Public Health in Practice最新文献

{"title":"“If children don't feel safe, they won't come back”: A qualitative exploration of parents' perceptions of health coordinators in a family-based programme in socially disadvantaged communities","authors":"Lisette Farias ,&nbsp;Mai-Lis Hellenius ,&nbsp;Gisela Nyberg ,&nbsp;Susanne Andermo","doi":"10.1016/j.puhip.2024.100575","DOIUrl":"10.1016/j.puhip.2024.100575","url":null,"abstract":"<div><h3>Background</h3><div>Families residing in disadvantaged communities encounter inequalities that restrict their engagement in physical activity. Family-based interventions and health coordinators have been proposed as promising approaches to encourage physical activity among parents and children. However, there is a paucity of knowledge regarding family experiences of such programmes and the ways health coordinators facilitate continued participation in programmes delivered in disadvantaged communities. The study aimed to explore parents’ perceptions of health coordinators in a family-based physical activity programme, Open Activities, delivered in disadvantaged communities in Sweden.</div></div><div><h3>Study design</h3><div>An exploratory design with a qualitative ethnographic approach.</div></div><div><h3>Methods</h3><div>Multiple methods, including 12 interviews, 15 observations and field notes, and prolonged researcher engagement between February 2022 and December 2023, were used to obtain complementary insights into parents’ perceptions and experiences in the Open Activities programme. Data was analysed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>A main theme and three sub-themes emerged from the analysis. The sub-themes reflect participants’ perceptions of how health coordinators provide a sense of safety for parents and children, making them feel appreciated and motivated to continue participating in the programme. The sub-themes also reflect the struggles that families encounter with security and social disorders in their neighbourhoods and how these difficulties influence their participation in outdoor activities and trust in outside people, including health coordinators. This required health coordinators to demonstrate a deep commitment to their communities, cultivate trust and fairness, and take a more assertive role in enforcing rules and ensuring respect.</div></div><div><h3>Conclusion</h3><div>The involvement of health coordinators, aware of the issues facing disadvantaged communities, could represent a promising avenue for advancing health equity through physical activity. Failure to consider the potential of health coordinators to promote safety can compromise programmes’ sustainability and even exacerbate existing disparities.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100575"},"PeriodicalIF":2.2,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The persistence of very low correlations between NIH research funding and disease burdens","authors":"Ashley J.R. Carter,&nbsp;Milena Gevorkian","doi":"10.1016/j.puhip.2024.100580","DOIUrl":"10.1016/j.puhip.2024.100580","url":null,"abstract":"<div><h3>Objectives</h3><div>The degree to which the allocation of disease-specific research funding by the NIH is proportional to disease burden is an important question. This study examined the historical relationship between NIH funding allocation and disease burden for a variety of medical conditions.</div></div><div><h3>Study design</h3><div>Coefficients of relatedness for the linear relationships between funding and disease burden for 27 medical conditions over a period exceeding twenty years were calculated.</div></div><div><h3>Methods</h3><div>Publicly available data from 2009 to 2019, and previously published data from 1994 to 2004, was obtained to compare disease-specific research funding from the NIH to burden of disease values (mortality, prevalence, incidence, DALYs, and YLLs) for 27 diseases.</div></div><div><h3>Results</h3><div>We identified very weak and declining correlations (e.g., R² &lt; 0.03) between funding and the five measures of burden for the 27 diseases. The weak relationships persist even when HIV/AIDS is omitted (e.g., R² &lt; 0.1). A recent decline in the overall strengths of the funding burden relationships is attributable to novel investment in Alzheimer's disease research.</div></div><div><h3>Conclusions</h3><div>The weak correlations reveal long-standing inefficiencies in the NIH disease funding allocation process. The recent increased and focused funding for Alzheimer's disease may not be justified by an objective analysis which considers disease burdens. Increased efficiency of medical research may be realized by improving the poor match between disease burden and funding allocation.