Study finds boys more likely to receive HPV vaccine when their mothers receive preventive care

Public release date: 18-Jul-2013
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Contact: Catherine Hylas Saunders
csaunders@golinharris.com
202-585-2603
Kaiser Permanente

Boys are more likely to receive the quadrivalent human papillomavirus vaccine (HPV4) if their mothers receive flu shots or Pap screenings, according to a Kaiser Permanente study published in the American Journal of Public Health.

The study examined the electronic health records of more than 250,000 boys aged 9 to 17 years enrolled in the Kaiser Permanente Southern California health plan and found that a total of 4,055 boys or 1.6 percent of the membership in this age group initiated the HPV4 vaccine between October 2009 and December 2010. Researchers found that the HPV4 vaccination rate was 16 percent higher in boys whose mothers had received a flu shot within the previous year than in boys whose mothers did not. In addition, the vaccination rate was 13 percent higher in boys whose mothers had a Pap screening in the last three years than boys whose mothers did not have a Pap test.

The study also found that boys whose mothers had a history of genital warts were 47 percent more likely to receive the HPV4 vaccine although the researchers note that this association did not reach statistical significance. In addition, HPV4 vaccine uptake was found to be higher among boys who were Hispanic, resided in neighborhoods with lower levels of income and educational attainment, and enrolled in a Medicaid program.

"Our study findings suggest that a mother's receipt of preventive services may have an impact on their son's HPV4 vaccination," said Rulin Hechter, MD, PhD, study lead author and researcher with the Kaiser Permanente Southern California Department of Research & Evaluation. "These mothers might be more familiar with preventive measures for HPV infection, influencing their decision to have their children vaccinated."

According to the Centers for Disease Control and Prevention, HPV is a common virus that is easily spread by skin-to-skin contact and is considered to be the main cause of cervical cancer in women with about 12,000 new cases each year in the United States. The CDC considers the HPV vaccine a safe and effective way to protect females and males against some of the most common types of HPV and the health problems the virus can cause.

In October 2009, the CDC's Advisory Committee on Immunization Practices, or ACIP, issued a permissive use recommendation for the HPV4 vaccine, which meant that the vaccine was recommended for boys aged 9 to 26 to reduce the likelihood of acquiring genital warts but it was not included in the routine childhood vaccine schedule for boys. In these instances, parents often played a deciding role as to whether their sons would receive the vaccine. However in late 2010, the CDC approved the new vaccine indication for anal cancer. In 2011, the ACIP issued a routine use recommendation of HPV4 vaccination in males aged 11 to 12 years. Under a routine use recommendation, physicians are more likely to promote the vaccine. The researchers are collecting additional data following the introduction of indication for anal cancer and routine use recommendation to further understand the impact of the changes in recommendation on uptake of this vaccine among boys.

"Given that vaccination offers an opportunity to achieve community immunity and reduce transmission of HPV, understanding a mother's health-seeking behaviors may help health care professionals develop strategies for increasing vaccination rates among adolescent boys," Hechter said.

Kaiser Permanente can conduct transformational health research in part because it has the largest private patient-centered electronic health system in the world. The organization's electronic health record system, Kaiser Permanente HealthConnect, securely connects 9.1 million patients to 1,700 physicians in 611 medical offices and 37 hospitals. It also connects Kaiser Permanente's research scientists to one of the most extensive collections of longitudinal medical data available, facilitating studies and important medical discoveries that shape the future of health and care delivery for patients and the medical community.

###

Additional authors on the study include Chun Chao, PhD, Lina S. Sy, MPH, Bradley K. Ackerson, MD, Jeff M. Slezak, MS, Margo A. Sidell, Sc.D., and Steven J. Jacobsen, MD, PhD with the Kaiser Permanente Southern California Department of Research and Evaluation.

