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Article ; Online: An Exploratory Study of the Mpox Media Consumption, Attitudes, and Preferences of Sexual and Gender Minority People Assigned Male at Birth in the United States.

Owens, Christopher / Hubach, Randolph D

2023 Volume 10, Issue 5, Page(s) 401–407

Abstract: Purpose: ...

Abstract	Purpose:
MeSH term(s)	Infant, Newborn ; Humans ; Male ; United States ; Sexual and Gender Minorities ; Homosexuality, Male ; Cross-Sectional Studies ; Mpox (monkeypox) ; Sexual Behavior ; Gender Identity ; Attitude
Language	English
Publishing date	2023-02-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	2727303-9
ISSN	2325-8306 ; 2325-8292
ISSN (online)	2325-8306
ISSN	2325-8292
DOI	10.1089/lgbt.2022.0251
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Equity, multisector collaboration and innovation for rural health: lessons from the National Rural Health Association Conference.

Dugani, Sagar B / Hubach, Randolph D

Rural and remote health

2023 Volume 23, Issue 2, Page(s) 8485

MeSH term(s)	Humans ; Rural Health ; Cooperative Behavior
Language	English
Publishing date	2023-06-29
Publishing country	Australia
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2105620-1
ISSN	1445-6354 ; 1445-6354
ISSN (online)	1445-6354
ISSN	1445-6354
DOI	10.22605/RRH8485
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Article ; Online: Rural‐urban differences in monkeypox behaviors and attitudes among men who have sex with men in the United States

Owens, Christopher / Hubach, Randolph D.

The Journal of Rural Health. 2023 Mar., v. 39, no. 2 p.508-515

2023

Abstract: PURPOSE: An outbreak of the monkeypox virus has been documented in the United States with most cases occurring among gay, bisexual, and other men who have sex with men (MSM). As monkeypox cases increase among relatively rural states, current public ... ...

Abstract	PURPOSE: An outbreak of the monkeypox virus has been documented in the United States with most cases occurring among gay, bisexual, and other men who have sex with men (MSM). As monkeypox cases increase among relatively rural states, current public health messaging may not resonate with rural at‐risk populations. Given this, there is a need to assess potential rural‐urban differences in monkeypox behaviors and attitudes among MSM. METHODS: A total of 582 eligible MSM completed an online cross‐sectional survey between August 6 and 15, 2022. Participants answered questions about their demographics, sexual behaviors, monkeypox testing and vaccination behaviors, monkeypox media consumption and attitudes, and their intention and attitudes found in the Health Belief Model of getting the monkeypox vaccine. Rural‐urban differences in behaviors and attitudes were assessed with a chi‐square test of independence. Differences in intention to get vaccinated and Health Belief Model factors were assessed with a Mann‐Whitney U test. FINDINGS: Rural MSM, in comparison to their urban counterparts, were found to be less likely to report modifying their behaviors to decrease monkeypox exposure, being susceptible to monkeypox, or perceiving severe consequences acquiring monkeypox. Similarly, rural MSM had a lower intention to get vaccinated for monkeypox. CONCLUSIONS: As vaccination uptake among rural populations for vaccine‐preventable diseases remains suboptimal, results from this novel study can inform the development of monkeypox prevention, testing, and vaccination messaging campaigns geared toward rural MSM and other at‐risk populations. It will be important to ensure that monkeypox prevention, testing, and vaccination interventions are available and accessible in rural areas.
Keywords	Monkeypox virus ; chi-square distribution ; cross-sectional studies ; demographic statistics ; health beliefs ; models ; rural health ; vaccination ; vaccines
Language	English
Dates of publication	2023-03
Size	p. 508-515.
Publishing place	John Wiley & Sons, Ltd
Document type	Article ; Online
Note	JOURNAL ARTICLE
ZDB-ID	639160-6
ISSN	0890-765X
ISSN	0890-765X
DOI	10.1111/jrh.12726
Database	NAL-Catalogue (AGRICOLA)

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Article: US veterinarians' perceptions of discussing COVID-19 vaccination with animal owners during routine visits.

Hubach, Randolph D / Tonne, Rachel

One health (Amsterdam, Netherlands)

2022 Volume 15, Page(s) 100418

Abstract: COVID-19 vaccination uptake is disproportionately lower among rural, politically conservative, and underserved individuals in the United States. Engaging this population requires leveraging unique potential human health advocates, like veterinarians. ... ...