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100580"},"PeriodicalIF":2.2,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protecting the American dream for socially vulnerable families: An evaluation of state-level policies to improve housing security and protect mobile home communities","authors":"Morgan Clennin ,&nbsp;Denise Hartsock ,&nbsp;Olivia Goodman ,&nbsp;Stacie Daugherty ,&nbsp;Cheryl Kelly","doi":"10.1016/j.puhip.2024.100571","DOIUrl":"10.1016/j.puhip.2024.100571","url":null,"abstract":"<div><h3>Background</h3><div>Manufactured and mobile homes are the largest source of unsubsidized affordable housing in the U.S. However, mobile home residents face unique challenges and are at greater risk of housing instability. State-level policies to enhance the regulation of mobile home parks and expand protections for residents are needed to address these challenges. The purpose of this study was to evaluate the implementation process and impact of newly enacted mobile home park policies on the housing security of Colorado residents and to identify policy implementation hurdles and successes. <u>Study Design</u>: Policy implementation evaluation using mixed methods.</div></div><div><h3>Methods</h3><div>Ten mobile home parks in three small-to-medium sized communities in Colorado were invited to participate in the evaluation conducted between 2020 and 2022. The mixed methods policy implementation evaluation included cross-sectional surveys of mobile home park residents (n = 356), qualitative interviews with community advisory groups (n = 24), and focus groups with community residents (n = 12). Data were triangulated to identify themes related to policy implementation successes and challenges.</div></div><div><h3>Results</h3><div>Evaluation findings elevate mobile home park residents' lived experiences and summarize challenges related to implementation of Colorado's mobile home park policies. A substantial lag in policy implementation was observed. Notably, the infrastructure necessary to implement and monitor adherence to the new policies had to be developed. Among mobile home park residents, fear of retaliation from property owners, park management, and oversight agencies remained a significant barrier to policy effectiveness despite the new protections offered by the state-level policies.</div></div><div><h3>Conclusions</h3><div>Translation of policies into practice takes time and resources. Recommendations to enhance policy implementation are to ensure adequate allocation of inputs and resources to support implementation across multiple levels, including the infrastructure essential to monitor and enforce policy adherence, and educational materials paired with a strong communication plan to improve residents’ awareness and capacity to navigate the new policies.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100571"},"PeriodicalIF":2.2,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143351385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing and implementing whole systems approaches to reduce inequalities in childhood obesity: A mixed methods study in Dundee, Scotland","authors":"P. van der Graaf ,&nbsp;M.P. Subramanian ,&nbsp;J. Gillespie ,&nbsp;A. Passey ,&nbsp;N.R. Chng ,&nbsp;A. Lake ,&nbsp;H. Moore","doi":"10.1016/j.puhip.2024.100579","DOIUrl":"10.1016/j.puhip.2024.100579","url":null,"abstract":"<div><h3>Background</h3><div>UK local authorities are developing and implementing Whole Systems Approaches to childhood obesity to tackle persistent and complex health inequalities. However, there is a lack of research on the practical application of these approaches. This paper reports on findings of a study into the initial implementation of this approach in Dundee, Scotland.</div></div><div><h3>Study design/methods</h3><div>We applied a mixed methods research design: 1) semi-structured interviews (n = 9) with partnership members; 2) training members as peer researchers to interview their wider networks; n = 17); 3) an online survey among wider stakeholders (n = 27); and 4) two action learning sets with decision makers. Interview data was analysed using thematic framework analysis and survey data was analysed using descriptive statistics.</div></div><div><h3>Results</h3><div>Dundee stakeholders stated that they had good knowledge of childhood obesity prevention efforts, but their engagement with working groups around identified priority themes was still limited, due to a lack of awareness about existing structures and knowledge about sustainable, impactful strategies, which were not always well-aligned between key organisations.</div></div><div><h3>Conclusions</h3><div>Our findings extend current literature on facilitators for Whole Systems Approaches in public health by highlighting that understanding of strategies and wider structures are crucial to build capacity and maintain engagement to address inequalities. We identified an ongoing need for targeted communication and diverse involvement opportunities for different stakeholder groups.