The costs and effects of cervical and breast cancer screening in a public hospital emergency room. The Cancer Control Center of Harlem.


OBJECTIVES:This study assessed the cost-effectiveness of cervix and breast cancer screening in a public hospital emergency room. METHODS:Age-eligible women with nonurgent conditions and without recent screening were offered screening by a nurse. A decision analysis compared the costs and outcomes of emergency room screening and standard hospital screening efforts. RESULTS:The undiscounted cost-effectiveness results for establishing new programs were $4050 (cervical cancer), $403,203 (breast cancer), and $4375 (joint cervix and breast cancer) per year of life saved. If screening is added to an existing program, results are more favorable ($429, $21,324, and $479 per year of life saved for cervix, breast, and joint screening, respectively). Results were most sensitive to volume and probability of receiving treatment after an abnormal screen. CONCLUSIONS:Emergency room screening was cost-effective for cervical cancer; breast cancer screening was relatively expensive given the low number of women reached. More intensive recruitment and follow-up strategies are needed to maximize the cost-effectiveness of such programs.


Am J Public Health


Mandelblatt J,Freeman H,Winczewski D,Cagney K,Williams S,Trowers R,Tang J,Gold K,Lin TH,Kerner J




Has Abstract


1997-07-01 00:00:00












  • The effect of hip fracture on mortality, hospitalization, and functional status: a prospective study.

    abstract:OBJECTIVES:The purpose of this study was to prospectively assess the independent effect of hip fracture on mortalìty, hospitalization, and functional status. METHODS:Among 7527 members of the Longitudinal Study of Aging who were over age 70 at baseline, 368 persons with hip fracture occurring between 1984 and 1991 wer...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Wolinsky FD,Fitzgerald JF,Stump TE

    更新日期:1997-03-01 00:00:00

  • A Community-Powered, Asset-Based Approach to Intersectoral Urban Health System Planning in Chicago.

    abstract:OBJECTIVES:To describe, and provide a nomenclature and taxonomy for classifying, the economic sectors and functional assets that could be mobilized as partners in an intersectoral health system. METHODS:MAPSCorps (Meaningful, Active, Productive Science in Service to Community) employed local youths to conduct a census...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Lindau ST,Vickery KD,Choi H,Makelarski J,Matthews A,Davis M

    更新日期:2016-10-01 00:00:00

  • Incarceration as forced migration: effects on selected community health outcomes.

    abstract:OBJECTIVES:We estimated the effects of high incarceration rates on rates of sexually transmitted infections and teenage pregnancies. METHODS:We calculated correlations between rates of incarceration in state prisons and county jails and rates of sexually transmitted infections and teenage pregnancies for each of the 1...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Thomas JC,Torrone E

    更新日期:2006-10-01 00:00:00

  • The Legacy of 1987 Boreali v. Axelrod: Board of Health Rule-Making Under Siege.

    abstract::We explore how a 1987 New York State court decision-Boreali v. Axelrod-affected public health rule-making nationally and, with considerable impact, locally in New York City (NYC).We discuss the history of the origin of the NYC Board of Health (BOH), and establish that legislatures can be challenging venues in which to...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Perl SB,Merrill TG,Lopez W,Bassett MT

    更新日期:2019-01-01 00:00:00

  • Can medicaid reimbursement help give female condoms a second chance in the United States?

    abstract::The female condom is the only other barrier contraception method besides the male condom, and it is the only "woman-initiated" device for prevention of sexually transmitted infections. Although studies demonstrate high acceptability and effectiveness for this device, overall use in the United States remains low. The f...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Witte SS,Stefano K,Hawkins C

    更新日期:2010-10-01 00:00:00

  • Fall-induced deaths among elderly people.

    abstract::Falls and fall-induced injuries in older people are a major public health problem in modern societies with aging populations. Injury is the fifth leading cause of death in older adults, and most of these fatal injuries are related to falls. We have assessed the nationwide trends in fall-induced deaths of older people ...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Kannus P,Parkkari J,Niemi S,Palvanen M