About the Kaiser Permanente Southern California Department of Research & Evaluation

The Department of Research & Evaluation (R & E) conducts high-quality, innovative research into disease etiology, prevention, treatment and care delivery. Investigators conduct epidemiology, health sciences, and behavioral research as well as clinical trials. Areas of interest include diabetes and obesity, cancer, HIV/AIDS, cardiovascular disease, aging and cognition, pregnancy outcomes, women's and children's health, quality and safety, and pharmacoepidemiology. Located in Pasadena, Calif., the department focuses on translating research to practice quickly to benefit the health and lives of Kaiser Permanente Southern California members and the general population. Visit: http://www.kp.org/research.

About Kaiser Permanente

Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America's leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 9.1 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: kp.org/newscenter.

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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Public release date: 18-Jul-2013
[ | E-mail | Share ]

Contact: Catherine Hylas Saunders
csaunders@golinharris.com
202-585-2603
Kaiser Permanente

Boys are more likely to receive the quadrivalent human papillomavirus vaccine (HPV4) if their mothers receive flu shots or Pap screenings, according to a Kaiser Permanente study published in the American Journal of Public Health.

The study examined the electronic health records of more than 250,000 boys aged 9 to 17 years enrolled in the Kaiser Permanente Southern California health plan and found that a total of 4,055 boys or 1.6 percent of the membership in this age group initiated the HPV4 vaccine between October 2009 and December 2010. Researchers found that the HPV4 vaccination rate was 16 percent higher in boys whose mothers had received a flu shot within the previous year than in boys whose mothers did not. In addition, the vaccination rate was 13 percent higher in boys whose mothers had a Pap screening in the last three years than boys whose mothers did not have a Pap test.

The study also found that boys whose mothers had a history of genital warts were 47 percent more likely to receive the HPV4 vaccine although the researchers note that this association did not reach statistical significance. In addition, HPV4 vaccine uptake was found to be higher among boys who were Hispanic, resided in neighborhoods with lower levels of income and educational attainment, and enrolled in a Medicaid program.

"Our study findings suggest that a mother's receipt of preventive services may have an impact on their son's HPV4 vaccination," said Rulin Hechter, MD, PhD, study lead author and researcher with the Kaiser Permanente Southern California Department of Research & Evaluation. "These mothers might be more familiar with preventive measures for HPV infection, influencing their decision to have their children vaccinated."

According to the Centers for Disease Control and Prevention, HPV is a common virus that is easily spread by skin-to-skin contact and is considered to be the main cause of cervical cancer in women with about 12,000 new cases each year in the United States. The CDC considers the HPV vaccine a safe and effective way to protect females and males against some of the most common types of HPV and the health problems the virus can cause.

In October 2009, the CDC's Advisory Committee on Immunization Practices, or ACIP, issued a permissive use recommendation for the HPV4 vaccine, which meant that the vaccine was recommended for boys aged 9 to 26 to reduce the likelihood of acquiring genital warts but it was not included in the routine childhood vaccine schedule for boys. In these instances, parents often played a deciding role as to whether their sons would receive the vaccine. However in late 2010, the CDC approved the new vaccine indication for anal cancer. In 2011, the ACIP issued a routine use recommendation of HPV4 vaccination in males aged 11 to 12 years. Under a routine use recommendation, physicians are more likely to promote the vaccine. The researchers are collecting additional data following the introduction of indication for anal cancer and routine use recommendation to further understand the impact of the changes in recommendation on uptake of this vaccine among boys.

"Given that vaccination offers an opportunity to achieve community immunity and reduce transmission of HPV, understanding a mother's health-seeking behaviors may help health care professionals develop strategies for increasing vaccination rates among adolescent boys," Hechter said.

Kaiser Permanente can conduct transformational health research in part because it has the largest private patient-centered electronic health system in the world. The organization's electronic health record system, Kaiser Permanente HealthConnect, securely connects 9.1 million patients to 1,700 physicians in 611 medical offices and 37 hospitals. It also connects Kaiser Permanente's research scientists to one of the most extensive collections of longitudinal medical data available, facilitating studies and important medical discoveries that shape the future of health and care delivery for patients and the medical community.

