scholarly journals Views of health care providers on low-income populations in West Virginia with sexually transmitted disease

2005 ◽  
Author(s):  
Genevieve R. Cox
Keyword(s):  
Health Care ◽  
West Virginia ◽  
Health Care Providers ◽  
Low Income ◽  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Care Providers ◽  
Sexually Transmitted

scholarly journals Problems of Adolescents Sexuality

1989 ◽  
Vol 82 (12) ◽  
pp. 732-734 ◽  
Author(s):  
J Whatley ◽  
N Thin ◽  
B Reynolds ◽  
A Blackwell
Keyword(s):  
Health Care Providers ◽  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Genital Warts ◽  
Care Providers ◽  
Referral Pattern ◽  
Sexually Transmitted ◽  
Simplex Infection ◽  
High Prevalence ◽  
Clinic Population

Recent discussions highlighted adolescents’ sexual behaviour, but published studies concentrate on specific problems or subgroups of patients without addressing factors related to sexuality. To obtain a broad picture we studied two groups of adolescents attending genito-urinary medicine/sexually transmitted disease (STD) clinics in contrasting areas of Britain, inner London and Swansea. These were evaluated for referral pattern, sexual partner, contraception, obstetric history, sexually transmitted disease, and cervical cytology findings. Over half the adolescents referred themselves but few doctors other than general practitioners referred patients. Sexual partners were regarded by males as casual but by females as regular. Only 66% (81) of females practised contraception. Adolescents had more STD's than the total clinic population except for genital herpes simplex infection, and a high prevalence of genital warts in females has important future implications. The main conclusions were that there is a need for sexually related education targetted at adolescents and their health care providers, especially doctors.

scholarly journals Health Care Providers’ Profiles and Evaluations of a Statewide Online Education Program for Dissemination of Clinical Evidence on HIV, Hepatitis C Virus, and Sexually Transmitted Disease: Cross-Sectional Study (Preprint)

2018 ◽  
Author(s):  
Dongwen Wang ◽  
Meredith Abrams
Keyword(s):  
Professional Development ◽  
Health Care ◽  
Health Care Providers ◽  
Clinical Education ◽  
Clinical Evidence ◽  
Transmitted Disease ◽  
Continuing Professional Development ◽  
Care Providers ◽  
Online Program ◽  
Sexually Transmitted

BACKGROUND Timely and effective dissemination of the latest clinical evidence to health care providers is essential for translating biomedical research into routine patient care. Online platforms offer unique opportunities for dissemination of medical knowledge. OBJECTIVE In this study, we report the profiles of health care providers participating in the New York State HIV-HCV-STD Clinical Education Initiative online program and their evaluations of the online continuing professional development courses. METHODS We compiled professional and personal background information of the clinicians who completed at least one online course. We collected their self-reported program evaluation data with regard to the course content, format, knowledge increase, and impact on clinical practice. RESULTS We recorded a total of 4363 completions of 88 online courses by 1976 unique clinicians during a 12-month study period. The clinicians’ background was diverse in terms of demographics, education levels, professional disciplines, practice years, employment settings, caseloads, and clinical services. The evaluation of online courses was very positive (usefulness/relevance, 91.08%; easy comprehension, 89.09%; knowledgeable trainer, 92.00%; appropriate format, 84.35%; knowledge increase, 48.52%; intention to use knowledge, 85.26%; and plan to change practice, 21.98%). Comparison with the reference data indicated that the online program successfully reached out to the primary care communities. Both the younger generation and the senior health care providers were attracted to the online program. High-quality multimedia resources, flexibility of access, ease of use, and provision of continuing professional development credits contributed to the initial success of this online clinical education program. CONCLUSIONS We have successfully characterized a diverse group of clinicians participating in a statewide online continuing professional development program. The evaluation has shown effective use of online resources to disseminate clinical evidence on HIV, hepatitis C virus, and sexually transmitted disease to primary care clinicians.

