Abstract:
:Delay in the presentation of symptoms and in referral of patients for surgical opinion remains an important problem in colorectal cancer. Factors influencing patients to consult early include advice from close family or other associates and abdominal pain or vomiting, or both, as one of the early symptoms. More localised rectal symptoms and loss of weight are often associated with long delay. The "classic" symptom pictures are not often seen in the early stages of the disease. Few identifiable factors were associated with delay in referral for surgical opinion. Doctors who examine their patients (rectally or otherwise) refer them sooner. In the districts studied delay in instituting definitive treatment after consultant referral does not seem to be a major problem. There is some evidence that delay is associated with stage of the disease at presentation.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
MacArthur C,Smith Adoi
10.1136/jech.38.2.122subject
Has Abstractpub_date
1984-06-01 00:00:00pages
122-6issue
2eissn
0143-005Xissn
1470-2738journal_volume
38pub_type
杂志文章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
pub_type: 杂志文章
doi:10.1136/jech.56.3.193
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:Policies to increase Australian Indigenous children's participation in preschool aim to reduce developmental inequities between Indigenous and non-Indigenous children. This study aims to understand the benefits of preschool participation by quantifying the association between preschool participation in the y...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2020-214672
更新日期:2020-12-08 00:00:00
abstract:BACKGROUND:Adolescent drinking in Western countries has been associated with older age and high socioeconomic status, but the association with family structure was inconsistent. METHODS:In a 2012-2013 school-based survey in Hong Kong, 23,096 students (mean age 14.7 years, SD 1.8 years) completed an anonymous questionn...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2015-206418
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Understanding the causes of poor mental health in early childhood and adolescence is important as this can be a significant determinant of mental well-being in later years. One potential and relatively unexplored factor is residential mobility in formative years. Previous studies have been relatively small a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2015-206123
更新日期:2016-03-01 00:00:00
abstract::Seroconversion to hepatitis A virus was studied in a sub sample of 802 Israeli military recruits (611 men and 191 women) who were taking part in a randomised controlled trial of pre-exposure immune serum globulin (ISG) for the prevention of viral hepatitis. On intake into the service 35% of the men and 47% of the wome...
journal_title:Journal of epidemiology and community health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1136/jech.39.2.117
更新日期:1985-06-01 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
doi:10.1136/jech.53.11.710
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND:Blood pressure is positively associated with ischaemic heart disease (IHD) mortality, but the strength of the association declines with age, and may differ between lean and obese people. OBJECTIVE:To study the association of blood pressure with IHD mortality stratified by attained age (<65 and ≥65 years) an...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.094110
更新日期:2011-09-01 00:00:00
abstract::Over 300 female farmers from 18 regions in various parts of Japan were examined for high density lipoprotein cholesterol (HDL) in the serum. Based on the HDL levels, three examinees with the highest HDL and another three with the lowest HDL were selected from each region to form the high HDL group (high group, 54 subj...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.39.3.259
更新日期:1985-09-01 00:00:00
abstract:BACKGROUNDS:The debate on health selection which describes the influence of health on subsequent social mobility is highly contested. The authors set out to examine the effect of health selection by looking at the effect of previous health status on changes in socio-economic position (SEP) over two time periods. METHO...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.107995
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Resource allocation and integration of services have been of interest recently to achieve health-related Millennium Development Goals. This paper analyses the extent to which countries receiving funding in HIV were able to invest in activities in the area of sexual and reproductive health (SRH). METHODS:The...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.092940
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:To determine, for abdominal aortic aneurysm surgery, whether a previously reported relationship between hospital case volume and mortality rate was observed in Ontario hospitals and to assess the potential impact of age on the mortality rate for elective surgery. DESIGN:Population based observational study u...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.50.2.207
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:The effect of modifying lifestyle at middle age on mortality has been sparsely examined. METHODS:Men and women aged 50-54 years randomised to the control group (no intervention) in the population-based Norwegian Colorectal Cancer Prevention trial were asked to fill in lifestyle questionnaires in 2001 and 20...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,随机对照试验
doi:10.1136/jech-2015-206760
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:In a participatory approach to health and development interventions, defining and measuring community mobilisation is important, but it is challenging to do this effectively, especially at scale. METHODS:A cross-sectional, participatory monitoring tool was administered in 2008-2009 and 2009-2010 across a re...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201065