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100579"},"PeriodicalIF":2.2,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing health inequalities in disasters: A cross-sectional study of the viability of ‘vulnerability’ terminology and of priority lists in the UK","authors":"Poppy Ellis Logan ,&nbsp;Gabriella Rundblad ,&nbsp;Marian Brooke Rogers ,&nbsp;Richard Amlôt ,&nbsp;Gideon James Rubin","doi":"10.1016/j.puhip.2024.100564","DOIUrl":"10.1016/j.puhip.2024.100564","url":null,"abstract":"<div><h3>Background</h3><div>In disasters, people with certain characteristics repeatedly experience health inequalities. In the UK, people predicted to experience poorer health outcomes are often described as ‘vulnerable’. Various services compile lists of ‘vulnerable’ people eligible for interventions in disasters to reduce health disparities.</div></div><div><h3>Study aim</h3><div>To explore the viability of current approaches to reducing health inequalities in disasters, we tested whether people typically described as ‘vulnerable’ by public health and emergency planners self-identify as 'vulnerable' in a disaster, and whether they are registered on a ‘vulnerability list’.</div></div><div><h3>Study design</h3><div>We collected data from 5148 UK-based adults using a cross-sectional online survey from July–September 2022, using nationally representative quotas for age, gender, disability, and social grade.</div></div><div><h3>Methods</h3><div>We calculated the proportions of respondents with perceived indicators of ‘vulnerability’ who self-described as 'vulnerable during a disaster’, and who reported being on a Priority Service Register or another ‘vulnerability list’. We used odds ratios to assess whether access to resources or risk mitigation plans explained low rates of self-identification as 'vulnerable' and registration.</div></div><div><h3>Results</h3><div>Among people with perceived indicators of 'vulnerability', self-description as ‘vulnerable in a disaster’ ranged from 22.4 % (of people dependent on false teeth) to 60.7 % (of people reporting significant difficulty running errands alone). Registration on a Priority Service Register ranged from 11.4 % (of people who were pregnant) to 35.7 % (of people reporting difficulties dressing, bathing, or using the toilet independently). Respondents without alternative plans or resources were generally no more likely to consider themselves ‘vulnerable’ or be registered on a 'vulnerability list' than those with alternative plans or resources.</div></div><div><h3>Conclusions</h3><div>Communications using the term 'vulnerable' may not reach target audiences. Using priority lists to reduce health disparities is impractical as most people facing inequitable risk are not registered. We suggest shifting UK terminology and discourse surrounding disaster risk, focussing on making mainstream strategies inclusive and accessible to reduce health inequalities in disasters.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100564"},"PeriodicalIF":2.2,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143093613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing vaccine hesitancy in the training of healthcare professionals: Insights from the VAX-TRUST project","authors":"Fábio Rafael Augusto ,&nbsp;Cátia Sá Guerreiro ,&nbsp;Rita Morais ,&nbsp;Joana Mendonça ,&nbsp;André Beja ,&nbsp;Tiago Correia ,&nbsp;Ana Patrícia Hilário","doi":"10.1016/j.puhip.2024.100569","DOIUrl":"10.1016/j.puhip.2024.100569","url":null,"abstract":"<div><h3>Background</h3><div>Evidence suggests that healthcare professionals often feel uncomfortable discussing vaccination with patients, largely due to a lack of training on the topic. In line with the scientific evidence gathered from the VAX-TRUST project, it is crucial to invest in training healthcare professionals and developing political measures to effectively address vaccine hesitancy. This paper explores the importance of training healthcare professionals to address vaccine hesitancy and provides concrete strategies for its implementation.</div></div><div><h3>Study design</h3><div>A quantitative research design was used.</div></div><div><h3>Methods</h3><div>The findings are based on a comprehensive Delphi survey conducted with a panel of 112 experts. Additionally, the study involved practical interventions carried out across seven European countries, engaging a total of 694 participants. These participants included general practitioners (GPs), paediatricians, nurses, as well as medical and nursing students. This robust and diverse dataset provides a well-rounded perspective on the subject matter, ensuring that the insights gained are both extensive and representative of various healthcare professionals across Europe.</div></div><div><h3>Results</h3><div>Three key themes emerged from the findings: the need for effective strategies to address communication challenges with vaccine-hesitant individuals, the importance of using evidence-based communication practices to improve these interactions, and the necessity of integrating social scientific knowledge on vaccination into the training of healthcare professionals.