Abstract:
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.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Mandelblatt J,Freeman H,Winczewski D,Cagney K,Williams S,Trowers R,Tang J,Gold K,Lin TH,Kerner Jdoi
10.2105/ajph.87.7.1182subject
Has Abstractpub_date
1997-07-01 00:00:00pages
1182-9issue
7eissn
0090-0036issn
1541-0048journal_volume
87pub_type
杂志文章abstract::We verified a random sample of 50 references in the May 1986 issue of each of three public health journals. Thirty-one per cent of the 150 references had citation errors, one out of 10 being a major error (reference not locatable). Thirty per cent of the references differed from authors' use of them with half being a ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.8.1011
更新日期:1987-08-01 00:00:00
abstract::A three-week belt use law publicity and enforcement campaign in Elmira, New York, in November 1985, increased use from 49 per cent to 77 per cent; four months later belt use was 66 per cent. A reminder program, in April 1986, increased belt use to 80 per cent; use declined to 69 per cent four months later and to 60 pe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.11.1450
更新日期:1987-11-01 00:00:00
abstract:OBJECTIVES:Interpreting associations between lead exposure and child behavior problems is difficult because studies have not controlled for sociodemographic confounders or have used shed teeth to mark exposure. This study explored associations between blood lead and preschool behavior. METHODS:Children from a smelter ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.3.481
更新日期:1998-03-01 00:00:00
abstract::We assessed the proportion and characteristics of patients who do not regularly visit general health care providers but do visit dentists and whose unaddressed systemic health conditions could therefore be identified by their dentist. Of the 26.0% of children and 24.1% of adults that did not access general outpatient ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300420
更新日期:2012-02-01 00:00:00
abstract::Five years after the Three Mile Island nuclear accident, the mental health of women who had been pregnant and living within 10 miles of Three Mile Island at the time of the accident was similar to that of women from the same area who became pregnant after the accident. Ratings of the development of the two groups of c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.3.384
更新日期:1991-03-01 00:00:00
abstract::We used an agent-based model to examine the impact of the walking school bus (WSB) on children's active travel to school. We identified a synergistic effect of the WSB with other intervention components such as an educational campaign designed to improve attitudes toward active travel to school. Results suggest that t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301896
更新日期:2014-07-01 00:00:00
abstract::Objectives. To quantify sociodemographic disparities in prediagnosis preexposure prophylaxis (PrEP) use in persons recently diagnosed with HIV in New York City and assigned for partner services.Methods. We used partner services data from November 2015 to September 2017 from persons diagnosed with HIV in the past 12 mo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305155
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVES:We evaluated the effectiveness of the Community Relapse Prevention and Maintenance (CRPM) program, developed by Correctional Service Canada to better meet the needs of women offenders with drug problems. METHODS:Using survival analysis, we investigated the association between exposure and nonexposure to CRP...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300094
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVES:We sought to identify individual and contextual predictors of adolescent smoking initiation and progression to daily smoking by race/ethnicity. METHODS:We used data from the National Longitudinal Study of Adolescent Health to estimate the effects of individual (adolescent, family, peer) and contextual (scho...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.1.128
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVES:We sought to better understand the prevalence and consequences of food insecurity among American Indian families with young children. METHODS:Parents or caregivers of kindergarten-age children enrolled in the Bright Start study (dyad n=432) living on the Pine Ridge Reservation in South Dakota completed a qu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300522
更新日期:2012-07-01 00:00:00
abstract::We identified factors associated with death at home for 28,828 hospice and non-hospice cancer patients in 13 counties of western Washington State. Hospice participation was found to be the variable most strongly associated with death at home. Admission to hospice appears to override the tendency for certain subgroups ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.11.1549
更新日期:1989-11-01 00:00:00
abstract::A 5-tier pyramid best describes the impact of different types of public health interventions and provides a framework to improve health. At the base of this pyramid, indicating interventions with the greatest potential impact, are efforts to address socioeconomic determinants of health. In ascending order are interven...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.185652
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:We examined correlates of condomless anal intercourse with nonmain sexual partners among African American men who have sex with men (MSM). METHODS:We recruited social networks composed of 445 Black MSM from 2012 to 2014 in Milwaukee, Wisconsin; Cleveland, Ohio; and Miami Beach, Florida. Participants reporte...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302945
更新日期:2016-01-01 00:00:00
abstract::This population-based case-control study of North Carolina workplaces evaluated the hypothesis that employers' policies allowing firearms in the workplace may increase workers' risk of homicide. Workplaces where guns were permitted were about 5 times as likely to experience a homicide as those where all weapons were p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2003.033535
更新日期:2005-05-01 00:00:00
abstract::Recently in Russia, abortion rights have been attacked. For decades, Russian women could have an elective abortion up to week 12 of pregnancy; between 12 and 22 weeks, medical or social grounds were required for an abortion. In mid 2011, a group of Parliamentarians teamed up with Russian Orthodox Church activists and ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301329