更新日期:2012-10-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate a community wide outbreak of hepatitis A (HA). DESIGN:Description of the outbreak, with a case-control study to assess transmission. SETTING:A Florida county, USA, 1988-9. SUBJECTS:A total of 311 cases of HA. MEASUREMENTS AND MAIN RESULTS:A 13 month outbreak of HA is described. Most o...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.4.269
更新日期:1993-08-01 00:00:00
abstract:STUDY OBJECTIVES:To describe the prevalence of hepatitis B virus (HBV) infection in patients with sexually transmitted diseases (STD) and human immunodeficiency virus (HIV) infection, and to determine the role of sexual transmission of HBV infection in Singapore. DESIGN:A cross sectional study of all consecutive men p...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.3.309
更新日期:1995-06-01 00:00:00
abstract:BACKGROUND:Despite the worldwide trend towards more time being spent at work by employed people, few studies have examined the independent influences of work-based versus home-based social networks on employees' health. We examined the association between work-based social networks and health status by controlling for ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.082453
更新日期:2009-09-01 00:00:00
abstract:STUDY OBJECTIVE:In many countries, cancer registries cover only a small part of the national population. Cancer incidence for the rest of the country has therefore to be estimated. This can be done from mortality data using the relation between incidence and mortality observed in the cancer registry areas. Such an appr...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.53.9.558
更新日期:1999-09-01 00:00:00
abstract::This essay examines the implications of the COVID-19 pandemic for health inequalities. It outlines historical and contemporary evidence of inequalities in pandemics-drawing on international research into the Spanish influenza pandemic of 1918, the H1N1 outbreak of 2009 and the emerging international estimates of socio...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2020-214401
更新日期:2020-11-01 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:To perform the first European overview of educational inequalities in the use of blood pressure and cholesterol screening. METHODS:Data were obtained on the use of screening services according to educational level from nationally representative cross-sectional surveys in Belgium, Czech Republic, Denmark, Es...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2011-200273
更新日期:2012-11-01 00:00:00
abstract:STUDY OBJECTIVES:To estimate ethnic and socioeconomic differences in breast cancer incidence and survival between South Asians and non-South Asians in England and Wales, and to provide a baseline for surveillance of cancer survival in South Asians, the largest ethnic minority. SETTING:115 712 women diagnosed with firs...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2004.030965
更新日期:2005-05-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to assess the differences in suicide data obtained from different database sources. DESIGN:Death certificate based data on suicidal deaths were compared with the information obtained from the non-natural death investigation files at the Public Prosecutor's Office. SETTING:The study was con...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.1.73
更新日期:1993-02-01 00:00:00
abstract:STUDY OBJECTIVE:To explore individual and social factors that could predict health care utilisation and medication among people with chronic pain in an unselected population. DESIGN:A mailed survey with questions about pain and mental symptoms, disability, self care action, visits to health care providers, and medicat...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.53.8.503
更新日期:1999-08-01 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:BACKGROUND:Mortality increases during heat waves have been reported worldwide. The magnitude of these increases can vary within regions according to sociodemographic and urban landscape characteristics. The objectives of this study were to explore this variation and its determinants, and to identify the most heat-vulne...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201899
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:It is commonly believed that nature has positive impacts on children's health, including physical, mental and social dimensions. This review focuses on how accessibility to, exposure to and engagement with nature affects the mental health of children and teenagers. METHODS:Ten academic databases were used t...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-210436
更新日期:2018-10-01 00:00:00
abstract:STUDY OBJECTIVE:To see whether the community mothers' programme, using lay volunteer mothers to deliver a childhood development programme, could be extended successfully to the travelling community in Ireland. DESIGN:This was a prospective study of the travelling community; comparisons were made with results of a prev...
journal_title:Journal of epidemiology and community health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1136/jech.51.3.299
更新日期:1997-06-01 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: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::A population based programme to educate women in breast self-examination (BSE) was organised as part of the UK Trial of Early Detection of Breast Cancer. Women who responded to an invitation to a meeting were educated in groups and were not routinely screened. Open access clinics offered x ray and clinical examination...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.40.1.67
更新日期:1986-03-01 00:00:00