The 9-valent human papillomavirus (9-vHPV) vaccine uptake rate among adolescents has improved over the years; however, little is known about the adherence to the recommended dosing schedule. This study examines the prevalence and factors associated with adherence to the recommended 9vHPV vaccination dosing schedule among adolescents aged 13 to 17 years. The cross-sectional study was conducted using the 2019–2020 National Immunization Survey-Teen. The parents of 34,619 adolescents were included in our analyses. The overall up-to-date (UTD) prevalence was 57.1%. The UTD prevalence was 60.0% among females and 54.2% among males. Adolescents aged 16 years had the highest UTD prevalence of 63.0%. The UTD prevalence was 61.6% among Hispanics and 54.7% among non-Hispanic Whites. Overall, compared to females, males had 14% lower odds of UTD. The odds of UTD were 1.91 times, 2.08 times, and 1.98 times higher among adolescents aged 15–17 years, respectively, compared to those aged 13 years. Moreover, region, poverty, insurance status, mothers’ educational level, and provider recommendation were associated with UTD. Our findings show that adherence to the recommended 9vHPV vaccine schedule is low in the US. Targeted public health efforts are needed to improve the rates of adherence to the recommended 9vHPV dose schedule.

Despite the availability of the coronavirus disease 2019 (COVID-19) vaccination, uptake among pregnant women in Sub-Saharan Africa has been low. This scoping review aimed to identify and characterize determinants influencing COVID-19 vaccination decision-making behaviors among pregnant women in Sub-Saharan Africa. We searched five online databases for articles on COVID-19 vaccination among pregnant women in Sub-Saharan Africa. We identified studies published in English between March 2020 and April 2023 that assessed vaccine-specific issues, psychosocial constructs, and contextual factors associated with COVID-19 vaccination decision-making behaviors. Of the fourteen studies identified, over half (57.1%) were cross-sectional; three used qualitative research methods; and three involved multi-country participants. Most studies assessed COVID-19 vaccination acceptability and willingness. Overall, 85.7% of the publications examined knowledge, attitudes, or both as critical factors associated with COVID-19 vaccination. The prevalence of COVID-19 vaccine uptake during pregnancy was low in Sub-Saharan Africa (14.4–28%). While most current studies assess COVID-19 vaccination knowledge, research on maternal vaccination in Sub-Saharan Africa would benefit from the inclusion of theory-informed and driven studies that measure additional psychosocial factors and contextual constructs. Future studies should also employ study designs that can determine causal pathways of vaccination determinants and vaccination uptake.

The White Ribbon Alliance Kenya is an autonomous, locally registered nongovernmental organisation in Kenya with a vision to ensure that all women and girls realise their right to quality health and well-being. It is among 14 other national alliances affiliated with the White Ribbon Alliance Global Secretariat, based in Washington, DC. White Ribbon Alliance Kenya recognises that even though the Kenyan government has policies in place to improve adolescent sexual and reproductive health outcomes, proper implementation and commitment is still needed. Our advocacy and citizen-led accountability efforts are working towards educating youth on their sexual and reproductive health rights, obligations, and entitlements, and promoting public awareness and citizen engagement. The goal is to empower adolescents to demand high-quality sexual and reproductive health services through appropriate policy communication and advocacy channels.

<abstract><sec> <title>Background</title> <p>Suicide is a leading but preventable cause of death and is preceded by domains of thoughts, plans, and attempts. We assessed the prevalence of suicidality domains and determined the association of suicidality domains with sexual identity, mental health disorder symptoms, and sociodemographic characteristics.</p> </sec><sec> <title>Methods</title> <p>We used the 2019 National Survey on Drug Use and Health (NSDUH) data to perform weighted multivariable logistic regression and margins analyses to examine between and within-group differences in suicidality by sexual identity among adults aged ≥ 18 years.</p> </sec><sec> <title>Results</title> <p>About 4.89%, 1.37%, and 0.56% of the population experienced suicidal thoughts, plans, and attempts, respectively. Those aged 18–25 years old had a higher odds of suicidality compared to those aged 26 years or older. Compared to those who reported having no alcohol use dependence, illicit drug use dependence, and major depressive episodes (MDEs), those who reported alcohol use dependence, illicit drug use dependence, and MDE had higher odds of suicidal thoughts, plans, and attempts. Between all sexual identity groups, bisexuals who experienced MDEs had the highest probability of having suicidal thoughts while lesbians and gays who experienced MDE showed a higher probability of suicidal plans and attempts compared to heterosexuals. Within each sexual identity group, the probability of having suicidal thoughts, suicidal plans, and suicidal attempts was higher for those who had experienced MDEs compared to those who had not experienced MDEs.</p> </sec><sec> <title>Conclusion</title> <p>Substance use disorder and MDE symptoms were associated with increased suicidality, especially among young adults and sexual minority people. This disparity underscores the need for tailored interventions and policies to enhance the provision of prompt mental health screening, diagnosis, and linkage to care for mental health services, particularly among the most vulnerable in the population.</p> </sec></abstract>

