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










  • Current recommendations on the selection of measures for well-being.

    abstract::Measures of well-being have proliferated over the past decades. Very little guidance has been available as to which measures to use in what contexts. This paper provides a series of recommendations, based on the present state of knowledge and the existing measures available, of what measures might be preferred in whic...

    journal_title:Preventive medicine

    pub_type: 杂志文章,评审


    authors: VanderWeele TJ,Trudel-Fitzgerald C,Allin P,Farrelly C,Fletcher G,Frederick DE,Hall J,Helliwell JF,Kim ES,Lauinger WA,Lee MT,Lyubomirsky S,Margolis S,McNeely E,Messer N,Tay L,Viswanath V,Węziak-Białowolska D,Kubzansky

    更新日期:2020-02-01 00:00:00

  • Physical activity and biological risk factors clustering in pediatric population.

    abstract:BACKGROUND:From a preventive point of view, it is especially important to investigate the life style risk factors connected to cardiovascular disease (CVD) biological risk factors clustering. The purposes of this study were (I) to determine in pediatric population the coexistence of biological cardiovascular disease ri...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Ribeiro JC,Guerra S,Oliveira J,Teixeira-Pinto A,Twisk JW,Duarte JA,Mota J

    更新日期:2004-09-01 00:00:00

  • Does time pressure create barriers for people to receive preventive health services?

    abstract:OBJECTIVE:Regular use of recommended preventive health services can promote good health and prevent disease. However, individuals may forgo obtaining preventive care when they are busy with competing activities and commitments. This study examined whether time pressure related to work obligations creates barriers to ob...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Yao X,Dembe AE,Wickizer T,Lu B

    更新日期:2015-05-01 00:00:00

  • Prevalence and correlates of local health department activities to address mental health in the United States.

    abstract::Mental health has been recognized as a public health priority for nearly a century. Little is known, however, about what local health departments (LHDs) do to address the mental health needs of the populations they serve. Using data from the 2013 National Profile of Local Health Departments - a nationally representati...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Purtle J,Klassen AC,Kolker J,Buehler JW

    更新日期:2016-01-01 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

  • 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

  • Home matters: work and household predictors of smoking and cessation among blue-collar workers.

    abstract:OBJECTIVE:This study examined the joint influence of work- and household-related variables on smoking behavior among a population representative sample of blue-collar workers with live-in partners. METHODS:The study used data on 1389 blue-collar workers from the Tobacco Use Supplement to the United States Current Popu...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Okechukwu CA,Dutra LM,Bacic J,El Ayadi A,Emmons KM

    更新日期:2013-02-01 00:00:00

  • Assessing physical activity during recess using accelerometry.

    abstract:BACKGROUND:Physical activity guidelines recommend children should engage in 60 min of moderate-to-vigorous physical activity (MVPA) a day. School recess presents an opportunity for children to be physically active during the school day. Limited research has investigated children's activity levels during recess and its ...

    journal_title:Preventive medicine

    pub_type: 杂志文章,多中心研究


    authors: Ridgers ND,Stratton G,Fairclough SJ

    更新日期:2005-07-01 00:00:00

  • Temporal growth and spatial distribution of the fast food industry and its relationship with economic development in China - 2005-2012.

    abstract::The fast food (FF) industry has expanded rapidly in China during the past two decades, in parallel with an increase in the prevalence of obesity. Using government-reported longitudinal data from 21 provinces and cities in China, this study examined the growth over time and the spatial distribution patterns of the FF i...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Xue H,Cheng X,Zhang Q,Wang H,Zhang B,Qu W,Wang Y

    更新日期:2017-09-01 00:00:00

  • Screen time, physical activity and mental health among urban adolescents in China.

    abstract:OBJECTIVE:To test the association between screen time (ST), physical activity (PA) and self-reported psychological problems among urban adolescents aged 11 to 16 years. METHODS:In 2010, total 5003 boys and girls were analyzed from 4 junior high schools in Bengbu city of China. The Depression Self-rating Scale for Chil...

    journal_title:Preventive medicine

    pub_type: 杂志文章,多中心研究


    authors: Cao H,Qian Q,Weng T,Yuan C,Sun Y,Wang H,Tao F

    更新日期:2011-10-01 00:00:00

  • The effects of the Pathways Obesity Prevention Program on physical activity in American Indian children.

    abstract:BACKGROUND:Inadequate opportunities for physical activity at school and overall low levels of activity contribute to the high prevalence of overweight and obesity in American-Indian children. METHODS:A school-based physical activity intervention was implemented which emphasized increasing the frequency and quality of ...

