ABSTRACT
Determinants of parental HPV vaccine hesitancy, including medical mistrust and exposure to negative vaccine information, are understudied in racial/ethnic minority communities where vaccine uptake is low. We conducted a cross-sectional survey (March 2021) among parents of adolescents, ages 9-17 years, from an academic enrichment program serving low-income, first-generation, underrepresented minority families in Los Angeles to understand determinants of parental HPV vaccine hesitancy. Parents completed self-administered surveys, including a 9-item HPV vaccine hesitancy scale, in either English, Spanish, or Chinese. Logistic regression was used to identify individual and interpersonal factors associated with parental hesitancy and adolescent HPV vaccination. One-fifth of parents (n = 357) reported high HPV vaccine hesitancy and > 50% reported concerns about safety or side effects. High medical mistrust was associated with high parental HPV vaccine hesitancy (adjusted-OR 1.69, 95% CI: 1.13, 2.37). Community-tailored and multilevel strategies to increase vaccine confidence are needed to improve HPV and other adolescent vaccinations.
ABSTRACT
Tras su aparición en Wuhan a finales de 2019, la pandemia del SARS-CoV-2 ha traído graves consecuencias a nivel mundial, estando España entre los países más afectados. La crisis sanitaria implicó la cancelación de cirugías por patología maligna y benigna, entre estas la cirugía bariátrica y metabólica. Los pacientes con obesidad mórbida, además de verse afectados por el retraso de las intervenciones, son considerados pacientes con riesgo elevado de presentar COVID-19 grave. Es por esto por lo que una vez alcanzada la mejoría de la situación epidemiológica en los diferentes centros y se disponga de los recursos necesarios, debería reiniciarse de forma progresiva esta actividad quirúrgica. Nuestro objetivo es revisar la literatura publicada referente a las principales recomendaciones perioperatorias para realizar cirugía bariátrica y metabólica de forma segura durante la pandemia por COVID-19.Alternate : Since its first appearance in Wuhan at the end of 2019, the SARS-CoV-2 pandemic has brought serious repercussions worldwide, Spain being among the most affected countries. This health crisis resulted in the cancellation of surgeries pertaining to both malignant and benign pathologies, including bariatric and metabolic surgery. Patients with morbid obesity, besides their delay in surgical interventions, are at high risk of contracting severe COVID-19. For this reason, once the epidemiological situation has improved in our hospitals and the necessary resources become again available, this surgical activity should be progressively restarted. The goal of this paper is to review the published literature regarding the main perioperative recommendations concerning safe bariatric and metabolic surgery during the COVID-19 pandemic.