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Aaron KJ, Griner S, Footman A, Boutwell A, Van Der Pol B. Vaginal Swab vs Urine for Detection of Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis: A Meta-Analysis. Ann Fam Med 2023; 21:172-179. [PMID: 36973065 PMCID: PMC10042575 DOI: 10.1370/afm.2942] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 11/06/2022] [Accepted: 11/21/2022] [Indexed: 03/29/2023] Open
Abstract
PURPOSE Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) are the 2 most frequently reported notifiable sexually transmitted infections (STIs) in the United States, and Trichomonas vaginalis (TV), although not a notifiable disease, is the most common curable non-viral STI worldwide. Women bear a disproportionate burden of these infections and testing is necessary to identify infections. Although vaginal swabs are the recommended sample type, the specimen most often used among women is urine. The objective of this meta-analysis was to assess the diagnostic sensitivity of commercially available assays for vaginal swabs vs urine specimens from women. METHODS A systematic search of multiple databases from 1995 through 2021 identified studies that (1) evaluated commercially available assays, (2) presented data for women, (3) included data obtained from the same assay on both a urine specimen and a vaginal swab from the same patient, (4) used a reference standard, and (5) were published in English. We calculated pooled estimates for sensitivity and the corresponding 95% CIs for each pathogen as well as odds ratios for any difference in performance. RESULTS We identified 28 eligible articles with 30 comparisons for CT, 16 comparisons for NG, and 9 comparisons for TV. Pooled sensitivity estimates for vaginal swabs and urine, respectively, were 94.1% and 86.9% for CT, 96.5% and 90.7% for NG, and 98.0% and 95.1% for TV (all P values <.001). CONCLUSIONS Evidence from this analysis supports the Centers for Disease Control and Prevention's recommendation that vaginal swabs are the optimal sample type for women being tested for chlamydia, gonorrhea, and/or trichomoniasis.
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Affiliation(s)
- Kristal J Aaron
- University of Alabama at Birmingham, Department of Medicine, Division of Infectious Diseases, Heersink School of Medicine, Birmingham, Alabama
| | - Stacey Griner
- University of North Texas Health Science Center School of Public Health, Fort Worth, Texas
| | - Alison Footman
- University of Alabama at Birmingham School of Public Health, Birmingham, Alabama
| | - Alexander Boutwell
- University of Alabama at Birmingham, Department of Medicine, Division of Infectious Diseases, Heersink School of Medicine, Birmingham, Alabama
| | - Barbara Van Der Pol
- University of Alabama at Birmingham, Department of Medicine, Division of Infectious Diseases, Heersink School of Medicine, Birmingham, Alabama
- University of Alabama at Birmingham School of Public Health, Birmingham, Alabama
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Owens H, Beckstead J, Walker K, Thompson EL, Tomar SL, Griner S, Desch J, Daley EM. Dental patients' communication preferences for learning about HPV-related topics. Gen Dent 2023; 71:38-43. [PMID: 36592357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Oropharyngeal cancer (OPC) has the highest incidence of any cancer caused by human papillomavirus (HPV). Oral health providers are urged to support the use of the HPV vaccine, which was approved by the US Food and Drug Administration for the prevention of OPC in 2020. This study evaluated the preferences of dental patients regarding 11 modalities for learning about HPV-related topics from their oral health providers. An online survey was administered to US adults aged 18 to 45 years (n = 285) to assess their communication modality preferences, prior experience discussing HPV with oral health providers, and demographic characteristics. Multiple items were combined to obtain preference scores for each modality. Preference scores were compared using 2 × 3 mixed analysis of variance. Age, sex, income, and HPV vaccination status were assessed as potential confounders. One-on-one discussions were the most preferred modality for learning about HPV-related topics; however, the preference scores differed based on whether the patient had prior HPV-related discussions with oral health providers (partial η2 = 0.054). Patients who had prior discussions showed a weaker preference for one-on-one discussions than did patients who had not had prior discussions. Oral health providers are called on to promote HPV vaccination, which will require increasing communication on this subject with patients. To assure greater acceptance of their recommendations, providers will need to match their communication styles to those desired by their patients. As part of a comprehensive HPV prevention strategy that includes administration of the vaccine, oral health providers should be educated on how to confidently discuss HPV-related issues with their patients.
