Abstract:
BACKGROUND:It is possible that nurses can help close the gap between the Healthy People 2000 clinical preventive services goals and current cancer screening rates by collecting Pap test specimens in clinical practices. The purpose of this analysis was to determine whether nurses can collect high-quality Pap tests. DESIGN:Retrospective cohort analysis of all Pap tests submitted to a commercial pathology laboratory between January 1, 1996 and July 31, 1996. Pap tests collected by the nurses at Rosebud Hospital (N = 404) were compared to the Pap tests collected by other providers at the Rosebud Hospital (N = 118) and the Pap tests collected by providers from all other sites (N = 22,696). SETTING:The Indian Health Service Hospital, Rosebud, South Dakota. SUBJECTS:Eight nurses who had been trained to collect Pap test specimens. MAIN OUTCOME MEASURES:The proportion of Pap test specimens that were wholly satisfactory and the proportion of Pap test specimens collected from nonpregnant patients that lacked endocervical cells. RESULTS:The proportion of specimens that were wholly satisfactory was 79.8% (95% CI = 75.9-83.7) for the nurses, 65.3% (95% CI = 56.7-73.9) for other Rosebud providers, and 81.7% (95% CI = 81.2-82.2) for non-Rosebud providers. The proportion of specimens that lacked endocervical cells and were from nonpregnant patients was 6.4% (95% CI = 4.0-8.8) for Rosebud nurses, 8.5% for other Rosebud providers (95% CI = 3.5-13.5), and 7.9% for non-Rosebud providers (95% CI = 7.6-8.2). CONCLUSIONS:After one week of training, nurses can collect Pap test specimens that are of the same quality as the specimens collected by physicians, nurse practitioners, and physician assistants. The widespread availability of female nurses and the high quality of their work suggest that they can contribute to the Healthy People 2000 goals by collecting Pap test specimens.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Kottke TE,Trapp MAdoi
10.1016/s0749-3797(97)00062-7subject
Has Abstractpub_date
1998-04-01 00:00:00pages
196-200issue
3eissn
0749-3797issn
1873-2607pii
S0749379797000627journal_volume
14pub_type
杂志文章abstract:CONTEXT:Smokefree legislation is a powerful public health intervention. Despite progress in smokefree legislation, over half of U.S. adults remain unprotected by comprehensive smokefree legislation. EVIDENCE ACQUISITION:This paper reviews the scientific literature on health and economic outcome studies of smokefree le...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2010.08.013
更新日期:2010-12-01 00:00:00
abstract:INTRODUCTION:Women historically have had difficulty maintaining health insurance, obtaining preventive care, and affording care. The objectives of this study were to describe changes in insurance affordability, healthcare access, and preventive care for women of different income levels after implementation of the Affor...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.11.028
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Unintentional injuries are a leading cause of death in the United States. It is unclear, however, what proportion of these injuries occur in the home. The purpose of this paper is to quantify and describe fatal unintentional injuries that take place in the home environment. METHODS:Data from the National Vi...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2004.09.010
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Child maltreatment has been linked to multiple negative health outcomes and many leading causes of death. Statewide population-based evaluations are needed to identify high-risk populations early in life for targeted interventions. PURPOSE:To assess the utility of combining Pregnancy Risk Assessment Monitor...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2011.02.022
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:According to the 2008 Physical Activity Guidelines for Americans, adults need to engage in at least 150 minutes/week of moderate-intensity activity or its equivalent (defined as aerobically active) to obtain substantial health benefits and more than 300 minutes/week (defined as highly active) to obtain more ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2010.06.006
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Telephone quitlines are utilized by diverse individuals and represent an effective tobacco-cessation modality. Quitlines allow tobacco users to seek support for multiple quit attempts. Little is known about how frequently tobacco users take advantage of this opportunity. No studies have been conducted to det...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2008.03.025
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Healthy-food financing initiatives have been endorsed as a way to improve food access, but relatively little research exists on understanding the formulation of such policies. PURPOSE:This paper investigates the development of the New Orleans Fresh Food Retailer Initiative (FFRI) to highlight factors that e...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.05.011
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Rates of physical activity among Native American women are low, and few studies have assessed the factors associated with physical activity in this population. The purpose of this study was to determine the relationship among physical activity and various personal, social environmental, and physical environm...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(03)00165-x
更新日期:2003-10-01 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::Increased public and private investments in large-scale team science initiatives over the past two decades have underscored the need to better understand how contextual factors influence the effectiveness of transdisciplinary scientific collaboration. Toward that goal, the findings from four distinct areas of research...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2008.05.003
更新日期:2008-08-01 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:Obese and overweight women who smoke are more likely to be concerned about weight gain following cessation, impacting ability to quit and relapse. PURPOSE:To determine differences in weight concerns for underweight, normal weight, overweight, and obese female smokers by race/ethnicity. METHODS:From March t...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.09.004
