Abstract：
OBJECTIVE:The objective of this study was to determine the follow-up for women after receiving an abnormal Pap test before and after the updated American Society of Colposcopic and Cervical Pathology (ASCCP) guidelines for management of abnormal cytology. METHODS:In 1999 and 2004, women who had been enrolled in a US health care plan for at least 21 months and were between 18 and 70 years of age were included. We calculated differences in type of follow-up between the time periods before and after ASCCP guideline changes in 2002. RESULTS:Overall, 1.7 million women met study criteria and received at least one Pap test. Overall, 227,802 (14%) women received additional follow-up. Of these women, 73% had a repeat Pap test within 9 months as their first follow-up, 13% received colposcopy, and 7% had other events. The proportion of women receiving a repeat Pap test decreased significantly during the post-guideline time period. The odds of a woman receiving a colposcopy versus a repeat Pap test were 41% higher in the post-guideline period, after controlling for other variables. CONCLUSIONS:Our findings indicate that for the time period after the ASCCP guidelines changed, more colposcopies and fewer repeat Pap tests were performed as a follow-up of abnormal Pap test.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Benard VB,Berkman ND,Kuo T,Martin CK,Richardson LCdoi
10.1016/j.ypmed.2009.11.005subject
Has Abstractpub_date
2010-01-01 00:00:00pages
81-5issue
1-2eissn
0091-7435issn
1096-0260pii
S0091-7435(09)00591-Xjournal_volume
50pub_type
杂志文章abstract：BACKGROUND:Although the literature on increased physical fitness and psychological outcomes has grown large, a number of methodological limitations remain unaddressed. The present study was designed to address a number of these limitations while examining the short- and long-term psychological effects following complet...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章
doi：10.1006/pmed.1998.0385
更新日期：1999-01-01 00:00:00
abstract：BACKGROUND:This study brings together the fragmentary knowledge on social influence factors related to smoking cessation. An inventory of social influence variables shows six social influence factors. With the exception of descriptive norm, most of these are rarely studied in the context of smoking cessation. METHODS:...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.09.040
更新日期：2005-07-01 00:00:00
abstract：BACKGROUND:Women age 50 years and older are in need of multiple preventive health care services. Despite recent improvements in rates of delivery of preventive care services, especially within managed care organizations, substantial numbers of women are still being underscreened. Efforts to improve delivery of preventi...
journal_title：Preventive medicine
pub_type： 临床试验,杂志文章
doi：10.1006/pmed.2000.0724
更新日期：2000-10-01 00:00:00
abstract：BACKGROUND:We examined the effect of sociodemographic factors on the receipt of mammography, colorectal cancer screening, and influenza vaccinations by women enrolled in two Medicare+Choice health plans. METHODS:Administrative and survey data for 2,698 female health plan members was analyzed using multivariate logisti...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.02.041
更新日期：2004-10-01 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
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：OBJECTIVE:Habitual short sleep duration is a common practice linked to weight gain and risk of obesity. Our objective was to examine the association between sleep duration with other behaviors, such as physical activity and nutrition, which are important for obesity prevention efforts. METHODS:We used cross-sectional ...
journal_title：Preventive medicine
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ypmed.2007.11.008
更新日期：2008-05-01 00:00:00
abstract：BACKGROUND:Nutrition interventions targeted to individuals are unlikely to significantly shift US dietary patterns as a whole. Environmental and policy interventions are more promising for shifting these patterns. We review interventions that influenced the environment through food availability, access, pricing, or inf...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.ypmed.2004.04.002
更新日期：2004-09-01 00:00:00
abstract：OBJECTIVES:Commuters leaving a station often choose the stair as a quicker exit than the escalator. This paper models the effects of speed leaving the station and stair width on choice of the stairs or escalator. METHODS:Aggregated data from previous studies (n=82,347) revealed a plateau at about 45% stair use as the ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2007.12.008
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:Adequate care for patients with cardiovascular risks requires an adequate practice organization. Educational outreach visits are a promising approach to modifying professional behavior. We aimed to assess whether the quality of cardiovascular preventive care in general practice can be improved through a comp...
