Journal of Community Health最新文献_第8页

Knowledge of PrEP Among Healthcare Workers in Substance Use Disorder Services: A Cross-Sectional Study in Italy. 物质使用障碍服务中卫生保健工作者的PrEP知识：意大利的一项横断面研究。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-02-09 DOI: 10.1007/s10900-025-01445-x

Giuseppina Lo Moro, Lorenzo Rosset, Maria Grazia Varì, Alfio Lucchini, Roberta Balestra, Giacomo Scaioli, Roberta Siliquini, Fabrizio Bert

{"title":"Knowledge of PrEP Among Healthcare Workers in Substance Use Disorder Services: A Cross-Sectional Study in Italy.","authors":"Giuseppina Lo Moro, Lorenzo Rosset, Maria Grazia Varì, Alfio Lucchini, Roberta Balestra, Giacomo Scaioli, Roberta Siliquini, Fabrizio Bert","doi":"10.1007/s10900-025-01445-x","DOIUrl":"https://doi.org/10.1007/s10900-025-01445-x","url":null,"abstract":"Pre-exposure prophylaxis (PrEP) is an evidence-based strategy for HIV prevention, particularly for high-risk populations such as people who inject drugs and engage in chemsex. In Italy, there is no data on the actual knowledge of PrEP among Healthcare professionals (HCPs) in substance use disorder services (SerDs). This study aimed to assess PrEP awareness among SerD HCPs, also exploring their level of knowledge, practice, training, and perceived barriers. A cross-sectional study was conducted using a convenience sample of HCPs from SerDs across Italy (2023-2024). The questionnaire addressed sociodemographic and work-related information, PrEP awareness, knowledge scores (i.e. percentage of correct answers) on when proposing PrEP and reimbursement criteria, practice, and training received. Multiple logistic regression was performed to explore associations with PrEP awareness. The sample consisted of 306 professionals (26.8% physicians). Only 44.8% were aware of PrEP, with lower awareness among non-physicians (p < 0.001). As for knowledge scores on when proposing PrEP and on reimbursement, the median was 57.14% (IQR: 42.86-71.43%) and 55.56% (IQR: 33.33-66.67%), respectively. No differences were reported across professional roles. Only 10.36% reported PrEP is offered at their workplace and 87.9% highlighted a lack of training. Additionally, 96.79% believed it would be appropriate for HCPs to receive PrEP training; however, nurses were the most likely to state it is not appropriate (p = 0.046). The study identified gaps in PrEP knowledge and training among SerD professionals, including physicians. The strong interest in training suggests that SerD HCPs, though with varying perceptions, may be a receptive group for interventions for improving PrEP implementation.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring E-Cigarette Use Among Indonesian Youth: Prevalence, Determinants and Policy Implications. 探索电子烟在印尼青年中的使用：流行，决定因素和政策影响。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-02-09 DOI: 10.1007/s10900-025-01442-0

Razan Wibowo, Tobias Weinmann, Dennis Nowak, Yayi Suryo Prabandari

{"title":"Exploring E-Cigarette Use Among Indonesian Youth: Prevalence, Determinants and Policy Implications.","authors":"Razan Wibowo, Tobias Weinmann, Dennis Nowak, Yayi Suryo Prabandari","doi":"10.1007/s10900-025-01442-0","DOIUrl":"https://doi.org/10.1007/s10900-025-01442-0","url":null,"abstract":"The growing popularity of electronic cigarettes (e-cigarettes) among Indonesian youth presents a new public health challenge in a country with one of the highest tobacco burdens globally. While tobacco control regulations have been implemented, e-cigarettes remain largely unregulated, raising concerns about their health impacts and youth appeal. This study explores the prevalence, determinants and perceptions of e-cigarette use among high school and university students in Indonesia, providing critical insights to inform effective policymaking. A cross-sectional online-based survey was conducted in 2019 among 158 students aged 15-30 years across 17 provinces in Indonesia. Data on tobacco use behaviours, socioeconomic background, social influences and health perceptions were collected. Descriptive and inferential statistical analyses identified key determinants of e-cigarette use. Among the participants, 36.2% reported ever smoking, and 65.2% of these had tried e-cigarettes. Key determinants of e-cigarette use included male gender, urban residency, peer smoking and social acceptance of smoking (all p < 0.05). Notably, participants commonly perceived e-cigarettes as less harmful than combustible cigarettes and helpful for smoking cessation, despite conflicting scientific evidence. Overall, e-cigarette use is prevalent among Indonesian youth, driven by social and environmental factors, as well as misconceptions about safety. Strengthened regulations and targeted public health campaigns are essential to mitigate the health risks posed by e-cigarettes and enhance tobacco control efforts.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Real Talk: Conversations on HIV with Black Heterosexual Men in Healthcare Settings. 真实对话：在医疗保健环境中与黑人异性恋男性就艾滋病毒进行对话。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-02-01 Epub Date: 2024-08-10 DOI: 10.1007/s10900-024-01388-9

