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 primary care physicians' offices to request appointment information regarding new patient physicals for simulated patients. Simulated patients were differentiated by smoking concerns (N = 907), weight concerns (N = 867), or no health concerns ("healthy" patients; N = 3561). Additionally, patient profiles varied by race/ethnicity, sex, and insurance type. We also examined whether access differed in states that expanded Medicaid under the Affordable Care Act. We found that physicians' offices were no more likely to offer appointments to patients with smoking concerns than to healthy patients (54% vs. 55%; p-value = 0.56), and patients with smoking concerns were offered fewer appointments than patients with weight concerns (54% vs. 62%, p-value < 0.01). In analyses adjusted for covariates, smoking concerns did not improve appointment offers for any patient group, and reduced Medicare patients' offers in Medicaid expansion states by 9 percentage points relative to healthy patients (95% CI: -16, -2). Health concerns did not statistically significantly affect waits-to-appointment. Our results suggest that patients with smoking concerns are no more likely to be offered new patient appointments than those with no health concerns. The greater likelihood of appointment offers for some patients with weight concerns is encouraging for obesity prevention and management.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Tinkler SE,Sharma RL,Susu-Mago RRH,Pal S,Stano Mdoi
10.1016/j.ypmed.2018.04.031subject
Has Abstractpub_date
2018-08-01 00:00:00pages
51-56eissn
0091-7435issn
1096-0260pii
S0091-7435(18)30149-Xjournal_volume
113pub_type
杂志文章abstract：BACKGROUND:Little is known about the perception of bilateral prophylactic mastectomy (BPM), and whether perceptions are influenced by a family history of breast cancer. It is also unclear what factors may play a role in selecting BPM for follow-up care. METHODS:Samples of predominantly Caucasian, well-educated women w...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1999.0524
更新日期：1999-09-01 00:00:00
abstract：OBJECTIVE:Cigarette smoking is the leading preventable cause of death and disease in the United States. Sexual minorities (lesbians, gay men, and bisexuals), smoke at higher rates than the general population. However, little else is known about sexual minority smokers. Furthermore, the sexual minority population is div...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.11.026
更新日期：2015-05-01 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：OBJECTIVE:This paper estimates the rates of lifetime nonreceipt of influenza immunization among elderly and examines variations in the lifetime nonreceipt of immunization by gender, race and ethnic group, socioeconomic status, access to health care, and health status. METHODS:Cross-sectional, nationally representative...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.07.017
更新日期：2005-04-01 00:00:00
abstract：:Immunization programs have been challenged by vaccine crises. Between 2013 and 2018, China has experienced three major vaccine scandals and crises, which has partly impaired Chinese public trust in domestically produced vaccines. This study aims to explore the associations between parental trust toward CDC-released cr...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2021.106423
更新日期：2021-01-10 00:00:00
abstract：BACKGROUND:Recent studies find lesbians at greater risk for overweight and obesity than heterosexual women. While this may reflect differences in attitudes concerning weight and body shape, little is actually known about risk factors within this group. This study examines correlates of obesity and exercise frequency am...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/s0091-7435(03)00020-3
更新日期：2003-06-01 00:00:00
abstract：BACKGROUND:Although numerous studies have examined repeat mammography, they provide limited information about actual patterns of women's behavior over time. METHODS:In this study, 128 asymptomatic women ages 50 to 75 who had had their first mammograms 15 to 27 months previously were interviewed to determine rates of r...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1997.0163
更新日期：1997-07-01 00:00:00
abstract：BACKGROUND:Many estimates of cancer screening are based on self-reported screening behavior. There is growing concern that self-reported screening measures may be less accurate among members of racial and ethnic minority groups. This would have considerable implications for research on racial and ethnic disparities in ...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2008.11.014
更新日期：2009-02-01 00:00:00
abstract：BACKGROUND:Although the initial effectiveness of psychosocial strategies programming in preventing smoking and other drug abuse among adolescents has been well established through literature reviews and meta-analyses, much less evidence exists for the long-term follow-up success of these interventions. The primary goal...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/s0091-7435(03)00166-x
更新日期：2003-11-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to investigate the prevalence and identify factors associated with simultaneous risk behaviors for chronic noncommunicable diseases in adults in a southern capital in Brazil. METHOD:A cross-sectional, population-based study was carried out with 1720 adults in Florianópolis, Braz...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2012.10.022
更新日期：2013-01-01 00:00:00
abstract：BACKGROUND:The main goal was to conduct a cost-effectiveness analysis of an intervention designed to increase cancer screening rates in primary care settings serving disadvantaged populations. The Cancer Screening Office Systems intervention reminded clinicians whether screening mammography, Pap smears, and/or fecal oc...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.03.021
更新日期：2004-08-01 00:00:00
abstract：OBJECTIVE:To determine the extent to which older people are willing to engage in different falls prevention activities, and how this may vary in different sectors of the older population. METHODS:A survey sent to patients aged over 54 in ten general practices in the Southampton, Bristol and Manchester areas of the UK ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2008.09.001
更新日期：2008-11-01 00:00:00
