| correlates of intent to be vaccinated against human papillomavirus: an exploratory study of college-aged women. | this study identified correlates of human papillomavirus (hpv) vaccine acceptance among college-aged women. data were collected by self-administered questionnaire. in multivariate analyses, women having vaginal sex (past 12 months) were nearly four times more likely to indicate acceptance (p = 0.0001). those reporting ever having a sexually transmissible infection (sti; p = 0.03) and those indicating ever having an abnormal pap test (p = 0.03) were more likely to indicate acceptance. thus, three ... | 2007 | 17382042 |
| human papillomavirus vaccine: knowledge and attitudes in two appalachian kentucky counties. | a vaccine against common high-risk types of human papillomavirus (hpv) associated with cervical cancer risk was recently approved. we assessed women's acceptance of hpv vaccination for themselves and for adolescent girls, in an appalachian population with cervical cancer incidence and mortality rates among the highest in the united states. | 2007 | 17497223 |
| cervical cancer, human papillomavirus and smoking. | | 2007 | 17566464 |
| nonsexual transmission of anogenital warts in children: a retrospective analysis. | the purpose was to evaluate the prevalence of sexual abuse in patients who were referred to a pediatric gynecologist for evaluation based on the clinical findings of anogenital warts. a retrospective analysis was performed on 131 patients between the ages 6 month and 9 years referred to a pediatric gynecologist after the finding of anogenital warts by a clinical provider, parent or caregiver. a complete physical examination under colposcopy by a the same, trained pediatric gynecologist was compl ... | 2007 | 18060328 |
| human papillomavirus vaccine legislation in kentucky: a policy analysis. | the purpose of this article is to discuss the problem of cervical cancer, examine policy solutions, and analyze factors that contributed to the failure of human papillomavirus (hpv) vaccine requirement legislation in kentucky. during 2007, a kentucky representative introduced legislation that would require hpv vaccination for all middle-school girls but allow parents to opt out for any reason. evidence suggests that an hpv school requirement law would result in more kentucky children being vacci ... | 2008 | 18492941 |
| cost-benefit analysis on the hpv vaccine in medicaid-enrolled females of the appalachian region of kentucky. | the objective of this study was to determine the cost-efficiency of vaccinating against human papillomavirus (hpv) in medicaid enrolled females of the appalachian region of kentucky (n = 49,411 females) aged 12 to 25 years, versus paying for the treatment of cervical cancer cases (n = 643 cases) within this population later in life. | 2008 | 18630037 |
| acceptance of the hpv vaccine for adolescent girls: analysis of state-added questions from the brfss. | previous research regarding human papillomavirus (hpv) awareness and vaccine acceptance has relied on convenience or other selected samples of the population. to assess the prevalence of hpv awareness and vaccine acceptance in kentucky we added questions to the 2006 kentucky behavioral risk factor survey system (brfss), a population-based survey of health behaviors. | 2009 | 19380090 |
| parental vaccine concerns in kentucky. | an increasing number of parents are questioning the safety and necessity of routine childhood immunizations. locally produced vaccine risk communication materials may be effective in reassuring these parents. however, little is known about specific vaccine safety concerns in the state of kentucky. | 2009 | 19813430 |
| low rates of free human papillomavirus vaccine uptake among young women. | to determine uptake of quadrivalent human papillomavirus recombinant vaccine (quadrivalent; gardasil((r)), merck, new jersey, usa) offered under optimal conditions to women 18 to 24 years of age, and to identify predictors of uptake. | 2010 | 20719216 |
| hpv-related risk perceptions and hpv vaccine uptake among a sample of young rural women. | appalachia kentucky is recognized for increased cervical cancer incidence, morbidity and mortality and lower rates of pap testing. understanding the predictors of human papillomavirus (hpv) vaccine uptake is warranted among this population. the purpose of this exploratory research is to determine associations between hpv-related risk perceptions and uptake of free gardasil offered to rural appalachian women ages 18-26 attending regional health clinics. young women (n-á=-á247) were recruited from ... | 2010 | 21766242 |
