Publications by authors named "Joan Liverpool"

In South Africa, cervical cancer is the second leading cause of death among women. Black South Africa women are disproportionately affected by cervical cancer and have one of the highest mortality rates from this disease. Although the body of literature that examines HPV and cervical cancer prevention is growing in the developing world; there is still a need for a better understanding of women's knowledge and beliefs around HPV and cervical cancer prevention.

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Twelve Sangomas or traditional healers participated in a focus group exploring their understanding of cervical cancer and human papilloma virus (HPV), their role informing women about cervical cancer prevention and screening; and their interaction/cooperation with western medicine. Participants lacked knowledge of HPV and the HPV vaccine but had an understanding of cervical cancer prevention and pap smears. Participants expressed interest in greater collaboration with western doctors, requested more prevention information, and noted the vaccine could serve as strategy to prevent HPV in victims of sexual violence, and time of vaccination could serve as an opportunity for parents to talk to their children about sex.

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Developing countries account for 85% of the nearly 500,000 yearly cases of cervical cancer worldwide with approximately 250,000 deaths occurring in Sub-Saharan Africa, South Asia, and Latin America. In South Africa, cervical cancer is the 3(rd) leading cause of death among women. Although cervical cancer can be screened for with regular Pap tests, access to preventive screenings may be nearly non-existent in resource poor settings that have limited public health infrastructure and where women may lack basic health education.

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HIV disproportionately affects people of color, suggesting a need for innovative prevention programs and collaborations as part of prevention efforts. African Americans have close ties to the church and faith-based organizations. African American faith communities were slow to address HIV prevention, but in recent years, they have become more involved in such activities.

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Prevention and control programs for HIV/AIDS have had limited success, especially in sub-Saharan Africa. Not surprising, most residents see traditional healers as their only option to meet their healthcare needs. Some patients refuse surgery or other medical treatment unless their traditional healer sanctions the treatment first.

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The portrayal of violence, sex, and drugs/alcohol in the media has been known to adversely affect the behavior of children and adolescents. There is a strong association between perceptions of media messages and observed behavior, especially with children. Lately, there has been more of a focus in the public health/medical field on media influences of youth and the role of the pediatrician and/or healthcare worker in addressing this area of growing concern.

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The purpose of this pilot study was to describe the knowledge of HIV/AIDS, attitudes about condom use, and the sexual behavior of African-American adolescents who reside in a children's emergency homeless shelter. The Attitudes Toward Condom Usage Questionnaire, the AIDS Knowledge and Attitude Survey, and a Perceived Risk of HIV/AIDS Scale were modified and administered to 37 African-American male and female adolescents who reside in an emergency shelter. HIV/AIDS knowledge and attitudes about condoms among these respondents were comparable to those of other adolescents described in the literature in that there was a strong knowledge of HIV/AIDS, although sexual behavior and attitudes toward condoms were not consistent with this knowledge.

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