Abstract：
:A decision theoretic model was used to investigate the relative importance of risk level, radiation hazard, mammographic accuracy, and cost in mammographic screening decision. The model uses woman-specific medical and family history facts and clinic-specific information regarding mammographic accuracy and practice to profile both woman and clinic, and to formulate periodic screening recommendations. Model parameters were varied extensively to investigate the sensitivity of screening schedules to input values. Multivariate risk was estimated within the program using published data from the Breast Cancer Detection Demonstration Project 5-year follow-up study. Radiation hazard estimates were developed from published radiation physics and radioepidemiologic risk data. Benchmark values for mammographic sensitivity and specificity under screening conditions were calculated from Breast Cancer Detection Demonstration Project data. Procedural costs used in the analysis were varied around values reflecting conditions at the Washington University Medical Center. Mortality advantages of early versus late breast cancer detection were accounted for using Health Insurance Plan of New York case survival rates. Results are compared with published screening policies to provide insight into implicit assumptions behind those policies. This analysis emphasizes the importance of accounting for variations in clinical accuracy under screening circumstances, in costs, in radiation exposure, and in woman-specific risk when recommending mammographic screening.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Gohagan JK,Darby WP,Spitznagel EL,Tome AEdoi
10.1016/0091-7435(88)90060-6subject
Has Abstractpub_date
1988-03-01 00:00:00pages
155-72issue
2eissn
0091-7435issn
1096-0260pii
0091-7435(88)90060-6journal_volume
17pub_type
杂志文章abstract：OBJECTIVE:The objective of the study is to assess the socioeconomic status of the households affected by the tsunami of 2004 & to determine the factors associated with the recovery of household economic status. METHODS:The study was conducted in tsunami-affected areas in Malaysia in 2010-2011. A total of 193 household...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2012.12.024
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:Studies of the relationship between dietary fat intake and serum lipids in young children have yielded inconclusive results. We studied this relationship in 108 Hispanic children ages 4-5 years. METHODS:Four 24-hr recalls approximately 3 months apart and two Willett semiquantitative food frequency questionn...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(91)90023-w
更新日期：1991-03-01 00:00:00
abstract：BACKGROUND:To guide the development of an AIDS prevention program for urban minority high school students, the authors investigated the prevalence of AIDS-risk behaviors, and the relative explanatory power of demographic, contextual, and cognitive correlates of these behaviors, among black and Hispanic students in thre...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1993.1074
更新日期：1993-11-01 00:00:00
abstract：BACKGROUND:Leisure-time physical activity is a complex behavior influenced by factors at multiple levels. OBJECTIVE:To examine the associations between intrapersonal, interpersonal, environmental factors and leisure-time walking (LTW) and leisure-time physical activities (LTPA), excluding walking. We also examined the...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.10.023
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:Although the initial effectiveness of psychosocial strategies programming in preventing smoking and other drug abuse among adolescents has been well established through literature reviews and meta-analyses, much less evidence exists for the long-term follow-up success of these interventions. The primary goal...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/s0091-7435(03)00166-x
更新日期：2003-11-01 00:00:00
abstract：BACKGROUND:Walkable urban form predicts physical activity and lower body mass index, which lower C-reactive protein (CRP). However, urban form is also related to pollution, noise, social and health behavior, crowding, and other stressors, which may complement or contravene walkability effects. PURPOSE:This paper asses...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.09.019
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:Occupational diseases share many common characteristics with infectious diseases. However, the successful approach of using surveillance systems to eradicate infectious diseases has never been applied to the control and prevention of occupational diseases. METHODS:On the basis of a nationwide survey of bloo...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1995.1012
更新日期：1995-01-01 00:00:00
abstract：:All orthopedic treatment administered between 1970 and 1982 was analyzed in random subsamples of men 28, 38, and 48 years old being screened for serum gamma-glutamyltransferase (GGT) levels. Of 1,151 screened participants, 631 men had been treated for fracture, distortion, contusion, low-back pain with or without scia...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(86)90085-x
更新日期：1986-03-01 00:00:00
abstract：:The Cancer Prevention and Control Research Network (CPCRN) is one of the thematic networks of the United States' Centers for Disease Control and Prevention's (CDC) Prevention Research Centers. Network members are academic research centers in the United States who collaborate with public health and community partners t...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.105824
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:Adequate care for patients with cardiovascular risks requires an adequate practice organization. Educational outreach visits are a promising approach to modifying professional behavior. We aimed to assess whether the quality of cardiovascular preventive care in general practice can be improved through a comp...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1006/pmed.2002.1095
更新日期：2002-11-01 00:00:00
abstract：BACKGROUND:Little is known about the perception of bilateral prophylactic mastectomy (BPM), and whether perceptions are influenced by a family history of breast cancer. It is also unclear what factors may play a role in selecting BPM for follow-up care. METHODS:Samples of predominantly Caucasian, well-educated women w...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1999.0524
更新日期：1999-09-01 00:00:00
abstract：BACKGROUND:There are few theoretically derived questionnaires of physical activity determinants among youth, and the existing questionnaires have not been subjected to tests of factorial validity and invariance. The present study employed confirmatory factor analysis (CFA) to test the factorial validity and invariance ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2000.0735
更新日期：2000-11-01 00:00:00
abstract：OBJECTIVE:To establish the efficacy of an internet based prevention program to reduce alcohol and cannabis use in adolescents. METHOD:A cluster randomised controlled trial was conducted with 764 13-year olds from ten Australian secondary schools in 2007-2008. Half the schools were randomly allocated to the computerise...
