Abstract：
:Cervical cancer screening rates in the United States are generally high, yet certain groups demonstrate disparities in screening and surveillance. The populations at greatest risk of HPV and subsequent cervical cancer are often from medically underserved and/or marginalized groups and are typically less engaged with the healthcare system, making them hard to reach for screening and surveillance. Geographic/access-related barriers often prevent screening and detection of pre-cancers. Patients may also experience logistical barriers such as transportation, and difficulties with missing work and finding childcare. Socioeconomic and insurance status and high out-of-pocket costs may prevent individuals from receiving screenings and follow-up care. Racial/ethnic minorities are disproportionately impacted by these barriers. In addition, they may experience language and cultural barriers and report lower trust in providers. Sexual and gender minorities demonstrate lower screening rates due to perceived stigmatization, lack of provider recommendation and referral, and discomfort with pelvic exams. Comorbidities such as hypertension, diabetes, and obesity also result in lower rates of preventive care, irrespective of minority group membership. Interventions to address and mitigate these barriers are necessary to improve screening rates and preventive care among this hard to reach population. Use of patient navigators, travel vouchers and mobile screening units, and improvements in outreach, inreach, follow-up, and continuity of care can serve as solutions to reduce some of these gaps and address disparities in screening. HPV self-sampling may also be one solution that can address multiple barriers to cervical cancer screening.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Fuzzell LN,Perkins R,Christy S,Lake PW,Vadaparampil STdoi
10.1016/j.ypmed.2020.106400subject
Has Abstractpub_date
2020-12-31 00:00:00pages
106400eissn
0091-7435issn
1096-0260pii
S0091-7435(20)30431-Xpub_type
杂志文章,评审abstract：:Active travel (walking or cycling for transport) can generate personal and environmental benefits. We determined the frequency of participation in walking or cycling active travel by age and sex, as well as used multivariate analysis to find correlations with many other factors using a large cross-sectional 2016/17 su...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.03.043
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:The purpose of this study was to examine the impact of fat reduction on vitamin and mineral density in the diets of groups of children who participated in the CATCH school-based intervention study for 2 1/2 years. METHODS:Twenty-four-hour dietary recalls were collected on 1,182 children residing in four sta...
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.1996.0079
更新日期：1996-07-01 00:00:00
abstract：BACKGROUND:This article describes the results of studies on the barriers and benefits of cervical cancer screening from the perspective of women, men, and health providers in five Latin American countries and compares them to other findings from the literature. METHODS:Five separate qualitative studies (focus groups a...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.03.040
更新日期：2004-07-01 00:00:00
abstract：:Suicide is an important public health problem that requires a preventive approach. The present study aimed at assessing suicidal behaviors and their relations with other psychosocial factors in Campeche, Mexico, in order to inform the design of potential preventive interventions. A multistage probability sample of 238...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.09.011
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVE:This study investigated the cost-effectiveness of installing sidewalks to increase levels of transport-walking. METHODS:Secondary analysis using logistic regression established the association of sidewalks with transport-walking using two transport-walking thresholds of 150 and 60 min/week using Western Aust...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.07.041
更新日期：2014-10-01 00:00:00
abstract：OBJECTIVES:Genetic tests for nicotine addiction susceptibility may someday offer preventive medicine specialists new tools to reduce smoking among adolescents. This paper examines adolescents' interest in, and reasons behind interest in, such testing and correlates of interest. METHODS:The sample included 211 healthy ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2005.09.007
更新日期：2006-01-01 00:00:00
abstract：:The Cancer Information Service (CIS) was established in 1975 by the National Cancer Institute (NCI) to provide accurate, up-to-date information about cancer to the nation. Although the CIS has in the past served as a venue for cancer communications research, up until very recently the research capacity of the CIS was ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1998.0245
更新日期：1998-09-01 00:00:00
abstract：BACKGROUND:A large portion of the elderly population of the United States fails to receive an annual influenza vaccination. Minorities may receive disproportionately fewer vaccinations. The objectives of this study were to (a) estimate the levels of influenza vaccination among noninstitutionalized, U.S. citizens, 65 ye...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2001.0983
更新日期：2002-02-01 00:00:00
abstract：:The Scale-Up project introduced vaginal self-sampling and low-cost human papillomavirus (HPV) testing as the primary approach for cervical cancer screening in selected public health centers in Guatemala, Honduras, and Nicaragua. We evaluate the country-specific accomplishments in screening: target-coverage, triage, an...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2020.106076
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVE:We conducted a systematic review to investigate the cross-sectional and prospective associations of accelerometer-measured total sedentary time and breaks in sedentary time with individual cardiometabolic biomarkers in adults ≥18years of age. METHODS:Ovid Medline, Embase, Web of Science and the Cochrane Libr...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2015.04.013
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVE:The aim of the study was to investigate the pedometer-assessed physical activity of Singaporean youths using an objective measurement of physical activity. METHODS AND RESULTS:Pedometer step count was monitored over the entire week in 877 participants aged 9-18 years in three schooling cohorts [primary (age,...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2010.03.004