Abstract	COVID-19 vaccination uptake is disproportionately lower among rural, politically conservative, and underserved individuals in the United States. Engaging this population requires leveraging unique potential human health advocates, like veterinarians. Between September and October 2021, 103 veterinarians responded to open-ended prompts to assess providers' willingness and potential barriers to discussing COVID-19 vaccination within a veterinary visit. Veterinarians perceived they had a public health role in providing reliable and accurate COVID-19 information, including information related to approved vaccines. However, veterinary practitioners were aware of numerous potential barriers to having such discussions within a clinical visit (e.g., scope of practice concerns, shifting focus away from the animal, politicization of vaccination). Findings indicate policy efforts, aligned with the One Health initiative, are needed to address the role of veterinary medicine in human health care following catastrophic events, like the COVID-19 pandemic. Similarly, veterinarians require tailored vaccine materials that can be utilized within the clinic or community setting.
Language	English
Publishing date	2022-07-23
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2834831-X
ISSN	2352-7714
ISSN	2352-7714
DOI	10.1016/j.onehlt.2022.100418
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Article ; Online: Findings on the Monkeypox Exposure Mitigation Strategies Employed by Men Who Have Sex with Men and Transgender Women in the United States.

Hubach, Randolph D / Owens, Christopher

Archives of sexual behavior

2022 Volume 51, Issue 8, Page(s) 3653–3658

MeSH term(s)	Male ; United States ; Female ; Humans ; Homosexuality, Male ; Transgender Persons ; Mpox (monkeypox) ; Sexual and Gender Minorities ; Transsexualism ; HIV Infections
Language	English
Publishing date	2022-09-14
Publishing country	United States
Document type	Letter
ZDB-ID	184221-3
ISSN	1573-2800 ; 0004-0002
ISSN (online)	1573-2800
ISSN	0004-0002
DOI	10.1007/s10508-022-02423-3
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Article ; Online: Rural-urban differences in monkeypox behaviors and attitudes among men who have sex with men in the United States.

Owens, Christopher / Hubach, Randolph D

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association

2022 Volume 39, Issue 2, Page(s) 508–515

Abstract: Purpose: An outbreak of the monkeypox virus has been documented in the United States with most cases occurring among gay, bisexual, and other men who have sex with men (MSM). As monkeypox cases increase among relatively rural states, current public ... ...

Abstract	Purpose: An outbreak of the monkeypox virus has been documented in the United States with most cases occurring among gay, bisexual, and other men who have sex with men (MSM). As monkeypox cases increase among relatively rural states, current public health messaging may not resonate with rural at-risk populations. Given this, there is a need to assess potential rural-urban differences in monkeypox behaviors and attitudes among MSM. Methods: A total of 582 eligible MSM completed an online cross-sectional survey between August 6 and 15, 2022. Participants answered questions about their demographics, sexual behaviors, monkeypox testing and vaccination behaviors, monkeypox media consumption and attitudes, and their intention and attitudes found in the Health Belief Model of getting the monkeypox vaccine. Rural-urban differences in behaviors and attitudes were assessed with a chi-square test of independence. Differences in intention to get vaccinated and Health Belief Model factors were assessed with a Mann-Whitney U test. Findings: Rural MSM, in comparison to their urban counterparts, were found to be less likely to report modifying their behaviors to decrease monkeypox exposure, being susceptible to monkeypox, or perceiving severe consequences acquiring monkeypox. Similarly, rural MSM had a lower intention to get vaccinated for monkeypox. Conclusions: As vaccination uptake among rural populations for vaccine-preventable diseases remains suboptimal, results from this novel study can inform the development of monkeypox prevention, testing, and vaccination messaging campaigns geared toward rural MSM and other at-risk populations. It will be important to ensure that monkeypox prevention, testing, and vaccination interventions are available and accessible in rural areas.
MeSH term(s)	Male ; Humans ; United States ; Homosexuality, Male ; Sexual and Gender Minorities ; HIV Infections/epidemiology ; Rural Population ; Mpox (monkeypox) ; Cross-Sectional Studies
Chemical Substances	orthopoxvirus test
Language	English
Publishing date	2022-11-17
Publishing country	England
Document type	Journal Article
ZDB-ID	639160-6
ISSN	1748-0361 ; 0890-765X
ISSN (online)	1748-0361
ISSN	0890-765X
DOI	10.1111/jrh.12726
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: US veterinarians' perceptions of discussing COVID-19 vaccination with animal owners during routine visits

