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Redd DS, Altman JD, Jensen JL, Sloan-Aagard CD, Crook TB, Asay AE, Nielson BU, Larson RJ, Miner DS, Poole BD. A Randomized Study to Determine the Effect of a Culturally Focused Video Intervention on Improving HPV Vaccine Intentions in a Christian Population in the United States. J Community Health 2024:10.1007/s10900-024-01327-8. [PMID: 38393654 DOI: 10.1007/s10900-024-01327-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2024] [Indexed: 02/25/2024]
Abstract
Safe and effective vaccines have been developed that protect against high-risk strains of HPV, but uptake is relatively low. We previously identified factors such as sexual attitudes and HPV knowledge that impact the intent of Christian parents to vaccinate their children against HPV. We hypothesized that culturally specific interventions in the form of short videos would be effective at improving HPV vaccine intentions and attitudes. We made three short educational videos, one with a Christian focus, one informational about HPV, and one control. Videos were distributed electronically with accompanying surveys, and responses were measured before and after watching a randomly selected video. The religious-focused and educational interventions significantly (p < 0.0001, p = 0.0015) improved intentions towards HPV vaccination. The religiously-focused video also significantly diminished the belief that the HPV vaccine is unnecessary because of a family's values (p = 0.014). Parents significantly credited both interventions with improving their intent to vaccinate their children against HPV (p < 0.001 for both). These results suggest that culturally focused educational interventions are effective at influencing vaccine intentions and attitudes, even when those are based on religious or cultural feelings. Highly specific interventions are likely to be necessary for optimal improvement in vaccine hesitancy.
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Affiliation(s)
- David S Redd
- Department of Microbiology and Molecular Biology, Brigham Young University, 3138 LSB, Provo, UT, 84602, USA
| | - Jessica D Altman
- Department of Microbiology and Molecular Biology, Brigham Young University, 3138 LSB, Provo, UT, 84602, USA
| | - Jamie L Jensen
- Department of Biology, Brigham Young University, Provo, UT, USA
| | | | - Triston B Crook
- Department of Microbiology and Molecular Biology, Brigham Young University, 3138 LSB, Provo, UT, 84602, USA
| | - Aaron E Asay
- Department of Microbiology and Molecular Biology, Brigham Young University, 3138 LSB, Provo, UT, 84602, USA
| | - Bryce U Nielson
- Department of Microbiology and Molecular Biology, Brigham Young University, 3138 LSB, Provo, UT, 84602, USA
| | - Ruth J Larson
- Department of Microbiology and Molecular Biology, Brigham Young University, 3138 LSB, Provo, UT, 84602, USA
| | - Dashiell S Miner
- Department of Microbiology and Molecular Biology, Brigham Young University, 3138 LSB, Provo, UT, 84602, USA
| | - Brian D Poole
- Department of Microbiology and Molecular Biology, Brigham Young University, 3138 LSB, Provo, UT, 84602, USA.
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Afzal A, Shariff MA, Perez-Gutierrez V, Khalid A, Pili C, Pillai A, Venugopal U, Kasubhai M, Kanna B, Poole BD, Pickett BE, Redd DS, Menon V. Impact of Local and Demographic Factors on Early COVID-19 Vaccine Hesitancy among Health Care Workers in New York City Public Hospitals. Vaccines (Basel) 2022; 10:vaccines10020273. [PMID: 35214729 PMCID: PMC8879070 DOI: 10.3390/vaccines10020273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 02/04/2022] [Accepted: 02/07/2022] [Indexed: 12/04/2022] Open
Abstract
Despite the development of several effective vaccines, SARS-CoV-2 continues to spread, causing serious illness among the unvaccinated. Healthcare professionals are trusted sources of information about vaccination, and therefore understanding the attitudes and beliefs of healthcare professionals regarding the vaccines is of utmost importance. We conducted a survey-based study to understand the factors affecting COVID-19 vaccine attitudes among health care professionals in NYC Health and Hospitals, at a time when the vaccine was new, and received 3759 responses. Machine learning and chi-square analyses were applied to determine the factors most predictive of vaccine hesitancy. Demographic factors, education, role at the hospital, perceptions of the pandemic itself, and location of work and residence were all found to significantly contribute to vaccine attitudes. Location of residence was examined for both borough and neighborhood, and was found to have a significant impact on vaccine receptivity. Interestingly, this borough-level data did not correspond to the number or severity of cases in the respective boroughs, indicating that local social or other influences likely have a substantial impact. Local and demographic factors should be strongly considered when preparing pro-vaccine messages or campaigns.