更新日期：2010-05-01 00:00:00
abstract：OBJECTIVE:To explore the association of changes in perceived safety and police-recorded crime with changes in transport and leisure walking using longitudinal data from Chicago residents participating in the Multi-Ethnic Study of Atherosclerosis (2000-2012). METHOD:Main exposures included perceived safety (self-report...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2015.01.017
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:Incidence of anal cancer has increased in the United States during the past 30 years. This report describes the incidence of this rare cancer in the diverse California population. METHODS:Age-adjusted incidence rates (AAIR) were calculated by gender, race/ethnicity, county, and year of diagnosis for over 21...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/s0091-7435(03)00013-6
更新日期：2003-05-01 00:00:00
abstract：BACKGROUND:As part of a 3-year demonstration project to improve pneumococcal polysaccharide vaccine (PPV) coverage among older adults, the Minnesota Department of Health conducted a baseline evaluation of knowledge, attitudes, and beliefs among the general public regarding PPV. METHODS:A random-digit dialing telephone...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2001.0839
更新日期：2001-05-01 00:00:00
abstract：:Recent trends of cervical cancer incidence by histology and age in the United States (U.S.) have not been reported. We examined contemporary trends in cervical squamous cell carcinoma (SCC) and adenocarcinoma (AC) incidence rates in the U.S. by age group, race/ethnicity, and stage at diagnosis after accounting for hys...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.04.010
更新日期：2019-06-01 00:00:00
abstract：:Group Health Cooperative (GHC) of Puget Sound is a prepaid health plan with 285,000 enrollees and 340 physicians. In 1978 a "criterion analysis" approach was instituted to develop medical staff recommendations about preventive care. By 1979, two recommendations evolved discouraging the "routine" use of: (a) chest X ra...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90247-5
更新日期：1983-05-01 00:00:00
abstract：OBJECTIVE:Cervical cancer causes over 4000 deaths yearly in the United States, although highly preventable through vaccination, screening, and early treatment. We aimed to determine demographic correlates for cervical cancer in North Carolina to identify target populations for interventions and to create a framework fo...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2012.01.020
更新日期：2012-03-01 00:00:00
abstract：:There is increasing interest in biofeedback and self-regulatory approaches to health enhancement. The movement has not gone unnoticed by business and industry. At this point, there are adequate data to demonstrate the effectiveness of different forms of stress management intervention. Using the experience of the Equit...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90222-0
更新日期：1983-09-01 00:00:00
abstract：OBJECTIVE:Our primary objective was to determine whether a novel 'active school' model--Action Schools! BC--improved the cardiovascular disease (CVD) risk profile in elementary-school children. Our secondary objective was to determine the percentage of children with elevated CVD risk factors. METHODS:We undertook a cl...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.ypmed.2008.02.020
更新日期：2008-06-01 00:00:00
abstract：BACKGROUND:The benefits of childhood physical activity include fitness, weight control, and exercise habits that may carry over into adulthood. School physical education is the primary program responsible for training the nation's youth to be physically active and national objectives call for students to be engaged in ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1994.1059
更新日期：1994-07-01 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：:Since the introduction of a population screening program for cervical cancer in 1976, more than 85% of the female population between the ages of 35 and 54 years in the region of the city of Nijmegen, The Netherlands, has been screened. At first screening, severe epithelial abnormalities were diagnosed in 4.4 per 1,000...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(86)90063-0
更新日期：1986-11-01 00:00:00
abstract：BACKGROUND:The effect of dieting and weight-control perceptions, goals, and behaviors on food intake, including fruit and vegetable (F&V) consumption, is not completely understood. We examined these associations in 1,755 young adolescents. METHODS:Data from the Teens Eating for Energy and Nutrition at School (TEENS) s...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.05.022
更新日期：2005-02-01 00:00:00
abstract：:The effects of diet and exercise on serum triglycerides (Trig), total cholesterol (TC), low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL), and the HDL to TC ratio (HDL/TC) were evaluated in 45 men training continuously for a duration of 6 months. Body mass index (BMI), percentage bo...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90237-2
更新日期：1983-03-01 00:00:00
abstract：OBJECTIVE:Chronic inflammation and cellular senescence are intertwined in the pathogenesis of premature aging, which is considered as an important contributing factor in driving chronic obstructive pulmonary disease (COPD). Sirtuin1 (SIRT1), a nicotinamide adenine dinucleotide (NAD(+))-dependent protein/histone deacety...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2011.11.014
更新日期：2012-05-01 00:00:00
abstract：OBJECTIVE:Existing smoking cessation interventions tend to be under utilized by ethnic minority groups. We sought to identify smoking cessation interventions that have been adapted to meet the needs of African-, Chinese- and South Asian-origin populations, to increase understanding of the approaches used to promote beh...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2013.09.014
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:Individuals in the carpentry trade, due to lifestyle habits and occupational exposures, may be at above-average risk for colorectal cancer (CRC). Based on the literature which suggests that increasing perceived risk motivates behavior change, we report on the effectiveness of four risk-communication interven...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.09.019
更新日期：2005-05-01 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：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
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
