Gynecology & Obstetrics
Open Access
ISSN: 2161-0932
ISSN: 2161-0932
Oroma Nwanodi, Helen Salisbury and R Curtis Bay
Locum Tenens, Salinas, USA
A T Still University, USA
Scientific Tracks Abstracts: Gynecol Obstet (Sunnyvale)
Globally, 759,011 incident cases of human papilloma virus (HPV)-attributed cancers, and a .13% to .2% external genital warts� (EGW) prevalence, drove HPV vaccination development. Globally, adolescents� completed HPV vaccination series rates range from 20% in the United States of America to up to 80% in Australia and the United Kindom. HPV vaccination series completion rates lower than 70% limit cost-effective population-based benefits. Improved pro-vaccination counseling should raise HPV-vaccination rates. In comparision to a brief 14-sentence counseling intervention, multimodal counseling interventions can raise HPV vaccination series non-completers� HPV-attributable disease knowledge and HPV-attributable disease prophylaxis (vaccination) acceptance. An Internet-based, 4-group, randomized controlled trial, with 260 or more participants per group, found that parents were more likely to accept HPV vaccination offers for their children than were childless young adults for themselves (68.2% and 52.9%). Experimental counseling interventions showed a greater increase in HPV-attributable disease and HPV vaccination knowledge, p=.038, than brief counseling. A patient health education handout (PHEH) intervention, and a combined audiovisual and PHEH intervention, raised knowledge of HPV-attributable EGW, p<.001. The combined audiovisual and PHEH intervention raised knowledge of HPV vaccination purpose, p=.02, and raised HPV vaccination acceptance for seven items, p<.001 to p=.023. The audiovisual intervention achieved increased HPV vaccination acceptance for five items, p<.001 to p=.006. That HPV causes EGW, and that HPV vaccination prevents HPV-attributable diseases were better conveyed by the combined audiovisual and PHEH than the control 14-sentence counseling intervention alone.
Oroma Nwanodi, MD, DHSc graduated from Meharry Medical College of Nashville, Tennessee in the United States of America as a Medical Doctor in May, 2001. She completed Doctor of Health Sciences at A T Still University, Mesa, Arizona, in December, 2016. She has practiced in California, Missouri, and Wyoming. Currently, she provides locum tenens services in Minnesota. She has over 20 publications. She has presented on Acupuncture and a range of Obstetrics and Gynecology subjects. Her publications and presentations may be accessed via academia.edu and researchgate.net.