    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


    authors: Going S,Thompson J,Cano S,Stewart D,Stone E,Harnack L,Hastings C,Norman J,Corbin C

    更新日期:2003-12-01 00:00:00

  • The importance of internal health beliefs for employees' participation in health promotion programs.

    abstract:OBJECTIVE:To investigate associations between employees' health locus of control (HLOC) and self-perceived health, health behaviors, and participation in health promotion programs (HPPs) and the mediating effect of self-perceived health and health behaviors on the relation between HLOC and participation. METHOD:Betwee...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Rongen A,Robroek SJ,Burdorf A

    更新日期:2014-10-01 00:00:00

  • Sun-protective clothing and shade use in public outdoor leisure settings from 1992 to 2019: Results from cross-sectional observational surveys in Melbourne, Australia.

    abstract::Skin cancer presents a significant public health burden in Australia. The present study aimed to supplement population-based estimates of sun protection behaviour by examining setting-specific trends in directly observed sun protection in public outdoor leisure settings. Repeated cross-sectional observational surveys ...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Haynes A,Nathan A,Dixon H,Wakefield M,Dobbinson S

    更新日期:2020-10-01 00:00:00

  • Evaluation of an enhanced approach to the dissemination of the North American Guidelines for Children's Agricultural Tasks: a randomized controlled trial.

    abstract:BACKGROUND:The North American Guidelines for Children's Agricultural Tasks were developed to assist farm parents in assigning developmentally appropriate and safe work to children aged 7 to 16 years. The purpose of this study was to compare the efficacy of the standard dissemination strategy with an enhanced, multiphas...

    journal_title:Preventive medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Marlenga B,Pickett W,Berg RL

    更新日期:2002-08-01 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

  • Screen-viewing and the home TV environment: the European Youth Heart Study.

    abstract:OBJECTIVE:Examine if home environmental factors are associated with screen-viewing. METHODS:Data are for 2670, 3rd and 9th grade participants in Denmark, Portugal, Estonia and Norway collected between 1997 and 2000. Outcomes were spending >2 h after-school watching television (TV) and >1 h per day playing computer gam...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Jago R,Page A,Froberg K,Sardinha LB,Klasson-Heggebø L,Andersen LB

    更新日期:2008-11-01 00:00:00

  • Antiestrogens as chemopreventive agents in breast cancer: promise and issues in evaluation.

    abstract::Tamoxifen citrate, the most extensively evaluated antiestrogen, acts primarily as a cytostatic agent by binding to the estrogen receptor. In rodent mammary model systems, when tamoxifen is given continuously after exposure to a carcinogen, the majority of expected tumors do not develop. In humans, adjuvant tamoxifen t...

    journal_title:Preventive medicine

    pub_type: 杂志文章,评审


    authors: Love RR

    更新日期:1989-09-01 00:00:00

  • Planning the analysis of a breast cancer prevention trial.

    abstract::The analysis of cancer prevention trials necessitates specialized procedures. Differences in the analysis plan between cancer prevention and therapy trials are emphasized. Discussion is focused upon (a) how trial conduct influences the analysis, (b) how noncompliance affects the analysis and the considerations this ra...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Moon TE

    更新日期:1991-01-01 00:00:00

  • Recognition and liking of tobacco and alcohol advertisements among adolescents: relationships with susceptibility to substance use.

    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


    authors: Unger JB,Johnson CA,Rohrbach LA

    更新日期:1995-09-01 00:00:00

  • Measurement characteristics of activity-related psychosocial measures in 8- to 10-year-old African-American girls in the Girls Health Enrichment Multisite Study (GEMS).

    abstract:BACKGROUND:This paper presents reliability and validity analyses of physical activity-related psychosocial questionnaires completed by 8- to 10-year-old African-American girls at baseline and follow-up assessments of pilot intervention studies in the Girls health Enrichment Multi-site Study (GEMS). METHODS:Two hundred...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Sherwood NE,Taylor WC,Treuth M,Klesges LM,Baranowski T,Zhou A,Pratt C,McClanahan B,Robinson TN,Pruitt L,Miller W

    更新日期:2004-05-01 00:00:00

  • The availability of medical marijuana dispensary and adolescent marijuana use.

    abstract:PURPOSE:To examine the association between medical marijuana dispensary (MMD) availability and adolescent marijuana use. METHODS:The study sample was comprised of 8th, 10th, and 12th graders (N=14,953) from 141 schools in the 2014 Monitoring the Future study, who resided in the 18 states that had legalized medical mar...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Shi Y

