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  1. Article ; Online: Selective Participation in Syphilis Partner Services and Implications for Control Efforts, Fulton County, Georgia, 2013-2015

    Sarah Hamid / Udodirim Onwubiko / David Holland / Allison Chamberlain

    Journal of the Georgia Public Health Association, Vol 8, Iss

    2022  Volume 3

    Abstract: Background. Partner services is an important component of syphilis control, but not all persons with syphilis participate, limiting the strategy’s potential effectiveness and possibly introducing selection biases into analyses of risk factors for ... ...

    Abstract Background. Partner services is an important component of syphilis control, but not all persons with syphilis participate, limiting the strategy’s potential effectiveness and possibly introducing selection biases into analyses of risk factors for reinfection. This study aimed to describe demographic and clinical differences between partner-services participants and non-participants in Fulton County, Georgia, and to assess the association between participation and syphilis re-diagnosis. Methods. Using surveillance data, we identified primary and secondary syphilis cases in Fulton County with a first diagnosis in 2013-2015. We compared the distributions of demographic and clinical characteristics between participants and non-participants using chi-squared tests. We used multivariable log binomial regression to examine the association between syphilis re-diagnosis within two years and partner-services participation. Results. Among 1,067 persons with primary/secondary stage syphilis diagnoses in Fulton County during 2013–2015, partner-services participants (n=698) were younger than non-participants (n=369) (mean age: 31 vs. 34 years), and more likely to be female (7.0% vs. 2.7%) and Black (78.7% vs. 64.8%). Findings from this study suggest that the association of partner services with syphilis re-diagnosis differs by HIV status, with lower risk of syphilis re-diagnosis among men with HIV (adjusted risk ratio [aRR]=0.80, 95% CI: 0.55–1.14) but not among men without HIV (aRR=1.19, 95%CI: 0.57–2.49). Conclusions. Partner-services participants differed notably from non-participants. We encourage other health departments to conduct similar assessments to improve participation by high-risk patients.
    Keywords syphilis ; treponema pallidum ; partner services ; Public aspects of medicine ; RA1-1270
    Subject code 610
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Georgia Southern University
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Zika Virus Communication Preferences of Pregnant Women

    Mallory Ellingson / Allison Chamberlain

    Journal of the Georgia Public Health Association, Vol 7, Iss

    Beyond the Verbal

    2017  Volume 1

    Abstract: Background: Pregnant women are frequently a priority group during public health emergencies, including the current Zika virus outbreak. These women turn to prenatal care providers for health information, but providers may not have the time for ... ...

    Abstract Background: Pregnant women are frequently a priority group during public health emergencies, including the current Zika virus outbreak. These women turn to prenatal care providers for health information, but providers may not have the time for discussions with every patient. Knowing alternative ways to communicate key Zika-related information to pregnant women is important. Methods: To determine pregnant women’s preferences for obtaining Zika information from their prenatal providers, a 27-item survey was administered to 408 pregnant women at four prenatal care clinics in Atlanta between May 5th, 2016 and June 20th, 2016. The anonymous survey evaluated women’s preferences for receiving information about three topics: Zika virus, maternal vaccines and safe medications. Chi-square and Fisher’s exact tests were used to determine statistical significance of associations between these topics and selected patient characteristics. Significance was evaluated at α=0.05. Results: Educational brochures (63.8%), e-mails (55.2%) and their provider’s practice website (40.2%) were women’s most preferred modalities for receiving information about Zika virus beyond verbal communication. Most women (73.2%) use the CDC website as their primary source of information about Zika virus; only 19.2% seek that information on their provider’s website. Conclusions: Conveying Zika-related information to pregnant women is essential. As public health practitioners create and refine provider-to-patient communications, they can use these findings to ensure their messages align with how women want to receive information (e.g., brochures, emails, provider websites) and take advantage of existing modalities (e.g. their own websites) that providers may not be fully utilizing. Key words: Zika virus, pregnancy, communication, internet, social media, prenatal care providers
    Keywords zika virus ; pregnancy ; communication ; internet ; social media ; prenatal care providers ; Public aspects of medicine ; RA1-1270
    Subject code 360
    Language English
    Publishing date 2017-07-01T00:00:00Z
    Publisher Georgia Southern University
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Practice-, Provider-, and Patient-level interventions to improve preventive care

    Robert A. Bednarczyk / Allison Chamberlain / Kara Mathewson / Daniel A. Salmon / Saad B. Omer

    Preventive Medicine Reports, Vol 11, Iss , Pp 131-

    Development of the P3 Model

    2018  Volume 138

    Abstract: For adequate provision of preventive services, there is an interplay between activities at the healthcare practice, healthcare provider, and patient levels of the clinical encounter. Commonly used health promotion and behavior theoretical models address ... ...

    Abstract For adequate provision of preventive services, there is an interplay between activities at the healthcare practice, healthcare provider, and patient levels of the clinical encounter. Commonly used health promotion and behavior theoretical models address some of these three levels, but none fully account for all three. Building off of key components of many existing theoretical models, including the Health Belief Model, Theory of Planned Behavior/Theory of Reasoned Action, Social Cognitive Theory, Social Ecological Model, and the Systems Model of Clinical Preventive Care, we describe the development of the P3 (Practice-, Provider-, and Patient-level) Model for preventive care interventions. The P3 Model accounts for all three levels of the clinical encounter, and the factors that impact these levels, concurrently. This yields a model for preventive care that is applicable and adaptable to different settings, and that provides a framework for the development, implementation, and evaluation of preventive care promotion interventions. The applicability of the P3 Model is shown through two exemplar preventive care programs – immunization and colorectal cancer screening. The P3 Model allows interventions to be developed and evaluated in a modular approach, to allow more practical refinement and optimization of the intervention. Keywords: Health promotion, Behavior change, Behavior change theory, Cancer prevention and control, Immunization
    Keywords Medicine ; R
    Subject code 360
    Language English
    Publishing date 2018-09-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

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