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exposure to high-risk genital human papillomavirus and its association with risky sexual practices and laboratory-confirmed chlamydia among african-american women.genital human papillomavirus (hpv) is the most common sexually transmitted infection (sti) in the united states and african-american women have the highest prevalence of high-risk hpv. this study examined exposure to high-risk hpv in african-american women and its relation to risky sexual practices and laboratory-confirmed chlamydia.200919679492
routine vaginal cuff smear testing in post-hysterectomy patients with benign uterine conditions: when is it indicated?by the age of 60 years, an estimated 33% of women will have undergone a hysterectomy. approximately 85% of these hysterectomies are performed for benign disease. the object of this study was to evaluate cytologic findings from vaginal cuff smears in patients who have undergone hysterectomy for benign uterine conditions.200010933286
parental acceptance of a mandatory human papillomavirus (hpv) vaccination program.the objective of this study was to determine factors that influence parent's acceptance of a mandatory school-based human papillomavirus (hpv) vaccination program.201020207933
human papillomavirus infection in women with and without cervical cancer in tbilisi, georgia.background: no accurate estimates of cervical cancer incidence or mortality currently exist in georgia. nor are there any data on the population-based prevalence of high-risk (hr) human papillomavirus (hpv) infection, which, in the absence of good-quality screening, is known to correlate with cervical cancer incidence. methods: we obtained cervical cell specimens from 1309 women aged 18-59 years from the general population of tbilisi, and also from 91 locally diagnosed invasive cervical cancers ...201121292583
association of chlamydia trachomatis with persistence of high-risk types of human papillomavirus in a cohort of female adolescents.human papillomavirus (hpv) infection is a necessary but not sufficient cause of cervical cancer. while chlamydia infection has been associated with cervical cancer, the meaning of this association remains unclear. the authors' objective was to investigate this association by evaluating whether concurrent genital tract infections are associated with hpv persistence, a precursor to cervical cancer. interview data and biologic samples for hpv, chlamydia trachomatis, neisseria gonorrhoeae, trichomon ...200516120706
epidemiology of human papillomavirus infection and abnormal cytologic test results in an urban adolescent population.we determined the prevalence of and the risk factors for human papillomavirus (hpv) infection and abnormal cytologic test results in 312 adolescent girls (mean age, 16.1 years). subjects had a median of 2 years of sexual activity and 4 lifetime sex partners. cervical hpv was detected by use of l1-consensus polymerase chain reaction in 64% of subjects; half of those with hpv had >1 type, and 77% had >/=1 high-risk type. independent risk factors for hpv were lifetime number of sex partners, age of ...200414702152
most parents do not think receiving human papillomavirus vaccine would encourage sexual activity in their children.to determine whether parents think receiving human papillomavirus (hpv) vaccine encourages sexual activity in their children.201020592552
Salud es vida: development of a cervical cancer education curriculum for promotora outreach with Latina farmworkers in rural Southern Georgia.We developed and evaluated a lay health worker curriculum intended to educate Hispanic farmworker women on cervical cancer, human papillomavirus (HPV), and the HPV vaccine. We pilot tested the curriculum in 2010 with 7 volunteer promotoras for readability, attractiveness, content, comprehension, cultural appropriateness, persuasion, structure and organization of lessons, balance between didactic and participatory activities, and ease of diffusion to community members. Peer-led cervical cancer pr ...201122021295
college graduation reduces vulnerability to stis/hiv among african-american young adult women.african-american women are disproportionately affected by sexually transmitted infections (stis), including hiv. the theory of gender and power (tgp) posits that socioeconomic exposures, including educational attainment, place women at increased risk for stis/hiv. this study examined the association between educational attainment and vulnerability to stis/hiv, as well as potential tgp-driven mediators of this association, among african-american women. baseline data were assessed from an sti/hiv ...201222555218
