Abstract：
:Primary HPV screening for cervical cancer by HPV mRNA testing (Aptima) was implemented in January 2017, for women ≥30 through 70 years, in the Region of Skåne, Sweden. HPV positive samples underwent cytology assessment, and women with any degree of abnormal cytology were referred for colposcopy. The aim was to audit the primary HPV screening program, by comparing the cytology results to those of corresponding women (aged ≥30 through 65 years) screened with conventional cytology during 2016. Overall, HPV was detected among 7.0% (4433/63,055) of the women ≥30-70 years in the primary HPV screening program. Among a co-tested (cytology and HPV) subgroup aged 40-42 years (N = 5039), HPV was detected in 100% (28/28) of high-grade squamous intraepithelial lesions (HSIL) and atypical squamous cells of undetermined significance (ASCUS) where HSIL could not be excluded (ASCH) (9/9), and in 80% (4/5) of cases of atypical glandular cells (AGC). Among women ≥30-65 years, the proportion ASCUS or worse (ASCUS+) was similar with cytology (3.52% [2016]) and primary HPV screening (3.70% [2017]). Only the proportion of ASC-H changed by the use of primary HPV screening, from 0.13% (2016) to 0.23% (2017) (p < 0.001). The colposcopy referral rate increased by 54% (3.70 vs 2.41%), when primary HPV screening was introduced. In conclusion, the implemented primary HPV screening approach demonstrated similar prevalence of ASCUS+ cytology as conventional screening. In addition, primary HPV screening decreased cytology assessments by 86% in our screening population of women 30 through 70 years taken into account the co-tested women.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Lindroth Y,Borgfeldt C,Thorn G,Bodelsson G,Forslund Odoi
10.1016/j.ypmed.2019.04.021subject
Has Abstractpub_date
2019-07-01 00:00:00pages
61-66eissn
0091-7435issn
1096-0260pii
S0091-7435(19)30160-4journal_volume
124pub_type
杂志文章abstract：:We present a redesign of medical test results by placing the information of blood samples in the context of the patient's personal clinical data. We predict that implementing personalized data in the treatment of patients will promote engagement in the treatment, motivate patients to take responsibility and lead to gr...
journal_title：Preventive medicine
pub_type： 信件
doi：10.1016/j.ypmed.2014.08.008
更新日期：2014-10-01 00:00:00
abstract：OBJECTIVES:Determine among a representative sample of pediatricians (Peds), family medicine (FM), and general internal medicine (GIM) physicians in the 2009-2010 influenza season physicians': 1) practices and experiences with delivery of seasonal and pH1N1 influenza vaccines; and 2) anticipated and experienced barriers...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2012.04.014
更新日期：2012-07-01 00:00:00
abstract：BACKGROUND:Although patterns of utilization of complementary and alternative medicine (CAM) in the community have begun to be described, few studies have addressed the relationships between dispositional psychological factors and the use of CAM. The aim of this study was to examine the associations between CAM use and ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.05.001
更新日期：2005-01-01 00:00:00
abstract：:The goal of this study is to provide, for the United States, estimates for gun-owning and non-owning households in terms of firearm and non-firearm suicides and suicide attempts. To make these ballpark estimates I combine a half-dozen known "facts" about suicide (e.g., households with firearms are at approximately 3× ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2018.12.003
更新日期：2019-02-01 00:00:00
abstract：:The magnitude of confounding is examined in nine case studies of two "weak" relationships: between artificial sweeteners and bladder cancer, and between oral contraceptives and cervical dysplasia. Confounding had little or no influence on the results of any published study. The responsible epidemiologist must always c...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(87)90081-8
更新日期：1987-03-01 00:00:00
abstract：:Health service utilization is an important component of child health promotion. Evidence shows that two-thirds of child deaths in low and middle income countries could be prevented if current interventions were adequately utilized. Aim of this study was to identify determinants of variation in health services utilizat...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.12.035
更新日期：2017-03-01 00:00:00
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
doi：10.1016/j.ypmed.2011.12.024
更新日期：2012-11-01 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：OBJECTIVE:Implementation science is an emerging area in physical activity (PA) research. We sought to establish the current state of the evidence related to implementation of school-based PA models to explore 1) the relationship between implementation and health outcomes, and 2) factors that influence implementation. ...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2014.12.034
更新日期：2015-03-01 00:00:00
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
doi：10.1016/j.ypmed.2016.05.031
更新日期：2016-08-01 00:00:00
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
doi：10.1016/j.ypmed.2015.03.008
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:The introduction of bans on smoking in restaurants is frequently marred by claims that they will lead to a loss of business. METHODS:A representative sample of 3,019 South Australians age 15+ years were asked questions about dining-out frequency and perceived effects of the ban on their dining-out enjoyment...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1999.0502
更新日期：1999-07-01 00:00:00
abstract：BACKGROUND:Prior studies of recall accuracy for screening mammogram behavior have examined relatively homogeneous groups. Data are limited on possible systematic group differences, so we evaluated women's recall accuracy in two separate care systems in one city. Methods. Women 50 to 70 years old with and without screen...
journal_title：Preventive medicine
pub_type： 杂志文章,多中心研究
doi：10.1006/pmed.1999.0575
更新日期：1999-12-01 00:00:00
abstract：BACKGROUND:Neighborhood safety, green space, walkability, and sociodemographics may influence physical activity and childhood obesity. METHODS:Data on measured height and weight, demographic characteristics, and home ZIP code were collected from year 2004 enrollees in a means-tested preschool program in New York City....