Sexually transmitted diseases: a survey of case management in Malawi

1996 ◽  
Vol 7 (4) ◽  
pp. 269-275 ◽  
Author(s):  
D. A. Chilongozi ◽  
C. Costello ◽  
Daly L. Franco ◽  
N. G. Liomba ◽  
G. Dallabetta
Keyword(s):  
Health Care ◽  
Case Management ◽  
Health Care Providers ◽  
Transmitted Disease ◽  
Health Care Facilities ◽  
Observation Data ◽  
Care Providers ◽  
Patient Counselling ◽  
Sexually Transmitted ◽  
Genital Ulcers

A national survey of sexually transmitted disease (STD) case management was carried out at 39 health care facilities in Malawi in 1994. Fifty-four health care providers were observed managing 150 patients presenting with selected STD syndromes and 103 providers were interviewed. STD case management was assessed by calculation of WHO/GPA prevention indicators (PIs) from observation data. The overall rate for PI-6, which measures correct assessment and treatment of STD patients was 11% (81% for history taking, 46% in physical examination, and 13% correct antibiotic treatment according to national guidelines). The score for PI-7, which measures overall patient counselling was 29% (65% for partner notification and 40% for condom advice). Although Haemophilus ducreyi is at least as common as Treponema pallidum as the causative agent for genital ulcers, only 16% of patients with genital ulcers were treated effectively for chancroid vs 56% for syphilis. Female patients received less comprehensive care than male STD patients. Only 20% of STD patients were offered condoms. Overall, the survey results support the policy decision to adopt syndromic management of STDs, and provide baseline information for planning and evaluation of a national control programme.

Immigrant Communities and COVID-19: Strengthening the Public Health Response

2021 ◽  
Vol 111 (S3) ◽  
pp. S224-S231
Author(s):  
Lan N. Đoàn ◽  
Stella K. Chong ◽  
Supriya Misra ◽  
Simona C. Kwon ◽  
Stella S. Yi
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Low Income ◽  
Immigrant Communities ◽  
Care Providers ◽  
Public Health Response ◽  
The Public ◽  
Public Health Infrastructure ◽  
Health Infrastructure

The COVID-19 pandemic has exposed the many broken fragments of US health care and social service systems, reinforcing extant health and socioeconomic inequities faced by structurally marginalized immigrant communities. Throughout the pandemic, even during the most critical period of rising cases in different epicenters, immigrants continued to work in high-risk-exposure environments while simultaneously having less access to health care and economic relief and facing discrimination. We describe systemic factors that have adversely affected low-income immigrants, including limiting their work opportunities to essential jobs, living in substandard housing conditions that do not allow for social distancing or space to safely isolate from others in the household, and policies that discourage access to public resources that are available to them or that make resources completely inaccessible. We demonstrate that the current public health infrastructure has not improved health care access or linkages to necessary services, treatments, or culturally competent health care providers, and we provide suggestions for how the Public Health 3.0 framework could advance this. We recommend the following strategies to improve the Public Health 3.0 public health infrastructure and mitigate widening disparities: (1) address the social determinants of health, (2) broaden engagement with stakeholders across multiple sectors, and (3) develop appropriate tools and technologies. (Am J Public Health. 2021;111(S3):S224–S231. https://doi.org/10.2105/AJPH.2021.306433 )

scholarly journals A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers

2021 ◽  
Vol 9 ◽  
Author(s):  
Alicia K. Matthews ◽  
Karriem S. Watson ◽  
Cherdsak Duang ◽  
Alana Steffen ◽  
Robert Winn
Keyword(s):  
Health Care ◽  
Smoking Cessation ◽  
Health Care Providers ◽  
Low Income ◽  
Access To Health Care ◽  
Social Determinant ◽  
Evidence Based ◽  
Patient Portal ◽  
Care Providers ◽  
Access To Health

Background: Smoking rates among low-income patients are double those of the general population. Access to health care is an essential social determinant of health. Federally qualified health care centers (FQHC) are government-supported and community-based centers to increase access to health care for non-insured and underinsured patients. However, barriers to implementation impact adherence and sustainability of evidence-based smoking cessation within FQHC settings. To address this implementation barrier, our multi-disciplinary team proposes Mi QUIT CARE (Mile Square QUITCommunity-Access-Referral-Expansion) to establish the acceptability, feasibility, and capacity of an FQHC system to deliver an evidence-based and multi-level intervention to increase patient engagement with a state tobacco quitline.Methods: A mixed-method approach, rooted in an implementation science framework of RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance), will be used in this hybrid effectiveness-implementation design. We aim to evaluate the efficacy of a novel delivery system (patient portal) for increasing access to smoking cessation treatment. In preparation for a future randomized clinical trial of Mi QUIT CARE, we will conduct the following developmental research: (1) Examine the burden of tobacco among patient populations served by our partner FQHC, (2) Evaluate among FQHC patients and health care providers, knowledge, attitudes, barriers, and facilitators related to smoking cessation and our intervention components, (3) Evaluate the use of tailored communication strategies and patient navigation to increase patient portal uptake among patients, and (4) To test the acceptability, feasibility, and capacity of the partner FQHC to deliver Mi QUIT CARE.Discussion: This study provides a model for developing and implementing smoking and other health promotion interventions for low-income patients delivered via patient health portals. If successful, the intervention has important implications for addressing a critical social determinant of cancer and other tobacco-related morbidities.Trial Registration: U.S. National Institutes of Health Clinical Trials, NCT04827420, https://clinicaltrials.gov/ct2/show/NCT04827420.

