Medicine and Health Sciences Commons^™

Assessing The Effectiveness Of A Community-Based Sensitization Strategy In Creating Awareness About Hpv, Cervical Cancer And Hpv Vaccine Among Parents In North West Cameroon, Richard Wamai, Claudine Ayissi, Geofrey Oduwo, Stacey Perlman, Edith Welty, Simon Manga, Javier Ogembo

Richard G. Wamai

In 2010, the Cameroon Baptist Convention Health Services (CBCHS) received a donation of HPV vaccine (Gardasil(A (R))) to immunize girls of ages 9-13 years in the North West Region of Cameroon. We evaluated the effectiveness of the CBCHS campaign program in sensitizing parents/guardians to encourage HPV vaccine uptake, identified factors that influence parents' decisions to vaccinate girls, and examined the uptake of cervical cancer screening among mothers. We conducted a cross-sectional survey in four healthcare facilities run by CBCHS, churches and other social settings. A total of 350 questionnaires were distributed and 317 were used for the analysis. There were …

Integrating Health Literacy And Esl : An Interdisciplinary Curriculum For Hispanic Immigrants, Francisco Soto Mas

Francisco Soto Mas

Adult Hispanic immigrants are at a greater risk of experiencing the negative outcomes related to low health literacy, as they confront cultural and language barriers to the complex and predominately monolingual Englishbased U.S. health system. One approach that has the potential for simultaneously addressing the health, literacy, and language needs of Hispanics is the combination of health literacy and English as a second language (ESL) instruction. The purpose of the project was to evaluate the feasibility of using ESL instruction as a medium for improving health literacy among Hispanic immigrants. Objectives included the development, implementation, and evaluation of an interdisciplinary …

Hiv Rages Among Black Gay Men, Sheldon Fields

Sheldon D. Fields

No abstract provided.

Verbal Autopsy Tool For Infant Mortality, Vijay Kumar Chattu

Vijay Kumar Chattu

Information on causes of death is extremely important for policy-making, planning, monitoring and evaluation of health programs as well as for field research, comparisons and epidemic awareness.The Millennium Development Goal for India is to reduce infant mortality rate to 35 per 1000 & under-five mortality to 45 per 1000 live births by 2015.The incorporation of Verbal Autopsy (VA) in the existing Registration Systems is necessary in order to fulfil its ultimate goal of improving the information on causes of infant deaths in areas where Civil Registration and Death Certification are weak. VA provides information for local action by health authorities …

Nurse Practitioners Tackling More "Doctor" Tasks, Sheldon Fields

Sheldon D. Fields

No abstract provided.

Applying Innovative Approaches To Address Health Disparities In Native Populations: An Assessment Of The Crow Men’S Health Project, Paul Lachapelle, Tim Dunnagan, James Real Bird

Tim Dunnagan

Using a Community-Based Participatory Research approach, the Crow Men's Health Project is a partnership between university researchers and men of the Crow Indian Reservation to address health disparities, particularly cancer risk, screenings and treatments. The objective in using this approach is to establish trust, share power, foster co-learning, and ultimately address community-identified needs and health problems. However, application within the context of Native American communities has only recently been studied with only a paucity of evaluative research on the quality and outcome of partnerships. This research details the accomplishments to date of this partnership. The findings and implications of the …

Obesogenic Neighborhoods: The Impact Of Neighborhood Restaurants And Convenience Stores On Adolescents’ Food Consumption Behaviors, Meizi He, Patricia Tucker, Jennifer Irwin, Jason Gilliland, Kristian Larsen, Paul Hess

Trish Tucker

No abstract provided.