Rakira Urquhart, Mackenzie Adams, Shawtaabdee Chakraborty, Jade C Burns

{"title":"Real Talk: Conversations on HIV with Black Heterosexual Men in Healthcare Settings.","authors":"Rakira Urquhart, Mackenzie Adams, Shawtaabdee Chakraborty, Jade C Burns","doi":"10.1007/s10900-024-01388-9","DOIUrl":"10.1007/s10900-024-01388-9","url":null,"abstract":"Nearly half of heterosexually transmitted human immunodeficiency virus (HIV) infections occur among Black men in the United States. Yet Black heterosexual men (BHM) are largely ignored in HIV programming, policy implementation, and research. This study explores how masculinity, mental health, and socioeconomic factors such as income, education, and insurance (e.g., enrollment and coverage) correlate with the likelihood of BHM having important conversations surrounding HIV with their healthcare providers and family members. Conversations among social networks (e.g., peers, family, and neighbors) create an opportunity to increase comfortability while discussing HIV-related topics around condom use and testing. This study used a cross-sectional survey design and convenience sampling (N = 279) to recruit participants from a community-academic partnership involving a Federally Qualified Health Center (FQHC) in Detroit between June 1, 2020, and July 31, 2020. Descriptive statistics were used to report demographics, socioeconomic information, and sexual health-related behavior variables. Spearman's correlation test was used to report bivariate correlations between predictor and outcome variables. 49.3% of the study participants disclosed having ever talked to a healthcare provider about HIV/acquired immune deficiency syndrome (AIDS), and 40.9% disclosed having ever talked to a family member about HIV/AIDS and sexually transmitted infections (STIs). The results from this article highlight potential barriers that may inhibit BHM from engaging in conversations about HIV with their healthcare providers and family members. It is important to include BHM in future research that focuses on HIV prevention and education to support community leaders and clinicians who work to address these disparities.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"3-9"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141912947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Behavioral Responses to Wildfire Smoke: A Case Study in Western Montana. 对野火烟雾的行为反应：蒙大拿州西部案例研究。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-02-01 Epub Date: 2024-08-25 DOI: 10.1007/s10900-024-01390-1

Taylor Stewart, Alison Monroe, Katrina Mullan, Dave Jones, Abby McIver, Ethan S Walker

{"title":"Behavioral Responses to Wildfire Smoke: A Case Study in Western Montana.","authors":"Taylor Stewart, Alison Monroe, Katrina Mullan, Dave Jones, Abby McIver, Ethan S Walker","doi":"10.1007/s10900-024-01390-1","DOIUrl":"10.1007/s10900-024-01390-1","url":null,"abstract":"Although climate change is increasing wildfire and smoke events globally, public health messaging and individual access to resources for protection are limited. Individual interventions can be highly effective at reducing wildfire smoke exposure. However, studies related to individual responses to wildfire smoke are limited and demonstrate mixed protective behaviors and risk perception. Our research helps fill this gap by assessing the self-reported behavior of 20 participants during wildfire season in Western Montana from 28 June through 1 November, 2022. We also measured continuous outdoor and indoor fine particulate matter (PM2.5) concentrations at participant residencies during this time period using PurpleAir sensors (PAII-SD, PurpleAir, Inc, USA) while participants took up to 16 self-reported online weekly activity surveys. Mixed-effect Poisson regression models were used to assess associations between exposure variables and participant reported behaviors. These results were compared with end-of-study interview findings. Wildfire smoke impacted days and increased concentrations of PM2.5 were associated with decreased outdoor exercise and opening of windows for ventilation. Interview themes were congruent with the regression analysis, with the additional finding of high portable air cleaner (PAC) use among participants. Additionally, these interviews gave context to both the tradeoffs participants face when making protective decisions and the importance of personal air quality data in increasing awareness about wildfire smoke risks. Future wildfire smoke studies can build off this research by providing personally relevant air quality data and PACs to participants and by improving public health messaging to address the compounding risks of wildfire smoke exposure and heat.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"31-44"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Behaviors and Experiences of LGBTQ + Individuals during 2022 Mpox Outbreak: Findings from the QVax Study. 2022 年麻疹疫情爆发期间 LGBTQ + 个人的健康行为和经历：QVax 研究结果。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-02-01 Epub Date: 2024-08-25 DOI: 10.1007/s10900-024-01383-0

