A collaborative program for educating urban youth about HPV risk and cancer prevention.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 169-169
Author(s):  
Jennifer Jarvey Balistreri ◽  
Cathy Schulz ◽  
Anne Marie Barry-Weers ◽  
James L. Weese
Keyword(s):  
Public Schools ◽  
Cancer Prevention ◽  
Low Income ◽  
Urban Youth ◽  
Health Disparity ◽  
Hpv Vaccine ◽  
Urban Areas ◽  
Transmitted Disease ◽  
Completion Rates ◽  
Public Data

169 Background: HPV infection is the most common sexually transmitted disease. Exposure to this infection is associated with cancer later in life. Public data regarding HPV vaccination rates and health disparity (as evidenced by low-income, high teen birth and STI rates) were identified. Methods: Based on the supposition that health disparity is associated with low socioeconomic status, a Wisconsin state map provided by the Center for Urban Population Health identified 29 zip codes in the City of Milwaukee, and are broken by low, medium, and high income brackets. An HPV education program, in partnership with Milwaukee Public Schools (MPS), was developed with a focus on the low income bracket to emphasize infection exposure and the safety and efficacy of the HPV vaccine in cancer prevention. This included education on safe relationships and emphasis on personal health advocacy. Program development was aimed at the health literacy of youth. Collaboration occurred with MPS leadership and their established health curriculum to ensure the HPV program accommodated the academic level of the freshman health classroom. Results: The data is reflective of HPV vaccine series completion rates within the zip codes where the HPV program was presented. Logistic regression was used and a significant rise for HPV completion rates by year (p = 0.0003) and by zip code (p < 0.0001) were observed. Conclusions: As the program evolves, program evaluations and public data continue to be reviewed along with feedback from various stakeholders to maintain the quality and integrity of the program. Additionally, Aurora Health Care has received requests to share this HPV program best practice with other institutions to expand it throughout urban areas of Wisconsin and Illinois.[Table: see text]

scholarly journals Meeting the Challenges of Longitudinal Cluster-Based Trials in Schools: Lessons From the Chicago Trial of Positive Action

2016 ◽  
Vol 40 (4) ◽  
pp. 450-482 ◽  
Author(s):  
Kendra M. Lewis ◽  
David L. DuBois ◽  
Peter Ji ◽  
Joseph Day ◽  
Naida Silverthorn ◽  
...  
Keyword(s):  
Public Schools ◽  
Low Income ◽  
Urban Areas ◽  
Statistical Power ◽  
Student Mobility ◽  
Controlled Trial ◽  
Lessons Learned ◽  
Study Planning ◽  
Positive Action ◽  
Cluster Randomized

We describe challenges in the 6-year longitudinal cluster randomized controlled trial (CRCT) of Positive Action (PA), a social–emotional and character development (SECD) program, conducted in 14 low-income, urban Chicago Public Schools. Challenges pertained to logistics of study planning (school recruitment, retention of schools during the trial, consent rates, assessment of student outcomes, and confidentiality), study design (randomization of a small number of schools), fidelity (implementation of PA and control condition activities), and evaluation (restricted range of outcomes, measurement invariance, statistical power, student mobility, and moderators of program effects). Strategies used to address the challenges within each of these areas are discussed. Incorporation of lessons learned from this study may help to improve future evaluations of longitudinal CRCTs, especially those that involve evaluation of school-based interventions for minority populations and urban areas.