    更新日期:2005-03-01 00:00:00

  • No care for the caregivers: declining health insurance coverage for health care personnel and their children, 1988-1998.

    abstract:OBJECTIVES:This study examined trends in health insurance coverage for health care workers and their children between 1988 and 1998. METHODS:We analyzed data from the annual March supplements of the Current Population Survey (CPS), a Census Bureau survey that collects information about health insurance from a national...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Case BG,Himmelstein DU,Woolhandler S

    更新日期:2002-03-01 00:00:00

  • Draw the line/respect the line: a randomized trial of a middle school intervention to reduce sexual risk behaviors.

    abstract:OBJECTIVES:This study evaluated the long-term effectiveness of Draw the Line/Respect the Line, a theoretically based curriculum designed to reduce sexual risk behaviors among middle school adolescents. METHODS:The randomized controlled trial involved 19 schools in northern California. A cohort of 2829 sixth graders wa...

    journal_title:American journal of public health

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Coyle KK,Kirby DB,Marín BV,Gómez CA,Gregorich SE

    更新日期:2004-05-01 00:00:00

  • Error in smoking measures: effects of intervention on relations of cotinine and carbon monoxide to self-reported smoking. The Lung Health Study Research Group.

    abstract:OBJECTIVES:Sources of measurement error in assessing smoking status are examined. METHODS:The Lung Health Study, a randomized trial in 10 clinical centers, includes 3923 participants in a smoking cessation program and 1964 usual care participants. Smoking at first annual follow-up was assessed by salivary cotinine, ex...

    journal_title:American journal of public health

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Murray RP,Connett JE,Lauger GG,Voelker HT

    更新日期:1993-09-01 00:00:00

  • Health care for the homeless in a national health program.

    abstract::To assess the impact of adoption of a national health program on homeless care in the United States, care for this group in Britain's National Health Service (NHS) was evaluated. Although hospital and medication charges are eliminated, primary care for the homeless lacks central government directive, suffers from over...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Reuler JB

    更新日期:1989-08-01 00:00:00

  • The effect of antidepressant warnings on prescribing trends in Ontario, Canada.

    abstract:OBJECTIVES:We studied whether 5 regulatory agency advisories concerning the possible increased risk of suicidal behavior during antidepressant therapy had an effect on antidepressant prescription trends in Ontario. METHODS:We conducted a population-based, time-series analysis of new monthly antidepressant prescription...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Kurdyak PA,Juurlink DN,Mamdani MM

    更新日期:2007-04-01 00:00:00

  • Emotional disability days: prevalence and predictors.

    abstract::This study considered days missed from work or usual activities for emotional reasons associated with a range of specific psychopathologic disorders, psychosocial distress, and persons found to be asymptomatic. Analyses were performed with the presence or absence of emotional disability days as the dependent variable ...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Kouzis AC,Eaton WW

    更新日期:1994-08-01 00:00:00

  • Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis.

    abstract::Rates of neonatal abstinence syndrome (NAS) have increased fivefold in the past decade. To address this expanding and complex issue, state public health agencies have addressed the opioid crisis affecting newborns in diverse ways, leading to a variety of methods to quantify the burden of NAS.In an effort to understand...

    journal_title:American journal of public health

    pub_type: 杂志文章,评审


    authors: Chiang KV,Okoroh EM,Kasehagen LJ,Garcia-Saavedra LF,Ko JY

    更新日期:2019-09-01 00:00:00

  • Effect of birth cohort on risk of hip fracture: age-specific incidence rates in the Framingham Study.

    abstract:OBJECTIVES:This study examined the effect of birth cohort on incidence rates of hip fracture among women and men in the Framingham Study. METHODS:Age-specific incidence rates of first hip fracture were presented according to tertile of year of birth for 5209 participants of the Framingham Study, a population-based coh...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Samelson EJ,Zhang Y,Kiel DP,Hannan MT,Felson DT

    更新日期:2002-05-01 00:00:00

  • Disparities in cancer mortality and incidence among American Indians and Alaska Natives in the United States.

