Article
Health Care Sciences & Services
Emmanouil K. Symvoulakis, Ioannis Karageorgiou, Manolis Linardakis, Dimitrios Papagiannis, Chrissi Hatzoglou, Aristotelis Symeonidis, Georgios Rachiotis
Summary: This study investigated the knowledge, attitudes, and practices of primary care physicians and residents towards the COVID-19 pandemic in Greece. The findings showed that most participants were familiar with official recommendations regarding SARS-CoV-2 and had received or intended to receive vaccination. Physicians working in the private sector had higher practice scores and attitudes were a significant determinant of proper practices.
Article
Health Care Sciences & Services
Jessica R. Cataldi, Laura P. Hurley, Megan C. Lindley, Sean T. O'Leary, Carol Gorman, Michaela Brtnikova, Brenda L. Beaty, Lori A. Crane, David K. Shay, Allison Kempe
Summary: The study examined family physicians' and general internal medicine physicians' perceptions, knowledge, and practices regarding high-dose inactivated influenza vaccine (HD-IIV) and live attenuated influenza vaccine (LAIV). Many physicians believed HD-IIV is more effective for patients >= 65 years, and there was a misconception that ACIP had preferential recommendations for HD-IIV.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Medicine, General & Internal
Andrew J. Read, Akbar K. Waljee, Jeremy B. Sussman, Hardeep Singh, Grace Y. Chen, Sandeep Vijan, Sameer D. Saini
Summary: In this survey study, US primary care physicians' self-reported practices for anemia testing suggest overuse of screening laboratory tests, misinterpretation of iron studies, and underuse of bidirectional endoscopy for evaluation of new-onset IDA. Both misinterpretation of iron studies and underuse of bidirectional endoscopy can lead to delayed diagnosis of gastrointestinal tract cancers and warrant additional interventions.
Article
Public, Environmental & Occupational Health
Tasmiah Nuzhath, Abigail Spiegelman, Julia Scobee, Kirby Goidel, David Washburn, Timothy Callaghan
Summary: The study aimed to explore the strategies used by primary care physicians to address patient vaccine hesitancy towards COVID-19. An online survey was conducted with 625 primary care physicians to assess the messages they use to encourage hesitant patients to get vaccinated. The results showed that while some physicians used different strategies, others employed harsh language or made no effort to reduce vaccine hesitancy. Focused advocacy and training are needed to increase physician engagement in vaccine-related dialogues and ensure high vaccination uptake.
SOCIAL SCIENCE & MEDICINE
(2023)
Article
Pediatrics
Jessica R. Cataldi, Sean T. O'Leary, Lauri E. Markowitz, Mandy A. Allison, Lori A. Crane, Laura P. Hurley, Michaela Brtnikova, Brenda L. Beaty, Carol Gorman, Elissa Meites, Megan C. Lindley, Allison Kempe
Summary: Between 2008 and 2018, more primary care physicians reported recommending HPV vaccination for adolescents, fewer reported barriers, and more physicians reported parents who had vaccine safety or moral/religious concerns.
JOURNAL OF PEDIATRICS
(2021)
Article
Immunology
Timothy Callaghan, David Washburn, Kirby Goidel, Tasmiah Nuzhath, Abigail Spiegelman, Julia Scobee, Ali Moghtaderi, Matthew Motta
Summary: This study assesses vaccine confidence among primary care physicians and finds that a troubling proportion of them lack high levels of confidence in vaccines. Despite political and media narratives pushing physicians to lead vaccination efforts, these physicians may not be well positioned to actively promote COVID-19 vaccination. Therefore, interventions aimed at improving vaccine confidence among some physicians may be necessary.
Article
Immunology
Arman R. Badalyan, Marine Hovhannisyan, Gayane Ghavalyan, Mary M. Ter-Stepanyan, Rory Cave, Jennifer Cole, Andrew W. K. Farlow, Hermine Mkrtchyan
Summary: The study highlights low vaccine coverage and high vaccination hesitancy in Yerevan, Armenia. Physicians displayed varying levels of knowledge regarding the HPV vaccine, indicating a need for additional training and educational activities to improve understanding and trust in vaccination programs. The drivers of vaccine hesitancy are complex and may not be consistent for different vaccines, suggesting the importance of tailored approaches in addressing this issue.