The Education and Employment of Low-Income Black Youth in White Suburbs

1992 ◽  
Vol 14 (3) ◽  
pp. 229-240 ◽  
Author(s):  
Julie E. Kaufman ◽  
James E. Rosenbaum
Keyword(s):  
Low Income ◽  
Urban Youth ◽  
Urban Areas ◽  
Role Models ◽  
Black Youth ◽  
College Attendance ◽  
Positive Role ◽  
Positive Effects ◽  
Education And Employment ◽  
White Suburbs

This study examines education and employment outcomes of Black youth whose families moved from mostly Black urban housing projects to either mostly White suburbs or other mostly Black urban areas. The study examined high school retention, grades, track placement, college attendance, employment, wages, job prestige, and job benefits. Despite concerns about disadvantages due to discrimination and competition with White peers, the suburban youth did significantly better than urban youth in practically all areas. In the suburbs, mothers and youth pointed to positive effects of higher educational standards, additional academic help, greater access to information about college enrollment, and positive role models.

scholarly journals Human Papillomavirus, Related Diseases, and Vaccination: Knowledge and Awareness Among Health Care Students and Professionals in Nepal

2021 ◽  
Author(s):  
Khawla Suhaila ◽  
Amrita Mukherjee ◽  
Bipu Maharjan ◽  
Amrit Dhakal ◽  
Mingma Lama ◽  
...  
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Human Papillomavirus ◽  
Low Income ◽  
Hpv Vaccine ◽  
English Language ◽  
Transmitted Disease ◽  
Low Income Countries ◽  
Health Care Students ◽  
Public Health Burden

AbstractHuman papillomavirus (HPV) is a common sexually transmitted disease worldwide. While burden of HPV-associated cancers and mortality is higher in low-income countries, there is limited data about knowledge of it among health care students and professionals. We assessed awareness and knowledge of HPV, its related diseases, and HPV vaccine among 333 participants, composed of 146 medical students (MSs) and professionals (MPs) and 187 nursing students (NSs) and professionals (NPs) using a 40-question survey between July 2018 and February 2019. Surveys were conducted in English language using both paper and an online version. Most participants reported that they had heard of HPV and cervical cancer. However, 91.76% of MPs and 77.97% of MSs, but only 41.11% of NPs and 36.17% NSs reported knowing that HPV types 16 and 18 caused cervical cancer. Likewise, about two-thirds of MPs and MSs reported having the knowledge that HPV 6 and 11 caused genital warts versus only a little over one-fourth of NPs and NSs. Only 55.91% of NPs and 51.61% of NSs were aware that HPV could cause cancer in both men and women, whereas 42.35% of MPs, 64.41% of MSs, 41.76% of NPs, and 40.66% of NSs were aware that the vaccine could be given to both boys and girls. While medical professionals were relatively more knowledgeable about HPV and related diseases, overall, knowledge about the HPV vaccine was low among all groups. This knowledge gap is concerning and warrants further attention to fight HPV-related public health burden in Nepal.

scholarly journals Knowledge of Cervical Cancer and Acceptability of Prevention Strategies Among HPV-Vaccinated and Nonvaccinated Adolescents in Eldoret, Kenya

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 196s-196s ◽  
Author(s):  
A. Mburu ◽  
P. Itsura
Keyword(s):  
Cervical Cancer ◽  
Public Schools ◽  
Cancer Prevention ◽  
Hpv Vaccine ◽  
Sexual Debut ◽  
Hpv Infection ◽  
Cervical Cancer Prevention ◽  
Prevention Strategies ◽  
Barrier Method ◽  
Cross Sectional

