Abstract：
INTRODUCTION:Physicians have a unique role to play in the prevention of elder suicide, yet they may not be sufficiently attentive to the prominence of firearms in the rising trend in suicide by elder persons. This study sought to examine the extent to which physicians inquired about firearms with their depressed and suicidal elderly patients and further identified factors associated with physicians' likelihood of asking about firearms. METHODS:A probability sample of 300 primary care physicians in Illinois was drawn from the American Medical Association Physician Masterfile. Physicians were chosen from the specialties most likely to be involved with elderly persons: internal medicine and family practice. A mailed questionnaire yielded a 63% response rate. RESULTS:Although they were treating depressed and suicidal older patients, a sizable proportion of the respondents (42%) reported that they did not ask such patients or their family members whether they had access to a firearm. Several factors distinguished physicians who assessed for firearms from those who did not. The most salient predictors were: continuing medical education training in suicide risk assessment, expertise in geriatric mental health, confidence in diagnosing depression, having a patient mention suicide in the past year, and indicating patient reluctance as a barrier to mental health treatment. DISCUSSION:Physicians working with depressed and suicidal elderly persons need to be informed about the prevalence of elder suicide and about the likelihood of elderly persons using firearms as a method of suicide. Effective suicide prevention will require physician training that directly addresses geriatric mental health and firearm suicide, in particular, at the student, residency, and continuing education levels.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Kaplan MS,Adamek ME,Rhoades JAdoi
10.1016/s0749-3797(98)00019-1subject
Has Abstractpub_date
1998-07-01 00:00:00pages
60-4issue
1eissn
0749-3797issn
1873-2607pii
S0749379798000191journal_volume
15pub_type
杂志文章abstract：INTRODUCTION:The National Asthma Campaign (NAC) was formed in 1990 as a coalition of the key professional organizations concerned with asthma and its management in Australia. It has conducted multifaceted educational activities targeting health care professionals, people with asthma, and the general public. Between Nov...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：BACKGROUND:Self-reported weight and height are under- and over-reported, respectively, in epidemiologic studies. This tendency, which may adversely affect study operations, has not been evaluated among subjects being enrolled into a weight-loss program. METHODS:Self-reported weight, height, and body mass index (BMI) w...
journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0749-3797(01)00293-8
更新日期：2001-05-01 00:00:00
abstract：:A systematic review of the literature to assess the effectiveness of ignition interlocks for reducing alcohol-impaired driving and alcohol-related crashes was conducted for the Guide to Community Preventive Services (Community Guide). Because one of the primary research issues of interest--the degree to which the inst...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2010.11.012
更新日期：2011-03-01 00:00:00
abstract：INTRODUCTION:The emerging trends and rapid growth of electronic cigarettes (e-cigarettes) among adolescents are being monitored closely. The trends are critical as policy to prevent uptake among adolescents is considered. The purpose of this study is to describe the prevalence of e-cigarette use and potential correlate...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2015.02.013
更新日期：2015-08-01 00:00:00
abstract：BACKGROUND:Numerous reports have documented a lower prevalence of seat belt use among blacks in the United States, compared with whites. Limited data suggest that black-white disparities in states with primary seat belt laws (motorists can be stopped and cited solely for violating a seat belt law) are less marked than ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2006.03.024
更新日期：2006-08-01 00:00:00
abstract：BACKGROUND:Data suggest that the prevalence of sun-protection behaviors is low (44%) among African Americans; the samples in such studies, however, tended to be small or nonrepresentative. PURPOSE:This article aims to examine the prevalence and correlates of sun-protection behaviors among a large, random, statewide sa...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2009.10.041
更新日期：2010-03-01 00:00:00
abstract：BACKGROUND:Enjoyment has been implicated as a determinant of physical activity among youth, but advances in understanding its importance have been limited by the use of measures that were not adequately validated. The present study examined: (1) the factorial validity of the Physical Activity Enjoyment Scale (PACES), a...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(01)00326-9