Sources of Recent Sexually Transmitted Disease (STD)-Related Health Care for STD Clinic Patients

2001 ◽  
Vol 28 (9) ◽  
pp. 535-538 ◽  
Author(s):  
JEAN M. LAWRENCE ◽  
JONATHAN ZENILMAN ◽  
MARY L. KAMB ◽  
MICHAEL IATESTA ◽  
JOHN M. DOUGLAS ◽  
...  
Keyword(s):  
Health Care ◽  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Sexually Transmitted

scholarly journals Comparison of the PACE 2 Assay, Two Amplification Assays, and Clearview EIA for Detection of Chlamydia trachomatis in Female Endocervical and Urine Specimens

1999 ◽  
Vol 37 (7) ◽  
pp. 2223-2229 ◽  
Author(s):  
Tsai-Ling Lauderdale ◽  
Lenore Landers ◽  
Ian Thorneycroft ◽  
Kimberle Chapin
Keyword(s):  
Health Care ◽  
Chlamydia Trachomatis ◽  
Health Care Providers ◽  
Random Order ◽  
Test Methods ◽  
Care Providers ◽  
Sexually Transmitted ◽  
Current Test ◽  
Low Sensitivity ◽  
Urine Specimens

Screening for sexually transmitted diseases (STDs) in a greater proportion of sexually active patients has become an accepted protocol by most health care providers. The purpose of this study was to compare the current test methods for detection of Chlamydia trachomatis used at the University of South Alabama, the PACE 2 assay (Gen-Probe) and the Clearview EIA (Wampole Laboratories), with two amplification technologies, the AMP CT (Gen-Probe) and LCx (Abbott) assays. In addition, a number of demographic parameters were ascertained by asking questions at the time of examination as well as for health care provider concerns and preferences. One urine and four endocervical swab specimens were collected in random order from 787 female patients attending one of four obstetrics-gynecology clinics. Eighty-seven percent of patients had no STD-related symptoms. Patients were considered positive for C. trachomatis if three or more assays (swab and/or urine) were positive. Abbott and Gen-Probe confirmed discrepant results by alternate amplified assays. A total of 66 true-positive specimens were detected by use of the combination of endocervical swabs and urine specimens. After discrepant analysis, sensitivities for endocervical swab specimens for the EIA and the PACE 2, LCx, and AMP CT assays were 50, 81, 97, and 100%, respectively. Sensitivities for the LCx and AMP CT assays with urine specimens were 98 and 81%, respectively. The prevalence of C. trachomatiswas 8.4%, as determined by amplification technology. Overall, the amplification technologies were the most sensitive methods with either swab (AMP CT assay) or urine (LCx assay) specimens. The PACE 2 assay offered the advantage of a simpler and less expensive assay with acceptable sensitivity. The clearview CT EIA, while yielding a rapid in-office result, had unacceptably low sensitivity. The wide variation in performance with amplification assays with urine specimens as reported in both this study and the literature obviates the need to clarify optimal parameters for this specimen type.

Suffering in Silence: Managing the Fear Trajectory of Genital Herpes

2007 ◽  
Vol 11 (2) ◽  
pp. 40-46 ◽  
Author(s):  
Shirley C. Gordon
Keyword(s):  
Genital Herpes ◽  
Low Income ◽  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Psychological Problem ◽  
Individual Variability ◽  
Social Psychological ◽  
Sexually Transmitted ◽  
Low Income Women ◽  
The Individual

Genital herpes is an incurable, highly stigmatized, sexually transmitted disease. The purpose of this article, which represents a portion of a larger study by Gordon (1998), is to describe pervasive fear as the basic social psychological problem identified by low income women with genital herpes. Categories included fear of pain, passing the disease, and telling others. When nurses recognize the individual variability of pervasive fear associated with living with genital herpes, they validate suffering. Knowing what matters most to low income women as they suffer in silence with genital herpes encourages the nurse to develop meaningful responses to their cries for caring.

Sign in / Sign up

Export Citation Format

Share Document