Health care provider support and factors associated with breastfeeding beyond infancy: A cross‐national study

Birth ◽  
2021 ◽  
Author(s):  
Sarah A. Keim ◽  
Alexis Tchaconas ◽  
Jane B. Ford ◽  
Nathan C. Nickel ◽  
Debbi Heffern ◽  
...  
2020 ◽  
Vol 38 (25) ◽  
pp. 2892-2901
Author(s):  
Jocelyn M. York ◽  
James L. Klosky ◽  
Yanjun Chen ◽  
James A. Connelly ◽  
Karen Wasilewski-Masker ◽  
...  

PURPOSE Young cancer survivors are at increased risk for morbidities related to infection with the human papillomavirus (HPV), yet their HPV vaccine initiation rates remain low. Patient-/parent-reported lack of health care provider recommendation for HPV vaccination is strongly associated with vaccine noninitiation. We aimed to identify patient-level factors associated with survivor-/parent-reported lack of provider recommendation for HPV vaccination among young cancer survivors. METHODS Cancer survivors ages 9-26 years and 1-5 years off therapy completed a cross-sectional survey (parent-completed for survivors 9-17 years of age). Lack of health care provider HPV vaccine recommendation was the outcome of interest in a multivariable logistic regression model that included relevant patient-level sociodemographic, clinical, and vaccine-related variables. RESULTS Of 955 survivors, 54% were male, 66% were non-Hispanic White, and 36% had leukemia. At survey participation, survivors were an average age (± standard deviation) of 16.3 ± 4.7 years and 32.8 ± 14.7 months off therapy. Lack of provider HPV vaccine recommendation was reported by 73% (95% CI, 70% to 75%) of survivors. For the entire cohort, patient-level factors associated with lack of reported provider recommendation included perceived lack of insurance coverage for the HPV vaccine (odds ratio [OR], 4.0; 95% CI, 2.7 to 5.9; P < .001), male sex (OR, 2.8; 95% CI, 1.9 to 4.0; P < .001), and decreased parent-survivor communication regarding HPV vaccination (OR, 1.7 per unit decrease in score; 95% CI, 1.3 to 2.2; P < .001). In the sex- and age-stratified models, perceived lack of insurance coverage (all models) and male sex (age-stratified models) were also significantly associated with lack of reported provider recommendation. CONCLUSION We identified factors characterizing survivors at risk for not reporting receipt of a health care provider HPV vaccine recommendation. Future research is needed to develop interventions that facilitate effective provider recommendations for HPV vaccination among all young cancer survivors.


Author(s):  
Michela Lenzi ◽  
Massimo Santinello ◽  
Marta Gaboardi ◽  
Francesca Disperati ◽  
Alessio Vieno ◽  
...  

2020 ◽  
Vol 46 (5) ◽  
pp. 282-290
Author(s):  
Traber D. Giardina ◽  
Kathryn E. Royse ◽  
Arushi Khanna ◽  
Helen Haskell ◽  
Julia Hallisy ◽  
...  

2005 ◽  
Vol 68 (4) ◽  
pp. 400-410 ◽  
Author(s):  
Michael G. Flaherty ◽  
Betina Freidin ◽  
Ruth Sautu

Flaherty's cross-cultural theory purports to account for variation in the perceived passage of time. Recent events in Argentina provide an opportunity to assess the applicability of this theory to a Latin American nation. We conducted interviews with 198 persons who participated in various kinds of political activism. The respondents who felt that time had passed “quickly” emphasized an increase in governmental and personal activity. For those who said “slowly,” the focus was on suffering, unpleasant emotions, and waiting. Those who were unable to specify reported a mixture of factors associated with “quickly” or “slowly,” while those who said “synchronically” were unaffected by the turmoil in their country. These findings offer strong support for the theory in question, and they suggest that variation in the experience of time occurs not because there are different kinds of people but because people find themselves in different kinds of circumstances.


PEDIATRICS ◽  
2007 ◽  
Vol 119 (Supplement 1) ◽  
pp. S61-S67 ◽  
Author(s):  
Mary Beth Zeni ◽  
William Sappenfield ◽  
Dan Thompson ◽  
Hailin Chen

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