</div></div><div><h3>Conclusions</h3><div>Training healthcare professionals is essential to equip them with skills and knowledge needed to deal with the complexities of vaccine hesitancy. Evidence was gathered on ways to reflect and act to develop this capacity, namely, by increasing the ability to communicate empathetically, responding to patients' concerns with evidence-based information, and to building stronger and more collaborative relationships with them.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100569"},"PeriodicalIF":2.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vaping guidance and women's decision-making during pregnancy & postpartum","authors":"Greaves L ,&nbsp;Brabete A.C. ,&nbsp;Poole N. ,&nbsp;Huber E. ,&nbsp;Stinson J.","doi":"10.1016/j.puhip.2024.100570","DOIUrl":"10.1016/j.puhip.2024.100570","url":null,"abstract":"<div><h3>Background</h3><div>Vaping during pregnancy remains under researched and under reported, making appropriate prevention, health promotion and intervention difficult to design and mount. In this article we assessed the experiences and considerations of women who vape during pregnancy and/or within 2 years post-partum, in order to underpin realistic and informative health information for women and providers in face of conflicting and minimal guidance.</div></div><div><h3>Design</h3><div>22 interviews were conducted with pregnant and post-partum women who vape(d) nicotine, cannabis, or both during pregnancy and/or after delivery.</div></div><div><h3>Methods</h3><div>Participants who were pregnant or postpartum were recruited via social media and interviews conducted on Zoom or by telephone, recorded and transcribed. Data were coded in NVivo 12 and analyzed using a combined deductive and inductive approach, and principles of abductive analysis were applied to the data.</div></div><div><h3>Results</h3><div>Three overarching themes related to decision making about vaping are described: women's agency in information seeking, approaches to assessing information, and ambivalence regarding vaping practices. Women looked for information on the health effects of vaping during pregnancy and made differing decisions in the context of limited research and guidance. At times, family, friends, partners, and internet resources influenced their decisions. Some women dealt with ambivalence by vaping only in private, while alone, and at home or as a convenience. The women were uniformly aware of societal judgement regarding pregnancy and substance use in general and feared being addressed by friends or strangers about vaping.</div></div><div><h3>Conclusion</h3><div>In the absence of definitive research and unambiguous clinical guidance, the women felt limited in finding accurate advice, but demonstrated agency in information seeking and assessment. Nonetheless, they also recounted their ambivalence regarding their vaping decisions and practices. We created varied knowledge information products to fill this void.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100570"},"PeriodicalIF":2.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and drivers influencing people's behaviour towards COVID-19 public health and social measures in the Netherlands","authors":"Valérie Eijrond ,&nbsp;Nora Bünemann ,&nbsp;Nicky Renna ,&nbsp;Brett Craig ,&nbsp;Katrine Bach Habersaat ,&nbsp;Hélène Voeten ,&nbsp;Pearl Dykstra ,&nbsp;Anja Schreijer","doi":"10.1016/j.puhip.2024.100566","DOIUrl":"10.1016/j.puhip.2024.100566","url":null,"abstract":"<div><h3>Background</h3><div>The disease burden of COVID-19 infection, morbidity, and mortality was unevenly distributed across different population subgroups. A one-size-fits-all approach may not reach all groups. Identifying barriers and drivers that influence behaviour towards COVID-19 public health and social measures (PHSM) is an important step when designing tailored interventions. Using the WHO Tailoring Health Programmes (THP) approach, we performed a situation analysis. The objectives were to identify population subgroups; gain an overview of barriers and drivers to COVID-19 PHSM among subgroups; and interventions and research initiated in the Netherlands.</div></div><div><h3>Study design</h3><div>A literature scan, interviews and a meeting with experts were held.</div></div><div><h3>Methods</h3><div>Results were categorised according to the capability, opportunity, and motivation to understand COVID-19 PHSM behaviour.</div></div><div><h3>Results</h3><div>Different population subgroups have been studied regarding their barriers and drivers for uptake and adherence to COVID-19 PHSM, such as (older) migrant communities. Barriers include language barriers, mis- and disinformation and distrust. Drivers include protecting others and oneself. Network ties play a role, as a barrier and driver. Forty-five interventions and research projects were identified. Several revealed the importance of involving key figures. A lack of monitoring and evaluation of interventions during the pandemic was acknowledged by experts.