Abstract:
BACKGROUND:US Asian women with early-stage breast cancer are more likely to receive a modified radical mastectomy (MRM) than White women, contrary to clinical recommendations regarding breast conserving treatment (BCT). METHODS:We surveyed physicians regarding treatment decision-making for early-stage breast cancer, particularly as it applies to Asian patients. Physicians were identified through the population-based Greater Bay Area Cancer Registry. Eighty (of 147) physicians completed a questionnaire on sociodemographics, professional training, clinical practices, and perspectives on the treatment decision-making processes. RESULTS:The most important factors identified by physicians in the BCT/MRM decision were clinical in nature, including presence of multifocal disease (86% identified this as being an important factor for selecting MRM), tumor size (71% for MRM, 78% for BCT), cosmetic result (74% for BCT), and breast size (50% for MRM, 55% for BCT). The most important reasons cited for the Asian treatment patterns were patient attitudes toward not needing to preserve the breast (53%), smaller breast sizes (25%), and fear and cultural beliefs (12%). CONCLUSION:These survey results suggest that physicians perceive major roles of both clinical and cultural factors in the BCT/MRM decision, but cultural factors may be more relevant in explaining surgical treatment patterns among Asians.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Pham JT,Allen LJ,Gomez SLdoi
10.1186/1471-2458-9-246subject
Has Abstractpub_date
2009-07-17 00:00:00pages
246issn
1471-2458pii
1471-2458-9-246journal_volume
9pub_type
杂志文章abstract:BACKGROUND:It is estimated that nearly 600,000 cancer cases in the UK could have been avoided in the past five years if people had healthier lifestyles. A number of theories of behaviour change suggest that before people will change health behaviours, they must accept that a risk applies to them. This study aimed to ex...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4985-1
更新日期:2017-12-22 00:00:00
abstract:BACKGROUND:Combined lifestyle interventions (CLIs) have proved to be effective in changing and maintaining behavioural lifestyle changes and reducing overweight and obesity, in clinical and real-world settings. In this CLI, lifestyle coaches are expected to promote lifestyle changes of participants regarding physical a...
journal_title:BMC public health
pub_type: 临床试验,杂志文章
doi:10.1186/s12889-017-5010-4
更新日期:2018-01-08 00:00:00
abstract:BACKGROUND:Based on the need for better measurement of the retail food environment in rural settings and to examine how deprivation may be unique in rural settings, the aims of this study were: 1) to validate one commercially available data source with direct field observations of food retailers; and 2) to examine the ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-688
更新日期:2012-08-22 00:00:00
abstract:BACKGROUND:MORE Energy is a mobile health intervention which aims to reduce fatigue and improve health in airline pilots. The primary objective of this process evaluation was to assess the reach, dose delivered, compliance, fidelity, barriers and facilitators, and satisfaction of the intervention. The second objective ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3572-1
更新日期:2016-08-26 00:00:00
abstract:BACKGROUND:HPV test self-collection has been shown to reduce barriers to cervical screening and increase uptake. However, little is known about women's preferences when given the choice between self-collected and clinician-collected tests. This paper aims to describe experiences with HPV self-collection among women in ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3474-2
更新日期:2016-08-19 00:00:00
abstract:BACKGROUND:Dynamics of the social composition of the population might influence the interpretation of statements of the increasing gap of social inequality in life expectancy. The aim of the study was to estimate trends during a quarter of a century in social inequality in life expectancy and to compare results based o...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-994
更新日期:2012-11-17 00:00:00
abstract:BACKGROUND:Little is known about patterns in the transition from healthy weight to overweight or obesity during the elementary school years. This study examined whether there were distinct body mass index (BMI) trajectory groups among elementary school children, and predictors of trajectory group membership. METHODS:T...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3159-x
更新日期:2016-07-07 00:00:00
abstract:BACKGROUND:Data on the association between body self-perception and eating patterns among adolescents are scarce. This study assessed the association between body image and eating patterns among normal-weight, overweight and obese adolescents. METHODS:A cross-sectional survey (n = 1231; 12-17 years old) was carried ou...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-1104
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Approximately 65% of the United Arab Emirates (UAE) population are economic migrants from the low- and middle-income countries of South Asia. Emerging evidence suggests that expatriate populations from low or middle-income countries that migrate to high-income countries acculturate their lifestyle with the o...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1568-x
更新日期:2015-02-28 00:00:00
abstract:BACKGROUND:Social Health Insurance (SHI) is widely used by countries attempting to move toward Universal Health Coverage (UHC). While evidence suggests that SHI is a promising strategy for achieving UHC, low-income countries often struggle to implement and sustain SHI systems. It is therefore important to understand ho...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08742-1
更新日期:2020-05-04 00:00:00
abstract:BACKGROUND:This study explored community perceptions of cultural beliefs and practices that may increase sexual risk behaviour of adolescents, to understand more about meaning they hold within the culture and how they expose adolescent orphans and non-orphans to higher risks in a high HIV and teenage pregnancy prevalen...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-84
更新日期:2014-01-27 00:00:00
abstract:BACKGROUND:Many African adults do not know that partners in steady or cohabiting relationships can have different HIV test results. Despite WHO recommendations for couples' voluntary counseling and testing (CVCT), fewer than 10 % of couples have been jointly tested and counseled. We examine the roles and interactions o...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3424-z
更新日期:2016-08-08 00:00:00
abstract:BACKGROUND:In Ethiopia, there is a growing concern about the increasing rates of loss to follow-up (LTFU) in HIV programs among people waiting to start HIV treatment. Unlike other African countries, there is little information about the factors associated with LTFU among pre-antiretroviral treatment (pre-ART) patients ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-867
更新日期:2013-09-22 00:00:00
