Shalini Kulasingam
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View article: Anticipated First Contact and Time to Seek Healthcare for Possible Breast Cancer Symptoms: A Cross‐Sectional Study in Rural Ghana
Anticipated First Contact and Time to Seek Healthcare for Possible Breast Cancer Symptoms: A Cross‐Sectional Study in Rural Ghana Open
Background Breast cancer is a serious public health concern in Ghana. This study investigated the anticipated healthcare‐seeking behaviour and preferences of women for possible breast cancer symptoms. Specifically, the study examined women…
View article: Perceptions of barriers and facilitators for cervical cancer screening from women and healthcare workers in Ghana: Applying the Dynamic Sustainability Framework
Perceptions of barriers and facilitators for cervical cancer screening from women and healthcare workers in Ghana: Applying the Dynamic Sustainability Framework Open
Cervical cancer screening has reduced cervical cancer-related mortality by over 70% in countries that have achieved high coverage. However, there are significant geographic disparities in access to screening. In Ghana, although cervical ca…
View article: Estimated Cancer Risk in Females Who Meet the Criteria to Exit Cervical Cancer Screening
Estimated Cancer Risk in Females Who Meet the Criteria to Exit Cervical Cancer Screening Open
Importance Cervical screening guidelines in the US recommend that most females can exit routine screening at age 65 years following 2 recent consecutive negative cotest results (concurrent human papillomavirus and cytology tests). However,…
View article: Heterogeneity in preoperative <i>Staphylococcus aureus</i> screening and decolonization strategies among healthcare institutions
Heterogeneity in preoperative <i>Staphylococcus aureus</i> screening and decolonization strategies among healthcare institutions Open
We surveyed 111 institutions’ practices for screening and decolonization of Staphylococcus aureus in presurgical patients. Institutions commonly utilize universal, targeted, or no decolonization strategies. Frequently reported products wer…
View article: Cervical Cancer and Cervical Cancer Screening in Women with HIV in Guangxi, China: A Model Simulation Study
Cervical Cancer and Cervical Cancer Screening in Women with HIV in Guangxi, China: A Model Simulation Study Open
Background. Cervical cancer screening can effectively reduce the disease burden. In China, the current cervical cancer screening guidelines do not provide separate screening recommendations for women living with HIV (WLWH) to account for t…
View article: Exploring Self-Sampling for Hpv-Based Cervical Cancer Screening Among Ghanaian Women: A Pilot Study on Preferences, Experiences, and Clinical Utility
Exploring Self-Sampling for Hpv-Based Cervical Cancer Screening Among Ghanaian Women: A Pilot Study on Preferences, Experiences, and Clinical Utility Open
View article: State-level disparities in cervical cancer prevention and outcomes in the U.S.: a modeling study
State-level disparities in cervical cancer prevention and outcomes in the U.S.: a modeling study Open
BACKGROUND: Despite HPV vaccines' availability for over a decade, coverage across the US varies. While some states have tried to increase HPV vaccination coverage, most model-based analyses focus on national impacts. We evaluated hypotheti…
View article: HPV Vaccination Status in HIV-Negative MSM and Its Association with High-Risk HPV Detection Using HPV Serology and Anorectal Swabs
HPV Vaccination Status in HIV-Negative MSM and Its Association with High-Risk HPV Detection Using HPV Serology and Anorectal Swabs Open
Background/Objective: The aim of this study was to determine the prevalence of high-risk (HR) human papillomavirus (HPV) types by HPV vaccination status and the feasibility of using HPV L1 serology to identify HIV-negative men who have sex…
View article: Carcinogenicity of talc and acrylonitrile
Carcinogenicity of talc and acrylonitrile Open
View article: Heterogeneity in Pre-operative Staphylococcus aureus Screening and Decolonization Strategies among Healthcare Institutions
Heterogeneity in Pre-operative Staphylococcus aureus Screening and Decolonization Strategies among Healthcare Institutions Open
Background: Staphylococcus aureus (SA) is the most common pathogen causing surgical site infections (SSIs). In the past decade, strategies incorporating new SA decolonization products have been implemented to prevent SSIs in surgical patie…
