Hard to reach populations in cervical cancer screening in high income countries.


: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.


Prev Med


Preventive medicine


Fuzzell LN,Perkins R,Christy S,Lake PW,Vadaparampil ST




Has Abstract


2020-12-31 00:00:00










  • Financial incentives and weight control.

    abstract::This paper reviews research studies evaluating the use of financial incentives to promote weight control conducted between 1972 and 2010. It provides an overview of behavioral theories pertaining to incentives and describes empirical studies evaluating specific aspects of incentives. Research on financial incentives a...

    journal_title:Preventive medicine

    pub_type: 杂志文章,评审


    authors: Jeffery RW

    更新日期:2012-11-01 00:00:00

  • Stressful life events are associated with perinatal cigarette smoking.

    abstract::Perinatal smoking, including smoking during pregnancy and postpartum smoking relapse, is a persistent public health problem. While childhood trauma has been linked to perinatal smoking, less is known about the association with more proximal stressful life events (SLEs). The objective of this study was to examine the a...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Allen AM,Jung AM,Lemieux AM,Alexander AC,Allen SS,Ward KD,al'Absi M

    更新日期:2019-01-01 00:00:00

  • YOUTH: decisions and challenges in designing an osteoporosis prevention intervention for teen girls.

    abstract:BACKGROUND:This paper describes decisions about the experimental design for the Youth, Osteoporosis, and Understanding Total Health Project (YOUTH), a trial designed to test the efficacy of a health plan-based lifestyle intervention for increasing bone mineral density among adolescent women 14 to 16 years of age. METH...

    journal_title:Preventive medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: DeBar LL,Ritenbaugh C,Vuckovic N,Stevens VJ,Aickin M,Elliot D,Moe E,Orwoll E,Ernst D,Irving LM

    更新日期:2004-11-01 00:00:00

  • The effects of active video games on patients' rehabilitative outcomes: A meta-analysis.

    abstract::A meta-analysis on Active Video Games (AVG) as a rehabilitative tool does not appear to be available. This meta-analytic review synthesizes the effectiveness of AVGs on patients' rehabilitative outcomes. Ninety-eight published studies on AVGs and rehabilitation were obtained in late 2015 with 14 meeting the following ...

    journal_title:Preventive medicine

    pub_type: 杂志文章,meta分析,评审


    authors: Pope Z,Zeng N,Gao Z

    更新日期:2017-02-01 00:00:00

  • Psychosocial predictors of changes in physical activity in overweight sedentary adults following counseling in primary care.

    abstract:BACKGROUND:Increasing regular physical activity in adults at elevated risk of cardiovascular disease is an important target for preventive medicine. This study evaluated demographic, social and cognitive predictors of self-reported changes in physical activity after 4 and 12 months in a randomized trial of behavioral c...

    journal_title:Preventive medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Steptoe A,Rink E,Kerry S

    更新日期:2000-08-01 00:00:00

  • Environmental effects on chromosomes in oncology and radiology department personnel.

    abstract::Long-term, low levels of antineoplastic drugs and ionizing radiation in the work environment may have genotoxic effects on chromosomes in personnel. The effects of ionizing radiation is acknowledged in occupational medicine and therefore various measures have been undertaken to prevent such effects. However, there are...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Milković-Kraus S,Kraus O,Krsnjavi H,Kubelka D

    更新日期:1992-07-01 00:00:00

  • Introduction of HPV testing for cervical cancer screening in Central America: The Scale-Up project.

    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


    authors: Holme F,Jeronimo J,Maldonado F,Camel C,Sandoval M,Martinez-Granera B,Montenegro M,Figueroa J,Slavkovsky R,Thomson KA,de Sanjose S,Scale-Up project team.

    更新日期:2020-06-01 00:00:00

  • Health locus of control beliefs and socio-economic differences in self-rated health.

    abstract:BACKGROUND:Social inequalities in health are well documented in the social epidemiology literature. However, less is known about the mechanisms linking individual and area-level socio-economic status to health. In this paper we examine whether health locus of control (HLC) beliefs can help to explain socio-economic dif...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Poortinga W,Dunstan FD,Fone DL

    更新日期:2008-04-01 00:00:00

  • The dynamic impact of retirement on health: Evidence from a nationwide ten-year panel survey in Japan.

    abstract::Retirement is a major life-course transition that is closely related to changes in health. This study examined the dynamic impact of retirement on health and health behaviors, distinguishing an immediate change in the level of health at retirement and a change in the rate of change after retirement. We used panel data...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Oshio T,Kan M

    更新日期:2017-07-01 00:00:00

  • Effect of a smoking cessation intervention for women in subsidized neighborhoods: A randomized controlled trial.

    abstract:OBJECTIVE:To evaluate the effectiveness of a community based participatory research (CBPR) developed, multi-level smoking cessation intervention among women in subsidized housing neighborhoods in the Southeastern US. METHODS:A total of n=409 women in 14 subsidized housing neighborhoods in Georgia and South Carolina pa...