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Van Gerwen O, Griner S, Davis A, Footman A, Pinto CN, Melendez JH, Tuddenham S, Exten C, Soge OO, Chakraborty P, Nenninger A, Marlowe EM, Joseph AM, McGowin CL, Seña AC, Fortenberry JD, Ghanem KG, Van Der Pol B. Summary of the Fourth Annual American Sexually Transmitted Diseases Association Workshop on Improving Sexually Transmitted Infection Control Efforts Through Cross-Sector Collaboration. Sex Transm Dis 2022; 49:588-593. [PMID: 35608091 DOI: 10.1097/olq.0000000000001651] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT The American Sexually Transmitted Diseases Association has, for several years, been conducting a cross-sector workshop to bring together a variety of stakeholders to develop ideas for collaboratively improving the sexually transmitted infection control efforts in the United States. In this summary, we share the content of discussions and ideas of the fourth annual workshop for future research and potential changes to practice with a focus on diagnostic capacity.
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Affiliation(s)
- Olivia Van Gerwen
- From the University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL
| | - Stacey Griner
- University of North Texas Health Science Center, Fort Worth, TX
| | - Alissa Davis
- Columbia University School of Social Work, New York, NY
| | - Alison Footman
- University of Alabama at Birmingham School of Public Health, Birmingham, AL
| | - Casey N Pinto
- Pennsylvania State University College of Medicine, Hershey, PA
| | | | | | - Cara Exten
- Pennsylvania State University College of Nursing, University Park, PA
| | - Olusegun O Soge
- Departments of Global Health and Medicine, University of Washington, Seattle, WA
| | | | | | - Elizabeth M Marlowe
- Quest Diagnostics Nichols Institute, Infectious Diseases, San Juan Capistrano, CA
| | | | - Chris L McGowin
- Medical and Scientific Affairs, Roche Diagnostic Corporation, Indianapolis, IN
| | - Arlene C Seña
- University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC
| | - J Dennis Fortenberry
- Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN
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Yockey RA, Yang J, Lee JGL, Griner S. Prevalence and Predictors of Driving Under the Influence of Alcohol Among Older Adults in the United States, 2015-2019. J Gen Intern Med 2022; 37:975-976. [PMID: 34131875 PMCID: PMC8904668 DOI: 10.1007/s11606-021-06951-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 05/21/2021] [Indexed: 11/28/2022]
Affiliation(s)
- R Andrew Yockey
- Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX, 76107, USA.
| | - Jie Yang
- School of Social Work, College of Health and Human Performance, East Carolina University, Greenville, NC, USA
| | - Joseph G L Lee
- Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University, Greenville, NC, USA.,Center for Health Disparities, Brody School of Medicine, East Carolina University, Greenville, NC, USA.,Cancer Prevention and Control, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA
| | - Stacey Griner
- Department of Health Behavior and Health Systems, University of North Texas Health Science Center, Fort Worth, TX, 76107, USA
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Oberweis T, Henry D, Griner S, Gorislavsky E. Making the Call: College Students' Legal Consciousness and Hypothetical Activation of Police for Sexual Assaults. Violence Against Women 2021; 27:2399-2423. [PMID: 34185601 DOI: 10.1177/10778012211021121] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Research has identified the necessity of sexual assault victims to label their experience as criminal to initiate reporting. However, barriers exist in labeling uninvited sexual contact as criminal. This study examined college students' assessments of whether eight nonconsensual behaviors met the legal definition of sexual assault, and whether such behaviors should be reported to police. Results indicated students acknowledged the nonconsensual behaviors as criminal; however, gaps were identified between awareness that the acts were criminal and willingness to report to police. Findings demonstrate a need for continued efforts for sexual assault prevention among college students.