human papillomavirus awareness among hiv-infected drug users in two urban areas.human papillomavirus (hpv) is the cause of cervical and anal cancer. human immunodeficiency virus (hiv) infection and cocaine use are associated with increased risk for hpv infection and associated diseases, but little is known about hiv-infected drug users' awareness of hpv. we investigate hpv awareness among hiv-infected, sexually-active crack cocaine users from two inner-city hospitals in florida and georgia during their inpatient stays. multivariate logistic regression analysis was used to e ...201424616115
recommendations for structure and content for a school-based adolescent immunization curriculum.despite high utilization of childhood vaccinations, adolescent immunization coverage rates lag behind recommended coverage levels. the four vaccines recommended for adolescents ages 11 to 18 years are tetanus, diphtheria, and pertussis vaccine; human papillomavirus vaccine; meningococcal conjugate vaccine; and an annual influenza vaccine. the healthy people 2020 goal is 80% coverage for each recommended immunization, but coverage rates in georgia among adolescents fall below those goals for all ...201627009129
influence of sources of information about influenza vaccine on parental attitudes and adolescent vaccine receipt.in 2011-2012, only 34% of 13-17 years olds in the united states (us) received seasonal influenza vaccine. little is known about the link between parents' sources of health information, their vaccine-related attitudes, and vaccination of their adolescent against influenza. this study seeks to determine the relationship between number of sources of information on influenza vaccine, parental attitudes toward influenza vaccine, and influenza vaccine uptake in adolescents. we conducted a telephone an ...201525996686
human papillomavirus vaccination among adolescents in georgia.human papillomavirus (hpv) vaccination coverage for adolescent females and males remains low in the united states. we conducted a 3-arm randomized controlled trial (rct) conducted in middle and high schools in eastern georgia from 2011-2013 to determine the effect of 2 educational interventions used to increase adolescent vaccination coverage for the 4 recommended adolescent vaccines: tdap, mcv4, hpv and influenza. as part of this rct, this article focuses on: 1) describing initiation and comple ...201525912372
school-located vaccination clinics for adolescents: correlates of acceptance among parents.four vaccines are recommended by the advisory committee for immunization practices for adolescents: tetanus, diphtheria, acellular pertussis vaccine (tdap), meningococcal conjugate vaccine (mcv4), human papillomavirus vaccine (hpv), and annual seasonal influenza vaccine. however, coverage among adolescents is suboptimal. school-located vaccination clinics (slvcs) offer vaccines to students at school, increasing access. this study seeks to determine the relationship between attitudes of parents o ...201525528325
adaptation of a cervical cancer education program for african americans in the faith-based community, atlanta, georgia, 2012.from 1999 through 2009, african american women in the united states had the second highest incidence rates of cervical cancer and were more likely to die from cervical cancer than women of other races. con amor aprendemos (caa) is an intervention created to educate the latino community to reduce their risk for cervical cancer and diseases related to human papilloma virus (hpv). caa was adapted to with love we learn (wlwl) to prevent cervical cancer and hpv in african american communities.201424762531
recommendations and administration of the hpv vaccine to 11- to 12-year-old girls and boys: a statewide survey of georgia vaccines for children provider practices.this study explores the prevalence and provider- and practice-related correlates of physician recommendation and administration of the quadrivalent human papillomavirus (hpv) vaccine, gardasil, to 11- to 12-year-old girls and the intention to recommend the hpv vaccine to 11- to 12-year-old boys in georgia. the study also describes physician knowledge about and barriers to hpv vaccination.201424633170
development, theoretical framework, and evaluation of a parent and teacher-delivered intervention on adolescent vaccination.the advisory committee on immunization practices recommended immunization schedule for adolescents includes three vaccines (tetanus, diphtheria, and acellular pertussis [tdap]; human papillomavirus [hpv] vaccine; and meningococcal conjugate vaccine [mcv4]) and an annual influenza vaccination. given the increasing number of recommended vaccines for adolescents and health and economic costs associated with nonvaccination, it is imperative that effective strategies for increasing vaccination rates ...201424440920
health care provider challenges for reaching hispanic immigrants with hpv vaccination in rural georgia.the objective of this pilot study was to understand, from the vaccines for children (vfc) program provider's perspective, issues relating to vaccine access and compliance for hispanic adolescents in a rural setting.201222537411
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