    更新日期:2016-10-01 00:00:00

  • Increasing weight-bearing physical activity and calcium intake for bone mass growth in children and adolescents: a review of intervention trials.

    abstract:OBJECTIVE:The purpose of this review is to evaluate the current state-of-the-science for interventions to increase bone mass gains in children and adolescents using weight-bearing physical activity or calcium supplementation. METHODS:Studies were located using computerized and manual searches of the empirical literatu...

    journal_title:Preventive medicine

    pub_type: 杂志文章,评审


    authors: French SA,Fulkerson JA,Story M

    更新日期:2000-12-01 00:00:00

  • Association of socioeconomic status with inflammatory markers: a two cohort comparison.

    abstract:OBJECTIVE:To assess the association between socioeconomic status (SES) and inflammatory markers using two different European population samples. METHODS:We used data from the CoLaus (N=6412, Lausanne, Switzerland) and EPIPorto (N=1205, Porto, Portugal) studies. Education and occupational position were used as indicato...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Fraga S,Marques-Vidal P,Vollenweider P,Waeber G,Guessous I,Paccaud F,Barros H,Stringhini S

    更新日期:2015-02-01 00:00:00

  • Magazine hyped: Trends in tobacco advertising and readership characteristics, 2010-2014.

    abstract::We tracked magazine advertisements for seven tobacco products in U.S. magazines from 2010 to 2014 and examined magazine readership characteristics that are associated with advertising placement in 2014. Advertising data came from Kantar Media's Intelligence and readership data came from a 2014 Experian's nationally re...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: El-Toukhy SM,Choi K

    更新日期:2016-10-01 00:00:00

  • Objectively measured physical activity, sedentary time and subclinical vascular disease: Cross-sectional study in older British men.

    abstract::Low physical activity (PA) and high levels of sedentary time (ST) are associated with higher cardiovascular disease (CVD) risk among older people. However, their independent contribution and importance of duration of PA and ST bouts remain unclear. We investigated associations between objectively measured PA, ST and n...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Parsons TJ,Sartini C,Ellins EA,Halcox JPJ,Smith KE,Ash S,Lennon LT,Wannamethee SG,Lee IM,Whincup PH,Jefferis BJ

    更新日期:2016-08-01 00:00:00

  • Transdermal nicotine replacement for hospitalized patients: a randomized clinical trial.

    abstract:BACKGROUND:This study was undertaken to assess the safety and efficacy of a treatment involving brief counseling and the nicotine patch among hospital inpatients and to identify variables associated with long-term smoking cessation following hospitalization. METHODS:One hundred eighty-five patients were randomly assig...

    journal_title:Preventive medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Lewis SF,Piasecki TM,Fiore MC,Anderson JE,Baker TB

    更新日期:1998-03-01 00:00:00

  • The price of tobacco and its effects on smoking behaviors in Korea: The 2015 Korea Community Health Survey.

    abstract::This study investigated the effects of the price of tobacco on smoking behaviors in Korean adult smokers using a population-based survey. Current smokers or former smokers who quit smoking <1 year prior to the survey were selected from the data of 2015 Korea Community Health Survey (N = 45,686). The effects of the pri...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Han MA

    更新日期:2019-03-01 00:00:00

  • The interaction between pubertal timing and childhood maltreatment on the risk of human papillomavirus infection among adolescent girls and young women.

    abstract:PURPOSE:The goal of this study was to evaluate the effect of pubertal timing, and its interaction with prior childhood maltreatment, on the risk of cervical human papillomavirus (HPV) among sexually active adolescent minority female adolescents and young adults. METHODS:This cross-sectional study includes 842 adolesce...

    journal_title:Preventive medicine

    pub_type: 杂志文章


    authors: Niu L,Hoyt LT,Salandy A,Nucci-Sack A,Shankar V,Strickler H,Burk RD,Schlecht NF,Diaz A

    更新日期:2020-09-01 00:00:00

  • Preference-based electronic decision aid to promote colorectal cancer screening: results of a randomized controlled trial.

    abstract:OBJECTIVE:Despite the burden of colorectal cancer and improved health care outcomes with early detection and treatment, screening rates among eligible adults are low. We previously developed through a series of studies an interactive electronic tool, Colorectal Web, to promote colorectal cancer screening. METHOD:From ...

    journal_title:Preventive medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Ruffin MT 4th,Fetters MD,Jimbo M

    更新日期:2007-10-01 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