Abstract:
BACKGROUND:National surveys indicate that only 15% to 30% of all women in the general population 50 years of age or older have an annual mammogram. METHODS:We studied first-degree female relatives of women with breast cancer, who are at elevated risk of disease, to describe the breast cancer screening practices of these relatives and to improve their practices through a program of intensive education. We report here the screening behaviors of 2471 relatives of women with breast cancer. RESULTS:Self-reported behaviors were as follows: 49% performed monthly breast self-examination and 70% had annual breast examinations by a medical professional. Of 983 women 50 years of age or older, 49% had had a mammogram, but only 14% have a mammogram annually. Of women 50 years of age or older who had never had a mammogram, 92% reported never having had one recommended by a medical professional. CONCLUSIONS:Our findings indicate that screening behaviors in relatives of breast cancer patients are not substantially different from those of women in the general population. Enhanced efforts both to educate medical professionals and to encourage women to demand screening mammography are necessary to reduce breast cancer mortality.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Kaplan KM,Weinberg GB,Small A,Herndon JLdoi
10.2105/ajph.81.9.1174subject
Has Abstractpub_date
1991-09-01 00:00:00pages
1174-9issue
9eissn
0090-0036issn
1541-0048journal_volume
81pub_type
杂志文章abstract::We interviewed 290 pregnant women randomly selected from public and private prenatal clinics, 80 per cent of whom were at least five months pregnant (ages 18-43, 42 per cent Latino, 22 per cent Black). Twenty-four women reported physical battering during this pregnancy (44 reported physical battering before the curren...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.10.1337
更新日期:1987-10-01 00:00:00
abstract::To assess the effectiveness of physician prescribed exercise, health education, and patient self-monitoring, 124 firefighters were medically screened and randomly allocated to a control and two treatment groups. Physiologic and reporting methods were employed to assess adherence to regular exercise at three months and...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.69.6.591
更新日期:1979-06-01 00:00:00
abstract:OBJECTIVES:This study tested the hypothesis that tobacco industry campaign contributions influence state legislators' behavior. METHODS:Multivariate simultaneous equations regression was used to analyze data on tobacco industry campaign contributions to state legislators and legislators' tobacco control policy scores ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.6.918
更新日期:1998-06-01 00:00:00
abstract::Objectives. To determine the number of people who inject drugs (PWID) in Canada and the annual coverage of opioid agonist treatment (OAT) and needle-and-syringe provision for PWID.Methods. We estimated the number of PWID in 11 of 13 Canadian provinces and territories in 2011 by using indirect multiplier methods based ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305379
更新日期:2020-01-01 00:00:00
abstract::Promoting population mental health and meeting the burdens of mental illness is a priority public health challenge of the 21st century. But too little attention has been placed on how to design and sustain the scope of strategies and commitments that credibly live up to the full breadth of that challenge. ThriveNYC is...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305040
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVES:We investigated whether nonstandard work schedules by mothers were associated with adolescent overweight. METHODS:We conducted multiple regression analyses using a sample of mother-child pairs (n=2353) from the National Longitudinal Survey of Youth to examine the association between the number of years moth...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.123885
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVES:We investigated basic measures used to assess collaboration between colocated providers and to gauge the extent to which health centers practice integrated care. METHODS:We used the Assessment of Behavioral Health Services survey and the 2010 Uniform Data System to explore the elements of integrated care fo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302710
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVES:We examined agreement of administrative data with self-reported race/ethnicity and identified correlates of agreement. METHODS:We used Veterans Affairs administrative data and VA 1999 Large Health survey race/ethnicity data. RESULTS:Relatively low rates of agreement (approximately 60%) between data sources...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.10.1734
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVES:We identified barriers and facilitators to the state-level implementation of primary stroke center (PSC) policies, which encourage the certification or designation of specialized stroke treatment facilities and may address concerns such as transportation bypass, telemedicine, and treatment protocols. METHOD...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.197954
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVES:We estimated the costs associated with reducing class sizes in kindergarten through grade 3 as well as the effects of small class sizes on selected outcomes such as quality-adjusted life-years and future earnings. METHODS:We used multiple data sets to predict changes in the outcomes assessed according to le...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.105478
更新日期:2007-11-01 00:00:00
abstract::Systematic reviews are generating valuable scientific knowledge about the impact of public health laws, but this knowledge is not readily accessible to policy makers. We identified 65 systematic reviews of studies on the effectiveness of 52 public health laws: 27 of those laws were found effective, 23 had insufficient...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.130278
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVES:We determined differences in weight at age 18 years and at current age and weight change by sexual orientation within different racial/ethnic populations, stratifying by gender. METHODS:We used 2001-2007 data from the California Health Interview Survey, resulting in an unweighted sample of 120,274 individua...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301391
更新日期:2014-01-01 00:00:00
