Article
Pediatrics
Justin Yu, James M. Perrin, Thomas Hagerman, Amy J. Houtrow
Summary: The percentage of US children experiencing underinsurance, particularly due to rising insurance inadequacy, increased from 2016 to 2019. Significant growth in underinsurance was observed among White and multiracial children, children living in households with income at or below the federal poverty limit, and those with private health insurance. Increased child health complexity and having private insurance were significantly associated with underinsurance.
Article
Multidisciplinary Sciences
Lydia Patrick, Sabrina Bakeera-Kitaka, Joseph Rujumba, Oliver Ombeva Malande
Summary: The study aimed to determine the completion rate of the second dose of HPV vaccine among girls attending the adolescent clinic in Uganda and the factors associated with timely completion. The results showed a low rate of timely completion, but an increase compared to previous reports. Knowledge about HPV infection and vaccine benefits, positive peer influence, and healthcare worker recommendation were found to positively influence timely completion.
Article
Immunology
Angel Paternina-Caicedo, Adrian D. Smith, Jeanine Buchanich, Christian Garcia-Calavaro, Nelson Alvis-Guzman, Javier Narvaez, Lucia Helena de Oliveira, Fernando De la Hoz-restrepo
Summary: This study aimed to estimate the reduction in mortality from pneumococcal pneumonia and meningitis after the introduction of PCV7 and PCV13 in children in the United States. The results showed that the introduction of PCV7 and PCV13 was associated with a decrease in all-cause pneumonia and meningitis mortality in children aged 0-59 months in the United States.
PEDIATRIC INFECTIOUS DISEASE JOURNAL
(2023)
Article
Multidisciplinary Sciences
Edward Burn, Xintong Li, Antonella Delmestri, Nathan Jones, Talita Duarte-Salles, Carlen Reyes, Eugenia Martinez-Hernandez, Edelmira Marti, Katia M. C. Verhamme, Peter R. Rijnbeek, Victoria Y. Strauss, Daniel Prieto-Alhambra
Summary: Population-based studies can provide important evidence on the safety of COVID-19 vaccines. In this study, the authors compared the rates of thrombosis and thrombocytopenia after vaccination against and infection with SARS-CoV-2 in the United Kingdom with the background (expected) rates in the general population.
NATURE COMMUNICATIONS
(2022)
Article
Health Care Sciences & Services
Angela K. Shen, Richard Hughes, Erica DeWald, Sara Rosenbaum, Amy Pisani, Walt Orenstein
Summary: Efforts to develop safe and effective vaccines for COVID-19 are ongoing worldwide. Once vaccines are available to the public, it is crucial to ensure equitable distribution and access. Utilizing existing systems and strengthening them will be key to achieving this goal.
Article
Immunology
Lauren Roper, Mary Ann Kirkconnell Hall, Amanda Cohn
Summary: This manuscript outlines the history, structure, and challenges of the United States Immunization Program, highlighting the importance and potential of vaccines while addressing the significance of addressing issues such as vaccine inequality and hesitancy.
JOURNAL OF INFECTIOUS DISEASES
(2021)
Article
Pediatrics
Megan Rose, Heather Maciejewski, Joshua Nowack, Brad Stamm, Gilbert Liu, Charitha Gowda
Summary: This study demonstrated that quality improvement capacity-building in primary care practices led to significant improvements in well care visit rates for children aged 3-6 years and adolescents. While the difference was not statistically significant, practices engaged in quality improvement projects showed greater increases in well care visit rates compared to non-engaged practices. Through practice facilitation, preventive visit uptake was substantially improved over time, emphasizing the importance of early intervention in promoting preventive services in primary care settings.
JOURNAL OF PEDIATRICS
(2021)
Article
Medicine, General & Internal
Carmel Salhi, Deborah Azrael, Matthew Miller
Summary: This study found that many adolescents reported having ready access to loaded guns in their homes, even when all household firearms were locked. Many adolescents who reported having access to household firearms lived with parents who knew their children had access, but others lived with parents who did not know.
Article
Immunology
Sarah Childers-Strawbridge, Amanda L. Eiden, Mawuli K. Nyaku, Alexandra A. Bhatti
Summary: Despite differences in attitudes toward vaccines, the majority of respondents recognized the importance of vaccination. concerns among the unvaccinated mainly revolved around vaccine safety. Most people believed state immunization programs to be crucial for disease prevention. Doctors and healthcare professionals were considered trusted sources of vaccine information.
Article
Obstetrics & Gynecology
Marie-Julie Trahan, Nicholas Czuzoj-Shulman, Haim A. Abenhaim
Summary: The rate of cesarean delivery on maternal request has been increasing in the United States over the last few decades. This study aims to describe the prevalence and trends of this type of cesarean delivery and compare the characteristics and outcomes of women who opt for it. The study found that cesarean delivery on maternal request is more common among older women with higher income and private insurance. However, it is associated with higher risks of adverse events, such as thromboembolism and myocardial infarction.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
Article
Public, Environmental & Occupational Health
Marcelo Luis Urquia, Rosangela Batista, Carlos Grandi, Viviane Cunha Cardoso, Fadya Orozco, Andree-Anne Fafard St Germain
Summary: This study analyzed the impact of marriage status on perinatal health among <18-year-old females in the Americas. The results showed that girl child marriage was associated with increased odds of preterm birth and small-for-gestational age (SGA), but the associations varied across different countries.
Article
Oncology
Mohammad A. Karim, Amit G. Singal, Robert L. Ohsfeldt, Michael A. Morrisey, Hye-Chung Kum
Summary: The study highlights that many insured non-elderly cancer survivors allocate a substantial portion of their out-of-pocket expenditure for healthcare services, with nearly 8.8% facing underinsurance. Utilization of healthcare services varies across different sociodemographic groups.
Letter
Medicine, General & Internal
Jemma Alarcon, Moon Kim, Dawn Terashita, Kusha Davar, Jacob M. Garrigues, Jack P. Guccione, Mark G. Evans, Peera Hemarajata, Noah Wald-Dickler, Paul Holtom, Rodrigo Garcia Tome, Lovelyn Anyanwu, Naman K. Shah, Matthew Miller, Todd Smith, Audrey Matheny, Whitni Davidson, Christina L. Hutson, Jonathan Lucas, Odey C. Ukpo, Nicole M. Green, Sharon E. Balter
Summary: A case of mpox-related death in the United States is reported, where the patient had a compromised immune system, and evaluation indicated widespread viral infection.
NEW ENGLAND JOURNAL OF MEDICINE
(2023)
Article
Immunology
Laurie D. Elam-Evans, Madeleine R. Valier, Benjamin Fredua, Elizabeth Zell, Bhavini P. Murthy, Natalie Sterrett, LaTreace Q. Harris, Jessica Leung, James A. Singleton, Mona Marin
Summary: Tracking vaccination coverage is crucial for monitoring vaccine programs. Three surveillance systems were used to examine varicella vaccination rates in the US, and the results showed an increase in vaccination coverage over time. The success of high vaccine coverage has led to a significant reduction in varicella burden, but there are still opportunities to further increase coverage and decrease morbidity and mortality.
JOURNAL OF INFECTIOUS DISEASES
(2022)
Editorial Material
Medicine, General & Internal
Benard P. Dreyer
Summary: This commentary explores the ways in which pediatricians can contribute to enhancing the mental health system specifically tailored for children and adolescents.