Biological Basis For The Protective Effect Conferred By Male Circumcision Against Hiv Infection, Brian Morris, Richard Wamai

Richard G. Wamai

Here we provide an up-to-date review of research that explains why uncircumcised men are at higher risk of HIV infection. The inner foreskin is a mucosal epithelium deficient in protective keratin, yet rich in HIV target cells. Soon after sexual exposure to infected mucosal secretions of a HIV-positive partner, infected T-cells from the latter form viral synapses with keratinocytes and transfer HIV to Langerhans cells via dendrites that extend to just under the surface of the inner foreskin. The Langerhans cells with internalized HIV migrate to the basal epidermis and then pass HIV on to T-cells, thus leading to the …

Interest In Breast Cancer Chemoprevention Among Older Women, Jennifer Tjia, Ellyn Micco, Katrina Armstrong

Jennifer Tjia

OBJECTIVES: The study aim is to describe interest in breast cancer chemoprevention among older women without a history of breast cancer and to determine whether aging-related factors such as diminished life expectancy, increasing comorbidity and medication burden attenuate chemoprevention interest. DESIGN: Cross-sectional survey. SETTING: University of Pennsylvania Health System. PARTICIPANTS: Four-hundred fifty-seven community-dwelling women aged 60-65 years old who were potentially eligible for breast cancer chemoprevention according to guidelines linking risk and eligibility to age. MEASUREMENTS: Interest in breast cancer chemopre vention, Gail model breast cancer risk, perceived breast cancer risk, breast cancer worry, self-reported health status and comorbidities, and …

Socioeconomic Deprivation Impact On Meat Intake And Mortality: Nih-Aarp Diet And Health Study, Jacqueline Major, Amanda Cross, Chyke Doubeni, Yikyung Park, Min Lian, Albert Hollenbeck, Arthur Schatzkin, Barry Graubard, Rashmi Sinha

Chyke A. Doubeni

OBJECTIVE: Previous studies have not examined potential interactions between meat intake and characteristics of the local environment on the risk of mortality. This study examined the impact of area socioeconomic deprivation on the association between meat intake and all-cause and cause-specific mortality after accounting for individual-level risk factors.

METHODS: In the prospective NIH-AARP Diet and Health Study, we analyzed data from adults, ages 50-71 years at baseline (1995-1996). Individual-level dietary intake and health risk information were linked to the demographic and socioeconomic context of participants' local environment based on census tract data. Deaths (n = 33,831) were identified through December …

Socioeconomic Status And The Risk Of Colorectal Cancer: An Analysis Of More Than A Half Million Adults In The National Institutes Of Health-Aarp Diet And Health Study, Chyke Doubeni, Adeyinka Laiyemo, Jacqueline Major, Mario Schootman, Min Lian, Yikyung Park, Barry Graubard, Albert Hollenbeck, Rashmi Sinha

Chyke A. Doubeni

BACKGROUND: No previous prospective US study has examined whether the incidence of colorectal cancer (CRC) is disproportionately high in low socioeconomic status (SES) populations of both men and women. This study examined the relationship between both individual and area-level SES and CRC incidence, overall and by tumor location. METHODS: Data were obtained from the ongoing prospective National Institutes of Health-AARP Diet and Health Study of persons (50-71 years old) who resided in 6 US states and 2 metropolitan areas at baseline in 1995-1996. Incident CRCs were ascertained from tumor registries through December 2006. SES was measured by self-reported education and …

Early Course Of Nicotine Dependence In Adolescent Smokers, Chyke Doubeni, George Reed, Joseph Difranza

Chyke A. Doubeni

OBJECTIVE: The goal was to characterize the early course of nicotine dependence. METHODS: Data were collected from 1246 sixth-graders in a 4-year (2002-2006) prospective study using 11 individual interviews. Subjects were monitored for 10 symptoms of dependence by using the Hooked on Nicotine Checklist. The bidirectional prospective relationship between the intensity of dependence (number of symptoms) and smoking frequency was examined by using cross-lagged analyses. RESULTS: Of the 370 subjects who had inhaled from a cigarette, 62% smoked at least once per month, 53% experienced dependence symptoms, and 40% experienced escalation to daily smoking. Smoking frequency predicted the number of …

Likelihood Of Missed And Recurrent Adenomas In The Proximal Versus The Distal Colon, Adeyinka Laiyemo, Chyke Doubeni, Andrew Sanderson, Paul Pinsky, Dilhana Badurdeen, V. Doria-Rose, Pamela Marcus, Robert Schoen, Elaine Lanza, Arthur Schatzkin, Amanda Cross

Chyke A. Doubeni

BACKGROUND: Colonoscopy may be less efficacious in reducing colorectal cancer mortality in the proximal compared with the distal colon. A greater likelihood for missed and recurrent adenomas in the proximal colon may contribute to this phenomenon.