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Affiliation(s)
| | - Dayna Henry
- James Madison University, Harrisonburg, VA, USA
| | - Stacey Griner
- University of North Texas Health Science Center, Forth Worth, TX, USA
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Vamos CA, Green SM, Griner S, Daley E, DeBate R, Jacobs T, Christiansen S. Identifying Implementation Science Characteristics for a Prenatal Oral Health eHealth Application. Health Promot Pract 2018; 21:246-258. [PMID: 30153742 DOI: 10.1177/1524839918793628] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background. Oral health is a significant public health issue; yet barriers to implementing the prenatal oral health guidelines into practice remain. This formative research aimed to identify key implementation science characteristics to inform the development of an eHealth application (app) to assist providers in implementing the prenatal oral health guidelines during prenatal visits. Method. Guided by the Consolidated Framework for Implementation Research, the clinic's infrastructure, workflow, and contextual factors were assessed via clinic observation, technology assessment, prenatal provider interviews (n = 4), clinic staff interviews (n = 8), and two focus groups with oral health providers (n = 16). Results. System-level factors influencing future implementation were identified regarding structural characteristic, networks/communication, culture, external policy/incentives, relative advantage, complexity, design quality/packaging, knowledge/beliefs, and personal attributes. Discussion. Findings provided vital information and will directly inform the design and implementation of an eHealth app that aims to facilitate the translation of the interprofessional prenatal oral health guidelines into clinical prenatal oral health practices.
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Affiliation(s)
| | | | | | | | | | - Tom Jacobs
- Custom Thinking Media, LLC, Eugene, OR, USA
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Kline N, Vamos C, Thompson E, Catalanotto F, Petrila J, DeBate R, Griner S, Vázquez-Otero C, Merrell L, Daley E. Are dental providers the next line of HPV-related prevention? Providers' perceived role and needs. Papillomavirus Res 2018. [PMID: 29524676 PMCID: PMC5887011 DOI: 10.1016/j.pvr.2018.03.002] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
The rise in HPV-related oropharyngeal cancer incidence necessitates novel prevention efforts including multiple provider types. Although dental providers screen for HPV-related oropharyngeal cancers, little is known about their needs to advance “primordial prevention,” or interventions at the earliest possible stage, to prevent HPV-related cancers. This study assessed dentists' and dental hygienists’ perceived roles and needs regarding HPV-related primordial prevention. We conducted a mixed-method study with data from focus groups with dentists (n= 33) and dental hygienists (n= 48) and surveys from both provider types (n= 203) among providers from a diverse set of practice settings and geographic communities. Data were analyzed using qualitative thematic analysis and chi square tests. Participants affirmed dental professionals’ roles in preventing HPV-related cancers and identified needs to overcome barriers to fulfilling prevention objectives. Barriers included: (1) practice environment and patient characteristics, and (2) the sensitive topic of HPV. Further, participants identified needs to improve HPV-related cancer prevention. Findings from this study suggest that dental providers may become the next line of prevention for HPV-related cancers. Dental providers’ professional associations have provided guidance on HPV and oropharyngeal cancers, but our study reveals dental providers’ needs for following professional organizations’ guidance to advance prevention efforts and reduce HPV-related cancer incidence.
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Affiliation(s)
- Nolan Kline
- University of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
| | - Cheryl Vamos
- University of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
| | - Erika Thompson
- University of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
| | - Frank Catalanotto
- University of Florida College of Dentistry, P.O. Box 103628, 329 SW 16th St., Gainesville, FL 3261, USA.
| | - John Petrila
- University of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA; The Meadows Mental Health Policy Institute, 2800 Swiss Avenue, Dallas, TX 75204, USA.