Kristen D Krause, Kendra Lewis, Stephan Scrofani, Tiffany Y Guo, Davin Goulbourne, Perry N Halkitis

{"title":"Health Behaviors and Experiences of LGBTQ + Individuals during 2022 Mpox Outbreak: Findings from the QVax Study.","authors":"Kristen D Krause, Kendra Lewis, Stephan Scrofani, Tiffany Y Guo, Davin Goulbourne, Perry N Halkitis","doi":"10.1007/s10900-024-01383-0","DOIUrl":"10.1007/s10900-024-01383-0","url":null,"abstract":"The 2022 global outbreak of Mpox (formerly named Monkeypox) disproportionately impacted lesbian, gay, bisexual, transgender, and queer (LGBTQ+) populations, with a significant impact on sexual minority men. A cross-sectional survey was conducted among LGBTQ + adults living in New Jersey and New York to examine vaccination behaviors for Mpox. We sought out to understand the health experiences and behaviors of the population during the initial outbreak. This analysis included a subset of participants (n = 253) who completed the survey after the onset of the Mpox outbreak in May 2022. We examined awareness of and concerns about Mpox, willingness to vaccinate, as well as vaccination access and vaccination uptake. Our findings indicate that white, cisgender, gay men, as well as employed individuals, had the highest rates of vaccination for Mpox. Those with higher levels of concern about the virus were both more likely to be vaccinated and to report difficulty securing an appointment. Overall, our findings reinforce the health disparities in the population, demonstrating as with many other health conditions that white and economically stable individuals have advantages in accessing care.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"45-55"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perception of Health Risks of Electronic Cigarette Use Among College Students: Examining the Roles of Sex, Field of Study, Vaping Device Type, and Their Associations. 大学生对使用电子烟健康风险的认知：研究性别、学习领域、电子烟设备类型及其关联的作用。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-02-01 Epub Date: 2024-08-23 DOI: 10.1007/s10900-024-01393-y

M J Ruzmyn Vilcassim, Samuel Stowe, Kristina Marie Zierold

{"title":"Perception of Health Risks of Electronic Cigarette Use Among College Students: Examining the Roles of Sex, Field of Study, Vaping Device Type, and Their Associations.","authors":"M J Ruzmyn Vilcassim, Samuel Stowe, Kristina Marie Zierold","doi":"10.1007/s10900-024-01393-y","DOIUrl":"10.1007/s10900-024-01393-y","url":null,"abstract":"Electronic cigarettes are marketed as a safer alternative to regular (combustible) cigarettes, based on the claim that there is no tobacco burning and fewer toxic chemicals in their vapor. However, recent evidence challenges the notion that e-cigarette aerosols are benign. Heating of compounds in e-liquids to high temperatures can lead to the release of toxic compounds in e-cigarette aerosols. However, users and the public may not be aware of these unique harms, impacting their perception of harm from using e-cigarettes. This research explored the perceptions of harm of e-cigarettes compared to regular cigarettes among 418 college students, aged 18-34, by employing a Qualtrics based smartphone survey. The findings revealed a vaping prevalence of 16.7% among our study population, indicating e-cigarette use among college aged young adults is at concerning levels. Perceptions of harm varied significantly by vaping status, sex, and field of study. Non-e-cigarette users and female students were less likely to perceive e-cigarettes as less harmful than regular cigarettes. Among e-cigarette users (vapers), male vapers and users of pod-type devices, such as JUUL and disposables, were more inclined to view e-cigarettes as less harmful. Among vapers, students in non-health-related fields were significantly more likely to perceive e-cigarettes as less harmful than regular cigarettes, underscoring the impact of educational background on health risk awareness. In conclusion, this study provides crucial insights into the varied perceptions of e-cigarettes among young adults. The results emphasize the need for targeted public health interventions and educational efforts to address this growing public health concern.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"23-30"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142046692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing CRC Screening in a Predominantly Hispanic Community: Effectiveness of 1-Day vs. 3-Day Stool-Based Testing Kits. 在以西班牙裔为主的社区加强儿童癌症筛查：1天与3天粪便检测试剂盒的效果对比。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-02-01 Epub Date: 2024-09-06 DOI: 10.1007/s10900-024-01394-x