| Uptake of free HPV vaccination among young women: a comparison of rural versus urban rates. | To contrast rates of initial HPV vaccine uptake, offered at no cost, between a rural clinic, a rural community college, and an urban college clinic and to identify rural versus urban differences in uptake of free booster doses. | 2011 | 21967381 |
| young women's perspectives on cervical cancer prevention in appalachian kentucky. | human papillomavirus (hpv) vaccination coupled with routine papanicolaou (pap) tests can prevent pervasive hpv infections causing cervical cancer. however, both hpv vaccination rates and pap testing rates in appalachian kentucky are lower among all age groups than the rest of the united states. we recruited 19 young women residing in appalachian kentucky from university-based and rural clinical settings for group and individual interviews. after considering an integrated behavioral framework, we ... | 2011 | 22068039 |
| Sexually Related Behaviors as Predictors of HPV Vaccination Among Young Rural Women. | Abstract Purpose: To explore whether sexually related behaviors predict refusal of the human papillomavirus (HPV) vaccine among a sample of women aged 18-26 in Appalachian Kentucky. Methods: Using a convenience sample, young women attending health clinics and a community college in southeastern Kentucky were recruited to participate in a Women's Health Study. After completing a questionnaire, women received a free voucher for the three-dose HPV vaccine series. Completion of dose one served a ... | 2011 | 22136319 |
| invasive cancer incidence and survival - united states, 2013. | although cancer represents many heterogeneous diseases, some cancer types share common risk factors. for example, conclusive evidence links cancer at multiple sites with tobacco use, alcohol use, human papillomavirus (hpv) infection, excess body weight, and physical inactivity (1,2). to monitor changes in cancer incidence and assess progress toward achieving healthy people 2020 objectives,* cdc analyzed data from the u.s. cancer statistics (uscs) data set for 2013, the most recent year for which ... | 2017 | 28125576 |
| environmental scanning as a public health tool: kentucky's human papillomavirus vaccination project. | borrowing from business, quality improvement programs, and strategic planning principles, environmental scanning is gaining popularity in public health practice and research and is advocated as an assessment and data collection tool by federal funding agencies and other health-related organizations. applicable to a range of current and emerging health topics, environmental scans - through various methods - assess multiple facets of an issue by engaging stakeholders who can ask or answer research ... | 2016 | 27536901 |
| lgbt health and vaccinations: findings from a community health survey of lexington-fayette county, kentucky, usa. | data on adult immunization coverage at the state level and for lgbt americans in particular are sparse. this study reports the results of a 2012 lexington-fayette county, kentucky, community health assessment's results asking about eight adult vaccinations among 218 lesbian, gay, bisexual, and transgendered (lgbt) respondents. researchers collected data using an online survey distributed through lgbt social media, posters, and lgbt print media. the lgbt sample largely matches the demographics of ... | 2016 | 26930365 |
| implementation and evaluation of a school-based human papillomavirus vaccination program in rural kentucky. | human papillomavirus (hpv) vaccination rates remain marginal across the u.s., including kentucky, a state recognized for increased hpv-related cancer burden. school-based hpv immunization programs may be a viable approach to improving vaccination initiation and completion rates among youth. therefore, the purpose of this study was to design, implement, and evaluate a school-based hpv vaccination program conducted in rural south-central kentucky. | 2015 | 26190806 |
| organizational variation in implementation of an evidence-based human papillomavirus intervention. | "1-2-3 pap" is a video-based intervention designed to improve human papillomavirus (hpv) vaccine adherence rates among young women in rural eastern kentucky. the efficacy trial for the original intervention linked video exposure with increased likelihood of vaccine series completion among the target audience. given their historic focus on prevention, local health departments were selected as pilot sites to study implementation of 1-2-3 pap in a public health setting and identify site-specific va ... | 2015 | 26190804 |