OBJECTIVE: To examine whether a proximal adenoma is associated with the risk and location of missed and recurrent adenomas.

DESIGN: Prospective.

SETTING: Polyp Prevention Trial.

PARTICIPANTS: A total of 1864 patients with an adenoma at baseline underwent a follow-up colonoscopy 4 years later (adenoma recurrence). Of these, 1731 underwent a clearing colonoscopy 1 year after the baseline examination (missed adenoma).

MAIN OUTCOME MEASUREMENTS: Association …

Health Status, Neighborhood Socioeconomic Context, And Premature Mortality In The United States: The National Institutes Of Health-Aarp Diet And Health Study, Chyke Doubeni, Mario Schootman, Jacqueline Major, Rosalie Torres Stone, Adeyinka Laiyemo, Yikyung Park, Min Lian, Lynne Messer, Barry Graubard, Rashmi Sinha, Albert Hollenbeck, Arthur Schatzkin

Chyke A. Doubeni

Objectives. We examined whether the risk of premature mortality associated with living in socioeconomically deprived neighborhoods varies according to the health status of individuals. Methods. Community-dwelling adults (n=566402; age=50-71 years) in 6 US states and 2 metropolitan areas participated in the ongoing prospective National Institutes of Health-AARP Diet and Health Study, which began in 1995. We used baseline data for 565679 participants on health behaviors, self-rated health status, and medical history, collected by mailed questionnaires. Participants were linked to 2000 census data for an index of census tract socioeconomic deprivation. The main outcome was all-cause mortality ascertained through 2006. Results. …

The Lives Of Young Black Gay Men Matter, Sheldon Fields

Sheldon D. Fields

No abstract provided.

Review: A Critical Evaluation Of Arguments Opposing Male Circumcision For Hiv Prevention In Developed Countries, Brian Morris, Robert Bailey, Jeffrey Klausner, Arleen Leibowitz, Richard Wamai, Jake Waskett, Joya Banerjee, Daniel Halperin, Laurie Zoloth, Helen Weiss, Catherine Hankins

Richard G. Wamai

A potential impediment to evidence-based policy development on medical male circumcision (MC) for HIV prevention in all countries worldwide is the uncritical acceptance by some of arguments used by opponents of this procedure. Here we evaluate recent opinion-pieces of 13 individuals opposed to MC. We find that these statements misrepresent good studies, selectively cite references, some containing fallacious information, and draw erroneous conclusions. In marked contrast, the scientific evidence shows MC to be a simple, low-risk procedure with very little or no adverse long-term effect on sexual function, sensitivity, sensation during arousal or overall satisfaction. Unscientific arguments have been recently …

Identifying Self-Perceived Hiv-Related Stigma In A Population Accessing Antiretroviral Therapy, D. Tzemis, J. Forrest, C. Puskas, W. Zhang, Treena Orchard, A. Palmer, C. Mcinnes, K. Fernandes, J. Montaner, R. Hogg

Dr. Treena Orchard

No abstract provided.

Linking Childhood Obesity To The Built Environment: A Multi-Level Analysis Of Home And School Neighbourhood Factors Associated With Body Mass Index, Jason Gilliland, C Rangel, Martin Healy, Patricia Tucker, Janet Loebach, Paul Hess, Meizi He, Jen Irwin, Piotr Will

Trish Tucker

No abstract provided.

Promoting Adherence And Retention To Clinical Trials In Special Populations: A Women's Health Initiative Workshop, Sara Wilcox, Sally Shumaker, Deborah Bowen, Michelle Naughton, Milagros Rosal, Shari Ludlam, Elizabeth Dugan, Julie Hunt, Stephanie Stevens

Elizabeth Dugan

This paper describes a Women's Health Initiative workshop on promoting adherence and retention in randomized clinical trials among ethnic minority women, participants of lower socioeconomic status, and older women. Workshop objectives were: (1) to increase knowledge of demographic and cultural characteristics of diverse groups, (2) to increase awareness of how diversity can affect interactions in clinical research, (3) to explore how research staff behavior can influence adherence and retention, and (4) to increase knowledge of strategies to enhance adherence and retention in special populations. The workshop emphasized the importance of understanding beliefs, values, and experiences that are common in diverse …

Targeting Diseases Beyond Our Borders, Richard Wamai

Richard G. Wamai

No abstract provided.

