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

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 Health

authors

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

doi

10.2105/ajph.87.7.1182

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

1182-9

issue

7

eissn

0090-0036

issn

1541-0048

journal_volume

87

pub_type

杂志文章
  • Do authors check their references? A survey of accuracy of references in three public health journals.

    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

    authors: Eichorn P,Yankauer A

    更新日期:1987-08-01 00:00:00

  • Seat belt use law enforcement and publicity in Elmira, New York: a reminder campaign.

    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

    authors: Williams AF,Preusser DF,Blomberg RD,Lund AK

    更新日期:1987-11-01 00:00:00

  • The effect of lead exposure on behavior problems in preschool children.

    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

    authors: Wasserman GA,Staghezza-Jaramillo B,Shrout P,Popovac D,Graziano J

    更新日期:1998-03-01 00:00:00

  • Identifying unaddressed systemic health conditions at dental visits: patients who visited dental practices but not general health care providers in 2008.

    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

    authors: Strauss SM,Alfano MC,Shelley D,Fulmer T

    更新日期:2012-02-01 00:00:00

  • Effect of pregnancy during TMI crisis on mothers' mental health and their child's development.

    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

    authors: Houts PS,Tokuhata GK,Bratz J,Bartholomew MJ,Sheffer KW

    更新日期:1991-03-01 00:00:00

  • Examining the impact of the walking school bus with an agent-based model.

    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

    authors: Yang Y,Diez-Roux A,Evenson KR,Colabianchi N

    更新日期:2014-07-01 00:00:00

  • Ongoing Disparities in Prediagnosis Preexposure Prophylaxis Use Among Persons Recently Diagnosed With HIV in New York City, 2015-2017.

    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

    authors: Misra K,Huang JS,Udeagu CN

    更新日期:2019-09-01 00:00:00

  • Community-based aftercare and return to custody in a national sample of substance-abusing women offenders.

    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

    authors: Matheson FI,Doherty S,Grant BA

    更新日期:2011-06-01 00:00:00

  • Racial/ethnic differences in cigarette smoking initiation and progression to daily smoking: a multilevel analysis.

    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

    authors: Kandel DB,Kiros GE,Schaffran C,Hu MC

    更新日期:2004-01-01 00:00:00

  • High food insecurity and its correlates among families living on a rural American Indian Reservation.

    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

    authors: Bauer KW,Widome R,Himes JH,Smyth M,Rock BH,Hannan PJ,Story M

    更新日期:2012-07-01 00:00:00

  • Factors affecting place of death of hospice and non-hospice cancer patients.

    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

    authors: Moinpour CM,Polissar L

    更新日期:1989-11-01 00:00:00

  • A framework for public health action: the health impact pyramid.

    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

    authors: Frieden TR

    更新日期:2010-04-01 00:00:00

  • Correlates of Sexual HIV Risk Among African American Men Who Have Sex With Men.

    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

    authors: Kelly JA,St Lawrence JS,Tarima SS,DiFranceisco WJ,Amirkhanian YA

    更新日期:2016-01-01 00:00:00

  • Employer policies toward guns and the risk of homicide in the workplace.

    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

    authors: Loomis D,Marshall SW,Ta ML

    更新日期:2005-05-01 00:00:00

  • Traditional Christian values and women's reproductive rights in modern Russia--is a consensus ever possible?

    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

    authors: Erofeeva LV

    更新日期:2013-11-01 00:00:00

  • Contraception and induced abortion in Armenia: a critical need for family planning programs in eastern Europe.

    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

    authors: Dolian G,Lüdicke F,Katchatrian N,Campana A,Morabia A

    更新日期:1998-05-01 00:00:00

  • Preventing tobacco use among young people in India: Project MYTRI.

    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

    authors: Perry CL,Stigler MH,Arora M,Reddy KS

    更新日期:2009-05-01 00:00:00

  • Measuring response to a cancer information telephone facility: Can-Dial.

    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

    authors: Wilkinson GS,Mirand EA,Graham S

    更新日期:1976-04-01 00:00:00

  • Latino terminology: conceptual bases for standardized terminology.

    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

    authors: Hayes-Bautista DE,Chapa J

    更新日期:1987-01-01 00:00:00

  • The changing role of the World Bank in global health.

    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

    authors: Ruger JP

    更新日期:2005-01-01 00:00:00

  • Prejudice as stress: conceptual and measurement problems.

    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

    authors: Meyer IH

    更新日期:2003-02-01 00:00:00

  • Prevalence and Risk Factors Associated With Workplace Violence Against General Practitioners in Hubei, China.

    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

    authors: Gan Y,Li L,Jiang H,Lu K,Yan S,Cao S,Fu W,Hu S,Qiao Y,Yang T,Wang C,Chen Y,Yang Y,Li H,Fang P,Yin X,Lu Z

    更新日期:2018-09-01 00:00:00

  • The health impact of restricting public funds for abortion. October 10, 1977--June 10, 1978.

    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

    authors: Cates W Jr,Kimball AM,Gold J,Rubin GL,Smith JC,Rochat RW,Tyler CW Jr

    更新日期:1979-09-01 00:00:00

  • The role of occupational health clinics in surveillance of occupational disease.

    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

    authors: Welch L

    更新日期:1989-12-01 00:00:00

  • Missed policy opportunities to advance health equity by recording demographic data in electronic health records.

    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

    authors: Douglas MD,Dawes DE,Holden KB,Mack D

    更新日期:2015-07-01 00:00:00

  • Social support, exposure to violence and transphobia, and correlates of depression among male-to-female transgender women with a history of sex work.

    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

    authors: Nemoto T,Bödeker B,Iwamoto M

    更新日期:2011-10-01 00:00:00

  • Racial and ethnic disparities in diagnosed and possible undiagnosed asthma among public-school children in Chicago.

    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

    authors: Quinn K,Shalowitz MU,Berry CA,Mijanovich T,Wolf RL

    更新日期:2006-09-01 00:00:00

  • Working mothers, breastfeeding, and the law.

    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

    authors: Murtagh L,Moulton AD

    更新日期:2011-02-01 00:00:00

  • Trajectories of Tobacco and Nicotine Use Across Young Adulthood, Texas, 2014-2017.

    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

    authors: Loukas A,Marti CN,Perry CL

    更新日期:2019-03-01 00:00:00

  • Lifetime Prevalence of Investigating Child Maltreatment Among US Children.

    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

    authors: Kim H,Wildeman C,Jonson-Reid M,Drake B

    更新日期:2017-02-01 00:00:00