###

Additional authors on the study include Chun Chao, PhD, Lina S. Sy, MPH, Bradley K. Ackerson, MD, Jeff M. Slezak, MS, Margo A. Sidell, Sc.D., and Steven J. Jacobsen, MD, PhD with the Kaiser Permanente Southern California Department of Research and Evaluation.

About the Kaiser Permanente Southern California Department of Research & Evaluation

The Department of Research & Evaluation (R & E) conducts high-quality, innovative research into disease etiology, prevention, treatment and care delivery. Investigators conduct epidemiology, health sciences, and behavioral research as well as clinical trials. Areas of interest include diabetes and obesity, cancer, HIV/AIDS, cardiovascular disease, aging and cognition, pregnancy outcomes, women's and children's health, quality and safety, and pharmacoepidemiology. Located in Pasadena, Calif., the department focuses on translating research to practice quickly to benefit the health and lives of Kaiser Permanente Southern California members and the general population. Visit: http://www.kp.org/research.

About Kaiser Permanente

Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America's leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 9.1 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: kp.org/newscenter.

---

[ | E-mail | Share ]

?

AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Source: http://www.eurekalert.org/pub_releases/2013-07/kp-sfb071613.php

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Bernanke: Timetable for bond purchases not preset

WASHINGTON (AP) ? Chairman Ben Bernanke said Wednesday that the Federal Reserve's timetable for reducing its bond purchases is not on a "preset course" and the Fed could increase or decrease the amount based on how the economy performs.

Bernanke is telling lawmakers in prepared testimony that the job market has made some progress since the Fed began buying $85 billion a month in bonds in September. And he repeated his belief that the Fed could slow that pace later this year if the economy strengthens.

But Bernanke cautioned that the Fed wants to see substantial progress in the job market before scaling back the bond purchases. If conditions worsen, the Fed could maintain its current pace or even increase it. The bond purchases are intended to keep long-term interest rates low and encourage borrowing and spending.

Investors reacted positively to Bernanke's remarks. The yield on the benchmark 10-year Treasury note fell from 2.55 percent to 2.50 percent minutes after the text of his comments were released as investors bought government bonds. Dow index futures turned slightly higher.

"Because our asset purchases depend on economic and financial developments, they are by no means on a preset course," he said in his testimony prepared for the House Financial Services Committee.

Bernanke said that a number of factors could influence the Fed's thinking. U.S. economic growth could be restrained further by a weaker global economy or federal spending cuts and tax increases. Inflation could remain well below the Fed's 2 percent target. And the unemployment rate could drop because people are leaving the workforce ? not because they are getting jobs.

Bernanke will give the Fed's mid-year economic report at a 10 a.m. EDT hearing, his first of two appearances before Congress this week. It may end up being his last mid-year report to Congress as many speculate that he will not seek a third term after his current four-year term ends in January.

Paul Dales, senior U.S. economist for Capital Economics, said Bernanke's comments did not alter his view that the Fed would likely start reducing its bond purchases in September and end them completely by the middle of next year. But Dales said this would be contingent on how the economy performs.

"We don't think this forward guidance could be much clearer," Dales said.

Bernanke's remarks expanded on the views he and other Fed officials have made in recent weeks to try and calm turbulent markets.

The Dow Jones industrial average plunged by 560 points in the two days after Bernanke's initial comments at a news conference following the Fed's June meeting. Since then, various Fed officials have tried to assure investors that the Fed's timetable is based on economic performance ? and not a calendar date. That's helped to restore investor confidence and the Dow and other market indicators have climbed to new highs.

Hiring has improved since the Fed's bond buying began. Employers have created an average of 202,000 jobs a month this year, up from 180,000 in the previous six months.

Still, unemployment remains elevated at 7.6 percent, and economic growth has been modest the past three quarters.

In his testimony, Bernanke again said "a highly accommodative monetary policy will remain appropriate for the foreseeable future" because unemployment remains high and inflation is below the Fed's target of 2 percent.

