Abstract:
BACKGROUND:Cancer screening in the USA is suboptimal, particularly for individuals living in vulnerable communities. This study aimed to understand how rurality and racial segregation are independently and interactively associated with cancer screening and cancer fatalism. METHODS:We used data from a nationally representative sample of adults (n=17 736) from National Cancer Institute's Health Information National Trends Survey, 2011-2017, including cancer screening (colorectal, breast, cervical, prostate) among eligible participants and cancer fatalism. These data were linked to county-level metropolitan status/rurality (US Department of Agriculture) and racial segregation (US Census). We conducted multivariable analyses of associations of geographic variables with screening and fatalism. RESULTS:Breast cancer screening was lower in rural (92%, SE=1.5%) than urban counties (96%, SE=0.5%) (adjusted OR (aOR)=0.52, 95% CI 0.31 to 0.87). Colorectal cancer screening was higher in highly segregated (70%, SE=1.0%) than less segregated counties (65%, SE=1.7%) (aOR=1.28, 95% CI 1.04 to 1.58). Remaining outcomes did not vary by rurality or segregation, and these variables did not interact in their associations with screening or fatalism. CONCLUSION:Similar to previous studies, breast cancer screening was less common in rural areas. Contrary to expectations, colorectal cancer screening was higher in highly segregated counties. More research is needed on the influence of geography on cancer screening and beliefs, and how access to facilities or information may mediate these relationships.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Moss JL,Ehrenkranz R,Perez LG,Hair BY,Julian AKdoi
10.1136/jech-2019-212425subject
Has Abstractpub_date
2019-12-01 00:00:00pages
1128-1135issue
12eissn
0143-005Xissn
1470-2738pii
jech-2019-212425journal_volume
73pub_type
杂志文章abstract:OBJECTIVE:To examine the effects of unfairness on incident coronary events and health functioning. DESIGN:Prospective cohort study. Unfairness, sociodemographics, established coronary risk factors (high serum cholesterol, hypertension, obesity, exercise, smoking and alcohol consumption) and other psychosocial work cha...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2006.052563
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:Efforts to end preventable newborn deaths will fail if the poor are not reached with effective interventions. To understand what works to reach vulnerable groups, we describe and explain the uptake of a highly effective community-based newborn health intervention across social strata in Asia and Africa. MET...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2014-204685
更新日期:2016-01-01 00:00:00
abstract::The public health movement has been concerned with the relation between housing and health for well over a century. Nevertheless the Black Report still identified housing as one of the major causes of ill-health and suggested, on one indicator at least, that council housing is the least healthy form of tenure. An expl...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.39.1.15
更新日期:1985-03-01 00:00:00
abstract:BACKGROUND:Two main theoretical models have been used to assess the impact of psychosocial work factors on blood pressure (BP): the demand-control (DC) model and the effort-reward imbalance (ERI) model. Previous studies have mostly used a single time point exposure to examine this association. OBJECTIVE:To examine the...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2014-204914
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:The evidence on mortality patterns by education in Spain comes from regional areas. This study aimed to estimate these patterns in the whole Spanish population. METHODS:All citizens aged 25 years and over and residing in Spain in 2001 were followed during 7 years to determine their vital status, resulting i...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2014-204186
更新日期:2014-12-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to investigate suicide and "undetermined" deaths by age, economic activity status, and social class in Great Britain among males of working age. DESIGN:The study was a cross sectional analysis of Registrar General's data for England and Wales around 1981, repeated for around 1971, and for S...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.45.3.195
更新日期:1991-09-01 00:00:00
abstract:BACKGROUND:Low socioeconomic status (SES) has been linked to increased risk of hypertension, a known risk factor for cardiovascular disease. How the risk is altered by intergenerational social mobility is not well known. The aim of this study is to investigate parental SES, adult SES and the intergenerational social mo...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2010.130567
更新日期:2012-06-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to analyse occupational mortality differences among women using follow up data from a large nationally representative sample. DESIGN:Occupational information was obtained from the 1971 census records of women in the Longitudinal Study carried out by the Office of Population Censuses and Sur...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.45.2.117
更新日期:1991-06-01 00:00:00
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journal_title:Journal of epidemiology and community health
