- Cervical Cancer and HPV Research
- Vaccine Coverage and Hesitancy
- Hepatitis B Virus Studies
- Global Cancer Incidence and Screening
- Colorectal Cancer Screening and Detection
- Genital Health and Disease
- Head and Neck Cancer Studies
- Ethics and Legal Issues in Pediatric Healthcare
- Childhood Cancer Survivors' Quality of Life
- Dental Research and COVID-19
- Cultural Competency in Health Care
- Food Security and Health in Diverse Populations
- Dental Health and Care Utilization
- Health Literacy and Information Accessibility
- Economic and Financial Impacts of Cancer
- Endometrial and Cervical Cancer Treatments
- Radioactivity and Radon Measurements
- Radioactive contamination and transfer
- Primary Care and Health Outcomes
- Health Promotion and Cardiovascular Prevention
- Health Policy Implementation Science
- Palliative Care and End-of-Life Issues
- Social Media in Health Education
- HIV, Drug Use, Sexual Risk
- Oral Health Pathology and Treatment
University of Utah
2015-2025
Huntsman Cancer Institute
2016-2025
Scientific Systems (United States)
2023
Social and Scientific Systems (United States)
2023
National Cancer Institute
2011-2014
Centers for Disease Control and Prevention
2013
National Center for Chronic Disease Prevention and Health Promotion
2013
National Institutes of Health
2012-2013
University of Washington
2007-2012
The economic burden of cancer in the United States is substantial and expected to increase significantly future because growth aging population improvements survival as well trends treatment patterns costs care following diagnosis. In this article, we describe measures present current estimates projections national States. We discuss ongoing efforts characterize identify key areas for work including developing enhancing research resources, improving burden, evaluating targeted therapies,...
We investigate the associations between religious practice and human papillomavirus (HPV) vaccine-related awareness, knowledge, receipt among young women in Utah.We surveyed 326 insured aged 18-26 by mail. Fisher's Exact Tests multivariable logistic regression models were used to evaluate relations HPV outcomes. Data collection occurred January-December 2013; analyses conducted June-September 2015.Multivariable reveal that when controlling for age, educational attainment, marital status,...
In this study, we used data from the National Immunization Survey-Teen (NIS-Teen) to examine HPV vaccination uptake by rural and urban residence defined ZIP code.We 2012-2013 NIS-Teen associations of among teens aged 13-17 years with code measures rural/urban (Rural-Urban Commuting Area (RUCA) codes, population density). Multivariable logistic regression was estimate odds initiation (≥ 1 dose) completion 3 doses).HPV lower girls isolated small towns (≥1 dose 51.0%; ≥3 doses 30.0%) 50.2%;...
This study is the first to examine associations between several area-based socioeconomic factors and human papillomavirus (HPV) vaccine uptake among boys in United States (U.S.).Data from 2012-2013 National Immunization Survey-Teen restricted-use data were analyzed of HPV vaccination initiation (receipt ≥1 dose) series completion three doses) aged 13-17 years (N = 19,518) with individual-level ZIP Code Tabulation Area (ZCTA) census measures. Multivariable logistic regression was used...
To assess the demographic and attitudinal factors associated with HPV vaccine initiation completion among 18–26 year old women in Utah. Between January 2013 December 2013, we surveyed 325 from University of Utah Community Clinics about their related beliefs behaviors. Odds ratios (ORs) were estimated logistic regression models to identify variables series completion. Of participants, 204 (62.8 %) had initiated 159 (48.9 completed 3-dose series. The lower age (OR = 1.18 per year); being...
Abstract Cancer disparities in rural and frontier communities are an important issue Utah because much of is sparsely populated. The aims this study were to investigate whether there differences the cancer incidence 5‐year survival rates by metropolitan/rural residence distributions risk factors. We used registry records identify patients diagnosed with a first primary between 2004 2008. estimated rates. Cox proportional hazards model was estimate hazard ratios (HRs) for death. There 32,498...
Abstract Background: This study is among the first to explore geographic factors that may be associated with human papillomavirus (HPV) vaccine uptake in United States. Methods: Data from 2011 and 2012 National Immunization Survey-Teen for 20,565 female adolescents aged 13 17 years were analyzed examine associations of HPV initiation (receipt at least one dose) ZIP code–level factors. Logistic regression including individual was used estimate odds initiation. Results: Approximately 53% girls...
