving at least one ANC visit during their last pregnancy, while 47% reported attending four or more ANC visits. Common reasons for not attending ANC included women’s lack of awareness of its importance (48%), distance to health facility (23%) and unavailability of transportation (14%). Important determinants of ANC attendance included higher education level and wealth status, woman’s ability to make healthcare decisions, and pregnancy intendedness. An estimated 48% of women reported owning an ITN during their last pregnancy. Of these, 55% reported to have always slept under it during their last pregnancy. Analysis revealed that the odds of owning and using ITNs were respectively 2.07 (95% CI: 1.62–2.63) and 1.73 (95% CI: 1.32–2.27) times higher among women who attended at least one ANC visit. The self-reported prevalence of malaria infection during pregnancy was low (1.4%) across the three districts. We found that young, uneducated, and unemployed women presented higher odds of malaria infection during their last pregnancy. Conclusion ANC and ITN uptake during pregnancy in Jimma Zone fall below the respective targets of 95 and 90% set in the Ethiopian Health Sector Transformation Plan for 2020, suggesting that more intensive programmatic efforts still need to be directed towards improving access to these health services. Reaching ANC non-users and ITN ownership and use as part of ANC services could be emphasized to address these gaps.

scholarly journals P206 Sexual health risks, service use, and views of rapid point-of-care testing among men-who-have-sex-with-menattending saunas: a cross sectional survey

2015 ◽  
Vol 91 (Suppl 1) ◽  
pp. A84.3-A84
Author(s):  
Jeremy Horwood ◽  
Suzanne Ingle ◽  
David Burton ◽  
Adam Woodman-Bailey ◽  
Paddy Horner ◽  
...  
Keyword(s):  
Sexual Health ◽  
Health Risks ◽  
Service Use ◽  
Point Of Care ◽  
Point Of Care Testing ◽  
Cross Sectional Survey ◽  
Cross Sectional

131 Sexual Health Influences in Women: A Cross-Sectional Survey

2021 ◽  
Vol 18 (3) ◽  
pp. S70-S71
Author(s):  
J. Dubin ◽  
N. Balaji ◽  
Q. Rainer ◽  
W.A. Wyant ◽  
I. Efimenko ◽  
...  
Keyword(s):  
Sexual Health ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Physician’s use of sickness certification guidelines: a nationwide survey of 13 750 physicians in different types of clinics in Sweden

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e051555
Author(s):  
Veronica Svärd ◽  
Kristina Alexanderson
Keyword(s):  
Occupational Health ◽  
Health Services ◽  
Sick Leave ◽  
Primary Healthcare ◽  
Work Capacity ◽  
Occupational Health Services ◽  
Sickness Certification ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Different Types

ObjectivesTo explore physicians’ experiences of using the national sickness certification guidelines introduced in 2007 and the types of information they used, in general and in different types of clinics.DesignCross-sectional survey.SettingMost physicians working in Sweden in 2017.ParticipantsA questionnaire was sent to 34 718 physicians; 54% responded. Analyses were based on answers from the 13 750 physicians who had sick leave cases.Outcome measuresTo what extent the guidelines were used and what type of information from them that was used.ResultsTen years after the sickness certification guidelines were introduced in Sweden, half of the physicians used them at least once a month. About 40% of physicians in primary healthcare and occupational health services used the guidelines every week. The type of information used varied; 53% used recommendations about duration and 29% about degree of sick leave. Using information about function and activity/work capacity, respectively, was more common within primary healthcare (37% and 38%), psychiatry (42% and 42%), and occupational health services (35% and 41%), and less common in surgery and orthopaedic clinics (12% and 12%) who more often used information about duration (48% and 53%). Moreover, 10% stated that the guidelines were very, and 24% fairly problematic to apply. Half (47%) stated that the guidelines facilitated their contacts with patients and 29% that they improved quality in their management of sick leave cases. More non-specialists, compared with specialists, found that the guidelines facilitated contacts with patients (OR 3.28, 95% CI 3.04 to 3.55).ConclusionsThe majority of the physicians used the sickness certification guidelines, although this varied with type of clinic. Half stated that the guidelines facilitated patient contacts. Yet, some found it problematic to apply the guidelines. Further development of the guidelines is warranted as well as more knowledge about them among physicians.

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