College and University Health Care Professionals: An Expanding Team

Abstract

Factors contributing to students' compliance with mass vaccination programs during meningococcal outbreaks have not been well described. A 1997 mass vaccination campaign at Michigan State University provided an opportunity to study such factors. Of 34 024 students in the target population, 17 538 (51.5%) were vaccinated in 5 days. Vaccination rates were higher for women (47.9%) than for men (43.1 %) and higher for on-campus residents (65.3%) than for off-campus residents (35.6%). For each year of students' age beyond 19, the adjusted odds of vaccination were reduced by 0.82. Adjusted odds ratios for vaccination, with White students as the reference group at 1.0, were 1.33 for Asian American students, 0.97 (not significant) for Hispanic students, 0.82 for African American students, and 0.80 for Native American students. Students from the Colleges of Business, Engineering, Communication, and Natural Science had the highest vaccination rates; those from the College of Arts and Letters had the lowest rates.     

The Special Historical Section of the Journal of American College Health

Abstract

Objective: To identify human papillomavirus (HPV) infection and HPV vaccine–related attitudes among college-aged women and the relationship between HPV vaccine uptake and subsequent sexual behaviors. Methods: PubMed, MEDLINE, CINAHL, and Google Scholar searches were performed from 2006, the date after the first HPV vaccine became available, to present. Results: Of the 13 studies identified, most were cross-sectional. College-aged women saw HPV infection as serious and had positive attitudes toward the HPV vaccine. Barriers (ie, cost, lack of insurance coverage) existed that prevented women from obtaining the vaccine and many women did not see themselves at risk for HPV. The vaccine uptake rate, although increasing, has been slow. Conclusion: College-aged women in the United States may need unbiased information about HPV and HPV vaccine. Studies that focus on risk perception and the relationship between knowledge, attitudes, vaccine uptake, and sexual behaviors are needed to inform interventions and public health programs.     

Family factors associated with emerging adults’ human papillomavirus vaccine behavior

Abstract

Objective: The current study examined the role of family influences on the vaccine behavior of emerging adults. Participants: In Spring 2017, we conducted anonymous online surveys of undergraduate students (n?=?608) at a large, public university in the mid-Atlantic. Methods: Logistic regression was used to examine associations between family factors and students’ awareness of the HPV vaccine, vaccine receipt, and vaccine intentions. Family factors included sex communication, religiosity, parental monitoring, family structure, and parents’ birthplace. Results: More comprehensive family sex communication is associated with less uncertainty regarding HPV vaccine receipt and greater likelihood of being already vaccinated. More frequent family religiosity and more parental monitoring are associated with greater likelihood of having decided against vaccination rather than already being vaccinated. Significant gender and racial disparities exist. Conclusion: Further research, policy, and programmatic intervention are needed to reduce disparities and to improve emerging adults’ compliance with HPV vaccine recommendations.     

College and University Compliance With a Required Meningococcal Vaccination Law

Objective: Maryland became the first state to pass a vaccination law requiring college and university students living on campus to obtain a meningococcal vaccination or to sign a waiver refusing vaccination because college students are at increased risk for disease. The authors sought to identify how Maryland colleges addressed the law and determine whether schools were in full compliance. Participants: The authors surveyed 32 college/university administrators via a self-administered questionnaire. Methods: The authors calculated vaccination and waiver rates and assessed compliance with the law overall and with specific law components. Results: Among 28 participating schools, annual vaccination rates and waiver rates among students during 2000-2004 ranged from 66%-76% and 12%-17%, respectively. Two (7%) schools were compliant with all components of the law. Conclusions: Mandatory vaccination laws do not ensure compliance at the college and university level. Mandatory reporting, increased education, and collaboration between colleges and universities and public health agencies are needed.     

