Using Peer Health Educators to Conduct Community Level Surveillance of HPV Vaccination Status: Findings Among Women Who Live in Medically Underserved Areas of Chicago
| العنوان: | Using Peer Health Educators to Conduct Community Level Surveillance of HPV Vaccination Status: Findings Among Women Who Live in Medically Underserved Areas of Chicago |
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| المؤلفون: | Jessica M. Madrigal, Ashlesha Patel, Camille A Johnson, Jenna Green |
| المصدر: | Journal of Community Health. 45:1043-1049 |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Health (social science), Adolescent, Ethnic group, Medically Underserved Area, Logistic regression, Young Adult, 03 medical and health sciences, 0302 clinical medicine, 030225 pediatrics, Intervention (counseling), Health care, Humans, Medicine, Public Health Surveillance, Papillomavirus Vaccines, Socioeconomic status, Reproductive health, Chicago, 030505 public health, business.industry, Health Educators, Papillomavirus Infections, Vaccination, Public Health, Environmental and Occupational Health, Hispanic or Latino, Black or African American, Family medicine, Female, Health education, 0305 other medical science, business |
| الوصف: | Young women are key stakeholders in efforts to increase human papillomavirus (HPV) vaccination uptake. Community health workers who engage with young women can provide valuable information to inform intervention strategies to increase vaccine uptake. We aimed to determine HPV vaccination and sexually transmitted infection (STI) rates among urban women and to identify barriers to vaccination. A trained health educator collaborated with community-based organizations to host health education and STI testing sessions for women in Chicago, Illinois. Forty-nine sessions took place at 15 sites over two years. Each attendee met with the educator about sexual health and HPV vaccination, and completed a health survey. We used contingency tables and logistic regression to determine factors associated with HPV vaccination using the cross-sectional survey data. Of the 292 women who answered questions about history of HPV vaccination, the average age was 17 (SD 2.3) years old, 63% (n = 184) were African American, and 33% (n = 98) Hispanic. Only 13.4% (n = 39) previously received the vaccine, and 6.2% (n = 18) received two to three doses. After adjustment, prior HIV testing was associated with 4.6 times higher odds (95% CI 1.71, 12.53, p = 0.002) of being vaccinated compared to women without prior testing. Our study provides evidence that young African American and Hispanic women living in Chicago may have low HPV vaccination rates. Women who received prior STI testing (i.e., sought healthcare) were more likely to be vaccinated relative to their peers who did not, indicating that racial/ethnic or socioeconomic disparities may inhibit utilization of preventative services. |
| تدمد: | 1573-3610 0094-5145 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::242cd7dd84987df5267f85b20fae9f26 https://doi.org/10.1007/s10900-020-00828-6 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....242cd7dd84987df5267f85b20fae9f26 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 15733610 00945145 |
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