Many adolescents face barriers to accessing reproductive health care even though quality reproductive health care is a fundamental human right. This qualitative analysis describes quality reproductive health requests among adolescent high school girls in Kenya. We conducted a secondary analysis of qualitative data from a sub-sample of adolescent girls in Kenya who participated in the What Women Want global campaign. The campaign utilized one open-ended survey question. We also analyzed interview data from key informants involved in the survey. We used pre-existing codes and current literature to design the coding framework and thematic analysis to describe emerging themes. Atlas. ti 8 was used to organize and analyze codes. Over 4,500 high school girls, ages 12 and 19 years, were included in the analysis, with 61.6% from all-girls boarding schools and 13.8% from mixed-day schools. Data from nine key informants complemented findings from the survey. Emerging themes included: 1) The need for improved menstrual health and hygiene: Sanitary towels and cleaner toilets; 2) Prevention of adolescent pregnancy: Access to contraception; 3) Respect and dignity: Participants want privacy and confidentiality; and 4) The need to address social determinants of health: Economic stability and a safe physical environment. This study indicated that adolescent high school girls have varied requests for reproductive health care and services. While menstrual health and hygiene are key issues, reproductive needs are beyond just sanitary products. The results suggest a need for targeted reproductive health interventions using a multi-sectoral approach.

Introduction. Hispanic/Latino (heretofore Hispanic) adults have twice the incidence of liver cancer as Non-Hispanic Whites adults. Non-alcoholic fatty liver disease (NAFLD) is a major contributor to the upward trend in liver cancer incidence and other adverse outcomes, especially among Hispanic adults. The cornerstone of treatment for NAFLD includes weight loss through regular physical activity and healthy eating. There is little current research on the perspectives of Hispanic patients with NAFLD as it relates to their condition and behavior change. Research in this area is needed to inform the design of culturally appropriate and disease-specific interventions for this population. The purpose of this study was to explore the perspectives of Hispanic patients with NAFLD on their diagnosis and management of the condition. Methods. We conducted in-depth qualitative interviews using a semi-structured interview guide with a sample of 12 Hispanic women diagnosed with NAFLD to understand their knowledge, perceptions, and experiences with NAFLD. Interviews were conducted via phone in Spanish and consent was obtained to record the interviews. The interviews were then transcribed and translated to English for analysis. We conducted thematic analysis, using Atlas.ti 8 to support qualitative analyses. Results. Participants were from the greater Houston, TX area with an average of 47 years and median time of diagnosis was 3 years prior to the interview. Women were diagnosed with NAFLD by their primary care physicians who referred them for imaging and/or consultation with liver specialists to confirm the diagnosis. Most women neither disclosed nor discussed their NAFLD diagnosis with others, because they were uncomfortable doing so or were concerned family members would worry about them. Even though doctors were the main source of information for NAFLD background and management, some participants sought additional knowledge on their own from the Internet. Women had a general understanding that NAFLD is associated with lifestyle, although some attributed it to genetics and family history. Most participants tried eating healthy but struggled to balance that with their own and their families' dietary and taste preferences, noting especially the difficulty of avoiding foods pervasive in their cuisine (e.g. rice, tortillas) and exposure to readily-available junk food less. They also tried to participate in physical activity, but encountered various barriers, such as tiredness and lack of motivation. Participants also conveyed that psychological factors such as stress and depression impacted their management of NAFLD. Conclusions. Our results suggest that Hispanic women struggle with barriers to NAFLD management and desire more information about and support for NAFLD management. Strategies to address psychological and emotional factors associated with NAFLD should also be incorporated into future programs. These findings provide culturally relevant insights that will be key to adapting an evidence-based intervention for Hispanic adults with NAFLD. Citation Format: Natalia I. Heredia, Sylvia Ayieko, Lorna H. McNeill, Jessica P. Hwang, Amelia Averyt, Maria E. Fernandez. Perspectives of Hispanic/Latino patients with non-alcoholic fatty liver disease [abstract]. In: Proceedings of the AACR Virtual Conference: 14th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2021 Oct 6-8. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr PO-245.

Many adolescents face barriers to accessing reproductive health care even though quality reproductive health care is a fundamental human right. The objective of this study is to understand the requests of quality reproductive health among high school girls in Kenya. We conducted a secondary analysis of qualitative data from a sub-sample of adolescent girls in Kenya who participated in the What Women Want global campaign and analyzed interview data from key informants involved in the survey. We used pre-existing codes and current literature to design the coding framework and thematic analysis to describe emerging themes. Atlas. ti 8 was used to organize and analyze codes. Over 4,500 high school girls, ages 12 and 19 years, were included in the analysis, with 61.6% from all-girls boarding schools and 13.8% from mixed-day schools. Data from nine key informants complemented findings from the survey. Emerging themes included: 1) The need for improved menstrual health and hygiene: Sanitary towels and cleaner toilets; 2) Prevention of adolescent pregnancy: Access to contraception; 3) Respect and dignity: Participants want privacy and confidentiality; and 4) The need to address social determinants of health: Economic stability and a safe physical environment. This study indicated that adolescent high school girls have varied requests for reproductive health care and services. While menstrual health and hygiene are key issues, reproductive needs are beyond just sanitary products. The results suggest a need for targeted reproductive health interventions using a multi-sectoral approach.