| fatalistic beliefs and completion of the hpv vaccination series among a sample of young appalachian kentucky women. | uptake and completion of the 3-dose human papillomavirus (hpv) vaccine is important for the primary prevention of cervical cancer. however, hpv vaccination rates among adolescent females and young women remain low in certain geographic areas of the united states, including appalachia. although greater fatalistic beliefs have been previously associated with lower rates of preventive cancer behaviors among adults, little research exists on the impact of fatalism on hpv vaccination behaviors, espec ... | 2015 | 25640763 |
| designing for dissemination: lessons in message design from "1-2-3 pap". | despite a large number of evidence-based health communication interventions tested in private, public, and community health settings, there is a dearth of research on successful secondary dissemination of these interventions to other audiences. this article presents the case study of "1-2-3 pap," a health communication intervention to improve human papillomavirus (hpv) vaccination uptake and pap testing outcomes in eastern kentucky, and explores strategies used to disseminate this intervention t ... | 2015 | 25470444 |
| school-based vaccination programs and the hpv vaccine in 16 appalachian kentucky school districts: results from a pilot study. | the purpose of this article is to describe a pilot study of 16 appalachian kentucky school districts designed to gather information about their school vaccination and health education programs in relation to the human papillomavirus (hpv) vaccine. school district administrators were contacted by a professional telephone interviewer and asked to participate in a structured interview that also included open-ended questions. results suggest that few schools have school-based vaccination programs, a ... | 2014 | 24871774 |
| hpv knowledge and vaccine acceptability in appalachian tennessee and kentucky, usa. | | 2014 | 24347591 |
| self-collecting a cervico-vaginal specimen for cervical cancer screening: an exploratory study of acceptability among medically underserved women in rural appalachia. | innovative screening methods such as self-testing for human papillomavirus (hpv) may alleviate barriers to cervical cancer screening. the purpose of this exploratory study was to determine whether appalachian kentucky women would be amenable to self-collecting a cervico-vaginal specimen for hpv testing. | 2014 | 24125753 |
| health care providers' perspectives on low hpv vaccine uptake and adherence in appalachian kentucky. | previous intervention research conducted in appalachian kentucky resulted in extremely low uptake and adherence to the human papillomavirus (hpv) vaccine among women ages 18-26, despite provision of free vaccine. because of these findings, the purpose of this qualitative, follow-up study was to elicit health care providers' perspectives on barriers and facilitators to hpv vaccination and suggested strategies for improving vaccination rates. | 2013 | 23808860 |
| hpv vaccination among young adult women: a perspective from appalachian kentucky. | few studies have assessed barriers to human papillomavirus (hpv) vaccination uptake and adherence, particularly among women of appalachian kentucky, a population with higher rates of cervical cancer, lower rates of hpv vaccination, and lower socioeconomic status compared with the rest of the nation. the objective of this study was to address women's reasons for declining the hpv vaccine and, among women who initiated the vaccine series, barriers to completion of the 3-dose regimen. | 2013 | 23391293 |
| predictors of initial uptake of human papillomavirus vaccine uptake among rural appalachian young women. | women in appalachian kentucky experience a high burden of cervical cancer and have low rates of human papillomavirus (hpv) vaccination. the purpose of this study was to identify normative influences predicting initial hpv vaccine uptake among a sample of young women in southeastern kentucky. women (n = 495), ages 18 through 26 years, were recruited from clinics and community colleges. after completing a questionnaire, women received a free voucher for hpv vaccination. whether women redeemed the ... | 2013 | 23325057 |
| assessing the burden of hpv-related cancers in appalachia. | appalachia is a geographic region with existing cancer disparities, yet little is known about its burden of hpv-related cancers outside of cervical cancer. we assessed the burden of hpv-related cancers in three appalachian states and made comparisons to non-appalachian regions. we examined 1996-2008 cancer registry data for ohio, kentucky, west virginia and the surveillance, epidemiology and end results (seer) 9 program. for each gender, we calculated age-adjusted incidence rates per 100,000 pop ... | 2013 | 23143774 |