Background: Primary prevention of cervical cancer with the introduction of the human papilloma virus (HPV) vaccines is the next generation means to reduction of the disease burden in developing countries. Sexually active adolescents have the highest rates of prevalent and incident HPV infection rates with over 50%–80% having infections within 12 months of initiating intercourse. From May 2012 to March 2013, through the Gardasil Access Program, Eldoret received 9600 vaccine doses and vaccinated over 3000 girls aged 9-14. Despite this, there is little information on the knowledge of cervical cancer among adolescents and their amenability to accepting cervical cancer prevention strategies. Aim: To compare the knowledge of cervical cancer and acceptability of prevention strategies among vaccinated and nonvaccinated adolescents after an HPV vaccination initiative in Eldoret, Kenya. Methods: A cross-sectional comparative study carried out in 6 public schools which were clustered into 2 groups of 2. 60 vaccinated and 120 nonvaccinated adolescents were randomly selected from each of the schools by proportionate allocation. IREC approval obtained and signed consent got from the parents. Data collection was then carried out using interviewer-administered questionnaires. Results: The median age of the participants was 14.0 (IQR: 13.0-15.0). Of 60 vaccinated adolescents, 56 (93.3%) had heard of the HPV vaccine compared with 6 (5%) of unvaccinated participants ( P < 0.001). Fifty-eight (96.7%) of vaccinated participants heard of cervical cancer compared with 61 (50.8%) unvaccinated participants ( P < 0.001). The participants were not different in their knowledge of risk factors for developing cervical cancer or its symptoms but overall, the vaccinated participants had a significantly higher knowledge score compared with the unvaccinated participants 14.4 (95% CI: 12.2-16.7). Both cohorts identified the school as the commonest source of information for health matters as compared with social media or hospitals. The 2 groups also showed similarity in their selection of cervical cancer prevention strategies acceptable to them like delaying sexual debut until after the teenage years and frequency of using barrier method for protection against sexually transmitted infections. Similar proportions of participants from both cohorts showed high acceptability of screening modalities for cervical cancer (85% vs 86.7%, P = 0.940). Of the unvaccinated participants, 63.7% expressed willingness to be vaccinated. Conclusion: Exposure to the HPV vaccine was associated with a higher knowledge of cervical cancer. The adolescents predominantly rely on the school for their information. They show remarkable acceptability for cervical cancer prevention strategies but are limited by the dearth of information they have.

Anxiety Symptom Profiles in Low-Income Urban Youth with Disruptive Behavior Disorders

2010 ◽  
Author(s):  
Jaleel Abdul-Adil ◽  
David A. Meyerson ◽  
Corinn Elmore ◽  
A. David Farmer ◽  
Karen Taylor-Crawford
Keyword(s):  
Disruptive Behavior ◽  
Low Income ◽  
Urban Youth ◽  
Behavior Disorders ◽  
Anxiety Symptom ◽  
Disruptive Behavior Disorders ◽  
Symptom Profiles

The Influence of Health Literacy on Knowledge of Cervical Cancer Prevention and Screening Practices among Female Undergraduates at a University in Southwest Nigeria

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Sunday Joseph Ayamolowo ◽  
Lydia Feyisayo Akinrinde ◽  
Monisola Omoyeni Oginni ◽  
Love Bukola Ayamolowo
Keyword(s):  
Cervical Cancer ◽  
Health Literacy ◽  
Cancer Screening ◽  
Cancer Prevention ◽  
Cervical Cancer Screening ◽  
Low Income ◽  
Cervical Cancer Prevention ◽  
Screening Practices ◽  
Cancer Prevention And Screening ◽  
Southwest Nigeria

The global incidence of cancer is rising, and low-income and lower-middle-income countries have the worst figures. However, knowledge of cervical cancer prevention and cervical cancer screening practices remains poor in these regions. This study assessed the concept of health literacy as a potential determinant of knowledge of cervical cancer prevention and screening practices among female undergraduates. A descriptive cross-sectional study was conducted among 385 female undergraduates at a university in southwest Nigeria. A validated questionnaire composed of subscales on nine components of health literacy, knowledge of cervical cancer prevention, and cervical cancer screening practices was used for data collection. The majority of the respondents obtained a high score on most of the components of health literacy and 66% had good knowledge of cervical cancer prevention. Only 11% demonstrated good practices of Pap smear testing. Of all the components of health literacy, “feeling understood and supported by healthcare providers” (OR = 0.075; 95% CI [0.036–0.115]; p = 0.015) and “understanding health information well enough to know what to do” (OR = 0.055; 95% CI [0.006–0.104]; p = 0.029) were significantly associated with knowledge of cervical cancer prevention. Out of the major challenges related to cervical cancer screening among undergraduates, the feeling of being at risk (OR = 4.71; p < 0.05) and uncomfortable experiences from past screening (OR = 0.12; p < 0.05) were significantly associated with going for cervical cancer screening. The study concluded that levels of health literacy influenced knowledge of cervical cancer prevention among female undergraduates, but it did not affect their engagement in cervical cancer screening practices.

