Abstract:
STUDY OBJECTIVES:To assess the extent to which poorer self assessed health in men in whom an abdominal aortic aneurysm (AAA) is detected at screening is a consequence or a predictor of screening outcome. DESIGN:Prospective study. SETTING:Community based screening. PARTICIPANTS:23 654 men who attended for AAA screening as part of the UK multicentre aneurysm screening study completed a measure of self assessed health before screening. A total of 1156 had an aneurysm detected. A sub-sample of screened men (571 with an aneurysm and 609 with a normal aorta) also completed the measure of self assessed health six weeks after screening. MAIN RESULTS:Men in whom an aneurysm was detected at screening perceived their health to be poorer before screening than those with a normal aorta. Adjusting for risk factors for AAA made no difference to this RESULT:self assessed health remained a strong predictor of having an aneurysm (odds ratio 1.7 comparing the extreme quartiles of self assessed health, 95% confidence intervals: 1.4 to 2.0). Men with an aneurysm also perceived their health to be poorer after screening had detected their aneurysms, but only to an extent in line with their pre-screening perceptions. CONCLUSIONS:Self assessed health seems to predict having an aortic aneurysm, independently of known risk factors. This emphasises the importance of assessing baseline perceptions of health to prevent erroneously inferring that poorer self assessed health in those who screen positive is a consequence as compared with a predictor of screening outcome.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Marteau TM,Kim LG,Upton J,Thompson SG,Scott APdoi
10.1136/jech.2003.019307keywords:
subject
Has Abstractpub_date
2004-12-01 00:00:00pages
1042-6issue
12eissn
0143-005Xissn
1470-2738pii
58/12/1042journal_volume
58pub_type
杂志文章,多中心研究abstract:BACKGROUND:Recent studies have emphasised the multidimensional nature of the social capital concept, but it is not known whether the health effects of social capital vary by dimension. The objective of this study was to examine the vertical component (ie, respectful and trusting relationships across power differentials...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.086074
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abstract:STUDY OBJECTIVE:To examine the difficulties of developing and maintaining outcome evaluation designs in long term, community based health promotion programmes. DESIGN:Semistructured interviews of health promotion managers. SETTING:Wales and two reference health regions in England. PARTICIPANTS:Nine health promotion ...
journal_title:Journal of epidemiology and community health
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abstract::Growing concern about the global burden of child mental health disorders has generated an increased interest in population-level efforts to improve child mental health. This in turn has led to a shift in emphasis away from treatment of established disorders and towards prevention and promotion. Prevention efforts are ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:2014-10-01 00:00:00
abstract:STUDY OBJECTIVE:Analyses of causes of mortality in people with diabetes using data form death certificates mentioning diabetes provide unreliable estimates of mortality. Under-recording of diabetes as a cause on death certificates has been widely reported, ranging from 15-60%. Using a population based register on peopl...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.6.570
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abstract:BACKGROUND:A reduction in sex ratio at live birth has been proposed as a sentinel health indicator that can be used to monitor the health of populations. OBJECTIVE:To test the hypothesis that a lower sex ratio is associated with adverse national population health using the prevalences of HIV and tuberculosis as measur...
journal_title:Journal of epidemiology and community health
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abstract::The world is increasingly shaped by powerful global forces, many of which have consequences for human health and the social, economic, and environmental factors that influence health are increasingly determined at a supranational level. As a result, local or national level efforts to influence health determinants can ...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.2004.027854
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:The Smokefree Class Competition, the largest school-based smoking prevention programme in Europe, aims to create a class climate that denormalises smoking. An analysis was carried out to assess whether it increases bullying or perception of isolation. METHODS:A cluster randomised controlled trial was conduc...
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pub_type: 杂志文章,随机对照试验
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更新日期:2010-03-01 00:00:00
abstract::Much of the recent controversy surrounding the relation between fetal death and pregnancy order has centred around the appropriateness of different types of analyses. In the present paper the interpretation of various methods are discussed with reference to "real" and "hypothetical" data. The pattern of results obtain...
journal_title:Journal of epidemiology and community health
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abstract:STUDY OBJECTIVE:Several studies on differences in infant outcome by socioeconomic position have been done, but these have usually been based on ad hoc data linkages. The aim of this paper was to investigate whether socioeconomic differences in perinatal health in Finland could be regularly monitored using routinely col...
journal_title:Journal of epidemiology and community health
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abstract:STUDY OBJECTIVE:This study examined the prevalence of body dissatisfaction as a function of individual level and neighbourhood level indicators of affluence. PARTICIPANTS AND SETTING:A subset of data from a larger random digit dialling telephone survey was used to obtain individual level data on body dissatisfaction, ...
journal_title:Journal of epidemiology and community health
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更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:It is important to understand the local burden of non-communicable diseases including within-country heterogeneity. The aim of this study was to characterise hypertension and type-2 diabetes profiles across different Peruvian geographical settings emphasising the assessment of modifiable risk factors. METHO...
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doi:10.1136/jech-2015-205988
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:While various measures of common mental disorders (CMD) have been found to be associated with mortality, a comparison of how different measures predict mortality may improve our understanding of the association. This paper compares how the Hospital Anxiety and Depression Scale (HADS) and the 30-item General ...