    journal_title:Preventive medicine

    pub_type: 杂志文章,随机对照试验


    authors: Andrews JO,Mueller M,Dooley M,Newman SD,Magwood GS,Tingen MS

    更新日期:2016-09-01 00:00:00

  • Multiple Health Behavior Research represents the future of preventive medicine.

    abstract::Given the disease and cost burdens, Multiple Health Behavior Research represents the future of preventive medicine. Growing evidence in this special issue and beyond indicates that simultaneous and sequential interventions can be effective. The challenge for the future is to make such interventions more effective, cos...

    journal_title:Preventive medicine

    pub_type: 杂志文章,评审


    authors: Prochaska JO

    更新日期:2008-03-01 00:00:00

  • Dietary fat and blood pressure: an intervention study on the effects of a low-fat diet with two levels of polyunsaturated fat.

    abstract::The role of dietary fat in human blood pressure control was studied among 84 middle-aged subjects (mainly couples) in two semirural communities in North Karelia, Finland. The families were randomly allocated into two groups that, after a baseline period of 2 weeks, changed their diet for a 12-week intervention period ...

    journal_title:Preventive medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Puska P,Iacono JM,Nissinen A,Vartiainen E,Dougherty R,Pietinen P,Leino U,Uusitalo U,Kuusi T,Kostiainen E

    更新日期:1985-09-01 00:00:00

  • Longitudinal and cross-sectional changes in active commuting to school among Brazilian schoolchildren.

    abstract:OBJECTIVE:The objective of the study is to evaluate cross-sectional and longitudinal changes in children's commuting to school in a representative sample of a Brazilian city. METHODS:Two school-based studies were carried out in 2002 (n=2936; 7-10 years old) and 2007 (n=1232; 7-15 years old) in Florianopolis, Brazil. C...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Costa FF,Silva KS,Schmoelz CP,Campos VC,de Assis MA

    更新日期:2012-09-01 00:00:00

  • Perceptions of health risk among parents of overweight children: a cross-sectional study within a cohort.

    abstract:OBJECTIVE:To identify the socio-demographic and behavioural characteristics associated with perceptions of weight-related health risk among the parents of overweight children. METHODS:Baseline data from a cohort of parents of children aged 4-11 years in five areas in England in 2010-2011 were analysed; the sample was ...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Park MH,Falconer CL,Saxena S,Kessel AS,Croker H,Skow A,Viner RM,Kinra S

    更新日期:2013-07-01 00:00:00

  • Influenza vaccination among minority populations in the United States.

    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


    authors: Marin MG,Johanson WG Jr,Salas-Lopez D

    更新日期:2002-02-01 00:00:00

  • Does a smoking prevention program in elementary schools prepare children for secondary school?

    abstract:INTRODUCTION:A smoking prevention program was developed to prepare children in elementary school for secondary school. This study assessed the effects on smoking in secondary school. METHODS:In 2002, 121 schools in The Netherlands were randomly assigned to the intervention or control group. The intervention group rece...

    journal_title:Preventive medicine

    pub_type: 杂志文章,随机对照试验


    authors: Crone MR,Spruijt R,Dijkstra NS,Willemsen MC,Paulussen TG

    更新日期:2011-01-01 00:00:00

  • Youth assets and alcohol-related problems among male and female youth: Results from a longitudinal cohort study.

    abstract::Youth who experience alcohol-related problems are at increased risk for developing alcohol dependence. Identifying factors associated with adolescent alcohol-related problems is essential, but most studies have focused on risk factors or a limited number of protective factors, with little attention to sex differences....

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Clements-Nolle K,Oman RF,Lu M,Lensch T,Moser L

    更新日期:2019-06-01 00:00:00

  • A review of cervical cancer screening intervention research: implications for public health programs and future research.

    abstract::In this paper we review the published literature with respect to cervical cancer screening intervention research. Mass media campaigns appear to work best in promoting cervical cancer screening when multiple media are used, when they promote specific screening programs that eliminate or reduce access barriers, or when...

    journal_title:Preventive medicine

    pub_type: 杂志文章,评审


    authors: Marcus AC,Crane LA

    更新日期:1998-01-01 00:00:00

  • National TV smoking cessation program and contest in Finland.

    abstract:BACKGROUND:In the fall of 1986 the North Karelia Project in cooperation with Finnish TV 2 arranged an eight-part nationwide smoking cessation TV program. The Project, also arranged a smoking cessation contest coinciding with the TV program in cooperation with four major voluntary public health organizations and the nat...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Korhonen HJ,Niemensivu H,Piha T,Koskela K,Wiio J,Johnson CA,Puska P

    更新日期:1992-01-01 00:00:00

  • Hypertension identification via emergency responders: a randomized controlled intervention study.

