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:OBJECTIVES:We examined socioeconomic inequalities in health among older adults in England and Brazil. METHODS:We analyzed nationally representative samples of residents aged 50 years and older in 2008 data from the Brazilian National Household Survey (n = 75,527) and the English Longitudinal Study of Ageing (n = 9589)...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300765
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVES:We examined the potential relation of mental ability test scores at age 10 years with alcohol problems and alcohol intake at age 30 years. METHODS:We used data from a prospective observational study involving 8170 members of a birth cohort from Great Britain born in 1970. Data included mental ability scores...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.109488
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVES:This study investigated the relationship between psychosocial and behavioral factors and the frequency of emergency department visits for childhood asthma. METHODS:Data obtained from a survey of parents of 445 children who were being treated for asthma in the emergency room of a large urban hospital were ex...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.10.1410
更新日期:1996-10-01 00:00:00
abstract::We use systems thinking to develop a strategic framework for analyzing the tobacco problem and we suggest solutions. Humans are vulnerable to nicotine addiction, and the most marketable form of nicotine delivery is the most harmful. A tobacco use management system has evolved out of governments' attempts to regulate t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165910
更新日期:2010-07-01 00:00:00
abstract::We evaluated the prevalence and incidence of human immunodeficiency virus (HIV) infection in 3,837 inmates of a state prison system. Ninety-two (2.4 percent) were HIV-seropositive. The highest proportion of HIV-seropositive inmates was found among Blacks (5.4 percent), females, and those 30 years of age or older. HIV-...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.2.209
更新日期:1990-02-01 00:00:00
abstract:OBJECTIVES:We examined the probability of an obese person attaining normal body weight. METHODS:We drew a sample of individuals aged 20 years and older from the United Kingdom's Clinical Practice Research Datalink from 2004 to 2014. We analyzed data for 76,704 obese men and 99,791 obese women. We excluded participants...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302773
更新日期:2015-09-01 00:00:00
abstract::Curricular change is essential for maintaining vibrant, timely, and relevant educational programming. However, major renewal of a long-standing curriculum at an established university presents many challenges for leaders, faculty, staff, and students. We present a case study of a dramatic curriculum renewal of one of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302470
更新日期:2015-03-01 00:00:00
abstract::US national elections, which draw sizable numbers of older voters, take place during flu-shot season and represent an untapped opportunity for large-scale delivery of vaccinations. In 2012, Vote & Vax deployed a total of 1585 clinics in 48 states; Washington, DC; Guam; Puerto Rico; and the US Virgin Islands. Approxima...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302628
更新日期:2015-06-01 00:00:00
abstract::Researchers have a responsibility to cause no harm, but research has been a source of distress for indigenous people because of inappropriate methods and practices. The way researchers acquire knowledge in indigenous communities may be as critical for eliminating health disparities as the actual knowledge that is gain...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.093641
更新日期:2008-01-01 00:00:00
abstract::In the past few years, US federal agencies governing research with human subjects and institutional review boards have taken a higher-profile path than ever before, both at home and internationally. This trend carries profound significance for US-based institutions and has implications also for the rest of the world. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.7.1067
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVES:We analyzed smoking survey data across communities in Chicago, Ill, to explore community-level variations in smoking behavior. METHODS:We conducted a health survey of 6 racially and ethnically diverse Chicago communities during 2002-2003. The survey included questions about current smoking, smoking history,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.051169
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVES:This study assessed the contribution of age and other risk factors to racial disparities in rates of moderately low birthweight (MLBW; 1500-2499 g) and very low birthweight (VLBW; <1500 g). METHODS:Logistic regression models were developed to determine the effects on MLBW and VLBW of maternal age, race, and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.11.1815
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVES:We sought to estimate the effects of recreational physical activity and back exercises on low back pain, related disability, and psychological distress among patients randomized to chiropractic or medical care in a managed care setting. METHODS:Low back pain patients (n=681) were randomized and followed for...
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.2004.052993
更新日期:2005-10-01 00:00:00
abstract::A hospital-based survey on shift work, sleep, and accidents was carried out among 635 Massachusetts nurses. In comparison to nurses who worked only day/evening shifts, rotators had more sleep/wake cycle disruption and nodded off more at work. Rotators had twice the odds of nodding off while driving to or from work and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.7.1011
更新日期:1992-07-01 00:00:00
abstract:OBJECTIVES:We sought to evaluate outcomes of the Veterans Administration (VA) Afghan and Iraq Post-Deployment Screen for mental health symptoms. METHODS:Veterans Administration clinicians were encouraged to refer Iraq or Afghanistan veterans who screened positive for posttraumatic stress disorder, depression, or high-...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.115519
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVES:We sought to determine the amount of time required for a primary care physician to provide recommended preventive services to an average patient panel. METHODS:We used published and estimated times per service to determine the physician time required to provide all services recommended by the US Preventive ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.4.635
更新日期:2003-04-01 00:00:00
abstract::The environmental justice movement has stimulated community-driven research about the living and working conditions of people of color and low-income communities. We describe an epidemiological study designed to link research with community education and organizing for social justice. In eastern North Carolina, high-d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.110486
更新日期:2008-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165019
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVES:To describe disparities in HIV infection and syphilis among gay, bisexual, and other men who have sex with men (MSM) in US states through ratio-based measures and graphical depictions of disparities. METHODS:We used state-level surveillance data of reported HIV and syphilis cases in 2015 and 2016, and estim...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304762
更新日期:2018-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301485
更新日期:2013-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304592
更新日期:2018-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302006
更新日期:2014-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.2.271
更新日期:2000-02-01 00:00:00
abstract::We systematically reviewed randomized controlled trials of interventions to improve the health of people during imprisonment or in the year after release. We searched 14 biomedical and social science databases in 2014, and identified 95 studies. Most studies involved only men or a majority of men (70/83 studies in whi...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2014.302498
更新日期:2015-04-01 00:00:00
abstract::This paper reports the home-facility and level of care changes, discharges, and deaths over a five-year period for 1,653 clients newly admitted in 1978 to a long-term care program in British Columbia, Canada. Five years after admission, of clients initially admitted to care at home (N = 1241), 34.3 per cent were still...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.11.1312
更新日期:1986-11-01 00:00:00
abstract:OBJECTIVES:It is widely believed that risk factors identified in previous epidemiologic studies accurately predict adolescent drug use. Comparative studies are needed to determine how risk factors vary in prevalence, distribution, sensitivity, and pattern across the major US ethnic/racial groups. METHODS:Baseline ques...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.2.185
更新日期:1993-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.180570
更新日期:2010-11-01 00:00:00
abstract::We review the current status as well as the risks and benefits of a recently developed DNA test of risk for Alzheimer's disease: the apolipoprotein E genotype. While apolipoprotein E genotypes may indicate a degree of susceptibility, the gene is neither necessary nor sufficient to cause the disease; thus, many questio...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.85.9.1280
更新日期:1995-09-01 00:00:00
abstract::Using an ethnographic approach, the authors explored the awareness among women in southern Africa of the HIV epidemic and the methods they might use to protect themselves from the virus. The research, conducted from 1992 through 1999, focused specifically on heterosexual transmission in 5 sites that were selected to r...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.90.7.1042
更新日期:2000-07-01 00:00:00
abstract::Selected mental health and social characteristics of 51 homeless persons drawn as a probability sample from missions are compared to those of 1,338 men aged 18-64 years living in households from the NIMH Epidemiologic Catchment Area survey conducted in Eastern Baltimore. Differences between the two groups were small w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.5.519
更新日期:1986-05-01 00:00:00