Antiretroviral scale-up is increasing in resource-constrained settings. To date, few studies have explored the barriers and facilitators of adherence to ART these Facilitators antiretroviral Peru are not completely understood. At two clinics that serve a large number HIV-positive individuals Lima, Peru, 31 in-depth interviews were carried out 2006 with adult receiving ART. Purposive sampling was used recruit participants. Interviews transcribed coded using Spanish-speaking researchers...
Few previous investigations on correlates of HPV vaccine uptake have included Hispanics, a group known to disproportionately high risk cervical cancer.Rural Hispanic mothers daughters aged 9-17 (n=78) were recruited at local community events participate in standardized Spanish-language survey that examined factors related uptake.Approximately 35% the reported their daughter had received least one dose vaccine. Mothers who heard more likely vaccinated (p<.01). thought daughter's father would...
Human papillomavirus (HPV) vaccine 3-dose completion rates among adolescent females in the US are low. Missed opportunities impede HPV vaccination coverage. A population-based secondary data analysis of de-identified and demographic from Utah Statewide Immunization Information System (USIIS) was conducted. Records were included 25,866 ages 11-26 years at any time during 2008-2012 who received least one following vaccinations documented USIIS: Tdap (Tetanus, Diphtheria, Pertussis),...
Abstract The study objective was to identify sociodemographic and coronavirus disease 2019 (COVID-19) factors that are associated with COVID-19 vaccine hesitancy among adolescent young adult (AYA) cancer survivors. Eligible participants were 18 years or older diagnosed as an AYA (ages 15-39 years) received services through program. A total of 342 completed a cross-sectional survey. Our primary outcome—COVID-19 hesitancy—was surveyed 5-point Likert scale operationalized binary outcome (agree...
Human papillomavirus (HPV) vaccination is routinely recommended for adolescents aged 11 or 12 years but can begin at age 9. On-time HPV by the thirteenth birthday has proven to be effective in preventing cancer and pre-cancer. However, coverage rates continue lag behind other vaccinations adolescents. A promising approach improving start This been endorsed American Academy of Pediatrics Cancer Society. Benefits this include increased time complete series birthday, additional spacing...
The COVID-19 pandemic involved business closures (e.g., gyms), social distancing policies, and prolonged stressful situations that may have impacted engagement in health behaviors. Our study assessed changes cancer-related behaviors during the pandemic, specifically physical activity, fruit/vegetable intake, smoking/tobacco use, alcohol consumption. Eight cancer centers administered mailed/web-based/telephone surveys between June 2020 March 2021. Surveys demographics, perceptions on...
Cervical cancer is the leading cause of cancer-related death among Latin American women, including Guatemalans. This troubling, given we have a vaccine, screening tool, and treatment for this preventable disease. Human papillomavirus (HPV) causes most cervical cancer. HPV self-testing viable option women in low-resource areas, such as Guatemala. More information needed about barriers to self-testing. We conducted four focus groups (N = 43) three locations San Raymundo with female community...
Human papillomavirus (HPV) vaccination is below national goals in the United States. Health care providers are at forefront of improving States, given their close interactions with patients and parents.The objective this study was to assess associations between demographic practice characteristics health knowledge HPV vaccine guidelines. Furthermore, our aim contextualize providers' perceptions barriers strategies for a state low receipt.In mixed-methods study, participating (N=254) were...
Human Papillomavirus (HPV) vaccination coverage is below national goals in the United States. Research needed to inform strategically designed interventions that target sociodemographic groups with underutilization of HPV vaccination. Secondary data analysis National Immunization Survey-Teen 2013 measured association factors (e.g., ethnicity/race, insurance) among females and males ages 13–17 (N = 18,959). Chi-square multivariable Poisson regressions were conducted using survey-weighted...
Cervical cancer screening guidelines have evolved significantly in the last decade for young adult women, with current recommendations promoting later initiation and longer intervals.Using self-reported cross-sectional National Health Interview Survey (NHIS) 2000-2010 data, trends Papanicolaou (Pap) testing among women ages 18-29 years were examined. NHIS 2010 data used to investigate age at first Pap test (N = 2,198), time since most recent (n 1,622), predictors of within 12 months...