| | - Rita DeBate
- University of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
| | - Stacey Griner
- University of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
| | - Coralia Vázquez-Otero
- University of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
| | - Laura Merrell
- University of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
| | - Ellen Daley
- University of South Florida, College of Public Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
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Moore MJ, Barr E, Wilson K, Griner S. Support for Offering Sexual Health Services Through School-Based Health Clinics. J Sch Health 2016; 86:660-668. [PMID: 27492935 DOI: 10.1111/josh.12421] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2015] [Revised: 02/09/2016] [Accepted: 04/04/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Numerous studies document support for sexuality education in the schools. However, there is a dearth of research assessing support for sexual health services offered through school-based health clinics (SBHCs). The purpose of this study was to assess voter support for offering 3 sexual health services (STI/HIV testing, STI/HIV treatment, condom distribution) through SBHCs. METHODS The survey was developed after review of existing surveys on support for sexuality education and sexual health services. The university's Public Opinion Research Laboratory used random-digit-dialing to administer the survey to participants (N = 311) including residential and cell phone numbers. RESULTS Most participants were supportive of offering sexual health services at both middle schools (MS) and high schools (HS): testing for STIs/HIV (61% MS, 76% HS), treatment for STIs/HIV (60% MS, 75% HS), and provision of condoms (44% MS, 63% HS). Analyses showed significant differences in support for sexual health services by a few demographic variables, opinions about sexuality education, and the percentage of students perceived to have had sexual intercourse. CONCLUSIONS Results document support for offering sexual health services through SBHCs. These findings may benefit other communities looking to implement similar clinics. Such services have great potential for positively impacting the sexual health of youth.
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Affiliation(s)
- Michele Johnson Moore
- Department of Public Health, Brooks College of Health, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224.
| | - Elissa Barr
- Department of Public Health, Brooks College of Health, University of North Florida, 1 UNF Drive, Jacksonville, FL 32224.
| | - Kristina Wilson
- Florida Department of Health in Duval County, Office of Performance Improvement, Suite 700-MC99, 900 University Boulevard North, Jacksonville, FL 32211.
| | - Stacey Griner
- University of South Florida, College of Public Health, Department of Community and Family Health, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612.
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Thompson EL, Vamos CA, Vázquez-Otero C, Logan R, Griner S, Daley EM. Trends and predictors of HPV vaccination among U.S. College women and men. Prev Med 2016; 86:92-8. [PMID: 26868093 DOI: 10.1016/j.ypmed.2016.02.003] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Revised: 01/27/2016] [Accepted: 02/01/2016] [Indexed: 10/22/2022]
Abstract
BACKGROUND HPV vaccination was recommended by the Advisory Committee on Immunization Practices for young adult females in 2006 and males in 2011 to prevent HPV-related cancers and genital warts. As this prevention mechanism continues to disseminate, it is necessary to monitor the uptake of this vaccine. College students represent an important population for HPV vaccination efforts and surveillance due to increased risk for HPV infection and representing a priority population for catch-up HPV vaccination. The purpose of this study was to assess the trends in HPV vaccination among U.S. college females and males from 2009 to 2013, and to examine whether predictors for HPV vaccination differ between males and females. METHODS The National College Health Assessment-II (Fall 2009-2013) was used to assess trends in HPV vaccination using hierarchical logistic regression across genders and demographics. Data from 2013 were used to assess demographic variables associated with HPV vaccination for males and females, respectively. The analysis was conducted in 2015. RESULTS Females had nearly double the rates of HPV vaccination compared to males over time. All demographic sub-groups had significant increases in vaccine rates over time, with select male sub-groups having more accelerated increases (e.g., gay). Young age (18-21 vs. 22-26years) was a significant predictor for HPV vaccination among males and females, while race/ethnicity was a predictor of vaccination among females only. CONCLUSIONS These findings identified specific demographic sub-groups that need continued support for HPV vaccination. Campus health centers may be rational settings to facilitate clinical opportunities for HPV vaccination among unvaccinated college students.
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Affiliation(s)
- Erika L Thompson
- Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
| | - Cheryl A Vamos
- Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
| | - Coralia Vázquez-Otero
- Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
| | - Rachel Logan
- Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
| | - Stacey Griner
- Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
| | - Ellen M Daley
- Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL 33612, USA.
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