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doi:10.1136/jech-2017-210328
更新日期:2018-10-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.076844
更新日期:2009-01-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2016-207990
更新日期:2017-04-01 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
pub_type: 杂志文章
doi:10.1136/jech.40.1.59
更新日期:1986-03-01 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:To examine whether neighbourhood deprivation predicts incidence rates of coronary heart disease, beyond age and individual income. DESIGN:Follow up study from 31 December 1995 to 31 December 1999. Women and men were analysed separately with respect to incidence rates of coronary heart disease. Multilev...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.58.1.71
更新日期:2004-01-01 00:00:00
abstract:STUDY OBJECTIVE:It is increasingly recognised that different dimensions of social inequality may be linked to health by different pathways. Furthermore, factors operating at the individual level such as employment conditions may affect health in a different way from household level factors. The paper examines the assoc...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.57.1.56
更新日期:2003-01-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2006.057273
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To examine variables related with publication bias assessment in a sample of systematic reviews with meta-analysis on cardiovascular diseases. DESIGN:Systematic review of meta-analyses. SETTING:Journals indexed in Medline and the Cochrane Library. STUDY POPULATION:225 reviews with meta-analysis published b...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.2005.033027
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:Although the prevalence of prenatal smoking among minority women exceeds the projected 2010 national objective, data on the determinants of prenatal smoking among minorities remain sparse. METHODS:We examined associations between self-reported experiences of racial discrimination on prenatal smoking among u...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.107516
更新日期:2012-04-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to examine disease concurrence, using diabetes mellitus as an ullustrative example. DESIGN:The study involved a general practice morbidity survey, conducted over 12 months in 1981-82. All patients who consulted their general practitioners with a diagnosis of diabetes mellitus (type 1 or typ...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.45.1.73
更新日期:1991-03-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.40.4.289
更新日期:1986-12-01 00:00:00
abstract::In a study of selenium status in 391 apparently healthy subjects resident in the south of England statistical examination of the data showed a significant effect with regard to age, smoking, alcohol, and oral contraceptives. The most important of these factors seems to be a combination of alcohol and smoking habits in...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.37.3.213
更新日期:1983-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1136/jech.2003.014308
更新日期:2004-03-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2016-207712
更新日期:2017-01-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Injuries are an increasing child health concern and have become a leading cause of child mortality in the 1-4 years age group in many developing countries, including Bangladesh. METHODS:Household observations during 9 months of a community-based pilot of two supervision tools-a door barrier and a playpen-de...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.080903
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:To explore attitudes to quitting smoking and experience of smoking cessation among Bangladeshi and Pakistani ethnic minority communities. DESIGN:Qualitative study using community participatory methods, purposeful sampling, interviews and focus groups, and a grounded approach to data generation and analysis. ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.040345
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:To inform discussions on rates, burden and priority-setting in relation to police violence, we quantified the number and rate of years of life lost (YLLs) due to police violence by race/ethnicity and age in the USA, 2015-2016. METHODS:We used data on the number of deaths due to police violence from 'The Cou...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-210059
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:To examine factors associated with returning for second round mammography screening. SETTING:This was a population based mammographic screening programme in Melbourne, Australia. DESIGN:A cohort design was used whereby 668 women were interviewed before the screening programme began and attendance for both f...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.51.1.62
更新日期:1997-02-01 00:00:00
abstract::A study was carried out to assess the feasibility of using record linkage for drug monitoring. For two years, three types of records were collected for a total of 43 117 people: (1) details of basic attributes, such as sex and age; (2) details of prescriptions dispensed; and (3) records of hospital admissions, obstetr...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.35.1.25
更新日期:1981-03-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2015-207013
更新日期:2016-06-01 00:00:00