View article: State-level disparities in cervical cancer prevention and outcomes in the U.S.: A modeling study
State-level disparities in cervical cancer prevention and outcomes in the U.S.: A modeling study Open
Background Despite HPV vaccines’ availability for over a decade, coverage across the US varies. While some states have tried to increase HPV vaccination coverage, most model-based analyses focus on national impacts. We evaluated hypothetic…
View article: The need for and acceptability of a cancer training course for medical and nursing students in Tanzania: a convergent mixed methods study
The need for and acceptability of a cancer training course for medical and nursing students in Tanzania: a convergent mixed methods study Open
Background The cancer burden in Africa is on the rise. A Cancer Training Course on screening, prevention, care, and community education is crucial for addressing a wide range of cancer health issues. When appropriately educated healthcare …
View article: Perceptions of barriers and facilitators for cervical cancer screening from women and healthcare workers in Ghana: Applying the Dynamic Sustainability Framework
Perceptions of barriers and facilitators for cervical cancer screening from women and healthcare workers in Ghana: Applying the Dynamic Sustainability Framework Open
Cervical cancer screening has reduced cervical cancer-related mortality by over 70% in countries that have achieved high coverage. However, there are significant geographic disparities in access to screening. In Ghana, although cervical ca…
View article: Utilisation of traditional medicine among women diagnosed with breast cancer in Ghana: a descriptive phenomenological study
Utilisation of traditional medicine among women diagnosed with breast cancer in Ghana: a descriptive phenomenological study Open
View article: Risk factors for infertility and barriers to treatment in Tanzania: a survey and medical records study
Risk factors for infertility and barriers to treatment in Tanzania: a survey and medical records study Open
Background: The burden of infertility is serious for women in high-fertility countries.Objectives: We sought to identify demographic, behavioral/environmental, and reproductive risk factors for various infertility factors (i.e., ovarian, t…
View article: Sexual and Gender Minority Invisibility in Cancer Studies: A Call for Effective Recruitment Methods to Address Cancer Disparities
Sexual and Gender Minority Invisibility in Cancer Studies: A Call for Effective Recruitment Methods to Address Cancer Disparities Open
#LGBTQ+ people with cancer are invisibilized: A call for #intersectional cancer research (link here) #healthequity
View article: A review of HPV and HBV vaccine hesitancy, intention, and uptake in the era of social media and COVID-19
A review of HPV and HBV vaccine hesitancy, intention, and uptake in the era of social media and COVID-19 Open
Prior to the COVID-19 pandemic, the World Health Organization named vaccine hesitancy as one of the top 10 threats to global health. The impact of hesitancy on the uptake of human papillomavirus (HPV) vaccines was of particular concern, gi…
View article: Author response: A review of HPV and HBV vaccine hesitancy, intention, and uptake in the era of social media and COVID-19
Author response: A review of HPV and HBV vaccine hesitancy, intention, and uptake in the era of social media and COVID-19 Open
Full text Figures and data Side by side Abstract Editor's evaluation Introduction Results Discussion Methods Data availability References Decision letter Author response Article and author information Metrics Abstract Prior to the COVID-19…
View article: Diagnosed Gonorrhea Among Privately Insured Women: Analysis of United States Claims Data
Diagnosed Gonorrhea Among Privately Insured Women: Analysis of United States Claims Data Open
Background: Gonorrhea incidence in the United States has risen by nearly 50% in the last decade, while screening rates have increased. Gonorrhea sequelae rates could indicate whether increased gonorrhea incidence is due to be…
View article: Quantifying social contact patterns in Minnesota during stay-at-home social distancing order
Quantifying social contact patterns in Minnesota during stay-at-home social distancing order Open