abstract:BACKGROUND:Internationally, men with disabilities have higher rates of social and economic disadvantage and poorer health and wellbeing than men without disabilities. No single study has provided comprehensive, population-level information about the magnitude of such differences among adult men using a well-validated i...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3700-y
更新日期:2016-10-31 00:00:00
abstract:BACKGROUND:Low childhood physical activity levels are currently one of the most pressing public health concerns. Numerous school-based physical activity interventions have been conducted with varied success. Identifying effective child-based physical activity interventions are warranted. The purpose of this formative s...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-831
更新日期:2011-10-27 00:00:00
abstract:BACKGROUND:Systematic household contact investigation (SHCI) is recommended as an active-case-finding (ACF) strategy to identify individuals at high risk of tuberculosis (TB) infection, in order to enable early detection and treatment. Reluctance to implement SHCI in sub-Saharan African and South African high-burden co...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7194-2
更新日期:2019-07-03 00:00:00
abstract:BACKGROUND:High healthcare expenditures due to population ageing and chronic complex health complaints are a challenge on a global scale. To improve the quality of healthcare, population health, and professionals' work satisfaction and to reduce healthcare costs (Quadruple Aim), the Dutch Ministry of Health, Welfare an...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6551-5
更新日期:2019-02-28 00:00:00
abstract:BACKGROUND:The concept of 'avoidable' mortality (AM) has been proposed as a performance measure of health care systems. In this study we examined mortality in five geographic regions of Canada from 1975 to 1999 for previously defined avoidable disease groups that are amenable to medical care and public health. These tr...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-6-137
更新日期:2006-05-23 00:00:00
abstract:BACKGROUND:Neighborhood safety may be an important social environmental determinant of overweight. We examined the relationship between perceived neighborhood safety and overweight status, and assessed the validity of reported neighborhood safety among a representative community sample of urban adolescents (who were ra...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-289
更新日期:2009-08-11 00:00:00
abstract:BACKGROUND:Smoking is a UK public health threat but GPs can be effective in helping patients to quit; consequently, the Quality and Outcomes Framework (QOF) incentivises the recording of smoking status and delivery of cessation advice in patients' medical records. This study investigates the association between smoking...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-329
更新日期:2012-07-10 00:00:00
abstract:BACKGROUND:Non-Hodgkin's lymphomas (NHLs) have been linked to proximity to industrial areas, but evidence regarding the health risk posed by residence near pollutant industries is very limited. The European Pollutant Emission Register (EPER) is a public register that furnishes valuable information on industries that re...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-26
更新日期:2009-01-21 00:00:00
abstract:BACKGROUND:Previous studies of public perceptions of obesity interventions have been quantitative and based on general population surveys. This study aims to explore the opinions and attitudes of obese individuals towards population and individual interventions for obesity in Australia. METHODS:Qualitative methods usi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-420
更新日期:2010-07-15 00:00:00
abstract:BACKGROUND:Hospital-based providers' willingness to report to work during an influenza pandemic is a critical yet under-studied phenomenon. Witte's Extended Parallel Process Model (EPPM) has been shown to be useful for understanding adaptive behavior of public health workers to an unknown risk, and thus offers a framew...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-436
更新日期:2010-07-26 00:00:00
abstract:BACKGROUND:In low and middle-income countries (LMICs), laypersons play a significant role in providing initial care to injured victims of traffic accidents. Post-crash first aid (PFA) training programmes for laypersons have become an important response to addressing knowledge and skills gaps in pre-hospital care. Howev...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08692-8
更新日期:2020-05-24 00:00:00
abstract:BACKGROUND:Burnout is a syndrome characterized by emotional exhaustion, increased depersonalization, and a diminished sense of personal accomplishment due to chronic emotional stress at work. Burnout impacts job satisfaction, job performance, vulnerability to illnesses, and interpersonal relationships. There is a gap i...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7713-1
更新日期:2019-10-22 00:00:00
abstract:BACKGROUND:Previous studies have focused on the relationship between employment pathways and health-related outcomes based on cross-sectional or longitudinal approaches. However, little is known about the cumulative effects of employment status mobility on sickness absence (SA) over time. The aim of the present study w...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09396-9
更新日期:2020-08-27 00:00:00
abstract:BACKGROUND:The epidemic of HIV/AIDS and treatments that have emerged to alleviate, have brought about a shift in the burden of disease from death to quality of life/disability. The aim was to determine which factors are associated with improvements in the level of health of male and female patients with HIV/AIDS in And...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-362
更新日期:2008-10-21 00:00:00
abstract:BACKGROUND:Studies have associated betel nut chewing with cancers, metabolic syndrome, cardiovascular disorders, chronic kidney disease, and proteinuria. This study investigated whether hyperuricemia is associated with betel nut chewing in men who participated in a health check-up program. METHODS:From hospital record...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-1136
更新日期:2013-12-05 00:00:00
abstract:BACKGROUND:Illegal migration is an increasing problem worldwide and the so-called undocumented migrants encounter major problems in access to prevention and health care. The objective of the study was to compare the use of preventive measures and pregnancy care of undocumented pregnant migrants with those of women from...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-93
更新日期:2008-03-19 00:00:00
abstract:BACKGROUND:Colorectal cancer screening uptake within the South Asian population in England is approximately half that of the general population (33 % vs 61 %), and varies by Muslim (31.9 %), Sikh (34.6 %) and Hindu (43.7 %) faith background. This study sought to explore reasons for low uptake of CRC screening in South ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2334-9
更新日期:2015-10-01 00:00:00