TURNING FARMERS INTO SOCIAL FARMER ENTREPRENEURS FOR DISADVANTAGED PEOPLE

2020 ◽  
Author(s):  
Remus Runcan
Keyword(s):  
Rural Communities ◽  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Health And Safety ◽  
Physical Work ◽  
Healthy Environment ◽  
Rural And Urban Areas ◽  
Rural Development Programme ◽  
Rural And Urban

According to Romania’s National Rural Development Programme, the socio-economic situation of the rural environment has a large number of weaknesses – among which low access to financial resources for small entrepreneurs and new business initiatives in rural areas and poorly developed entrepreneurial culture, characterized by a lack of basic managerial knowledge – but also a large number of opportunities – among which access of the rural population to lifelong learning and entrepreneurial skills development programmes and entrepreneurs’ access to financial instruments. The population in rural areas depends mainly on agricultural activities which give them subsistence living conditions. The gap between rural and urban areas is due to low income levels and employment rates, hence the need to obtain additional income for the population employed in subsistence and semi-subsistence farming, especially in the context of the depopulation trend. At the same time, the need to stimulate entrepreneurship in rural areas is high and is at a resonance with the need to increase the potential of rural communities from the perspective of landscape, culture, traditional activities and local resources. A solution could be to turn vegetal and / or animal farms into social farms – farms on which people with disabilities (but also adolescents and young people with anxiety, depression, self-harm, suicide, and alexithymia issues) might find a “foster” family, bed and meals in a natural, healthy environment, and share the farm’s activities with the farmer and the farmer’s family: “committing to a regular day / days and times for a mutually agreed period involves complying with any required health and safety practices (including use of protective clothing and equipment), engaging socially with the farm family members and other people working on and around the farm, and taking on tasks which would include working on the land, taking care of animals, or helping out with maintenance and other physical work”

Ecosan Can Provide Sustainable Sanitation in Emergency Situations with Benefits for the Millennium Development Goals

2006 ◽  
Vol 1 (2) ◽  
Author(s):  
E. v. Münch ◽  
G. Amy ◽  
J. F. Fesselet
Keyword(s):  
Low Income ◽  
Urban Areas ◽  
Millennium Development Goals ◽  
Net Present Value ◽  
Soil Conditions ◽  
Value Analysis ◽  
Emergency Situations ◽  
Long Time ◽  
Development Goals ◽  
Sanitation Systems

This paper describes the potential of ecological sanitation (ecosan) to provide sustainable excreta disposal in emergency situations and in peri-urban areas or slums in developing countries. At the present time, pit latrines are the most common form of excreta disposal both for emergency situations and in low-income peri-urban areas or slums. Although not intended to be a long-term solution, pit latrines provided during emergencies are often used for a long time (more than six months to years). This practice is not sustainable if the area is prone to flooding or there are soil conditions that allow groundwater pollution in areas where groundwater is used for drinking water, to name but two of the main factors. We propose eight criteria for the applicability of ecosan based on analysis of three case studies representing different types of emergency situations. The two most important criteria are awareness and expertise in ecosan within the aid agencies, and availability of standardised, lightweight toilet units that are quick to assemble and easy to transport (e.g. container for faeces, and urine diversion squatting pan made of impact-resistant molded polypropylene). Such toilets could be moved to, or replicated in, other areas in need after the emergency (peri-urban areas or slums). This would provide benefits for Millennium Development Goals achievements (targets on hunger, child mortality, sanitation and slum dwellers) at lower cost than conventional sanitation systems. Costs for sanitation systems should be compared based on the entire system (toilet, transport, treatment, reuse in agriculture), using Net Present Value analysis for capital, and operating and maintenance costs.

scholarly journals Women’s knowledge and attitude towards cervical cancer preventive measures and associated factors In South Gondar Zone, Amhara Region, North Central Ethiopia: a cross-sectional study