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
doi：10.1006/pmed.2002.1095
更新日期：2002-11-01 00:00:00
abstract：INTRODUCTION:A smoking prevention program was developed to prepare children in elementary school for secondary school. This study assessed the effects on smoking in secondary school. METHODS:In 2002, 121 schools in The Netherlands were randomly assigned to the intervention or control group. The intervention group rece...
journal_title：Preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ypmed.2010.11.003
更新日期：2011-01-01 00:00:00
abstract：BACKGROUND:To assess Pap smear utilization and compliance with screening recommendations, a study was conducted in a large midwestern HMO where cost is not a barrier to care. The purpose of the study was to examine rates of screening by age, identify the proportion of abnormal cytologic findings, and determine screenin...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1996.0041
更新日期：1996-03-01 00:00:00
abstract：OBJECTIVES:The aim of this study was to identify patterns of mammogram and Papanicolaou (Pap) screenings among Mexican American women ages 67 and over. METHODS:Data on 1,403 Mexican American women from the Hispanic Established Population for the Epidemiological Study of the Elderly, a cohort study of community-dwellin...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2001.0880
更新日期：2001-10-01 00:00:00
abstract：:The purpose of this study was to assess accuracy in predicting adolescent smoking status using attitude, knowledge, behavioral, and sociodemographic variables. A cohort of 4,641 schoolchildren was tested in 1975 (grades 4-6), in 1978 (grades 6-8), and, finally, in 1983 (grades 10-12). From 1978 to 1983, eight variable...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(87)90042-9
更新日期：1987-05-01 00:00:00
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: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：: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：BACKGROUND:Medical illness has often been thought to provide smokers with motivation to quit smoking. However, the actual impact that illness and hospitalization has on smokers' interest in cessation is not clear. Further, little is known about the role that hospital staff play in encouraging cessation. METHODS:This a...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(92)90024-c
更新日期：1992-03-01 00:00:00
abstract：BACKGROUND:Afterschool programs are an important setting in which to promote children's physical activity. This study examines the association of environmental and policy characteristics on the moderate-to-vigorous physical activity and sedentary behavior of children attending afterschool programs. METHODS:A total of ...
journal_title：Preventive medicine
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ypmed.2014.09.010
更新日期：2014-12-01 00:00:00
abstract：BACKGROUND:It is proposed that the mechanism responsible for the low plasma cholesterol-cancer associations reported in the literature is related to blood and tissue levels of cholesterol precursors and products, reflecting rates of cholesterol synthesis rather than the plasma cholesterol level itself. METHODS:Data ha...
journal_title：Preventive medicine
pub_type： 杂志文章,评审
doi：10.1006/pmed.1999.0550
更新日期：1999-11-01 00:00:00
abstract：:The United States continues to face a public health emergency of opioid-related harm, the effects of which could be dramatically reduced through increased access to the opioid antagonist naloxone. Unfortunately, naloxone is too often unavailable when and where it is most needed, partly due to its continued status as a...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.105932
更新日期：2020-01-01 00:00:00
abstract：INTRODUCTION:Studies investigating the regional impact of the 2012 U.S. Preventive Services Task Force (USPSTF) recommendation against the use of prostate specific antigen (PSA) screening for prostate cancer have been limited. METHODS:A retrospective cohort study was conducted on men age 50years and older in Southeast...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2015.11.017
更新日期：2016-01-01 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:Knowledge about the prevalence, co-occurrence, and correlates of lifestyle related behaviors of overweight women is needed to inform the design of health promotion interventions for weight loss. METHODS:Cross-sectional study involves 394 overweight and obese women, aged 18 to 55 (mean age=41.26), 39% from m...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2007.10.005
更新日期：2008-03-01 00:00:00
abstract：:Patterns of cigarette smoking in Switzerland were analyzed on the basis of sales data (available since 1924) and national health surveys conducted in the last decade. There was a steady and substantial increase in cigarettes sales up to the early 1970s. Thereafter, the curve tended to level off around an average value...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(88)90090-4
更新日期：1988-11-01 00:00:00
abstract：OBJECTIVE:Previous research from other countries shows a positive association between cancer risk and regional deprivation. This study explores this association for lung and colorectal cancers in Germany. METHOD:Regional deprivation was assessed by the 'Bavarian Index of Multiple Deprivation'. Cancer data were provide...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2011.07.021
更新日期：2011-10-01 00:00:00
abstract：OBJECTIVE:In a contemporary sample of Saskatchewan farm people, to relate the degree of mechanized and also non-mechanized farm work to the occurrence of being overweight or obese. Secondarily to determine the prevalence of being overweight or obese, and to compare these prevalence levels with those reported for genera...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.11.012
更新日期：2015-01-01 00:00:00
abstract：:Group Health Cooperative (GHC) of Puget Sound is a prepaid health plan with 285,000 enrollees and 340 physicians. In 1978 a "criterion analysis" approach was instituted to develop medical staff recommendations about preventive care. By 1979, two recommendations evolved discouraging the "routine" use of: (a) chest X ra...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(83)90247-5
更新日期：1983-05-01 00:00:00
abstract：INTRODUCTION:The study examined the association of neighborhood walkability to multiple activity-related outcomes and BMI among adolescents and evaluated socioeconomic status as an effect modifier. METHOD:Cross-sectional study, with adolescents recruited from neighborhoods that met criteria for a 2 × 2 matrix defined ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2018.02.009
更新日期：2018-05-01 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
