Abstract:
OBJECTIVE:To raise compliance in a general practice based colorectal cancer screening programme by the use of a simple health educational leaflet. DESIGN:A randomised controlled trial of the leaflet's effect on completion of faecal occult blood tests. The leaflet explained the high frequency of colorectal cancer, the principles of screening, and addressed reasons for non-compliance. SETTING:The British town of Market Harborough where most of the population are registered with a single practice. PARTICIPANTS:These comprised 1571 residents aged 61 to 70 years registered with the practice. Residents were invited to receive a free faecal occult blood test in a colorectal cancer screening programme. Half the population were randomly assigned to receive the educational leaflet about screening. RESULTS:Compliance in test and control groups, positive rate of stool testing, and pathology detected were measured. Compliance was higher in men who received the leaflet in those aged 61 to 65 years (36% v 27%, chi2 = 4.0, p < 0.05) and in men aged 66 to 70 years (39% v 23%, chi2 = 9.7, p < 0.01). In women, use of the leaflet did not affect compliance in those aged either 61 to 65 years (38% v 36%, chi2 = 0.1, NS) or 66 to 70 years (31% v 31%, chi2 = 0.0, NS). The positive rate of stool testing in patients observing the required dietary restrictions was 1.6%. A significant lesion was detected in 1.4% of people tested (2 carcinomas and 5 patients with adenomatous polyps). CONCLUSIONS:Health education leaflets addressing reasons for non-compliance significantly increased compliance in men and should be used in screening programmes. Reasons for the lack of success of the leaflet in women should be investigated and other interventions for raising compliance should be developed.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Hart AR,Barone TL,Gay SP,Inglis A,Griffin L,Tallon CA,Mayberry JFdoi
10.1136/jech.51.2.187subject
Has Abstractpub_date
1997-04-01 00:00:00pages
187-91issue
2eissn
0143-005Xissn
1470-2738journal_volume
51pub_type
临床试验,杂志文章,随机对照试验abstract:STUDY OBJECTIVE:The aim was to assess the interrelationship between alcohol intake, cigarette smoking, body weight, and blood lipid concentrations. DESIGN:This was the cross sectional (screening) phase of a prospective study. The main outcome measure was the blood lipids (serum total cholesterol, HDL cholesterol, and ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.3.197
更新日期:1992-06-01 00:00:00
abstract:BACKGROUND:It is generally acknowledged that conventional estimates of the potential number of life years to be gained by elimination of causes of death are too generous. This is because these estimates fail to take into account the fact that those who are saved from the cause are likely to have one or more other condi...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.53.1.32
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Innovative strategies beyond the health system are required to reduce the prevalence of smoking. Early child development interventions are examples of interventions that can help set children on positive social and educational trajectories, which in turn may also reduce the prevalence of smoking. The aim of ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.101840
更新日期:2011-12-01 00:00:00
abstract::A prospective study of human reproduction was conducted in Tamilnadu State, South India, from 1969 to 1975. This paper reports twinning rates and relates these to maternal age, parity, and consanguinity. Birth weights and other dimensions at birth and infant mortality are also studied. The overall twinning rate was 1 ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.37.2.117
更新日期:1983-06-01 00:00:00
abstract:OBJECTIVES:To investigate associations between measures of neighbourhood social and material environment and self rated health. DESIGN:New contextual measures added to cross sectional study of a sample of people from the Health Survey for England and the Scottish Health Survey to provide multilevel data. PARTICIPANTS...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.016147
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:A highly sensitive and simple screening procedure is required for early detection of low birthweight and small for gestational age, especially in developing countries. METHODS:A meta-analysis was performed to evaluate use of symphysis-fundal height for prediction of low birthweight and small for gestational...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,meta分析
doi:10.1136/jech-2012-202141
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:To describe the situation of the influenza in Portugal through the estimates of the incidence rates and the identification of the viral strains implicated on it during the period 1990-1996. DESIGN:The integrated clinical and laboratory surveillance system for influenza in Portugal is based on the Portuguese...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
abstract:BACKGROUND:Alcohol policies around the world seek to delay the initiation of drinking. This is partly based on the influential idea that earlier initiation is likely to cause adult alcohol problems. This study synthesises robust evidence for this proposition. METHODS:Systematic review of prospective cohort studies in ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,meta分析,评审
doi:10.1136/jech-2013-203402
更新日期:2014-03-01 00:00:00
abstract::Progressing public policies that improve health equity requires understanding and addressing the creation, use and distribution of power. This glossary provides an overview of some of the most relevant conceptualisations of the dynamics of power in policy with implications for health equity. The aim is to provide an a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2019-213692
更新日期:2020-06-01 00:00:00
abstract::The population-based cancer registry data on patients with cervical cancer in Finland and South Wales in 1960--69 were analysed for survival. Patients with carcinoma-in-situ experienced essentially the normal life expectancy. Those with invasive carcinoma experienced 75% of normal post-registration life expectancy in ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.34.1.14
更新日期:1980-03-01 00:00:00
abstract:BACKGROUND:School systems are increasingly typified by diversity of provision, parental choice and publication of performance data. Schools shape their students' lifestyles and health, but the effects of 'marketisation' are under-researched. The authors use qualitative data to develop a logic model regarding such effec...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2011.137539
更新日期:2012-07-01 00:00:00
abstract:STUDY OBJECTIVE:To examine the use of deprivation indices in relation to health. DESIGN:This paper reviews selected publications which illustrate the diversity of use of deprivation indices in the past decade. Most of this work is based in the major routine databases which exist in this country: the census, population...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.49.suppl_2.s3