Injecting and Rejecting,Framing and Failing

This paper seeks to examine how female subjectivities are privileged by Canadian human papillomavirus (HPV) vaccination discourse and, in turn, how homosexual male subjectivities are displaced. Employing a Critical Discourse Analysis approach, I analyze selected HPV vaccination (HPVV) promotional materials, and depict the discursive strategies which privilege and exclude gendered subjectivities. My critical analysis is influenced by feminist linguistic works that seek to uncover the discursive constructions around sexuality, gender and identity, and the discursive strategies used to communicate ideas about sexual health risks and responsible citizenship. In addition, I adopt feminist theories of knowledge and power to rethink the discursive representations of some bodies and subjectivities as normal, and Others as unintelligible within HPVV discourse in today's neoliberal time.     

Knowledge,Attitudes, and Informational Behaviors of College Students in Regard to the Human Papillomavirus

Abstract

Objective: To assess students’ human papillomavirus (HPV) knowledge, attitudes, and behaviors. Participants/ Methods: Students (N = 1,282) at a large, public university in the Northeast United States completed a questionnaire during February 2008 assessing HPV knowledge, prevalence, transmission, cervical cancer risk and stigma; sexual behavior, vaccination status, as well as past and preferred sources of information about HPV and sexual health. Results: A majority of respondents know of HPV. However, understanding was insufficient in several important areas. Overwhelmingly, respondents heard about HPV via television commercials yet preferred to obtain sexual health information from physicians. Hearing about HPV on a TV commercial was associated with increased knowledge. More knowledge of HPV was associated with less stigma. Men exhibit a higher level of stigma and less knowledge than women. Conclusions: Publicly funded health campaigns aimed at increasing knowledge about HPV are overdue and necessary. This is especially true for efforts targeting young adults about this extremely common sexually transmitted infection (STI).     

Learning to Leave: Problems of Graduating Clinical Observations and Strategies

Abstract

Like other moments of significant transition and separation, graduating from college involves a complex set of feelings and behaviors. Stress can be associated with various steps in this process, including identifying and completing tasks, anticipating change, participating in ceremony, and moving on. Common presenting problems and counseling strategies are described so that health workers can understand these dynamics within their developmental context for young adults. Leaving can be a skill some students need to acknowledge and learn, so that they can continue to grow.     

具有脉冲预防接种的SIQR流行病数学模型

讨论了一类具有脉冲预防接种且传染率为双线性的SIQR传染病模型.在脉冲预防接种下,分析了无病周期解的存在性和全局渐近稳定性.     

Comparison of the Sexual Well-Being of Individuals with and Without a Herpes and/or Human Papillomavirus Infection Diagnosis

ABSTRACT. This study compared individuals with and without herpes and/or human papillomavirus (HPV) on several aspects of sexual well-being. We also investigated whether gender and relationship status moderated these relationships. Participants were 183 individuals with herpes and HPV and 299 without a diagnosis who completed measures of sexual activity, sexual concerns, and sexual cognitive–affective factors. Individuals with herpes and HPV reported being less sexually satisfied and were more likely to experience a distressing sexual problem than were those with no sexually transmitted infections. However, they reported high-quality sexual well-being overall and, contrary to prediction, reported more positive sexual well-being compared with individuals without a diagnosis on some dimensions. Outcomes were largely the same regardless of gender and relationship status. The results are discussed in terms of the importance of examining a broad range of factors related to sexuality to understand the potential impact of herpes and HPV on sexual well-being.     

Systematic review of primary prevention human papillomavirus interventions targeting college students

ABSTRACT. Objectives: The purpose of this research was to systematically analyze human papillomavirus (HPV) interventions targeting college students. Methods: Completed interventions targeting general HPV prevention, HPV vaccine uptake, or antecedents of HPV vaccination uptake that used any quantitative design, published from January 2000 to January 2014 in the English language, were reviewed. Results: Twelve interventions met the criteria. Ten interventions produced 1 or more significant outcomes on primary or secondary variables of interest. Conclusions: Efficacy of interventions can be enhanced through tailoring materials and pretesting by sex, operationalizing theories, incorporating process evaluations, employing HPV vaccine uptake outcome measures, and utilizing Web-based delivery of programs.