Hubach, Randolph D. / Tonne, Rachel

One health. 2022 July 19,

2022

Abstract	COVID-19 vaccination uptake is disproportionately lower among rural, politically conservative, and underserved individuals in the United States. Engaging this population requires leveraging unique potential human health advocates, like veterinarians. Between September and October 2021, 103 veterinarians responded to open-ended prompts to assess providers' willingness and potential barriers to discussing COVID-19 vaccination within a veterinary visit. Veterinarians perceived they had a public health role in providing reliable and accurate COVID-19 information, including information related to approved vaccines. However, veterinary practitioners were aware of numerous potential barriers to having such discussions within a clinical visit (e.g., scope of practice concerns, shifting focus away from the animal, politicization of vaccination). Findings indicate policy efforts, aligned with the One Health initiative, are needed to address the role of veterinary medicine in human health care following catastrophic events, like the COVID-19 pandemic. Similarly, veterinarians require tailored vaccine materials that can be utilized within the clinic or community setting.
Keywords	COVID-19 infection ; One Health initiative ; animals ; health services ; human health ; issues and policy ; public health ; vaccination ; vaccines ; veterinary medicine
Language	English
Dates of publication	2022-0719
Publishing place	Elsevier B.V.
Document type	Article
Note	Pre-press version
ZDB-ID	2834831-X
ISSN	2352-7714
ISSN	2352-7714
DOI	10.1016/j.onehlt.2022.100418
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Comparison of perceptions and concerns of antimicrobial resistance between veterinary and medical health professionals.

Tonne, Rachel S / Bencie, Nathalie B / Hubach, Randolph D

American journal of veterinary research

2023 Volume 84, Issue 12

Abstract: Objective: To understand the comparative concerns and perceptions of veterinary and medical health professionals regarding antimicrobial resistance (AMR) and its effects on their clinical practices.: Sample: 17 Doctors of medicine and veterinary ... ...

Abstract	Objective: To understand the comparative concerns and perceptions of veterinary and medical health professionals regarding antimicrobial resistance (AMR) and its effects on their clinical practices. Sample: 17 Doctors of medicine and veterinary medicine and 1 nurse practitioner were interviewed to collect qualitative-based data regarding their clinical experience with AMR. Methods: The interviews from the health professionals were transcribed and thematically coded to reveal 3 overarching themes and 7 corresponding subthemes. Results: Both veterinary and human medical health professionals share concerns about antimicrobial resistance, specifically regarding the development of "superbugs" and increased difficulty in treating disease. However, there were some unique differences in the clinical effects of AMR between the professions in relation to client demand and satisfaction, ability to track/test trends, and approaches to therapy. Both professions also discussed the possible one-health implications of AMR and its transmission. Clinical relevance: There are several barriers to veterinarians that prevent them from using best-practice methods with antimicrobials that were not shared with human medical personnel, who can use antibiotic stewardship principles and readily access necessary testing. However, many veterinarians possessed a unique one-health-based understanding of how antimicrobial resistance can affect the wider community across species and globally that many human medical professionals had not previously considered. This demonstrates an increased need for one-health understanding within human medical professionals and a need for veterinarians to have access to necessary tools to comply with stewardship guidelines, such as culture and sensitivity testing and antibiograms, to have the ability to limit their contribution to antibiotic resistance.
MeSH term(s)	Humans ; Animals ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Drug Resistance, Bacterial ; Health Personnel ; Anti-Infective Agents/therapeutic use ; Veterinarians
Chemical Substances	Anti-Bacterial Agents ; Anti-Infective Agents
Language	English
Publishing date	2023-10-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	390796-x
ISSN	1943-5681 ; 0002-9645
ISSN (online)	1943-5681
ISSN	0002-9645
DOI	10.2460/ajvr.23.06.0121
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Article ; Online: Knowledge, sex, and region associated with primary care providers prescribing adolescents HIV pre-exposure prophylaxis.