更新日期:1995-12-01 00:00:00
abstract::One thousand school boys aged 8 to 16 were examined for their somatotype, physical growth, sexual maturation, and smoking habits. Fifty-two boys were found to be smokers, of whom 30 were regularly smoking between two and 20 bidis or cigarettes a day for a mean duration of 2.5 years. The mean height and weight of the s...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.34.4.295
更新日期:1980-12-01 00:00:00
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:Although being employed during midlife is positively associated with cognitive function in later life, little is known with respect to cumulative trajectories or durations of time spent in different kinds of work. METHODS:We investigated the relationships between employment trajectory from ages 31 years to ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211153
更新日期:2019-03-01 00:00:00
abstract:STUDY OBJECTIVE:To review the incidence of leukaemia and non-Hodgkin's lymphoma in children and young adults in the area less than 25 km from the Dounreay nuclear installation and the remainder of the Kirkwall postcode area in the full time period for which data are now available (1968-91), and to determine whether the...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.48.3.232
更新日期:1994-06-01 00:00:00
abstract::In February and May 1986, weekly samples of whole pasteurised milk were collected from the 24 dairies supplying seven British towns. A random sample of 96 women aged 25-64 was drawn from general practitioners' lists in each town, and catch specimens of early morning urine were collected by post from 194 subjects in Fe...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.42.1.72
更新日期:1988-03-01 00:00:00
abstract:BACKGROUND:Incarceration is simultaneously a public health opportunity and a public health concern. We examined the association between maternal/partner incarceration in the year prior to birth and perinatal smoking. METHODS:We pooled 2006-2010 data from the Centers for Disease Control and Prevention's Pregnancy Risk ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2014-204820
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Little is known about the impact of being a bystander to bullying. This study compared health outcomes among bullies, victims and bystanders, and investigated actions taken by bystanders when they saw bullying. METHOD:Participants included 7522 students aged 12-18 years that completed self-report questionna...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211350
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Modifications in working conditions can accommodate changing needs of chronically ill persons. The self-employed may have more possibilities than employees to modify their working conditions. We investigate how working conditions change following diagnosis of chronic disease for employed and self-employed ol...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-210328
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:In addition to conventional indicators of socioeconomic position, material conditions such as economic difficulties are associated with mental health. However, there has been little investigation of these associations. This study aims to examine the association of current economic difficulties with common me...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2008.077198
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:The authors assessed whether socioeconomic inequalities in asthma symptoms were already present in preschool children and to what extent prenatal, perinatal and postnatal risk factors for asthma symptoms mediate the effect of socioeconomic status (SES). METHODS:The study included 3136 Dutch children partici...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2011-200333
更新日期:2012-11-01 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::The epidemiology of migraine and non-migrainous headaches (NMH) was investigated in a community survey in a neighbourhood of western Jerusalem in 1969-71. Diagnoses were based on histories taken by physicians. Prevalence rates among persons aged 15 and over were 10.1% for migraine (including classical migraine, 2.1%) ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.34.3.188
更新日期:1980-09-01 00:00:00
abstract:STUDY OBJECTIVES:To compare in-hospital mortality for acute myocardial infarction (AMI) between metropolitan and non-metropolitan hospitals after adjustment for patients' severity; to examine the role of the use of effective cardiac medications in the possible mortality difference between these types of hospital. DESI...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.54.8.590
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND:Vitamin D has been suggested to have a role in infection defence and on the immune system. We therefore investigated the effect of serum 25-hydroxyvitamin D₃ (25(OH)D₃) on the risk of incident hospitalised pneumonia in an ageing general population in eastern Finland. METHODS:The study population included 72...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-202027
更新日期:2013-06-01 00:00:00
abstract:STUDY OBJECTIVES:To estimate the cost per woman participating in a mammographic screening programme, and to describe methods for measuring costs. DESIGN:Expenditure, resource usage, and throughput were monitored over a 12 month period. Unit costs for each phase of the screening process were estimated and linked with t...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.48.4.391
更新日期:1994-08-01 00:00:00
abstract:BACKGROUND:A large proportion of the population of England live in substandard housing. Previous research has suggested that poor-quality housing, particularly in terms of cold temperatures, mould, and damp, poses a health risk, particularly for older people. The present study aimed to examine the association between h...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201458
更新日期:2013-03-01 00:00:00
abstract:STUDY OBJECTIVE:To evaluate whether cognitive performance in childhood is an early determinant of adult illness. DESIGN:Prospective cohort study covering over 30 years. SETTING:Providence, Rhode Island, USA. PARTICIPANTS:633 people ages 30-39 followed up since birth as part of the Providence cohort of the national c...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.016444
更新日期:2004-08-01 00:00:00
abstract:STUDY OBJECTIVE:The purpose of this paper is to give an overview and comparison of different easily applicable statistical techniques to analyse recurrent event data. SETTING:These techniques include naive techniques and longitudinal techniques such as Cox regression for recurrent events, generalised estimating equati...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2004.030759
更新日期:2005-08-01 00:00:00