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 obtaining needed preventive health services. METHODS:Data from the 2002-2010 Medical Expenditure Panel Survey (MEPS) were used to measure the work hours of 61,034 employees (including 27,910 females) and their use of five preventive health services (flu vaccinations, routine check-ups, dental check-ups, mammograms and Pap smear). Multivariable logistic regression analyses were performed to test the association between working hours and use of each of those five services. RESULTS:Individuals working long hours (>60 per week) were significantly less likely to obtain dental check-ups (OR=0.81, 95% CI: 0.72-0.91) and mammograms (OR=0.47, 95% CI: 0.31-0.73). Working 51-60 h weekly was associated with less likelihood of receiving Pap smear (OR=0.67, 95% CI: 0.46-0.96). No association was found for flu vaccination. CONCLUSIONS:Time pressure from work might create barriers for people to receive particular preventive health services, such as breast cancer screening, cervical cancer screening and dental check-ups. Health practitioners should be aware of this particular source of barriers to care.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Yao X,Dembe AE,Wickizer T,Lu Bdoi
10.1016/j.ypmed.2015.03.008subject
Has Abstractpub_date
2015-05-01 00:00:00pages
55-8eissn
0091-7435issn
1096-0260pii
S0091-7435(15)00079-1journal_volume
74pub_type
杂志文章abstract:BACKGROUND:Neighborhood built environments (BE) include combinations of co-existing stimuli influencing physical activity (PA). Dealing with numerous environmental variables and complexity presents a significant challenge. The current analysis explored whether a range of reported BE features associated with adults' phy...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2011.02.020
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:We assessed the effectiveness of the Luoghi di Prevenzione-Prevention Grounds school-based smoking prevention programme. METHODS:We undertook a cluster randomized controlled trial of 989 students aged 14-15 years in 13 secondary schools located in Reggio Emilia, Italy. The intervention consisted of the "Smok...
journal_title:Preventive medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ypmed.2014.01.004
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVE:To estimate the prevalence of complementary and alternative medicine (CAM) use among children with current asthma. DESIGN:We analyzed data from the Asthma Call Back Survey (ACBS) 2006-2008. ACBS is a follow-up to the state-based Behavioral Risk Factor Surveillance System (BRFSS) survey that collects informat...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2011.10.007
更新日期:2012-01-01 00:00:00
abstract:METHODS:Serum lipoprotein profiles in 4,231 individuals, ages 5-26 years, were studied cross-sectionally in a biracial community to describe the race- and gender-specific changes from adolescence into young adulthood. RESULTS:White children and adolescents of both genders showed significantly higher covariates--adjust...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(91)90063-a
更新日期:1991-11-01 00:00:00
abstract:OBJECTIVE:To examine the individual, behavioral, social and built environment correlates of body mass index (BMI) in an Australian adult population. METHOD:Using data from 2003 to 2005 on 1151 participants in the RESIDential Environments project (RESIDE), Perth, Western Australia, linear regression was used to constru...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2011.05.004
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:Regular physical activity provides young people with important physical, mental, and social health benefits. This study aimed to evaluate the relationship of family income and parents' level of education with physical activity in Finnish adolescents. METHOD:The study population consisted of the Northern Finl...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2007.01.008
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:This study evaluated the effects of a school-based dietary intervention program to increase fruit and vegetable consumption among fourth-graders. METHODS:Twenty-eight elementary schools were randomized to an immediate intervention condition or to a delayed intervention control condition. Measures of diet an...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1006/pmed.1999.0630
更新日期:2000-04-01 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: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
doi:10.1016/0091-7435(92)90007-5
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVE:To evaluate BMI and direct measures of body fat (BF) and lean body mass (LBM) in relation to fasting serum lipid profiles in a large Chinese population based twin sample using a monozygotic (MZ) co-twin analysis. METHODS:Adiposity measures collected 1998-2000 on 987 MZ female 20-60 year old twin pairs (n=197...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2007.07.014
更新日期:2007-11-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ypmed.2004.10.023
更新日期:2005-07-01 00:00:00
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
doi:10.1006/pmed.1998.0266
更新日期:1998-03-01 00:00:00
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:BACKGROUND:Lifetime risk estimates of disease are limited by long-term data extrapolations and are less relevant to individuals who have already lived a period of time without the disease, but are approaching the age at which the disease risk becomes common. In contrast, short-term age-conditional risk estimates, such ...