</div></div><div><h3>Conclusions</h3><div>The situation analysis reveals that knowledge of the most prevalent barriers and drivers between underserved groups and how to address them with targeted (cost) effective interventions is lacking. With this THP project we aim to develop new or improve existing interventions addressing behaviours towards PHSM among a prioritised population group informed by evidence-based behavioural insights.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100566"},"PeriodicalIF":2.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of workplace violence on healthcare workers during and after the COVID-19 outbreak","authors":"C. Mento ,&nbsp;G. Pandolfo ,&nbsp;G. Spatari ,&nbsp;M.C. Silvestri ,&nbsp;I. Formica ,&nbsp;A. Bruno ,&nbsp;G. Falgares ,&nbsp;M.R.A. Muscatello ,&nbsp;C. La Barbiera ,&nbsp;A. De Carlo","doi":"10.1016/j.puhip.2024.100572","DOIUrl":"10.1016/j.puhip.2024.100572","url":null,"abstract":"<div><div>The COVID-19 pandemic has intensified workplace violence (WPV) against healthcare workers, exposing them to unprecedented levels of aggression. Incidents of verbal abuse, threats, and physical assaults have increased, especially in high-stress environments such as emergency departments and intensive care units, exacerbating psychological challenges for healthcare staff. This commentary explores the profound impact of WPV on healthcare workers' mental health and job satisfaction. Dehumanization - treating healthcare workers as resources rather than individuals - is a key factor that fuels aggression and undermines empathy within healthcare settings. WPV not only affects the personal well-being of healthcare professionals but also compromises patient care quality and the efficiency of healthcare systems. Effective strategies are urgently needed to address WPV, such as comprehensive training in de-escalation techniques, organizational policies, and enhanced safety protocols. An integrated approach that combines psychological support, policy reform, and preventive measures is essential to ensure a safer and more resilient healthcare environment for the future.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100572"},"PeriodicalIF":2.2,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic/health-related factors associated with HPV vaccination initiation/completion among females of paediatric age: A systematic review with meta-analysis","authors":"George N. Okoli ,&nbsp;Alexandra Grossman Moon ,&nbsp;Alexandra E. Soos ,&nbsp;Christine J. Neilson ,&nbsp;Hannah Kimmel Supron ,&nbsp;Katharine Etsell ,&nbsp;Avneet Grewal ,&nbsp;Paul Van Caeseele ,&nbsp;Caroline Richardson ,&nbsp;Diane M. Harper","doi":"10.1016/j.puhip.2024.100562","DOIUrl":"10.1016/j.puhip.2024.100562","url":null,"abstract":"<div><h3>Objectives</h3><div>To systematically identify, appraise, and summarise published evidence on individual socioeconomic and health-related factors associated with human papillomavirus (HPV) vaccination initiation and completion among females of paediatric age.</div></div><div><h3>Study design</h3><div>A global systematic review with meta-analysis (PROSPERO: CRD42023445721).</div></div><div><h3>Methods</h3><div>We performed a literature search in December 2022 and supplemented the search on August 1, 2023. Appropriate data were pooled using an inverse variance, random-effects model and the results were expressed as odds ratios, with 95 % confidence intervals. A statistically significant point pooled increased/decreased odds of 30–69 % was regarded to be strongly associated, and ≥70 % was very strongly associated.</div></div><div><h3>Results</h3><div>We included 83 cross-sectional studies. Among several significantly associated factors, being an older girl: 1.67 (1.44–1.93), having health insurance: 1.41 (1.16–1.72), and being in a public school: 1.54 (1.05–2.26) strongly increased the odds of vaccination initiation, and nativity in the country of study: 1.82 (1.33–2.50), use of contraception: 2.00 (1.16–3.46), receipt of influenza vaccination: 1.75 (1.54–2.00) and having visited a healthcare provider: 1.85 (1.51–2.28) in the preceding year very strongly increased the odds of vaccination initiation. Likewise, being an older girl: 1.36 (1.23–1.49) and having visited a healthcare provider in the preceding year: 1.46 (1.05–2.04) strongly increased the odds of vaccination series completion, and school-based vaccination: 3.08 (1.05–9.07), having health insurance: 1.72 (1.27–2.33), and receipt of influenza vaccination in the preceding year: 1.72 (1.62–1.83) very strongly increased the odds of vaccination series completion. We made similar observations when the studies were limited to the United States.</div></div><div><h3>Conclusions</h3><div>Several individual socioeconomic/health-related factors may determine initiating and completing the HPV vaccination series among paediatric females. These factors provide insights that may be key to identifying girls at increased risk of not being vaccinated and may aid targeted public health messaging.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100562"},"PeriodicalIF":2.2,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}