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pub_type: 杂志文章
doi:10.1136/jech-2012-201927
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVES:To examine the relationship between residential change and a woman's subsequent risk of intimate partner violence (IPV), whether by a past or a new offender, a relationship that has not been prospectively examined to date. DESIGN:A dynamic cohort of women who recently changed residence (movers) was compared...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.2006.047084
更新日期:2006-11-01 00:00:00
abstract:PURPOSE:Interest in the effects of neighbourhood or local area social characteristics on health has increased in recent years, but to date the existing evidence has not been systematically reviewed. Multilevel or contextual analyses of social factors and health represent a possible reconciliation between two divergent ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.55.2.111
更新日期:2001-02-01 00:00:00
abstract:STUDY OBJECTIVE:To analyse the role played by socioeconomic factors and self rated general health in the prediction of the reporting of severe longterm illness, and the extent to which these factors explain social class differences in the reporting of such illness. DESIGN:Analysis of panel data from the survey of livi...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.50.2.156
更新日期:1996-04-01 00:00:00
abstract::Principal component analysis (PCA) is frequently adopted for creating socioeconomic proxies in order to investigate the independent effects of wealth on disease status. The guidelines and methods for the creation of these proxies are well described and validated. The Demographic and Health Survey, World Health Survey ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-209119
更新日期:2017-11-01 00:00:00
abstract:STUDY OBJECTIVE:To examine the impact of non-fatal war related injuries on physical disability in a group of war wounded civilians and to assess their needs. DESIGN:Cross sectional study. Home interviews were conducted using a structured interview schedule around one month after the injury, to assess impairments, disa...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.54.1.35
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:Identification of features of the neighbourhood physical environment that have a causal association with positive child development is important for promoting long-term developmental health. Previous research on these associations have been conducted at the neighbourhood level, and do not account for individ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2019-212686
更新日期:2020-04-01 00:00:00
abstract::A survey in a London borough showed that 15% of adults living at home were restricted in one or more areas of their lives because of illness. A sample of these adults aged 25 to 75 years was interviewed using a validated medical questionnaire, and the severity of their restrictions was also assessed using a separate i...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.40.1.59
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abstract:BACKGROUND:Previous research suggests that first-generation immigrants have a lower suicide risk than those both born in Sweden and with both parents born in Sweden (natives), while the suicide risk in the second generation seems higher. The aim of this study was to investigate to what extent suicide risk in first-gene...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2014-204648
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journal_title:Journal of epidemiology and community health
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更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:To compare common health experiences of a South Asian (predominantly Punjabi) population with that of the general population, according to sex, and to related patterns of health in the fourth decade of life to the pattern of hospital admission and mortality documented in the published reports. DESIGN AND SET...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.2.96
更新日期:1993-04-01 00:00:00
abstract:STUDY OBJECTIVE:The aim of this study was to evaluate the impact of a smoke free programme implemented at the University of Geneva, Switzerland, in 1996. This programme included a prohibition to smoke in university buildings everywhere except in limited areas, and a smoking cessation counselling service. METHODS:Surve...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:1999-11-01 00:00:00
abstract:OBJECTIVE:To study the association between own education, adult and parental circumstances and the risk of myocardial infarction in a former communist country. DESIGN:Population based case-control study. SETTING:General population of five districts of the Czech Republic in the age group 25-64 years. PARTICIPANTS:Ran...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.54.2.91
更新日期:2000-02-01 00:00:00
abstract:OBJECTIVE:To assess comprehensively the validity of the data in the Finnish Medical Birth Registry (MBR) by the combined use of several controls and internal analysis of the data. DESIGN:The MBR data were individually linked to a medical record sample (n = 775) and to all perinatal death certificates in 1987. The data...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.3.242
更新日期:1993-06-01 00:00:00
abstract:BACKGROUND:Urban green spaces have been linked to different health benefits, but longitudinal studies on the effect of green spaces on mental health are sparse and evidence often inconclusive. Our objective was to study the effect of changes in green spaces in the residential environment on changes in mental health usi...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2019-212704
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:The temporal pattern of effects of summertime ozone (O(3)) in total, cardiovascular and respiratory mortality were investigated in 21 European cities participating in the APHEA-2 (Air Pollution and Health: a European Approach) project, which is fundamental in determining the importance of the effect in terms...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2008.084012
更新日期:2009-12-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to compare the Office of Population Censuses and Surveys (OPCS) notification system for congenital malformation surveillance and the Liverpool Congenital Malformations Registry (LCMR) with respect to efficiency and uniformity of ascertainment, diagnostic accuracy, and overreporting of minor ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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abstract:OBJECTIVE:To evaluate the short term effect of air pollution on cardiovascular admissions in 14 Spanish cities METHODS:The period under study was from 1995 to 1999. Daily emergency admissions for all cardiovascular diseases (CVD) and heart diseases (HD) were obtained from hospital records, and the corresponding daily ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2005.037978
更新日期:2006-04-01 00:00:00