SARS-CoV-2 is primarily transmitted through person-to-person contacts. It is important to collect information on age-specific contact patterns because SARS-CoV-2 susceptibility, transmission, and morbidity vary by age. To reduce the risk o…
View article: Exploring factors associated with preferences for human papillomavirus (HPV) self-sampling among racially- and ethnically-diverse women in Minnesota: A cross-sectional study
Exploring factors associated with preferences for human papillomavirus (HPV) self-sampling among racially- and ethnically-diverse women in Minnesota: A cross-sectional study Open
Pap tests are still underutilized by minority women due to limited awareness of cervical cancer screening (CCS), inadequate health care access, and cultural or religious beliefs. Human papillomavirus (HPV) self-sampling, a new CCS tool, ha…
View article: Lower human papillomavirus vaccine initiation and completion among Asian American adolescents compared to their peers: National Health and Nutritional Examination Survey 2011–2018
Lower human papillomavirus vaccine initiation and completion among Asian American adolescents compared to their peers: National Health and Nutritional Examination Survey 2011–2018 Open
View article: HPV and HBV vaccine hesitancy, intention, and uptake in the era of social media and COVID-19: A review
HPV and HBV vaccine hesitancy, intention, and uptake in the era of social media and COVID-19: A review Open
Prior to the COVID-19 pandemic, the World Health Organization named vaccine hesitancy as one of the top 10 threats to global health. The impact of hesitancy on uptake of human papillomavirus (HPV) vaccines was of particular concern, given …
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This study explored the utilisation of traditional medicine among patients living with breast cancer.
View article: Health care personnel’s perspectives on human papillomavirus (HPV) self-sampling for cervical cancer screening: a pre-implementation, qualitative study
Health care personnel’s perspectives on human papillomavirus (HPV) self-sampling for cervical cancer screening: a pre-implementation, qualitative study Open
View article: Breast cancer screening pathways in Ghana: applying an exploratory single case study methodology with cross-case analysis
Breast cancer screening pathways in Ghana: applying an exploratory single case study methodology with cross-case analysis Open
This is a confirmatory result of a stark burden of breast cancer in Ghana, inferring a need to address the deficiencies around breast cancer and early detection practices.
View article: Health Care Personnel’s Perspectives on Human Papillomavirus (HPV) Self-Sampling for Cervical Cancer Screening: A Pre-Implementation, Qualitative Study
Health Care Personnel’s Perspectives on Human Papillomavirus (HPV) Self-Sampling for Cervical Cancer Screening: A Pre-Implementation, Qualitative Study Open
Background: Persistent infection with high-risk human papillomavirus (hrHPV) types are well-documented causes of cervical cancer. Since the implementation of cervical cancer screening methods (e.g., Pap tests), cervical cancer rates have d…
View article: Exploring Factors Associated with Preferences for Human Papillomavirus (HPV) Self-Sampling among Racially- and Ethnically-Diverse Women: A Cross-Sectional Study
Exploring Factors Associated with Preferences for Human Papillomavirus (HPV) Self-Sampling among Racially- and Ethnically-Diverse Women: A Cross-Sectional Study Open
BACKGROUND Cervical cancer rates have declined since the implementation of cervical cancer screening methods such as Pap tests. However, Pap tests are still underutilized by many minority women due to limited awareness about human papillom…
View article: Test Performance of Cervical Cytology Among Adults With vs Without Human Papillomavirus Vaccination
Test Performance of Cervical Cytology Among Adults With vs Without Human Papillomavirus Vaccination Open
Among a population with relatively low HPV vaccine coverage, the PPV of cervical cytology for CIN 2 or more severe diagnosis was significantly lower among vaccinated individuals. PPV will likely further decrease in the future as a populati…
View article: Correction: A comprehensive cross-sectional survey to identify barriers and facilitators of cervical cancer screening in women with HIV in Guangxi, China
Correction: A comprehensive cross-sectional survey to identify barriers and facilitators of cervical cancer screening in women with HIV in Guangxi, China Open