Article
Immunology
Petra J. Woestenberg, Alejandra E. Guevara Morel, Johannes A. Bogaards, Mariette Hooiveld, Tessa M. Schurink-van't Klooster, Christian J. P. A. Hoebe, Marianne A. B. van der Sande, Birgit H. B. van Benthem
Summary: The study indicates that the 2vHPV vaccine provides partial protection against anogenital warts, especially when administered in early adolescence.
CLINICAL INFECTIOUS DISEASES
(2021)
Article
Health Care Sciences & Services
Karl Rubio, Taressa K. Fraze, Salma Bibi, Hector P. Rodriguez
Summary: This study examines whether primary care practices serving high proportions of Black or Latino Medicare fee-for-service beneficiaries are less likely to participate in the CPC+ program. The results show that practices with relatively high proportions of Black and Latino beneficiaries are less likely to participate in CPC+ compared to practices with lower proportions. State differences partially explain participation disparities for practices with high proportions of Black beneficiaries, but do not explain disparities for practices with high proportions of Latino beneficiaries.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Psychology, Developmental
Amina Smajlovic, Christina D. Toth
Summary: This study aimed to increase HPV vaccination completion rates in a pediatric primary care network serving minority and Medicaid-insured children in the United States. By utilizing electronic medical records, statistical process control, and implementing interventions, the completion rates increased from 27% to 65% overall in the 13-year teen population, with three clinics reaching the 70% goal for at least one quarter. Further research is needed to improve HPV vaccine completion rates in teens.
JOURNAL OF ADOLESCENT HEALTH
(2023)
Article
Obstetrics & Gynecology
Marikka Beecroft, Mahalakshmi Gurumurthy, Margaret E. Cruickshank
Summary: This study examined the effect of changing from cytology-based to primary HPV screening on the positive predictive value (PPV) of colposcopy referrals for cervical intraepithelial neoplasia (CIN) in a cohort offered HPV vaccination. The results showed lower PPVs in the vaccinated cohort and no significant difference in PPVs between liquid-based cytology and HPV screening. However, the PPVs of high grade dyskaryosis (HGD) for both techniques did not meet the threshold outlined in the cervical standards data report.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Article
Immunology
Juliana G. Barnard, Rebekah Marsh, Amy Anderson-Mellies, Johnny L. Williams, Michael P. Fisher, Myles G. Cockburn, Amanda F. Dempsey, Jessica R. Cataldi
Summary: The study found that clinics in areas with high HPV-associated cancer and low HPV vaccination rates could benefit from an HPV provider communication intervention. These clinics were motivated to improve patient health and valued guidelines and local experience as evidence for adopting an intervention. Implementation of the intervention requires adequate time and external support.
Article
Immunology
Juliana G. Barnard, Rebekah Marsh, Amy Anderson-Mellies, Johnny L. Williams, Michael P. Fisher, Myles G. Cockburn, Amanda F. Dempsey, Jessica R. Cataldi
Summary: This study used qualitative interviews and a dissemination and implementation framework to assess the readiness for change and fit of an HPV Provider Communication intervention in clinics located in areas with high rates of HPV-associated cancers and low HPV vaccination rates. The results showed that prior quality improvement experience and alignment with existing priorities and workflows were important factors influencing the implementation of the intervention.
Article
Public, Environmental & Occupational Health
Yimeng Mao, Yuchen Zhao, Lingyun Zhang, Jie Li, Abu S. Abdullah, Pinpin Zheng, Fan Wang
Summary: This study aimed to assess the frequency and factors associated with healthcare providers' (HCPs) recommendations for HPV vaccination. Results showed that only 30.2% of participants frequently recommended HPV vaccination. Factors associated with a higher recommendation frequency included female sex, employment in obstetrics or gynecology departments and community health service centers, and higher knowledge of HPV. Factors such as perceiving no obligation to provide recommendations and difficulties in discussing sexual topics were correlated with less frequent recommendations. Employment in a community health service center was the strongest factor associated with the frequency of HCPs' recommendations for HPV vaccination.
