Despite cervical cancer being preventable with effective screening programs, it is the most common and leading cause of cancer-related death among women in many countries Africa. Screening involving pelvic examination may not be feasible or acceptable limited-resource settings. We sought to evaluate women's perspectives on human papillomavirus (HPV) self-sampling as part a larger trial prevention implementation strategies rural western Kenya.We invited 120 participating cluster randomized...

To be effective, population-based cervical cancer prevention programs must tailored to meet the needs of target population. One important factor in screening may include male involvement. iteratively improve a program employing self-collected vaginal swabs for human-papillomavirus (HPV) testing western Kenya, we examined role partners and community leaders decision-making accessing services. We carried out 604 semi-structured, in-depth interviews (IDIs) with women health volunteers who took...

Despite a high prevalence of human papillomavirus (HPV) and cervical cancer in low middle-income countries, stigma remains an issue. Addressing HPV could significantly improve health outcomes for these conditions. The objective this study was to identify the manifestations their potential impacts on health-seeking behavior.

Abstract Background People who inject drugs (PWID) are at high risk for opioid overdose and infectious diseases including HIV. We piloted PARTNER UP, a telemedicine-based program to provide PWID with medication use disorder (MOUD) buprenorphine/naloxone (bup/nx) oral pre-exposure prophylaxis (PrEP) tenofovir disoproxil fumarate/emtricitabine through two syringe services programs (SSP) in North Carolina. present overall results from this project, participant retention rates self-reported...

Introduction The objective of this study was to estimate the prevalence pediatric HIV disclosure in rural Zimbabwe and track process over time. Methods We recruited a population-based sample 372 caregivers HIV-positive children ages 9 15 participate survey about disclosure. Using data from cross-sectional sample, we then identified prospective cohort 123 who said their child did not know his or her status, followed non-disclosed through two additional waves collection next 12 months. At each...

Abstract Background People who inject drugs (PWID) are at risk for HIV and opioid overdose. We piloted PARTNER UP, a telemedicine-based program to provide PWID with access both oral pre-exposure prophylaxis (PrEP) prevention medication use disorder (MOUD) through two syringe services programs (SSPs) in North Carolina. conducted qualitative evaluation assess the acceptability feasibility of UP from participant perspective. Methods participants met provider an initial in-person visit SSP,...

Abstract Introduction Despite the increased risk of cervical cancer among HIV-positive women, many HIV-care programs do not offer integrated screening. Incorporating self-collected Human Papillomavirus (HPV) testing into HIV is a potential strategy to identify women at higher for while leveraging staffing, infrastructure and referral systems existing services. Community-based HPV has been effective efficient when offered in single-disease settings. Methods This cross-sectional study was...

Abstract Background Mobile health (mHealth) has become an increasingly popular strategy to improve healthcare delivery and outcomes. Communicating results education via text may facilitate program planning promote better engagement in care for women undergoing human papillomavirus (HPV) screening. We sought develop evaluate mHealth with enhanced messaging follow-up throughout the cervical cancer screening cascade. Methods Women aged 25–65 participated HPV testing six community campaigns...

The purpose of this qualitative descriptive study is to describe how women academic department chairs in emergency medicine, surgery, and anesthesiology experience humor the workplace.

Regular pelvic exams after completing cancer treatment are critical for detecting endometrial and cervical recurrence. Patients report high levels of distress pain during exams. We conducted in-depth individual interviews with patients (N = 13) providers 10) to explore patients' exam experiences intervention preferences. Findings suggested that most experience exam-related pain, a telemedicine cognitive behavioral targeting anxiety would be acceptable feasible patients. informed PEACE...

To achieve the World Health Organization targets for cervical cancer elimination, low- and middle-income countries will need to develop innovative strategies provide human papillomavirus (HPV)-based screening at a population level. Although mobile health (mHealth) interventions may help realize these goals by filling gaps in electronic specimen tracking patient education, effective implementation of mHealth is dependent upon context-specific development that acceptable usable target...

To estimate the cost of human papillomavirus (HPV)-based screening through community health campaigns (CHCs) and home-based testing. CHCs testing in six communities rural Western Kenya. reached 2297 1002 women aged 25-65 years, respectively. Outcome measures were overall per woman screened achieved for each activity comprising intervention. The mean similar, at $37.7 (range $26.4-$52.0) $37.1 $27.6-$54.0), For CHCs, personnel represented 49% cost, supplies 25%, services 5% capital goods 23%....

본 연구는 공개입양 결정 이후 입양부모의 경험을 파악하고자 하였다. 지금까지 공개입양을 당위적으로 해석했던 접근을 넘어 아동 최선의 이익을 위해 공개범위를 숙고하는 경험에 주목하였다. 이를 선택한 입양부모 6명을 대상으로 심층 면접을 통해 질적 사례연구 분석을 사례간 분석 결과, 후 경험은 '공개입양을 결정하면서 입양부모됨 과정에 뛰어듦', '공개입양의 범위를 조율함', '자녀에게 입양사실을 공개함', '사회문화적 변화에 따른 몫을 헤쳐감' 4개의 주제와 14개의 범주로 도출되었다. 연구의 중심주제는 '떠밀린 공개에서 벗어나 입양자녀의 건강한 성장을 조율해 나아감'으로 결정한 시간적 순서와 사회적 맥락에 따라 공개입양의 조절하는 경험과 입양부모가 자녀에게 입양을 공개하는 과정을 입체적으로 파악하였다는 점에서 의미가 있다. 바탕으로 아동중심의 입양문화를 확장하고 국내 활성화 방안을 제시하였다.

IntroductionThe objective of this study was to estimate the prevalence pediatric HIV disclosure in rural Zimbabwe and track process over time.MethodsWe recruited a population-based sample 372 caregivers HIV-positive children ages 9 15 participate survey about disclosure. Using data from cross-sectional sample, we then identified prospective cohort 123 who said their child did not know his or her status, followed non-disclosed through two additional waves collection next 12 months. At each...

Considering the age and longer service time of firefighters who have a substantial amount field activities, they are exposed to chemical biological risk factors, physical mental stress, diverse complex work environments, repetitive motions, which may increase rates gastrointestinal disorders, musculoskeletal diseases, cancers, cardiovascular diseases. Therefore, based on regular specific health examination results for 215 were working in N fire department located B metropolitan city, an...

Objective We aimed to: (1) follow parents and guardians through the process of paediatric HIV disclosure to understand how often pre-disclosure worries are realised; (2) estimate effects on child, caregiver, family well-being.Design conducted a 12-month prospective cohort study in Zimbabwe with 123 primary caregivers children ages 9 15 years who were positive but did not know their serostatus at baseline. By end period 65 reported that child learned his or her HIV-positive status.Main...

Abstract Background Mobile health (mHealth) has become an increasingly popular strategy to improve healthcare delivery and outcomes. Communicating results education via text may facilitate program planning promote better engagement in care for women undergoing human papillomavirus (HPV) screening. We sought develop evaluate mHealth with enhanced messaging follow-up throughout the cervical cancer screening cascade. Methods Women aged 25–65 participated HPV testing six community campaigns...

Abstract Background: People who inject drugs (PWID) are at high risk for opioid overdose and infectious diseases including HIV. We piloted PARTNER UP, a telemedicine-based program to provide PWID with medication use disorder (MOUD) buprenorphine/naloxone (bup/nx) oral pre-exposure prophylaxis (PrEP) tenofovir disoproxil fumarate/emtricitabine through two syringe services programs in North Carolina. present overall results from this project, treatment retention adherence. Methods: Study...