更新日期：2001-08-01 00:00:00
abstract：:The Greater Cleveland Healthy Family/Healthy Start (HF/HS) Project Consortium was established to combine various resources in the Cleveland community in an effort to reduce the infant mortality rate by 50% over five years. As part of HF/HS, an Infant Mortality Review Program (IMRP) was instituted. This program has two...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1995-05-01 00:00:00
abstract：:Cancer is the second leading cause of morbidity and mortality in the U.S. Although reducing the number of new cancer cases is a national health goal, the continuing growth of the older adult population ensures that the burden of cancer will increase. Despite documentation of the shortage of oncologists to meet the gro...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2017.10.020
更新日期：2018-03-01 00:00:00
abstract：INTRODUCTION:Reducing racial/ethnic disparities in preterm birth is a priority for U.S. public health programs. The study objective was to quantify the relative contribution of geographic, sociodemographic, and health determinants to the black, non-Hispanic and white, non-Hispanic preterm birth disparity. METHODS:Cros...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2019.07.007
更新日期：2019-11-01 00:00:00
abstract：BACKGROUND:Physicians have limited time for weight-loss counseling, and there is a lack of resources to which they can refer patients for assistance with weight loss. Weight-loss mobile applications (apps) have the potential to be a helpful tool, but the extent to which they include the behavioral strategies included i...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2013.04.025
更新日期：2013-11-01 00:00:00
abstract：INTRODUCTION:This study evaluated whether intervening with child care providers would increase physical activity (PA) and reduce adiposity in preschoolers. METHODS:This was a two-arm, parallel group, cluster RCT whereby six child care centers were randomly assigned in equal numbers to intervention (n=40 children) or c...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.amepre.2016.03.024
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:Underage alcohol use is a major contributor to morbidity and mortality in adolescents and young adults. This study examined drinking levels and ensuing problems among college students and factors associated with binge drinking. METHOD:The Harvard School of Public Health College Alcohol Study conducted a sel...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(00)00163-x
更新日期：2000-07-01 00:00:00
abstract：INTRODUCTION:Most Americans spend half their waking hours at work and consume food acquired there. The hypothesis was that the healthfulness of worksite food purchases was associated with employees' overall diet and health. METHODS:Participants were 602 hospital employees who regularly used worksite cafeterias and enr...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2019.02.020
更新日期：2019-07-01 00:00:00
abstract：:Curriculum guidelines for the education of primary care practitioners (PCPs) about AIDS and AIDS-related disorders have been developed by the National Fund for Medical Education (NFME). The guidelines resulted from a modified Delphi authority opinion survey with two iterations and have been edited by the authors. The ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1990-01-01 00:00:00
abstract：:Most major medical organizations recommend routine screening for breast, cervical, and colorectal cancers. Screening can lead to early detection of these cancers, resulting in reduced mortality. Yet not all people who should be screened are screened, either regularly or, in some cases, ever. This report presents resul...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2008.04.008
更新日期：2008-07-01 00:00:00
abstract：BACKGROUND:In Germany, a mammography-screening program (MSP) was implemented on a national level. It complies with all criteria of the European guidelines for quality assurance in screening mammography; however, the attendance rate is 54%, falling short of the target attendance rate of 70%. The aim of this study was to...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.amepre.2011.06.040
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:Oklahoma's tribal tobacco shops are distributed throughout the state, including in urban areas. During the time frame of this study, state excise tax rates for cigarettes varied by tribe and region, and took five distinct levels, ranging from 5.75 cents to $1.03 per pack. PURPOSE:To describe the pricing beh...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2014.08.028
更新日期：2015-01-01 00:00:00