FRONTIERS IN PUBLIC HEALTH
(2023)
Review
Immunology
Lauri E. Markowitz, Melanie Drolet, Rayleen M. Lewis, Philippe Lemieux-Mellouki, Norma Perez, Mark Jit, Julia M. Brotherton, Gina Ogilvie, Aimee R. Kreimer, Marc Brisson
Summary: This study provides a systematic literature review on the effectiveness of HPV vaccines. It highlights the biases in observational studies and the need for further research to obtain valid effectiveness estimates.
Article
Immunology
Rachel L. Winer, John Lin, Troy D. Querec, Elizabeth R. Unger, Joshua E. Stern, Jessica M. Rudd, Matthew R. Golden, Fred Swanson, Lauri E. Markowitz, Elissa Meites
Summary: A study found that among men who have sex with men, those who reported receiving the HPV vaccine before the age of 18 had a lower prevalence of penile HPV infection. This suggests that HPV vaccination is effective in preventing penile HPV infections in young men who have sex with men.
JOURNAL OF INFECTIOUS DISEASES
(2022)
Article
Infectious Diseases
Terra Forward, Elissa Meites, John Lin, James P. Hughes, Elizabeth R. Unger, Lauri E. Markowitz, Matthew Golden, Fred Swanson, Paul M. Faestel, Rachel L. Winer
Summary: This study assessed the self-reported sensitivity of HPV vaccination among young adult men who have sex with men. The results showed that most participants with documented HPV vaccination history accurately self-reported their vaccination status. However, the accuracy of recall decreased over time since the first dose of vaccination.
SEXUALLY TRANSMITTED DISEASES
(2022)
Article
Medicine, General & Internal
Neil Murthy, A. Patricia Wodi, Henry Bernstein, Kevin A. Ault
ANNALS OF INTERNAL MEDICINE
(2022)
Article
Pediatrics
Dawn Nolt, Sean T. O'Leary, Susan W. W. Aucott
Summary: The purpose of this report is to inform healthcare providers about the potential infectious disease risks associated with emerging peripartum and neonatal practices. It provides information for pediatricians to counsel families before birth and to appropriately evaluate and treat newborns who have been exposed to these practices.
Editorial Material
Pediatrics
Yvonne A. Maldonado, Sean O'Leary, Peter Hotez
Article
Psychology, Clinical
Mallory K. Ellingson, Robert A. Bednarczyk, Sean T. O'Leary, Jason L. Schwartz, Eugene D. Shapiro, Linda M. Niccolai
Summary: Health care provider recommendations play a crucial role in parents' decisions to vaccinate their adolescents. However, the delivery of high-quality recommendations for vaccination varies widely. Factors influencing providers' recommendations include attitudes and beliefs, patient characteristics, community context, and vaccine policies. A multi-level framework is proposed to understand and improve providers' recommendations.
JOURNAL OF BEHAVIORAL MEDICINE
(2023)
Article
Pediatrics
Jessica R. Cataldi, Sean T. O'Leary, Brenda L. Beaty, Laura P. Hurley, Lori A. Crane, Michaela Brtnikova, Carol Gorman, Allison Kempe
Summary: A survey was conducted to assess the measles experience, practice, and knowledge of pediatricians in the United States. The study found that media reports about recent measles outbreaks had reduced the delay or refusal of measles vaccination. Most pediatricians had a moderate level of knowledge about measles, but there were gaps in certain areas. The most commonly consulted resources for measles information were those from the American Academy of Pediatrics, state or local public health departments, and the Centers for Disease Control and Prevention. A significant number of pediatricians did not have a plan for measles exposures. Pediatricians who were aware of measles cases in their community and those working in hospitals, clinics, or Health Maintenance Organizations were more likely to have a plan for measles exposures.
JOURNAL OF PEDIATRICS
(2022)
Review
Biotechnology & Applied Microbiology
Elissa Meites, Timothy J. Wilkin, Lauri E. Markowitz
Summary: Gay, bisexual, and other MSM and transgender women, especially those living with HIV, are disproportionately affected by HPV. Routine HPV vaccination is recommended for adolescents aged 11-12 and individuals up to age 26 in the United States, with efforts to increase vaccination coverage and monitor health impacts.