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to determine the number of induced abortions per woman and the reasons for selecting induced abortion among parous Armenian women. METHODS:A consecutive series of 200 women attending an abortion clinic in Yerevan, Armenia, were queried by a physician about their reproductive hi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.5.803
更新日期:1998-05-01 00:00:00
abstract:OBJECTIVES:We assessed the effectiveness of a 2-year multicomponent, school-based intervention designed to reduce tobacco use rates among adolescents in an urban area of India. METHODS:Students from 32 schools in Delhi and Chennai, India, were recruited and randomly assigned to an intervention or control group. Baseli...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/AJPH.2008.145433
更新日期:2009-05-01 00:00:00
abstract::In an attempt to meet the need for increasing public knowledge about cancer, a system providing free information by telephone has been developed. The system is comprised of 36 pre-recorded taped lectures containing information about various aspects of cancer. Interested individuals call a toll-free number, indicate a ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.4.367
更新日期:1976-04-01 00:00:00
abstract::Conceptually, the only element that all Latin American countries share is not language, race, or culture, but political: the presence of United States foreign policy as pronounced in the Monroe Doctrine in 1823. The political relation between the US and Latin America has colored US domestic policy toward its populatio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.1.61
更新日期:1987-01-01 00:00:00
abstract::The World Bank began operations on June 25, 1946. Although it was established to finance European reconstruction after World War II, the bank today is a considerable force in the health, nutrition, and population (HNP) sector in developing countries. Indeed, it has evolved from having virtually no presence in global h...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2004.042002
更新日期:2005-01-01 00:00:00
abstract::In the field of social sciences, there has been a renewed interest in studying prejudice and discrimination as stressors and assessing their impact on various health outcomes. This raises a need for theoretically based and psychometrically sound measures of prejudice. As researchers approach this task, there are sever...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.2.262
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVES:To assess the prevalence and factors associated with physical and nonphysical violence in a sample of general practitioners (GPs). METHODS:We used a cross-sectional design to collect data from December 2014 to March 2015 with a structured self-administered questionnaire from 1015 GPs in Hubei Province, Cent...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304519
更新日期:2018-09-01 00:00:00
abstract::The Center for Disease Control (CDC), Atlanta, Georgia implemented an eight-month prospective surveillance system in 24 hospitals distributed among states with and without public funding for abortion. Out of 3,157 visits for abortion-related complications, only 10 women gave a history of non-physician or self-induced ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.9.945
更新日期:1979-09-01 00:00:00
abstract::Academic occupational health centers can support state-based occupational disease surveillance by playing a role in case identification and management, physician education, workplace investigation, and surveillance case criteria development. The existing centers can also serve as models for developing new clinics. As ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.suppl.58
更新日期:1989-12-01 00:00:00
abstract::The science of eliminating health disparities is complex and dependent on demographic data. The Health Information Technology for Economic and Clinical Health Act (HITECH) encourages the adoption of electronic health records and requires basic demographic data collection; however, current data generated are insufficie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302384
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVES:We determined racial/ethnic differences in social support and exposure to violence and transphobia, and explored correlates of depression among male-to-female transgender women with a history of sex work (THSW). METHODS:A total of 573 THSW who worked or resided in San Francisco or Oakland, California, were ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.197285
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVES:We examined racial and ethnic disparities in the total potential burden of asthma in low-income, racially/ethnically heterogeneous Chicago schools. METHODS:We used the Brief Pediatric Asthma Screen Plus (BPAS+) and the Spanish BPAS+, validated, caregiver-completed respiratory questionnaires, to identify ast...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.071514
更新日期:2006-09-01 00:00:00
abstract::Workplace barriers contribute to low rates of breastfeeding. Research shows that supportive state laws correlate with higher rates, yet by 2009, only 23 states had adopted any laws to encourage breastfeeding in the workplace. Federal law provided virtually no protection to working mothers until the 2010 enactment of t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.185280
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:To examine intraindividual change in polytobacco and individual tobacco and nicotine product use across young adulthood. METHOD:Participants were 2711 students from 24 Texas colleges participating in a 6-wave online study, with 6 months between each wave. Participants were aged 18 to 25 years at baseline in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304850
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVES:To estimate the lifetime prevalence of official investigations for child maltreatment among children in the United States. METHODS:We used the National Child Abuse and Neglect Data System Child Files (2003-2014) and Census data to develop synthetic cohort life tables to estimate the cumulative prevalence of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303545
更新日期:2017-02-01 00:00:00