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.05.012
更新日期：2013-09-01 00:00:00
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
doi：10.1016/0091-7435(92)90056-n
更新日期：1992-07-01 00:00:00
abstract：BACKGROUND:Few data are available to explain the ongoing increase in lung cancer mortality among Czech women. The study is aimed at examining the role of smoking and known or suspected cofactors. METHODS:Data collected by in-person interviews from 269 female lung cancer cases and 1079 controls were analyzed using unco...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2001.1002
更新日期：2002-04-01 00:00:00
abstract：:Up-to-date estimates of current and projected future cancer burden attributable to various exposures are essential for planning and implementing cancer prevention initiatives. The Canadian Population Attributable Risk of Cancer (ComPARe) study was conducted to: i) estimate the number and proportion of cancers diagnose...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.03.007
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to examine the relationship between walking or cycling to work and prevalence of metabolic syndrome (MetS) and its components. METHODS:Cross-sectional analysis of 6401 randomly selected individuals (3297 men and 3104 women) aged 20-74 years, who participated in the National Multice...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2010.09.003
更新日期：2010-12-01 00:00:00
abstract：BACKGROUND:Whereas self-efficacy expectations have been identified as important determinants of exercise participation patterns, little empirical work that examines efficacy expectations as outcomes of exercise participation or their theoretical relationship to other psychological outcomes associated with exercise has ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1995.1053
更新日期：1995-07-01 00:00:00
abstract：:There is minimal evidence from epidemiological studies on how e-cigarette use is related to health indices in adolescence. We hypothesized that e-cigarette use would be associated with asthma, controlling for demographics and cigarette smoking. The hypothesis was tested with cross-sectional data from a statewide sampl...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.09.023
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVES:We report prevalence rates and correlates of cigarette smoking among a population-based sample of Chinese- and Filipino-American adults together with rates found in other racial/ethnic groups in California. METHODS:All analyses are based on the 2001 California Health Interview Survey. RESULTS:The proportio...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2005.01.014
更新日期：2005-08-01 00:00:00
abstract：OBJECTIVE:To investigate whether political mistrust in the Riksdag (the national parliament in Sweden) is an independent characteristic of cannabis smokers, or whether it reflects low confidence in people in general, and therefore low social capital. METHOD:The 2004 public health survey in Skåne is a cross-sectional p...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2008.02.003
更新日期：2008-06-01 00:00:00
abstract：BACKGROUND:An elevated risk for coronary artery disease and lung cancer was reported for smokers and nonsmokers exposed to environmental tobacco smoke. Particularly in nonsmokers, in addition to the adverse effects of tobacco smoke, other factors which are associated with the exposure to environmental tobacco smoke may...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2002.1024
更新日期：2002-06-01 00:00:00
abstract：:In the U.S., the occurrence of weight counseling in primary care for patients with obesity decreased by 10% between 1995-1996 and 2007-2008. There have been several national recommendations and policies to improve obesity management since 2008. The purpose of this study was to examine the rates of body mass index (BMI...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.02.020
更新日期：2017-06-01 00:00:00
abstract：:The purpose of this study was to explore the associations between several social learning theory variables and self-reported vigorous exercise and to consider the implications for exercise promotion. A random sample of adults in San Diego, California, was surveyed by mail. The 2,053 respondents (response rate, 43.4%) ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(89)90051-0
更新日期：1989-01-01 00:00:00
abstract：:Tobacco smoking and obesity are leading causes of preventable morbidity and mortality in the US, and primary care physicians are the main source of preventive care. However, it is not known whether access for new patients is affected by an expression of interest in preventive care. In a 2015 audit, we called US primar...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2018.04.031
更新日期：2018-08-01 00:00:00
abstract：BACKGROUND:Although the disease consequences of cigarette smoking are well documented, smoking may also be associated with increased risk of injury. Our purpose is to provide an overview of this potential association. METHODS:We conducted a literature review. RESULTS:Cigarettes are the leading cause of death from fir...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1006/pmed.1994.1070
更新日期：1994-07-01 00:00:00
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：OBJECTIVE:To evaluate the effects of a lifestyle intervention and a structured exercise intervention on physical activity in older adults. METHOD:Participants were randomly assigned to a lifestyle intervention (n=60), including an individualized home-based program supported by phone calls, or to a structured intervent...
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.2008.02.017
更新日期：2008-06-01 00:00:00
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
doi：10.1016/j.ypmed.2004.04.010
更新日期：2004-11-01 00:00:00