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Affiliation(s)
- Afsheen Afzal
- Department of Medicine, NYC Health and Hospitals/Lincoln, Bronx, NY 10451, USA; (A.A.); (M.A.S.); (V.P.-G.); (A.K.); (A.P.); (U.V.); (M.K.); (B.K.)
| | - Masood A. Shariff
- Department of Medicine, NYC Health and Hospitals/Lincoln, Bronx, NY 10451, USA; (A.A.); (M.A.S.); (V.P.-G.); (A.K.); (A.P.); (U.V.); (M.K.); (B.K.)
| | - Victor Perez-Gutierrez
- Department of Medicine, NYC Health and Hospitals/Lincoln, Bronx, NY 10451, USA; (A.A.); (M.A.S.); (V.P.-G.); (A.K.); (A.P.); (U.V.); (M.K.); (B.K.)
| | - Amnah Khalid
- Department of Medicine, NYC Health and Hospitals/Lincoln, Bronx, NY 10451, USA; (A.A.); (M.A.S.); (V.P.-G.); (A.K.); (A.P.); (U.V.); (M.K.); (B.K.)
| | - Christina Pili
- Research Administration, NYC Health and Hospitals/Central Office, New York, NY 10013, USA;
| | - Anjana Pillai
- Department of Medicine, NYC Health and Hospitals/Lincoln, Bronx, NY 10451, USA; (A.A.); (M.A.S.); (V.P.-G.); (A.K.); (A.P.); (U.V.); (M.K.); (B.K.)
| | - Usha Venugopal
- Department of Medicine, NYC Health and Hospitals/Lincoln, Bronx, NY 10451, USA; (A.A.); (M.A.S.); (V.P.-G.); (A.K.); (A.P.); (U.V.); (M.K.); (B.K.)
| | - Moiz Kasubhai
- Department of Medicine, NYC Health and Hospitals/Lincoln, Bronx, NY 10451, USA; (A.A.); (M.A.S.); (V.P.-G.); (A.K.); (A.P.); (U.V.); (M.K.); (B.K.)
| | - Balavenkatesh Kanna
- Department of Medicine, NYC Health and Hospitals/Lincoln, Bronx, NY 10451, USA; (A.A.); (M.A.S.); (V.P.-G.); (A.K.); (A.P.); (U.V.); (M.K.); (B.K.)
| | - Brian D. Poole
- Department of Microbiology and Molecular Biology, Brigham Young University, Provo, UT 84602, USA; (B.E.P.); (D.S.R.)
- Correspondence: (B.D.P.); (V.M.); Tel.: +1-801-422-8092 (B.D.P.)
| | - Brett E. Pickett
- Department of Microbiology and Molecular Biology, Brigham Young University, Provo, UT 84602, USA; (B.E.P.); (D.S.R.)
| | - David S. Redd
- Department of Microbiology and Molecular Biology, Brigham Young University, Provo, UT 84602, USA; (B.E.P.); (D.S.R.)
| | - Vidya Menon
- Department of Medicine, NYC Health and Hospitals/Lincoln, Bronx, NY 10451, USA; (A.A.); (M.A.S.); (V.P.-G.); (A.K.); (A.P.); (U.V.); (M.K.); (B.K.)
- Correspondence: (B.D.P.); (V.M.); Tel.: +1-801-422-8092 (B.D.P.)
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Hijiya N, Liu W, Sandlund JT, Jeha S, Razzouk BI, Ribeiro RC, Rubnitz JE, Howard SC, Kyzer EP, Redd DS, Cheng C, Rivera GK, Hudson MM, Relling MV, Pui CH. Overt testicular disease at diagnosis of childhood acute lymphoblastic leukemia: lack of therapeutic role of local irradiation. Leukemia 2005; 19:1399-403. [PMID: 15973454 DOI: 10.1038/sj.leu.2403843] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
To assess the prognosis of overt testicular disease at diagnosis of acute lymphoblastic leukemia, and any therapeutic role of irradiation for this involvement, we reviewed the data of 811 boys treated on St Jude studies Total X--XI (early period) and Total XII-XIV (recent period). In all, 19 boys (2.3%) had testicular disease at diagnosis. In the early period, patients with testicular leukemia had a poorer overall survival (OS) (P=0.003), event-free survival (EFS) (P=0.064), and higher cumulative incidence of relapse (P=0.041) than did other patients. During the recent period, patients with and without overt testicular leukemia did not differ in OS (P=0.257), EFS (P=0.102), or cumulative incidence of relapse (P=0.51). In a multivariate analysis, OS was lower for patients with testicular disease than for those without the involvement in the early period (P=0.047) but not in the recent one (P=0.75). Both patients who received irradiation for residual testicular disease at the end of induction subsequently died of leukemia. Of the other 17 patients who did not receive irradiation, only one developed testicular relapse in combination with bone marrow relapse. In conclusion, the prognostic impact of overt testicular disease has diminished. Irradiation appears to provide no survival advantage to this patient population.
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Affiliation(s)
- N Hijiya
- Department of Hematology-Oncology, St Jude Children's Research Hospital, Memphis, TN 38105-2794, USA.
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