Jonathan D Wing, Pracheta Matharasi, Alok Dwivedi, Jennifer Molokwu

{"title":"Enhancing CRC Screening in a Predominantly Hispanic Community: Effectiveness of 1-Day vs. 3-Day Stool-Based Testing Kits.","authors":"Jonathan D Wing, Pracheta Matharasi, Alok Dwivedi, Jennifer Molokwu","doi":"10.1007/s10900-024-01394-x","DOIUrl":"10.1007/s10900-024-01394-x","url":null,"abstract":"Colorectal cancer (CRC) is the leading cause of cancer-related mortality among U.S. Hispanics, with screening proven to decrease both incidence and mortality. Despite rising CRC screening rates in the U.S., Hispanic participation remains disproportionately low. Stool-based tests, particularly popular for reaching underserved populations, may enhance screening adherence. This study evaluates the performance of a 1-day versus a 3-day stool-based testing kit in improving screening completion rates and reducing the need for reminder calls in a Hispanic community along the U.S.-Mexico border. In our quasi-experimental observational study, participants aged 45-75 years who were uninsured or underinsured and overdue for CRC screening were recruited. They received colorectal cancer education and no-cost stool-based screening facilitated by promotoras. Participants were randomly assigned to receive a 1-day or 3-day Fecal Immunochemical Test (FIT) kit. The promotoras swapped FIT kit distribution roles midway through the study period to mitigate performance bias. Our analysis covered 6,660 FITs-3,067 using the 3-day kit and 3,593 with the 1-day kit. Results indicated a higher return rate for the 1-day FIT kit (61.3% vs. 58.7%, adjusted odds ratio [aOR] = 1.22, p < 0.001), fewer reminders needed (69.7% vs. 78.1%, aOR = 0.65, p < 0.001), and lower abnormal FIT results (5.3% vs. 8.1%, aOR = 0.61, p < 0.001). Conclusively, the 1-day FIT kit required fewer reminders and significantly improved return rates, suggesting it may be a more effective option for increasing CRC screening completion among hard-to-reach Hispanic populations.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"111-119"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Study of the Connection Between Health Insurance Literacy and Health Status: Evidence from the US Healthcare Reform Monitoring Survey. 医疗保险知识与健康状况之间的联系研究：来自美国医疗改革监测调查的证据。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-02-01 Epub Date: 2024-10-05 DOI: 10.1007/s10900-024-01407-9

Echu Liu, Alison Bach, Lionel Gumireddy, Joel Jihwan Hwang

{"title":"A Study of the Connection Between Health Insurance Literacy and Health Status: Evidence from the US Healthcare Reform Monitoring Survey.","authors":"Echu Liu, Alison Bach, Lionel Gumireddy, Joel Jihwan Hwang","doi":"10.1007/s10900-024-01407-9","DOIUrl":"10.1007/s10900-024-01407-9","url":null,"abstract":"This study examines the relationship between health insurance literacy, as indicated by confidence in comprehending health insurance terms, and health status using cross-sectional data from 8 waves of the Health Reform Monitoring Survey (HRMS), covering 61,895 individuals from 2013 to 2017. An ordered logistic regression model was employed with self-rated health status on a five-point Likert scale as the dependent variable and the score of confidence in understanding health insurance terms as the primary independent variable. The model adjusts for variables such as access to care, insurance status, concerns about affordability leading to missed care, household size, family income, employment, education, race, marital status, and gender. Results suggest a positive association between higher confidence in understanding health insurance and superior health statuses. These findings underscore the significance of improving health insurance literacy and advocating for potential policy interventions to enhance public understanding of health insurance benefits and coverage options.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"178-186"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142375517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Human Papillomavirus Vaccination and Cancer Prevention Behaviors among LGBTQI + Individuals: A Cross-Sectional Study. 评估 LGBTQI + 个人的人类乳头瘤病毒疫苗接种和癌症预防行为：一项横断面研究。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-02-01 Epub Date: 2024-09-05 DOI: 10.1007/s10900-024-01401-1

Sanjana K Rana, Rebecca B Perkins, Devan Carr, Sarah Feldman, Kelly Welch, Eileen Duffey-Lind, Alessandro Villa