Price, Garrett / Hubach, Randolph D / Currin, Joseph M / Owens, Christopher

Scientific reports

2023 Volume 13, Issue 1, Page(s) 16958

Abstract: Although HIV pre-exposure prophylaxis (PrEP) effectively and safely prevents HIV among adolescents, uptake of PrEP is low. Adolescents must have primary care providers (PCPs) prescribe them PrEP, making PCPs critical actors in PrEP delivery. However, ... ...

Abstract	Although HIV pre-exposure prophylaxis (PrEP) effectively and safely prevents HIV among adolescents, uptake of PrEP is low. Adolescents must have primary care providers (PCPs) prescribe them PrEP, making PCPs critical actors in PrEP delivery. However, research has primarily investigated determinants of PCPs' intention to prescribe adolescents PrEP rather than the determinants of performing the behavior itself. We examined the demographic, clinical practice, and implementation determinants of PCPs previously prescribing PrEP to adolescents. PCPs were recruited from a national Qualtrics panel of licensed medical providers in the United States from July 15-August 19, 2022. The Theoretical Domains Framework informed the implementation determinants measured. A multivariable logistic regression was used. PCPs who were more knowledgeable of the CDC guidelines (aOR 2.97, 95% CI 2.16-4.10), who were assigned male at birth (aOR 1.64, 95% CI 1.03-2.59), and who practiced in the Western region (aOR 1.85, 95% CI 1.04-3.30) had greater odds of prior prescribing adolescents PrEP. Provider-based educational interventions should be designed, implemented, and tested to encourage PCPs to prescribe PrEP to eligible adolescents.
MeSH term(s)	Infant, Newborn ; Male ; Humans ; United States ; Adolescent ; HIV Infections/prevention & control ; HIV Infections/drug therapy ; Pre-Exposure Prophylaxis ; Surveys and Questionnaires ; Anti-HIV Agents/therapeutic use ; Practice Patterns, Physicians' ; Health Knowledge, Attitudes, Practice ; Pneumonia, Pneumocystis/drug therapy ; Primary Health Care
Chemical Substances	Anti-HIV Agents
Language	English
Publishing date	2023-10-08
Publishing country	England
Document type	Journal Article
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-023-44165-9
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Association between adverse childhood experiences and fruit and vegetable intake among a national sample of U.S. adults.

Mendoza, Ivan D / Banda, Jorge A / Giano, Zachary / Hubach, Randolph D

Preventive medicine reports

2023 Volume 35, Page(s) 102339

Abstract: Few studies have examined the role adverse childhood experiences (ACEs) have on specific diet patterns. This study assessed the association between ACEs and daily fruit and vegetable intake (FVI). Data were derived from the 2019 Behavioral Risk Factor ... ...

Abstract	Few studies have examined the role adverse childhood experiences (ACEs) have on specific diet patterns. This study assessed the association between ACEs and daily fruit and vegetable intake (FVI). Data were derived from the 2019 Behavioral Risk Factor Surveillance System (BRFSS) which surveys 50 states and three U.S. territories. Participants who completed the ACEs module were included in the analyses (N = 106,967). Total ACEs included the summed responses from the domains of abuse, household challenges, and neglect. FVI was reported by number of times consumed per day. The two fruit items included fruit (fresh, frozen, and canned) and fruit juice. The four vegetable items included leafy greens, fried potatoes, non-fried potatoes, and other vegetables. All fruit and vegetable items were analyzed separately to see which specific items drove the relationship between total ACEs and total FVI, equaling a total of 8 regression models. Every model controlled for poor mental health days, sex, age, ethnicity, income, body mass index, and physical activity. Total ACEs were positively associated with daily intake of fried potatoes (β = 0.008, p =.025), other potatoes (β = 0.008, p =.049), and other vegetables (β = 0.024, p <.001). Total ACEs were negatively associated with daily intake of fruit (β = -0.016, p <.001). ACEs had non-significant relationships with leafy greens and fruit juice. Findings suggests that those with increased ACEs scores report increased consumption of fried potatoes, non-fried potatoes, and other vegetables, and less of fruit. Findings highlight the need for understanding food context and preparation when analyzing the relationship between ACEs and diet intake.
Language	English
Publishing date	2023-07-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	2785569-7
ISSN	2211-3355
ISSN	2211-3355
DOI	10.1016/j.pmedr.2023.102339
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