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, and treatment. Between 2015 and 2018, cervical cancer screening was offered to women at least 30 years of age. Triage of HPV-positive women was based on visual inspection with acetic acid or Pap. Aggregated data included total women screened, use of self-sampling, age, time elapsed since last screening, HPV results, triage tests, triage results, and treatment. A total of 231,741 women were screened for HPV, representing 85.8% of the target populations within the project. HPV positivity was lower in Guatemala (12.4%) compared to Honduras and Nicaragua (14.5% and 14.2%, respectively, p < 0.05). A follow-up triage test was completed for 84.2%, 85.8%, and 50.1% of HPV-positive women in Guatemala, Nicaragua, and Honduras, respectively. Of those with a positive triage test, 84.7%, 67.1%, and 58.8% were treated in Guatemala, Nicaragua, and Honduras, respectively. First-time screening was highest in Nicaragua (55.8%) where self-sampling was also widely used (97.1%). The Scale-Up project demonstrated that large-scale cervical cancer screening and treatment intervention in a high-burden, low-resource setting can be achieved. Self-sampling and ablative treatment were key to the project's achievements. Data monitoring, loss to follow-up, and triage methods of screen- positive women remain critical to full success.
journal_name
Prev Medjournal_title
Preventive medicineauthors
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.doi
10.1016/j.ypmed.2020.106076subject
Has Abstractpub_date
2020-06-01 00:00:00pages
106076eissn
0091-7435issn
1096-0260pii
S0091-7435(20)30100-6journal_volume
135pub_type
杂志文章abstract:BACKGROUND:The impact of maternal employment on preventive child health practices has not been studied empirically. Using a household production model, we investigated the relationship between level of maternal employment and child immunization status, use of automobile seat belts, and use of bicycle helmets. METHODS:...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0312
更新日期:1998-05-01 00:00:00
abstract::The dramatic increase in youth use of electronic nicotine delivery systems (ENDS; e.g., e-cigarettes) in the United States has focused regulatory efforts to address this concern while still encouraging smokers to switch completely to lower risk products or quit all tobacco product use. Increases in the minimum age for...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106145
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:It is unknown how much previous reviews on promoting physical activity (PA) for children and adolescents (aged 6-18years) take into account studies from low- and middle-income countries (LMIC, based on the World Bank definition) and the level of evidence of the effect of PA interventions in this population. T...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2016.03.025
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVE:We sought to assess the interaction of smoking and body mass index (BMI) on diabetes risk. METHODS:We analyzed data from a community-based prospective cohort of 41,836 women from Iowa who completed a baseline survey in 1986 and five subsequent surveys through 2004. The final analysis included 36,839 particip...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2008.10.008
更新日期:2009-01-01 00:00:00
abstract::This report describes a systematic literature review of voucher and related monetary-based contingency management (CM) interventions for substance use disorders (SUDs) over 5.2years (November 2009 through December 2014). Reports were identified using the search engine PubMed, expert consultations, and published biblio...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2016.08.008
更新日期:2016-11-01 00:00:00
abstract::This paper presents a conceptual framework that has guided three randomized, controlled early intervention trials designed to improve cognitive development and social competence in high-risk young children from birth to 3 years of age. Two of the projects (Abecedarian and CARE) enrolled infants from economically and s...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验,评审
doi:10.1006/pmed.1998.0279
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:This study tested the effects of two organizational support processes, the provision of financial incentives for superior clinical performance and the availability of a patient (smoker) registry and proactive telephone support system for smoking cessation, on provider adherence to accepted practice guideline...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0091-7435(02)00052-x
更新日期:2003-03-01 00:00:00
abstract:BACKGROUND:Missed childhood vaccination opportunities have been generally described, yet not since the immunization schedule's recent rapid expansion. Little is known about the relationship between the number of vaccine doses due and whether all scheduled doses are administered, and the effect of dose deferral on immun...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.12.001
更新日期:2005-08-01 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:The screening context may provide a "teachable moment" for promoting health behaviours. The present study examined the impact on diet, alcohol and physical activity of providing individually-tailored advice in the context of flexible sigmoidoscopy (FS) screening. METHOD:Adults (n=365) aged 58-59 years who at...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2010.10.002
更新日期:2010-12-01 00:00:00
abstract::To evaluate the relationship between self-reported exposure to environmental tobacco smoke and saliva cotinine concentrations, we studied 186 nonsmokers. Each participant completed an exposure questionnaire, kept a daily exposure diary for 7 days, and provided a saliva sample for cotinine analysis. Salivary cotinine c...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1994.1005
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVE:In response to the obesity epidemic, interventions to improve the food environment in corner stores have gained attention. This study evaluated the availability, quality, and price of foods in Philadelphia corner stores before and after a healthy corner store intervention with two levels of intervention inten...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.04.009
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVES:Population-referenced total activity counts per day (TAC/d) percentiles provide public health practitioners a standardized measure of physical activity (PA) volume obtained from an accelerometer that can be compared across populations. The purpose of this study was to describe the application of TAC/d popula...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.02.019
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:We report process data on the feasibility of delivering a clinical preventive nutrition intervention that was effective in increasing participants' consumption of fruits and vegetables. We also examine relationships between process variables and study outcomes. METHODS:We randomly assigned six practice site...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.2001.0863
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVE:To evaluate whether 5 combined healthy lifestyle factors (not smoking, moderate drinking, eating minimum salt-preserved foods, being physically active, and having appropriate body mass index) are associated with reduced risk of cancer. METHODS:Participants were enrolled in the Japan Public Health Center Stud...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2011.11.003
更新日期:2012-02-01 00:00:00
abstract:UNLABELLED:Little is known about where physical activity (PA) occurs, or whether different demographic groups accumulate PA in different locations. METHOD:Objective data on PA and location from 611 adults over 7days were collected in King County, WA in 2008-2009. The relative amounts of time spent in sedentary-to-low ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.08.034
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVES:To compare the prevalence of elder abuse using a multilevel approach that takes into account the characteristics of participants as well as socioeconomic indicators at city and country level. METHODS:In 2009, the project on abuse of elderly in Europe (ABUEL) was conducted in seven cities (Stuttgart, Germany...