    abstract:OBJECTIVES:We used improved data on American Indian and Alaska Native (AI/AN) ancestry to provide an updated and comprehensive description of cancer mortality and incidence among AI/AN populations from 1990 to 2009. METHODS:We linked the National Death Index and central cancer registry records independently to the Ind...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: White MC,Espey DK,Swan J,Wiggins CL,Eheman C,Kaur JS

    更新日期:2014-06-01 00:00:00

  • Notifying workers at risk: the politics of the right-to-know.

    abstract::Holding that workers exposed to toxic substances in the workplace have a right to know about the extent to which they may have been put at risk, Bayer describes the history of the political controversy over whether the National Institute of Occupational Safety and Health (NIOSH) ought to provide individual notificatio...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Bayer R

    更新日期:1986-11-01 00:00:00

  • Importance of relationship context in HIV transmission: results from a qualitative case-control study in Rakai, Uganda.

    abstract::We present results from life history interviews with 60 young adults from southern Uganda. Using a novel qualitative case-control design, we compared newly HIV-positive cases with HIV-negative controls matched on age, gender, marital status, and place of residence. Relationship context was the most salient theme diffe...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Higgins JA,Mathur S,Eckel E,Kelley L,Nakyanjo N,Sekamwa R,Namatovu J,Ddaaki W,Nakubulwa R,Namakula S,Nalugoda F,Santelli JS

    更新日期:2014-04-01 00:00:00

  • Healthy people 2010 leading health indicators: how children with special health care needs fared.

    abstract:OBJECTIVES:We compared estimates for children with and without special health care needs (SHCN) at 2 time periods for national health objectives related to the Healthy People 2010 leading health indicators (LHIs). METHODS:Data were from the 2003 and 2007 National Surveys of Children's Health. Seven survey items were r...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Ghandour RM,Grason HA,Schempf AH,Strickland BB,Kogan MD,Jones JR,Nichols D

    更新日期:2013-06-01 00:00:00

  • Community health workers can be a public health force for change in the United States: three actions for a new paradigm.

    abstract::Community health workers (CHWs) have gained increased visibility in the United States. We discuss how to strengthen the roles of CHWs to enable them to become collaborative leaders in dramatically changing health care from "sickness care" systems to systems that provide comprehensive care for individuals and families ...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Balcazar H,Rosenthal EL,Brownstein JN,Rush CH,Matos S,Hernandez L

    更新日期:2011-12-01 00:00:00

  • Latino child health: need for inclusion in the US national discourse.

    abstract::The "rediscovery" of poverty, as echoed in concepts of social inequality, has contributed to the goal of eliminating racial/ethnic and social class disparities in the United States. This commentary focuses on what we know about the pressing health care needs and issues relevant to Latino children and families and how ...

    journal_title:American journal of public health

    pub_type: 杂志文章,评审


    authors: Zambrana RE,Logie LA

    更新日期:2000-12-01 00:00:00

  • The effect of congenital anomalies on mortality risk in white and black infants.

    abstract:OBJECTIVES:This population-based study examined the effect of all major congenital anomalies on the mortality of White and Black infants by infant sex, birthweight, gestational age, and lethality of the anomaly. The study also determined the total contribution of anomalies to infant mortality. METHODS:California Birth...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Malcoe LH,Shaw GM,Lammer EJ,Herman AA

    更新日期:1999-06-01 00:00:00

  • Effect of polybrominated biphenyls (PBB) on developmental abilities in young children.

    abstract::Eighteen children, ages 4 to 6 years, with known exposure to polybrominated biphenyls (PBB) in utero and/or through breast milk were administered developmental tests. These same children had exhibited low scores on a partial developmental assessment two years earlier. Current results were compared to normative test da...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Schwartz EM,Rae WA

    更新日期:1983-03-01 00:00:00

  • The risks, costs, and benefits of possible future global policies for managing polioviruses.