journal_title：Preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ypmed.2009.04.009
更新日期：2009-06-01 00:00:00
abstract：OBJECTIVE:To investigate the psychometric properties of a new measure of barriers youth encounter while walking to specific destinations and to validate the measure with self-reported walking to these destinations. METHODS:In 2005 in Boston, Cincinnati and San Diego, parents of youth (n=289, aged 5-18) and adolescents...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2007.12.006
更新日期：2008-04-01 00:00:00
abstract：OBJECTIVE:To determine the relationship between family child care home (FCCH) practices and characteristics, and objectively measured physical activity (PA) among children attending FCCHs. METHODS:FCCH practices and characteristics were assessed in 45 FCCHs in Oregon (USA) in 2010-2011 using the Nutrition and Physical...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2011.12.002
更新日期：2012-02-01 00:00:00
abstract：OBJECTIVE:The obesity paradox in patients with cardiovascular disease (CVD) remains unexplained. We examined the role of self-rated health, behavioral and objectively assessed risk factors, in order to further explore mechanisms that might influence the association between body mass index (BMI) and mortality in CVD pat...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.02.012
更新日期：2013-07-01 00:00:00
abstract：:Since the 1990s, effective HIV prevention and treatment strategies have been coordinated and implemented in the United States, resulting in substantial reductions in HIV-related death and HIV transmission among people who use injection drugs. During the same period, despite substantial long-term funding of War on Drug...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2015.04.004
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:The goal of this study is to better understand factors related to physician treatment of tobacco as a chronic medical condition. METHODS:In the fall of 2000, we conducted a mail survey of primary care physicians in a large mid-western health plan. The response rate was 61% (750/1235). The survey assessed ph...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2003.11.016
更新日期：2004-05-01 00:00:00
abstract：BACKGROUND:Smokers who identified smoking cessation as the primary activity they could undertake to improve their health were compared with smokers who did not identify smoking cessation. Examined factors included personal characteristics, health status, smoking attitudes and behaviors, and social factors. METHODS:Sub...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1995.1063
更新日期：1995-07-01 00:00:00
abstract：:A considerable proportion of European adults report little or no interest in physical activity. Identifying individual-level and environmental-level characteristics of these individuals can help designing effective interventions and policies to promote physical activity. This cross-sectional study additionally explore...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2018.02.021
更新日期：2018-06-01 00:00:00
abstract：OBJECTIVE:This study examined socioeconomic disparities in adolescent substance use utilizing a behavioral economic theoretical framework. We tested the hypothesis that teens of lower (vs. higher) socioeconomic status (SES) are vulnerable to substance use because they engage in fewer pleasurable substance-free activiti...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2015.05.021
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:Although colorectal cancer is not one of the major tobacco-related cancers, a possible association with tobacco has been suggested following the observation of a relationship between cigarette smoking and colorectal adenomas. The issue of a long latency of tobacco on colorectal carcinogenesis has also been s...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1995.1091
更新日期：1995-11-01 00:00:00
abstract：BACKGROUND:Cancer-related health behaviours may be affected by barriers to healthcare seeking and beliefs about cancer. The aim was to assess anticipated barriers to healthcare seeking and beliefs about cancer in a sample of the Danish population and to assess the association with socio-economic position. METHODS:A po...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.12.007
更新日期：2015-02-01 00:00:00
abstract：BACKGROUND:Exposure to tobacco and alcohol advertising has been associated with adolescent substance use. However, it is not clear whether favorable reactions to advertising are an antecedent to or a consequence of substance use. This study investigated relationships between adolescents' levels of susceptibility to sub...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1995.1074
更新日期：1995-09-01 00:00:00
abstract：BACKGROUND:The workplace provides a useful setting for early identification and intervention with individuals who have unhealthy lifestyles. The objective was to evaluate the effects of a workplace-based lifestyle intervention (Workscreen) to reduce excessive drinking. METHOD:There were eight Australia Post networks r...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1006/pmed.1999.0587
更新日期：2000-01-01 00:00:00
abstract：:The most convincing evidence for a preventive role for any modality is obviously demonstration of incidence reduction produced by that modality. However, cancer prevention trials with cancer incidence as an endpoint have logistic problems rendering them essentially impossible to conduct for most malignancies. Hence a ...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1006/pmed.1993.1064
更新日期：1993-09-01 00:00:00
abstract：:An international collaborative group examined the relation between asymptomatic hyperglycemia and coronary heart disease (CHD). After excluding clinically diagnosed diabetes and treated hypertensives, there were 48,912 men aged 35-64 in the study population. Post-load circulating glucose correlated with age, relative ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90173-1
更新日期：1983-01-01 00:00:00
abstract：OBJECTIVE:The objective was to test the effectiveness of a mail campaign that included blood pressure (BP) measurements from patients treated by emergency medical technicians (EMTs) to motivate them to (re)check their BP at a fire station. The mailing used a 2×2 research design tailoring on risk and source personalizat...
journal_title：Preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ypmed.2013.05.010
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:Occupational risk factors contribute significantly to the development of lung cancer; however, little is known about the extent to which employees are informed of occupational exposure to carcinogenic substances. METHODS:Through a case-control study, we estimated the level of awareness among Greek employees...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.07.007
更新日期：2004-10-01 00:00:00
abstract：INTRODUCTION:The study examined the association of neighborhood walkability to multiple activity-related outcomes and BMI among adolescents and evaluated socioeconomic status as an effect modifier. METHOD:Cross-sectional study, with adolescents recruited from neighborhoods that met criteria for a 2 × 2 matrix defined ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2018.02.009
更新日期：2018-05-01 00:00:00