Bernanke also repeated that the Fed plans to keep its benchmark short-term interest rate near zero as long as unemployment is above 6.5 percent. But Bernanke said the Fed could hold the rate lower even after it falls below 6.5 percent, particularly if unemployment falls because more people are leaving the workforce. The government counts people as unemployed only if they are actively looking for a job.

Bernanke said the economy is growing at "moderate pace" despite the adverse effects of tax increases and federal spending cuts. He noted that the housing market is rebounding and the job market has gradually improved.

"Despite these gains, the job situation is far from satisfactory," he said.

The economy grew at a subpar 1.8 percent annual rate in the January-March quarter. Many economists think growth in the April-June quarter weakened to an annual rate of 1 percent or less. That would make the third straight quarter of a growth rate below 2 percent.

Many expect growth will rebound in the second half of this year.

The Fed forecasts that the economy will grow between 2.3 percent and 2.6 percent this year, which is more optimistic than many economists predict. The pickup in economic growth that Fed officials expect is based in part on an assumption that the adverse effects of the tax increases and government spending cuts will diminish over time. And it assumes that the overall risks to the economy are lower now than they were when the central bank began the latest bond-buying program.

But he said threats remained. The federal budget policies could restrain growth for longer than expected. Or a congressional battle later this year over raising the government's borrowing limit could once again rattle investor and consumer confidence.

.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/f70471f764144b2fab526d39972d37b3/Article_2013-07-17-Bernanke/id-0c8717bd0c0b4e05822f9bf5418dea8c

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07/17/2013 - OUR SAVIOR LUTHERAN CHURCH TO HOST ?THE KINGDOM CHRONICLES? VACATION BIBLE SCHOOL

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Apple browsers targeted by simple Javascript ransom scam

Ransom attackers have finally made the jump from Windows to the Mac with news of a stunningly simple hack that tries to trick browser users into paying a $300 (?228) fine using a simple JavaScript routine.

The attack was detected by security firm Malwarebytes is a mixture of sleight of hand and social engineering that the firm reports that it will work against several Mac-based browsers (using an OSX interpreter) with JavaScript enabled.

Victims reportedly encounter it after running one of a number common searches where they are unlucky enough to end up on the ransom attack page. This demands the money on behalf of the FBI for claimed copyright infringement or downloading porn.

It is the common or garden police ransom scam, made more implausible by its request to receive the money as a US GreenDot MoneyPak code of the sort that can be bought for cash from Walmart. The scammers even use a bogus FBI URL in an attempt to add a small element of authenticity.

The problem is that getting rid of the page appears to be impossible thanks to an embedded iFrame that fires up the page 150 times to deter the user; leaving or closing the page is impossible.

Attempting to 'force quit' Safari looks as if it has worked but reloading brings up the same page again and again. The only way out of the loop is to force reset the browser (which will lose some of its settings) or, less radically, by holding down the shift key to stop the same page reappearing.

Because the Javascript is on the web page, there is no malware involved. The same attack principle could be tried against Windows browsers too as long as Javascript is enabled and it works with their interpreters.

PCs are usually assailed by more complex types of ransom malware. The attackers probably chose this method to wield against Macs because it involves no complex programming to speak of and Apple users are seen as easy meat. Ransom attacks are still in their infancy on the platform.

"Cyber-criminals, well known for not re-inventing the wheel, have ?ported' the latest ransomware to OS X, not by using some complicated exploit but rather leveraging the browser and its ?restore from crash' feature," said Jerome Segura of Malwarebytes.

"The bad guys know how to use social engineering to entice victims as, for example, I was lead to this locked page by doing a search for Taylor Swift on Bing images."

The attack's surprise is its simplicity. Occasionally in cybercrime, it is the simplest attacks that are the cleverest. This particular one is not complex but it might be good enough to catch at least some victims.

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Source: http://www.techcentral.ie/article.aspx?id=22116

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&#39;It&#39;s (Just) the Way That I Love You&#39;: Intimate Partner Violence and ...