更新日期:2015-01-01 00:00:00
abstract:INTRODUCTION:Public health research on cancer and socioeconomic status (SES) has shown that higher SES is related to greater access to services. Using neighborhood-level measures of SES, we test hypotheses related to stage of breast and cervical cancer diagnosis. METHODS:SEER data on women diagnosed with breast or cer...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract:INTRODUCTION:Although there is general agreement among various guidelines on benefits of routine screening mammography, the age of screening initiation and the optimal frequency of the test remain controversial. In 2009, the U.S. Preventive Services Task Force (USPSTF) recommended against routine breast cancer screenin...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.02.017
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:While the U.S. elderly population uses a disproportionate amount of healthcare resources, there is limited knowledge from prospective studies regarding the impact of lifestyle-related factors on costs in this group. The association was examined between smoking, drinking, exercise, body mass index (BMI), and ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.08.005
更新日期:2005-12-01 00:00:00
abstract:BACKGROUND:Physical inactivity is associated with multiple adverse health outcomes. Results from the transportation literature suggest that aspects of the urban environment may influence walking for transportation. In this paper we examine the association between a proxy measure of the urban environment and walking beh...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(02)00476-2
更新日期:2002-08-01 00:00:00
abstract::In this article, we will provide an overview of the effects of witnessing violence on children and adolescents, discuss the importance of health clinicians inquiring about violence in the lives of children, and discuss the role of the clinician in educating parents about children's responses to violence. In addition, ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.08.023
更新日期:2005-12-01 00:00:00
abstract:BACKGROUND:Financially disadvantaged populations are more likely to live in communities that do not support healthy choices. This paper investigates whether certain characteristics of the built environment are associated with obesity or coronary heart disease (CHD) risk among uninsured low-income women. METHODS:Using ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.12.001
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:Cancer screening programs require substantial resources, and economic assessments have become increasingly important in identifying the most cost-effective means of conducting these programs. Such economic assessments require detailed program cost data, but there is no standardized instrument for obtaining t...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.amepre.2009.06.002
更新日期:2009-09-01 00:00:00
abstract:INTRODUCTION:Previously estimated effects of social distancing do not account for changes in individual behavior before the implementation of stay-at-home policies or model this behavior in relation to the burden of disease. This study aims to assess the asynchrony between individual behavior and government stay-at-hom...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2020-11-13 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2006.12.012
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:Circles of Tobacco Wisdom (CTW) was an elder-led, community-based project that aimed to enhance tobacco control in the American Indian community. Its goal was to provide elders with the knowledge, opportunities, and support to enable them to assume leadership of a tobacco control movement that was grounded i...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2012-11-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2015-06-01 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
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更新日期:2015-01-01 00:00:00
abstract::Editors' Note: We invited a sample of AJPM's Editorial Board, supplement guest editors, and longtime colleagues and contributors to share their experiences and impressions of the impact of AJPM on their respective domains. We were particularly fond of Ken Powell's analogy to being "tenders of the planted seed"--as pla...
journal_title:American journal of preventive medicine
pub_type: 历史文章,信件
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更新日期:2013-12-01 00:00:00
abstract::The Robert Wood Johnson Foundation Commission to Build a Healthier America was charged to identify strategies beyond medical care to address health disparities in the U.S. related to social and economic disadvantage. Based on insights gained while providing scientific support for the commission's efforts, this paper p...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2010.09.026
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:To examine the relationship between intimate partner violence (IPV) victimization and patient satisfaction with medical encounters among an African-American population. DESIGN:Cross-sectional, self-administered, anonymous survey. SETTING:Community-based, primary care center. PATIENTS:Consecutive African-Am...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(00)00233-6
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:Lipid management is less aggressive in blacks than whites and women than men. PURPOSE:To examine whether differences in lipid management for race-sex groups compared to white men are due to factors influencing health services utilization or physician prescribing patterns. METHODS:Because coronary heart dis...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.10.025
更新日期:2015-05-01 00:00:00
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 su...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:1998-07-01 00:00:00
abstract:INTRODUCTION:This paper describes the evaluation of a skin cancer prevention program for preschools and daycare centers. The intervention was targeted primarily at staff of child care centers, with the aim of increasing use of sun protection practices for young children while attending these centers. Secondary target g...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:1999-07-01 00:00:00