abstract：BACKGROUND:To determine the age-specific prevalence of Lyme disease and whether preventive behaviors on Nantucket Island correlate with Lyme disease, we surveyed island residents. METHODS:A survey with questions on Lyme disease symptoms, history, and preventive behaviors was mailed to all residents. Respondents were s...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(00)00315-9
更新日期：2001-04-01 00:00:00
abstract：INTRODUCTION:This is a preliminary report from a research collaboration between Asian Health Services (community health center); Koreans in Alameda County, California; and the University of California at Berkeley School of Public Health. This five-year Centers for Disease Control and Prevention project supports a colla...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1997-11-01 00:00:00
abstract：BACKGROUND:For the first time, in 2002, the Advisory Committee on Immunization Practices encouraged the vaccination of healthy children 6 to 23 months against influenza, whenever feasible. Participating inner-city health centers designed interventions to introduce influenza vaccination among this group of children. The...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2005.05.010
更新日期：2005-10-01 00:00:00
abstract：:Our objective was to evaluate human immunodeficiency virus (HIV) risk-factor assessment and counseling behavior in 86 medical house staff and to ascertain the effect of question format (closed versus open) on reported physician behaviors. We designed a cross-sectional survey using a self-report questionnaire; we recei...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1993-09-01 00:00:00
abstract：INTRODUCTION:Opioid and sedative/hypnotic drug overdoses are major causes of morbidity in the U.S. This study compares 12-month incidence of fatal unintentional drug overdose, suicide, and other mortality among emergency department patients presenting with nonfatal opioid or sedative/hypnotic overdose. METHODS:This is...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2020.02.012
更新日期：2020-07-01 00:00:00
abstract：:Editor's Note: This article is a reprint of a previously published article. For citation purposes, please use the original publication details: Harris RP, Helfand M, Woolf SH, et al. Current methods of the U.S. Preventive Services Task Force: a review of the process. Am J Prev Med. 2001;20(3S):21-35. The U.S. Preventi...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2020.01.001
更新日期：2020-03-01 00:00:00
abstract：INTRODUCTION:Environmental and policy approaches to promote physical activity, such as walking trail construction and promotion, are being widely recommended, yet sparse data exist on their effectiveness. In conjunction with ongoing community-intervention projects in Missouri, walking trails are being built, promoted, ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(99)00165-8
更新日期：2000-04-01 00:00:00
abstract：INTRODUCTION:Several authors have explored the effect of individual risk factors on vaccination inequity in Indian infants. This study explores the combined impact of >1 risk factor on the probability of full vaccination. METHODS:The proportion of fully vaccinated infants (aged 1-2 years) was calculated from the Natio...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2020.10.001
更新日期：2021-01-01 00:00:00
abstract：CONTEXT:Vaccination can decrease the morbidity and mortality caused by influenza, yet vaccination rates remain low, especially among minority groups. Previous studies have found that important barriers to vaccination include the fear of adverse reactions and concern that the vaccine causes influenza. BACKGROUND:This r...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.amepre.2009.01.025
更新日期：2009-05-01 00:00:00
abstract：INTRODUCTION:Smoking cessation is the most effective therapeutic intervention for chronic obstructive pulmonary disease (COPD) patients. However, the proportion of smokers with COPD who have received physician advice to quit smoking is unknown. The purpose of this study is to assess the prevalence of receipt of smoking...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2014.11.016
更新日期：2015-06-01 00:00:00
abstract：INTRODUCTION:Transitions between inpatient and outpatient care and pediatric to adult care are associated with increased mortality for sickle cell disease (SCD) patients. As accurate and timely sharing of health information is essential during transitions, a health information technology (HIT)-enabled tool holds promis...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2016.02.004
更新日期：2016-07-01 00:00:00
abstract：BACKGROUND:Although adults with developmental disabilities are at high risk for obesity and its sequelae, few community-based lifestyle interventions targeting those with developmental disabilities exist. DESIGN:The study was a single group, community-based demonstration project with pre-post test evaluation conducted...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2009.08.005
更新日期：2009-12-01 00:00:00