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In Part 3 of "It's (Just) the Way That I Love You: Intimate Partner Violence and Abuse in Same-Sex Relationships," I detailed the complete cycle of intimate partner violence/abuse (IPV/A), also known as domestic violence/abuse, in the heterosexual community. It's now time to demonstrate how the victim can make his or her "great escape." But first, let's recap what this atrocious, demeaning and potentially life-threatening behavior really is.

According to the National Coalition Against Domestic Violence:

Battering is a pattern of behavior used to establish power and control over another person with whom an intimate relationship is or has been shared through fear and intimidation, often including the threat or use of violence. Battering happens when one person believes that they are entitled to control another.

The National Coalition of Anti-Violence Programs defines it thus:

Domestic violence (also called intimate partner violence/abuse) is defined as a pattern of behaviors utilized by one partner (the abuser or batterer) to exert and maintain control over another person (the survivor or victim) where there exists an intimate, loving and dependent relationship.

Statistics show that this form of abuse occurs with similar frequency in same-sex relationships and heterosexual relationships. Additionally, new research suggests that a greater percentage of LGBTQ individuals than previously thought is living in fear of an abusive partner. Each year, between 50,000 and 100,000 lesbians and as many as 500,000 gay men are battered by a partner. About one in four LGBTQ relationships/partnerships is abusive in some way.

According to psychologists and authors Jeanne Segal and Melinda Smith:

Domestic violence and abuse are used for one purpose and one purpose only: to gain and maintain total control over you. An abuser doesn't "play fair." Abusers use fear, guilt, shame, and intimidation to wear you down and keep you under his or her "thumb." Your abuser may also threaten you, hurt you, or hurt those around you.

Segal and Smith add:

The bottom line is that abusive behavior is never acceptable, whether it's coming from a man, a woman, a teenager, or an older adult. You deserve to feel valued, respected, and safe.

So let's explore how you can make your "great escape." The Women's Justice Center, which is headquartered in Santa Rosa, Calif., outlines various steps that an individual can take to free himself or herself, which I've paraphrased below:

• Your struggle to escape is heroic. As you begin your own struggle to free yourself from domestic violence and abuse, often remind yourself that yours is one of the most worthy and difficult struggles of all.
• Reawaken your dreams. Oftentimes, domestic violence and abuse can snuff out all your hopes and dreams. However, to free yourself, you'll need those hopes and dreams to help carry you through the obstacles and tough times of escaping. Dare to hope and dream again.
• Deal with fears and risks. The majority of IPV/A victims feel fear, which can immobilize them from acting on their own behalf. Indeed, those fears are justified, and the risk of those fears actually occurring is very real. However, you can help alleviate your fears by having the courage to tell anyone who will listen about your abusive and violent situation.
• Don't be ashamed if you still love your partner. This is nothing to be ashamed of. It's entirely possible to love the abuser and, at the same time, be determined to stop the violence and abuse -- because the abuser is not going to stop on his or her own.
• Often, the best strategy for breaking free of IPV/A is the exact opposite of the strategy for surviving it. In order to survive IPV/A, the victim usually does everything possible to avoid offending or upsetting the abuser and exposing him or her. Freeing yourself from IPV/A requires the exact opposite strategy; escaping necessitates gathering your strength and asserting your power against the abuser to the max. The more you mentally rehearse this behavioral change, the readier you will be when you finally decide to make your great escape.
• You deserve help. You need it. You can find it. Although you may be feeling ashamed or unworthy of asking for help, it's important to remember that it's the abuser who caused you to feel this way, and that it's his or her behavior that's criminal and unacceptable, not yours. So don't be shy about asking for assistance every step of the way.
• Know your legal rights. You have a right to equal protection of the law. You have a right to live free of violence, threats, and any kind of abuse. Do research to know exactly what your rights are where you live.
• There are officials and institutions that can help you safely escape IPV/A. These include the 911 operator, the police, county jail, the district attorney and victim assistance. Become knowledgeable about, and avail yourself of, these critical resources.

Part 5 will focus on the victim's decision to heal.