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Yilkal Tafere ◽  
Tezera Jemere ◽  
Tsion Desalegn ◽  
Addisu Melak
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Low Income ◽  
Formal Education ◽  
Cervical Cancer Prevention ◽  
Prevention Measures ◽  
Cross Sectional ◽  
Women's Knowledge ◽  
Women’S Knowledge ◽  
South Gondar

Abstract Background Cervical cancer is a leading cause of morbidity and mortality among women in Ethiopia, often due to late disease diagnosis. Early prevention of cancer has been shown to be the most effective measure against the disease. Scientific evidences indicate that lack of awareness towards cervical cancer is a barrier to prevention strategies. Therefore, the aim of the current research was to assess women’s knowledge and attitudes towards cervical cancer preventions in South Gondar zone. Methods A community-based cross-sectional study was carried out in South Gondar zone, Ethiopia. The study sample comprised 844 women ≥ 18 years of age. Participants were selected using systematic sampling technique. Binary and multivariable logistic models were used to assess predictors of women’s knowledge and attitude towards cervical cancer. Results About 66 % of the women had heard about cervical cancer. Regarding the main source of information of respondents, 75.4 % were heard from health professionals. Sixty two point 4 % of women knew at least one preventive measure and 82.6 % of participants knew at least one symptom or sign. Among study participants, 25 and 64 % had good knowledge, and favorable attitude towards cervical cancer prevention measures, respectively. Being reside in rural (AOR = 0.21, 95 %CI; 0.18, 0.34), not attending formal education (AOR = 0.50, 95 % CI: 0.3, 0.75), low income (AOR = 0.57, 95 % CI: 0.43, 0.81) and having < 4 children ((AOR = 0.8, 95 % CI: 0.60–0.86) were negatively associated with knowledge toward cervical cancer prevention measures. Conclusions This study found the majority of the respondents had poor knowledge about cervical cancer prevention measures. The majority of the study participants had favorable attitudes regarding cervical cancer prevention. Living in rural areas, not attending formal education low income and having less than four children was negatively associated with respondents’ knowledge towards cervical cancer prevention measures. There is needed to scale up cervical cancer prevention measures and services .Further studies are needed using strong study design.

scholarly journals Where Do I Allocate My Urban Allotment Gardens? Development of a Site Selection Tool for Three Cities in Benin

Land ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 318
Author(s):  
B. G. J. S. Sonneveld ◽  
M. D. Houessou ◽  
G. J. M. van den Boom ◽  
A. Aoudji
Keyword(s):  
Food Insecurity ◽  
Urban Agriculture ◽  
Low Income ◽  
Urban Areas ◽  
Urban Poor ◽  
Site Suitability ◽  
Rapid Urbanization ◽  
Middle Income ◽  
Support Tool ◽  
Allotment Gardens

In the context of rapid urbanization, poorer residents in cities across low- and middle-income countries increasingly experience food and nutrition deficiencies. The United Nations has highlighted urban agriculture (UA) as a viable solution to food insecurity, by empowering the urban poor to produce their own fresh foods and make some profit from surplus production. Despite its potential role in reducing poverty and food insecurity, there appears to be little political will to support urban agriculture. This is seen in unclear political mandates that are sustained by information gaps on selection criteria for UA sites. The research reported here addresses this issue in the form of a decision-making support tool that assesses the suitability of cadastral units and informal plots for allotment gardens in urban and peri-urban areas. The tool was developed and tested for three rapidly expanding cities in Benin, a low-income country in West Africa, based on an ordered logit model that relates a set of 300 expert assessments on site suitability to georeferenced information on biophysical and socio-economic characteristics. Soil, land use, groundwater depth, vicinity to market and women’s safety were significant factors in the assessment. Scaled up across all cadastral units and informal sites, the tool generated detailed baseline maps on site suitability and availability of areas. Its capacity to support policymakers in selecting appropriate sites comes to the fore by reporting changes in site suitability under scenarios of improved soil fertility and enhanced safety for women.

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