    abstract:OBJECTIVES:We assessed the costs, risks, and benefits of possible future major policy decisions on vaccination, surveillance, response plans, and containment following global eradication of wild polioviruses. METHODS:We developed a decision analytic model to estimate the incremental cost-effectiveness ratios and net b...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Thompson KM,Tebbens RJ,Pallansch MA,Kew OM,Sutter RW,Aylward RB,Watkins M,Gary HE Jr,Alexander J,Jafari H,Cochi SL

    更新日期:2008-07-01 00:00:00

  • Racial differences in serum cotinine levels among smokers in the Coronary Artery Risk Development in (Young) Adults study.

    abstract::Cotinine was measured in the serum of nearly all 5,115 18-30 year old, Black and White, men and women participating in the Coronary Artery Risk Development in (Young) Adults Study, 30 percent of whom reported current cigarette smoking. Ninety-five percent of the reported smokers had serum cotinine levels indicative of...

    journal_title:American journal of public health

    pub_type: 杂志文章,多中心研究


    authors: Wagenknecht LE,Cutter GR,Haley NJ,Sidney S,Manolio TA,Hughes GH,Jacobs DR

    更新日期:1990-09-01 00:00:00

  • HIV-related behaviors and perceptions among adults in 25 states: 1997 Behavioral Risk Factor Surveillance System.

    abstract:OBJECTIVES:To assess the level of HIV-related risk behavior among the general US adult population, we analyzed data from the first sexual behavior questions available for states to use with the Behavioral Risk Factor Surveillance System. METHODS:The Behavioral Risk Factor Surveillance System is a state-specific, popul...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Holtzman D,Bland SD,Lansky A,Mack KA

    更新日期:2001-11-01 00:00:00

  • Preventable Emergency Department Visits for Nontraumatic Dental Conditions: Trends and Disparities in Nevada, 2009-2015.

    abstract:OBJECTIVES:To examine trends and socioeconomic disparities for preventable dental-related emergency department (ED) visits in Nevada. METHODS:We pooled retrospective data containing 66 267 ED visits involving dental conditions from Nevada hospital ED databases from 2009 to 2015. The dependent variable was nontraumatic...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Zhou W,Kim P,Shen JJ,Greenway J,Ditmyer M

    更新日期:2018-03-01 00:00:00

  • Public Health and Hospitals: Lessons Learned From Partnerships in a Changing Health Care Environment.

    abstract::Recent changes in policymaking, such as the passage of the Patient Protection and Affordable Care Act, have ushered in a new era in community health partnerships. To investigate characteristics of effective collaboration between hospitals, their parent systems, and the public health community, with the support of majo...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Scutchfield FD,Prybil L,Kelly AV,Mays GP

    更新日期:2016-01-01 00:00:00

  • Hunting firearm injuries, North Carolina.

    abstract::To determine the percentage of unintentional firearm-related injuries associated with hunting and to identify risk factors, we conducted a retrospective, descriptive survey of all hunting firearm injuries identified by two North Carolina surveillance systems. Almost one-third of unintentional shooting deaths are hunti...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Cole TB,Patetta MJ

    更新日期:1988-12-01 00:00:00

  • HIV Testing, Access to HIV-Related Services, and Late-Stage HIV Diagnoses Across US States, 2013-2016.

    abstract::Objectives. To examine state-level factors associated with late-stage HIV diagnoses in the United States.Methods. We examined state-level factors associated with late-stage diagnoses by estimating negative binomial regression models. We used 2013 to 2016 data from the National HIV Surveillance System (late-stage diagn...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Krueger A,Van Handel M,Dietz PM,Williams WO,Patel D,Johnson AS

    更新日期:2019-11-01 00:00:00

  • Sharing a Playbook: Integrated Care in Community Health Centers in the United States.

    abstract:OBJECTIVES:We investigated basic measures used to assess collaboration between colocated providers and to gauge the extent to which health centers practice integrated care. METHODS:We used the Assessment of Behavioral Health Services survey and the 2010 Uniform Data System to explore the elements of integrated care fo...

    journal_title:American journal of public health

    pub_type: 杂志文章


    authors: Jones EB,Ku L

    更新日期:2015-10-01 00:00:00