    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


    authors: Meischke H,Ike BR,Fahrenbruch C,Kuniyuki A,Hannon P,Parks MR,Forehand M,Weaver M,Harris JR

    更新日期:2013-12-01 00:00:00

  • Effects of health information in youth and young adulthood on risk factors for chronic diseases--20-year study results from the Amsterdam Growth and Health Longitudinal Study.

    abstract::In the Amsterdam Growth and Health Longitudinal Study (AGAHLS) biological risk factors for chronic diseases were measured on eight separate occasions over a period of 20 years in a group of apparently healthy males and females (n = 164). Data were first collected from participants at 13 years of age. At each of the ei...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Kemper HC,Koppes LL,de Vente W,van Lenthe FJ,van Mechelen W,Twisk JW,Post GB

    更新日期:2002-12-01 00:00:00

  • Total quality leadership in the U.S. Navy: effective for health promotion activities?

    abstract:BACKGROUND:Although the U.S. Navy mandated Total Quality Leadership (TQL) as a management strategy throughout its medical department in the early 1990s, it was unknown to what extent it was being used for health promotion activities and, if so, how effectively. METHODS:A brief mail survey of 204 Navy commands suppleme...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Hourani LL,Hurtado SL

    更新日期:2000-06-01 00:00:00

  • Pap smear screening in a health maintenance organization: 1986-1990.

    abstract:BACKGROUND:To assess Pap smear utilization and compliance with screening recommendations, a study was conducted in a large midwestern HMO where cost is not a barrier to care. The purpose of the study was to examine rates of screening by age, identify the proportion of abnormal cytologic findings, and determine screenin...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Rolnick S,LaFerla JJ,Wehrle D,Trygstad E,Okagaki T

    更新日期:1996-03-01 00:00:00

  • Cardiovascular risk status and oral contraceptive use: United States, 1976-1980.

    abstract::Data from the second National Health and Nutrition Examination Survey, conducted in 1976-1980, were analyzed for the prevalence of cardiovascular risk factors (cigarette smoking, serum cholesterol, and blood pressure) among 2,342 premenopausal women ages 20-44 years, stratified by oral contraceptive use. For oral cont...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Russell-Briefel R,Ezzati TM,Fulwood R,Perlman JA,Murphy RS

    更新日期:1986-07-01 00:00:00

  • Psychosocial environment in childhood and body mass index growth over 32years.

    abstract::The psychosocial environment and especially various psychosocial risks in childhood have been shown to predict later negative health behavior and health problems. In this study, we examined whether various psychosocial factor domains in childhood and adolescence: socioeconomic status, the emotional family environment ...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Elovainio M,Pulkki-Råback L,Hakulinen C,Lehtimäki T,Jokinen E,Rönnemaa T,Mikkilä V,Tossavainen P,Jula A,Hutri-Kähönen N,Viikari J,Keltikangas-Järvinen L,Raitakari O,Juonala M

    更新日期:2017-04-01 00:00:00

  • Child pedestrian injury prevention project: student results.

    abstract:BACKGROUND:Few comprehensive pedestrian safety interventions for primary-school-age children have been developed and evaluated. This paper reports the impact of the 3-year (1995-1997) Child Pedestrian In jury Prevention Project (CPIPP) on a cohort of 1603 children followed from age 6 to 9 years. This multicomponent pro...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Cross D,Stevenson M,Hall M,Burns S,Laughlin D,Officer J,Howat P

    更新日期:2000-03-01 00:00:00

  • Nutrition in coronary heart disease prevention: a program for the 1980s.

    abstract::Within a quarter century the convergence of geographical and prospective epidemiology, clinical research, and laboratory investigation has provided strongly attested theories of coronary heart disease (CHD) etiology. Evidence that application of these theories will reduce CHD incidence is incomplete but adequate to ju...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Lewis B

    更新日期:1983-01-01 00:00:00

  • Smoking cessation counseling practices of general practitioners in Montreal.

    abstract:BACKGROUND:Despite the cost-effectiveness of physician smoking cessation counseling, many physicians do not adhere to current clinical practice guidelines. METHODS:A cross-sectional mail survey was conducted in a random sample of general practitioners in Montreal to document cessation-counseling practices and identify...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: O'Loughlin J,Makni H,Tremblay M,Lacroix C,Gervais A,Déry V,Meshefedjian G,Paradis G

    更新日期:2001-12-01 00:00:00

  • Preventing childhood lead poisoning.

    abstract::Of all the neurotoxins, lead is the longest known and best understood. Because we know so much about what it does, where it is, and what is required to remove it from the presence of children, lead poisoning should also be one of the easiest diseases to eradicate. Despite this, progress in the primary prevention of ch...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Needleman HL

    更新日期:1994-09-01 00:00:00

  • A healthy lifestyle composite measure: Significance and potential uses.

    abstract:OBJECTIVES:Our objective was to create and explore potential uses of a composite "Healthy Lifestyle" measure based on Healthy People 2020 (HP2020) Objectives for behaviors shown to be associated with morbidity and mortality. METHODS:Data were from the 2013 Behavioral Risk Factor Surveillance System (N=412,942) on five...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Adams ML,Katz DL,Shenson D

    更新日期:2016-03-01 00:00:00