{"title":"Evaluation of Human Papillomavirus Vaccination and Cancer Prevention Behaviors among LGBTQI + Individuals: A Cross-Sectional Study.","authors":"Sanjana K Rana, Rebecca B Perkins, Devan Carr, Sarah Feldman, Kelly Welch, Eileen Duffey-Lind, Alessandro Villa","doi":"10.1007/s10900-024-01401-1","DOIUrl":"10.1007/s10900-024-01401-1","url":null,"abstract":"Human Papillomavirus (HPV) vaccination and cervical cancer screening rates are suboptimal in the US, particularly among historically underserved groups like Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex (LGBTQI+)-identifying women and transgender men. Therefore, our cross-sectional study assessed factors associated with these rates among LGBTQI+-identifying women and transgender men.HPV-related cancer knowledge, HPV vaccination and cervical cancer screening status, and the acceptability of self-collection for screening of 1983 LGBTQI+-identifying women and transgender men was assessed via an online survey available to members of the HER mobile app from March to May 2022. Associations between sociodemographic factors, vaccination, and screening were assessed using multivariable logistic regressions from November 2022 to December 2023.Most participants aged 18-26 (77.0%) and 6.3% of participants aged ≥46 (P < 0.001) had received at least one dose of the HPV vaccine. Cervical cancer screening rates were positively associated with age: 70.5% of those aged 21-26 and 96.1% aged ≥46 (P < 0.001). Screening was negatively associated with male gender identity (OR, 0.13; 95% CI, 0.04-0.42; P < 0.001), being uninsured (OR, 0.40; 95% CI, 0.24-0.67; P < 0.001), and being unvaccinated against HPV (OR, 0.28; 95% CI, 0.18-0.43; P < 0.001). 29.6% of those unscreened believed screening was not needed, and 22.1% were uncomfortable with pelvic exams. 40.4% of all participants would prefer self-collection for screening. Our findings indicate opportunities to increase screening and vaccination. Among under-screened individuals, lack of knowledge about screening necessity and discomfort with pelvic exams were important barriers. Targeted interventions addressing patient knowledge, practitioner communication, and exploring self-screening strategies are warranted.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"98-110"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Indigenous Mothers' Perspective on Sexual Health in Northwest Territories, Canada: Results from the Maternal and Infant Health Project. 加拿大西北地区原住民母亲对性健康的看法：母婴健康项目的结果。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-02-01 Epub Date: 2024-09-21 DOI: 10.1007/s10900-024-01369-y

Fariba Kolahdooz, Moutasem Zakkar, Se Lim Jang, Sarah Deck, Adrain Wagg, André Corriveau, Kami Kandola, Stephanie Irlbacher-Fox, Sangita Sharma

{"title":"Indigenous Mothers' Perspective on Sexual Health in Northwest Territories, Canada: Results from the Maternal and Infant Health Project.","authors":"Fariba Kolahdooz, Moutasem Zakkar, Se Lim Jang, Sarah Deck, Adrain Wagg, André Corriveau, Kami Kandola, Stephanie Irlbacher-Fox, Sangita Sharma","doi":"10.1007/s10900-024-01369-y","DOIUrl":"10.1007/s10900-024-01369-y","url":null,"abstract":"Purpose: In Northwest Territories (NWT), Canada, infection rates for chlamydia, gonorrhea, and syphilis are three to ten times higher than the national averages and have been steadily increasing. However, data are scarce on the socioeconomic, psychological, and behavioural factors associated with the proliferation of sexually transmitted infections (STIs) in NWT. To this extent, this study explores Indigenous mothers' perspectives on sexual health, STI risk factors and healthcare-seeking behaviours in NWT.Methods: Quantitative and qualitative data were collected using a semi-structured questionnaire. Participants consisted of Indigenous mothers who were pregnant or had given birth within three years.Results: Of the 161 participants, with a mean age of 29.61 years, 70.81% lived with a partner, and 93.17% had given birth within the previous three years. Participants felt STIs were a concern (68.32%) and felt comfortable asking a male partner for safe sexual relations (67.70%). The healthcare system was the main source of STI information for most participants (83.85%). The main STI risk factors participants mentioned were young age, unsafe sexual relations, and substance use. Participants reported embarrassment, protecting personal and familial well-being, and confidentiality as factors affecting STI healthcare-seeking behaviour.Conclusion: STIs result from an interaction between age, sexual behaviour, substance use, health literacy, and the historical and sociocultural contexts stigmatizing STIs and impacting women's abilities to demand safe sexual relations. Understanding these factors in a remote Indigenous context is vital to designing and implementing effective health and social interventions to reduce the prevalence of STIs in NWT.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"159-171"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142288782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0