'How To Contain Generalized Hiv Epidemics' Article Misconstrues The Evidence, Richard Wamai, B. Morris

Richard G. Wamai

No abstract provided.

Circumcision Denialism Unfounded And Unscientific, Joya Banerjee, Jeffrey Klausner, Daniel Halperin, Richard Wamai, Edgar Schoen, Stephen Moses, Brian Morris, Stefan Bailis, Francois Venter, Neil Martinson, Thomas Coates, Glenda Gray, Kasonde Bowa

Richard G. Wamai

No abstract provided.

How Do We ‘See’ Occupations? An Examination Of Visual Research Methodologies In The Study Of Human Occupation, L. Hartman, A. Mandich, L. Magalhaes, Treena Orchard

Dr. Treena Orchard

This article argues that visual research methodologies have potential to contribute to the study of occupation. The use of visual research methodologies is quickly growing in a number of disciplines and can help researchers to access information and reasoning not accessible through interview, log or survey. The reflexive, reflective, engaged process of creating and analysing visual materials allows for rich representations on behalf of participants, and immersion in the data on the part of researchers. This paper explores photovoice, body mapping and textual analysis of visual materials to understand how they can contribute to occupational science research. These methods were …

Health Development Experiences In Haiti: What Can Be Learned From The Past To Find A Way Forward?, Richard Wamai, Colleen Larkin

Richard G. Wamai

Haiti’s history is marred by neo colonialism, structural violence, dictatorial politics, and severe natural disasters. These social political and geo-ecological factors have played a strong role in shaping the country’s past and current experiences in health and development. This paper overviews Haiti’s recent developments in health in light of the country’s tragic and complex history and comments on the health impact of the 2010 earthquake. In light of this information we draw some general conclusions and recommendations for going forward.

Battling Hiv/Aids And The Healthcare Crisis In Africa, Richard Wamai

Richard G. Wamai

No abstract provided.

A Conversation On African Diaspora, Richard Wamai

Richard G. Wamai

No abstract provided.

The Rising Rates Of Hiv Among Black And Latio Men: What's Going On?, Sheldon Fields

Sheldon D. Fields

No abstract provided.

Manual De Ejercicio Para Adultos, Francisco Soto Mas

Francisco Soto Mas

Guía de ejercicio para adultos

Factors Behind Hiv Testing Practices Among Canadian Aboriginal Peoples Living Off-Reserve, Treena Orchard, C. Mcinnes, K. Fernandes, M. Clement, M. Gilbert, V. Lima, J. Montaner, R. Hogg

Dr. Treena Orchard

The objective of this study was to examine factors associated with HIV testing among Aboriginal peoples in Canada who live off-reserve. Data were drawn for individuals aged 15–44 from the Aboriginal Peoples Survey (2001), which represents a weighed sample of 520,493 Aboriginal men and women living off-reserve. Bivariable analysis and logistic regression were used to identify factors associated with individuals who had received an HIV test within the past year. In adjusted multivariable analysis, female gender, younger age, unemployment, contact with a family doctor or traditional healer within the past year, and “good” or “fair/poor” self-rated health increased the odds …

Insert Discourse: Rectal Douching Among Young Hiv-Positive And Hiv-Negative Gay Men In Vancouver, Canada, A. Schilder, Treena Orchard, C. Buchner, S. Strathdee, R. Hogg

Dr. Treena Orchard

Douching is a common practice among certain groups of women and MSM, and it is conducted for the purpose of cleanliness as part of bodily hygiene maintenance. Although there has been considerable research about female vaginal douching, understandings of rectal douching (RD) for MSM are limited. In the epidemiological and medical literature, RD is presented as a behaviour that removes beneficial bacteria and the surface epithelium layer of the colon, which can, potentially, increase the risk of HIV transmission in MSM. The paucity of research on male douching practices is curious given the primacy of anal sex in HIV prevention …