If you or someone you know is experiencing IPV/A, call the National Domestic Violence Hotline (1-800-799-7233) or the Gay Men's Domestic Violence Project Hotline (1-800-832-1901). And always remember that it ain't (just) the way that he or she loves you.

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Source: http://www.huffingtonpost.com/wyatt-obrian-evans/its-just-the-way-that-i-l_1_b_3594178.html

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Source: http://feeds.celebritybabies.com/~r/celebrity-babies/~3/j9FKsh16exk/

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Opponents say San Diego mayor 'unsafe' for women

By JULIE WATSON
Associated Press

SAN DIEGO (AP) - A prominent one-time supporter of San Diego's mayor described how the mayor has repeatedly groped women during his short term, saying no female in California's second-largest city would be safe in his presence.

Despite that, Mayor Bob Filner, 70, made it clear he will not heed the calls for his resignation from former Councilwoman Donna Frye and others within his party, even as they held a news conference to divulge details of allegations they said show a dangerous pattern of abuse by the city's first Democratic leader in two decades.

"I'm not going to resign, and here's why," Filner, a former U.S. congressman, said Monday in a statement. "As your elected mayor, I fully expect to be accountable to the citizens of San Diego for all of my actions. But as a citizen of this country, I also expect - and am entitled to - due process, and the opportunity to respond in a fair and impartial venue to specific allegations. I do not believe I am guilty of sexual harassment, and I believe a full presentation of the facts will vindicate me."

Frye rocked Filner's support base when she went public with the accusations last week during a news conference and asked him to step down. She did not give specifics until Monday when she read statements to the media from two people who said they were constituents, though they were not named.

Both say the mayor - who was engaged at the time - tried to forcibly kiss them during separate encounters.

"We will all fail the women of our city if we ask them to continue to meet with this man," said Frye, who worked briefly for the mayor as his director of open government.

She later added, "Bob Filner is tragically unsafe for any woman to approach."

Filner apologized for his behavior Thursday after Frye first went public with the allegations. The mayor said he failed to respect women who work for him and he intimidated them at times. Without going into details, Filner called his behavior wrong and said he needed help. He pleaded with voters for patience.

Two attorneys accompanying Frye Monday said Filner's inappropriate behavior was so common at City Hall that employees had coined the term "The Filner Dance" to describe how workers dodge his sexual advances. "The Filner Headlock" was used to describe how the mayor would wrap his arm around the neck of a female worker, the attorneys said.

Filner's former fiancee, who ended their engagement early last week just before the allegations became public, gave details about the behavior behind the breakup in a statement on Monday.

"While I had heard rumors that he was engaging in sexual relationships with other women, I was never able to determine their validity," Bronwyn Ingram said in the statement, according to U-T San Diego.

"However, as Bob's behavior continued to become more aggressive, standard decorum seemed to disappear. Bob recently began texting other women sexually explicit messages and setting up dates while in my presence and within my line of vision."

Marco Gonzalez, a former Filner supporter, said he is representing one employee who allegedly had been harassed by the mayor. He said his client has worked for Filner for six months and has known him for years.

A handful of supporters held signs at the news conference outside City Hall that read: "Due process for Mayor Filner." Some yelled at Frye and the attorneys, saying the allegations were hearsay.

Frye read the statements from women she called constituents No. 1 and No. 2.

The first constituent said the mayor asked his staffer to leave the room and then asked her if she was single.

She said she told Filner that he had a beautiful fiancee and that the mayor responded that he wanted to go out with her and kiss her. Filner then grabbed her and kissed her before she was able to push him away and leave the room, according to the statement.

In a statement from constituent No. 2, Filner allegedly made sexual overtures before grabbing her on the street to kiss her.

The victim was "unnerved" by the advance but did not want to be rude and still gave Filner a ride in her car, where he put his hand in her bra and tried to kiss her again, according to the statement.

Copyright 2013 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

Source: http://www.wtvm.com/story/22852028/opponents-say-san-diego-mayor-unsafe-for-women

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