journal_title:Preventive medicine
pub_type: 杂志文章,meta分析
doi:10.1006/pmed.1998.0399
更新日期:1999-02-01 00:00:00
abstract:OBJECTIVE:To review the empirical evidence concerning the strength of tracking of sedentary behaviours from childhood and adolescence. METHODS:Published English language studies were located from computerised and manual searches in 2009. Included studies were prospective, longitudinal studies with at least one sedenta...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2010.07.018
更新日期:2010-11-01 00:00:00
abstract::The North Karelia Youth Project was a 2-year intervention study aimed at preventing cardiovascular diseases risk factors among 13-year-old adolescents at the project's start. It was carried out during the years 1978 to 1980 in the county of North Karelia, Finland. The smoking prevention portion of the program was aime...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(86)90074-5
更新日期:1986-11-01 00:00:00
abstract:OBJECTIVE:The Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN) is a program designed for financially disadvantaged women ages 40-64 and funded by the Centers for Disease Control and Prevention (CDC). This study investigates the role that travel distance plays in determining whether these...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2008.06.021
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:To determine the relationship between family child care home (FCCH) practices and characteristics, and objectively measured physical activity (PA) among children attending FCCHs. METHODS:FCCH practices and characteristics were assessed in 45 FCCHs in Oregon (USA) in 2010-2011 using the Nutrition and Physical...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2011.12.002
更新日期:2012-02-01 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:OBJECTIVE:In Europe, the demand for informal care is high and will increase because of the ageing population. Although caregiving is intended to contribute to the care recipient's health, its effects on the health of older European caregivers are not yet clear. This study explores the association between providing info...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.10.028
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:To describe recent trends in the prevalence and risk factors of obstetric anal sphincter ruptures during between 1997 and 2007 in Finland. METHOD:We analyzed a population-based register of 514,741 women with singleton vaginal deliveries recorded in the Finnish Medical Birth Register. Primiparous (n=2315) and...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2009.10.005
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:The study sought to determine BMI trajectories in Iraq/Afghanistan veterans over 6 years and to examine sociodemographic factors associated with BMI trajectory membership. METHODS:Our study sample included 16,656 veterans post-deployment and entering the Veteran Healthcare Administration (VHA) healthcare sys...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2011.07.001
更新日期:2011-09-01 00:00:00
abstract::In Brazil, colorectal cancer (CRC) is the fourth most common cause of cancer-related death among men, and the third most common among women. We aimed to examine CRC screening-related knowledge, attitudes, and practices among physicians and nurses working in Brazil's network of health units, and to describe the capacit...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2015.09.021
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Previous research demonstrates that visual impairment (VI) is associated with increased all-cause mortality risk and is also associated with reduced physical activity participation. Although physical activity is reduced among those with VI, no studies have examined the relationship between physical activity ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.02.005
更新日期:2016-06-01 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::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
doi:10.1016/j.ypmed.2016.08.017
更新日期:2016-10-01 00:00:00
abstract:OBJECTIVE:To provide updated information on smoking prevalence in Italy, with a focus on type of tobacco product, including hand-rolled (HR) cigarettes. METHOD:Two nationally representative surveys were conducted in 2011 and 2012 in Italy on a total sample of 6167 adults. Information on type of tobacco most frequently...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2013.02.009
更新日期:2013-05-01 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:OBJECTIVE:To investigate if the lower mortality among participants of a health check followed by lifestyle intervention of high risk persons is explained by self-selection. METHODS:All persons residing in the study area (Copenhagen; Denmark) were randomized to intervention (n=11,629) or control group (n=47,987). Perso...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2015.07.004
更新日期:2015-12-01 00:00:00
abstract::Only a small fraction of the health-care dollar is directed toward lifestyle changes that would reduce the social burden from cardiovascular diseases (CVD). Here we discuss the challenge, opportunity, methods, and potential for managed care to implement risk reduction strategies and preventive care. A systematic team ...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1006/pmed.1999.0563
更新日期:1999-12-01 00:00:00