journal_title:Preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ypmed.2014.01.008
更新日期:2014-04-01 00:00:00
abstract::To examine the influence of neighborhood environment on childhood overweight and obesity in Shelby County Schools, Tennessee, and whether and to what extent that influence varies by age, gender, and the specific environment characteristics. 41,283 students were surveyed covering both individual-level covariates and se...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.12.021
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:There has been an increasing realization of the need for environmental interventions to increase physical activity levels in the population. Although promising, the impact of these strategies in reducing obesity-related disparities will be limited by the presence of inequities in the distribution of activity-...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2009.07.016
更新日期:2009-10-01 00:00:00
abstract:METHODS:In the context of an epidemiological investigation of AIDS-related knowledge, attitudes, and practices, 2,006 employees of the Tennessee Mental Health and Mental Retardation residential facilities were surveyed to test the hypothesis that blacks have been differentially sensitized to their disproportionate leve...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(91)90050-e
更新日期:1991-07-01 00:00:00
abstract:BACKGROUND:Participant recruitment is an understudied part of health research. It can be a limiting factor and can affect the external validity of a study. This study compares two recruitment methods, active and passive, used to recruit university seniors into a health promotion study. METHODS:During active recruitmen...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0327
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:This study assesses the relative validity of a diet history interview in 56 free-living individuals with Type II diabetes mellitus. METHODS:The diet history interview was compared to a 3-day food record in a 1-year dietary intervention trial. The plausibility of energy intake data was examined throughout th...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1016/s0091-7435(02)00054-3
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:To investigate geographic differences in obesity related metabolic abnormalities in middle-aged and older Chinese people with different levels of adiposity. METHOD:Data from 3289 individuals aged 50-70 years who participated in a cross-sectional survey in 2005 (1641 from northern [Beijing] and 1648 from sout...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2009.01.004
更新日期:2009-03-01 00:00:00
abstract::Despite obesity being a major concern for both children and adults in the United States today, there are few successful childhood interventions that curb obesity later in life. The objective of the current study is to identify childhood predictors of adult obesity at multiple levels in a large longitudinal sample of p...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.105993
更新日期:2020-03-01 00:00:00
abstract::One explanation for the increasing smoking-related health inequalities is the limited access of lower socioeconomic status (SES) smokers to smoking cessation support. In order to understand this limited access - and to eventually improve accessibility - we provide a structured overview of the barriers that lower SES s...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2019.03.029
更新日期:2019-06-01 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: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
doi:10.1016/j.ypmed.2007.11.015
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVE:To examine the longitudinal relationship between psychological distress and body mass index (BMI) changes over a period of five and ten years. METHOD:Data were used from the Dutch, prospective, population based Doetinchem Cohort study over the period 1995/1999 until 2005/2009 (N=5504). Psychological distress...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2015.04.020
更新日期:2015-08-01 00:00:00
abstract::Smoking-cessation programs at the worksite hold the potential to reduce the national prevalence of smoking. This article presents the 2-year results of a broad-spectrum smoking-cessation initiative that was part of the comprehensive Johnson & Johnson LIVE FOR LIFE wellness program. In a quasi-experimental design, four...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(88)90069-2
更新日期:1988-01-01 00:00:00
abstract::Health is not equally distributed across society; there are avoidable, unfair, systematic differences in health between population groups. Some of these same groups (older people, BAME communities, those with some non-communicable diseases (NCDs)) may be particularly vulnerable to risk of exposure and severe COVID-19 ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2021.106425
更新日期:2021-01-16 00:00:00