abstract：AIMS:Our aims were to assess whether offspring social support moderates the relationship between parental body mass index (BMI) and offspring BMI. METHODS:A prospective design was used with an analytic sample of 1049 participants from Finland (the offspring) who were 35-50years old in 2012 when adulthood BMI was measu...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.07.004
更新日期：2016-09-01 00:00:00
abstract：:In 1981-1982 the Division of Cancer Control (Jonsson Comprehensive Cancer Center, University of California, Los Angeles) implemented a Know Your Body program in the Los Angeles and Santa Monica Unified School Districts. The results from this evaluation are based on analyses of over 1,400 elementary school children (ag...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(87)90020-x
更新日期：1987-11-01 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：BACKGROUND:Cigarette smoking has been associated with increased risk for prostate cancer in 2/13 case-control studies and 4/12 cohort studies conducted on this topic. The relationship between tobacco smoking and prostate cancer was further studied in a hospital-based case-control study in northern Italy. METHODS:Two h...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1006/pmed.1993.1033
更新日期：1993-05-01 00:00:00
abstract：:An authoritative parenting style is generally associated with healthier body weight in children and adolescents. However, whether the protective effect of an authoritative style on offspring body weight may persist into adulthood has seldom been investigated. In this study we examined the longitudinal association betw...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.03.001
更新日期：2019-06-01 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：BACKGROUND:A significant percentage of the U.S. population has multiple poor health behaviors. Understanding the relationship among these behavioral risk factors is important for designing effective multiple risk factor interventions. While there is some evidence suggesting that participation in physical exercise may h...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1996.0107
更新日期：1996-11-01 00:00:00
abstract：:The impact of social participation on older adults' health may differ by individual socioeconomic status (SES). Consequently, we examined SES effect modification on the associations between types of social activity participation and incident functional disability. Cohort data from the 2003 Japan Gerontological Evaluat...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.05.006
更新日期：2016-08-01 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:High-risk types of HPV are the primary cause of cervical cancer. OBJECTIVES:This article reports HPV screening and diagnosis from a survey evaluating community-based physicians' screening, testing, and clinical practices for sexually transmitted diseases. METHODS:Surveys mailed to physicians (n = 7,300) ob...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/s0091-7435(02)00021-x
更新日期：2003-02-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to investigate the association between self-efficacy, enjoyment, and volitional control with active commuting, as well as to analyze the impact of social support from parents, friends, and teachers with active commuting to school. METHODS:Participants in this cross-sectional study w...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.02.019
更新日期：2014-06-01 00:00:00
abstract：:During the last 25 years a remarkable change has occurred in the ranking of the causes of death in Japan. In particular, stroke, the leading cause of death in Japan for a long period of time, has been declining from its peak in 1965. Although ischemic heart disease increased about fourfold, it is not yet as prominent ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90198-6
更新日期：1983-01-01 00:00:00
abstract：OBJECTIVE:The present study investigates the cross-sectional relationship between tobacco smoking and body fatness. METHODS:This cross-sectional study consisted of 469,543 men and women who participated in the European Prospective Investigation into Cancer and Nutrition (EPIC) study between 1992 and 2000 providing ant...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2009.08.009
更新日期：2009-11-01 00:00:00
abstract：:Recent epidemiologic studies report a significant association between alcohol consumption and elevations in both systolic (SBP) and diastolic (DBP) blood pressures. To test this hypothesis, we conducted a multivariate analysis of physical examination and other data on 721 men and 697 women aged 20 or more collected du...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(85)90016-7
更新日期：1985-01-01 00:00:00
abstract：BACKGROUND:While previous research has generally supported a relationship between hostility and health risk behaviors, the majority of this research has been conducted in predominately male, highly educated, Caucasian samples. The current study was designed to further examine the relationship between hostility and heal...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2001.0921
更新日期：2001-12-01 00:00:00
abstract：:Implementing comprehensive school health programs presents one of our nation's key challenges for the 1990s and beyond. Whether we are talking about Goals 2000 or Healthy People 2000, we will meet the challenge only through the combined efforts of the education and health sectors working as partners at the national, s...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1993.1041
更新日期：1993-07-01 00:00:00
abstract：OBJECTIVE:We investigated the impact of mental health on the decline in higher activities of daily living (ADL) defined in terms of social role performance (SR, the highest ADL), intellectual activity (IA), and instrumental ADL (IADL), as well as the onset of basic ADL disability. METHODS:Six hundred older adults were...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2007.12.007
更新日期：2008-05-01 00:00:00
abstract：:The science behind the combined effect of (and possible interaction between) physical activity and air pollution exposure on health endpoints is not well established, despite the fact that independent effects of physical activity and air pollution on health are well known. The objective of this review is to systematic...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2020.106195
更新日期：2020-10-01 00:00:00