HUMAN VACCINES & IMMUNOTHERAPEUTICS
(2022)
Article
Health Care Sciences & Services
Laura P. Hurley, Sean T. O'Leary, Kathleen Dooling, Tara C. Anderson, Lori A. Crane, Jessica R. Cataldi, Michaela Brtnikova, Brenda L. Beaty, Carol Gorman, Angela Guo, Megan C. Lindley, Allison Kempe
Summary: Despite longstanding national recommendations, herpes zoster vaccination rates remain low among immunocompetent adults aged >= 50 years. This study assessed the practices, attitudes, and knowledge about recombinant zoster vaccine (RZV) among general internists and family physicians in the USA. The results showed that most physicians were willing to recommend RZV to immunocompromised patients, but there were knowledge gaps, communication issues, and financial barriers that need to be addressed.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Elissa Meites, Martha Knuth, Kaely Hall, Patrick Dawson, Teresa W. Wang, Marcienne Wright, Wei Yu, Schabbethai Senesie, Elizabeth Stephenson, Chukwuebuka Imachukwu, Takudzwa Sayi, Brian Gurbaxani, Erik R. Svendsen, Muin J. Khoury, Barbara Ellis, Brian A. King
Summary: The Centers for Disease Control and Prevention (CDC) has made significant contributions to scientific publications during the COVID-19 pandemic. They have published numerous articles in areas such as testing, prevention strategies, vaccines, and health equity, and have adapted to address new scientific questions.
PUBLIC HEALTH REPORTS
(2023)
Article
Immunology
Courtney A. Gidengil, Andrew M. Parker, Lauri E. Markowitz, Amber M. Gedlinske, Natoshia M. Askelson, Christine A. Petersen, Elissa Meites, Megan C. Lindley, Aaron M. Scherer
Summary: This survey aimed to understand physician knowledge, attitudes, and practices regarding HPV vaccination for adults aged 27-45 years. The results showed that despite the COVID-19 pandemic, at least a third of participating physicians in each practice specialty reported having more HPV vaccine shared clinical decision-making (SCDM) discussions with patients in the past 12 months. However, although the majority of physicians were aware of the SCDM recommendation for this age group, only half of them answered an objective knowledge question correctly.
Article
Pediatrics
Douglas J. Opel, Anna Furniss, Chuan Zhou, John D. Rice, Heather Spielvogle, Christine Spina, Cathryn Perreira, Jessica Giang, Nicolas Dundas, Amanda Dempsey, Barbara Pahud, Jeffrey Robinson, Sean O'Leary
Summary: The study aimed to understand the impact of a novel infectious disease, SARS-CoV-2, on parent attitudes towards childhood vaccines. Initial results showed a decrease in negative attitudes right after the onset of the pandemic, but by August-December 2020, there was a 35% increase in negative attitudes compared to April-July 2020.
ACADEMIC PEDIATRICS
(2022)
Article
Pediatrics
Allison Kempe, Sean T. O'Leary, Margaret M. Cortese, Lori A. Crane, Jessica R. Cataldi, Michaela Brtnikova, Brenda L. Beaty, Laura P. Hurley, Carol Gorman, Jacqueline E. Tate, Jeanette L. St Pierre, Megan C. Lindley
Summary: The study found that rotavirus vaccine coverage levels for US infants are below 80%. The most common barriers to vaccine delivery were parental concerns about safety and the belief that the vaccine was unnecessary. Hospitals not providing the vaccine at discharge and infants not being seen for well care visits before reaching the maximum age were also cited as reasons.
ACADEMIC PEDIATRICS
(2022)
Article
Infectious Diseases
E. Adrianne Hammershaimb, Lyndsey D. Cole, Yuanyuan Liang, Megan A. Hendrich, Dhiman Das, Robert Petrin, Jessica R. Cataldi, Sean T. O'Leary, James D. Campbell
Summary: In a nationally representative survey conducted in November 2021, it was found that over 50% of US parents were likely to vaccinate or had already vaccinated their children against COVID-19. The most important factors influencing child COVID-19 vaccine intention were parental COVID-19 vaccination status and belief in the benefits of COVID-19 vaccination.
JOURNAL OF THE PEDIATRIC INFECTIOUS DISEASES SOCIETY
(2022)