abstract::Nuclear weapons pose a particularly destructive threat. Prevention of the proliferation and use of nuclear weapons is urgently important to public health. "Horizontal" proliferation refers to nation-states or nonstate entities that do not have, but are acquiring, nuclear weapons or developing the capability and materi...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2006.100602
更新日期:2007-09-01 00:00:00
abstract::Public health clients in an Ontario community 65 years of age or older were randomly allocated to receive an intervention by a public health nurse during a home visit promoting either influenza immunization or safety measures. There was no statistically significant differences in influenza immunization rates between t...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.83.12.1751
更新日期:1993-12-01 00:00:00
abstract::The Environmental Protection Agency measures the success or failure of Superfund site remediation efforts against remedial action objectives (RAOs). RAOs are frequently based on environmental contaminant concentrations, but with lead exposure, blood lead levels from the population at risk are often used. Although chil...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300226
更新日期:2011-12-01 00:00:00
abstract::From April 2004 through December 2004, we reviewed the express legal authorities of the 10 most populous US states to restrict the movement of persons to control communicable diseases. All 10 of the states possessed express legal authority to quarantine and isolate individuals, but the laws varied substantially. In th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.083311
更新日期:2007-04-01 00:00:00
abstract::Researchers have a responsibility to cause no harm, but research has been a source of distress for indigenous people because of inappropriate methods and practices. The way researchers acquire knowledge in indigenous communities may be as critical for eliminating health disparities as the actual knowledge that is gain...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.093641
更新日期:2008-01-01 00:00:00
abstract::In 2004, Murray et al. reviewed methodological developments in the design and analysis of group-randomized trials (GRTs). We have updated that review with developments in analysis of the past 13 years, with a companion article to focus on developments in design. We discuss developments in the topics of the earlier rev...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2017.303707
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVES:We examined associations among 3 dimensions of sexual orientation (identity, behavior, and attraction) and key health-related indicators commonly studied among sexual minority populations: depressive symptoms, perceived stress, smoking, binge drinking, and victimization. METHODS:We analyzed data from the Na...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300262
更新日期:2012-06-01 00:00:00
abstract::Several epidemiologists have published papers in major medical journals in which they compare incidence rates and prevalence and use these comparisons to support conclusions regarding questions of major public health importance. Although these papers have been criticized in published correspondence, we believe that co...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.79.9.1301
更新日期:1989-09-01 00:00:00
abstract:OBJECTIVES:We reviewed data for the Minority HIV/AIDS Research Initiative (MARI), which was established in 2003 to support underrepresented minority scientists performing HIV prevention research in highly affected communities. METHODS:MARI was established at the Centers for Disease Prevention and Control as a program ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301345
更新日期:2013-12-01 00:00:00
abstract::This paper presents a comparison of prescribing habits for patients hospitalized in medical wards of university hospitals in America and Scotland. American patients received almost twice as many drugs both during and prior to hospitalization than did comparable Scots. The differences between the countries were consist...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.7.644
更新日期:1976-07-01 00:00:00
abstract:OBJECTIVES:This study examined the association between leisure time physical activity and cause-specific mortality among male Whitehall Study participants with chronic bronchitis. METHODS:Rate ratios were calculated for 4 mortality outcomes, according to level of activity and baseline bronchitis status, in a 25-year f...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.5.817
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVES:We examined racial and ethnic disparities in the total potential burden of asthma in low-income, racially/ethnically heterogeneous Chicago schools. METHODS:We used the Brief Pediatric Asthma Screen Plus (BPAS+) and the Spanish BPAS+, validated, caregiver-completed respiratory questionnaires, to identify ast...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.071514
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVES:To assess time trends in mortality rates in European countries for the period 2011 to 2015 by level of austerity measures imposed by governments in response to the economic and financial crisis. METHODS:We analyzed standardized mortality rates (SMRs) for 2011 through 2015 in 15 European countries based on E...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.304997
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVES:This analysis was conducted to determine whether atopic disorders were related to social class in a pediatric population of a former socialist country. METHODS:A cross-sectional study of 2471 schoolchildren was carried out in 1992 and 1993 in 3 towns in the former East Germany. Parents completed a standardi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.9.1319
更新日期:1998-09-01 00:00:00
abstract::Understanding differential disease susceptibility requires new tools to quantify the cumulative effects of environmental stress. Evidence suggests that social, physical, and chemical stressors can influence disease through the accumulation of epigenetic modifications. Geographically stable epigenetic alterations could...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302130
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVES:We compared cervical cancer incidence, stage at diagnosis, and survival in Medicaid-insured and non-Medicaid-insured populations. METHODS:We stratified the sample by age and used ordered logistic regression to predict stage at diagnosis and used Cox proportional hazards regression to predict survival. RESU...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.12.2098
更新日期:2004-12-01 00:00:00
abstract::A representative sample of women living in metropolitan Los Angeles were asked what they heard and what they believed about mammography and whether they would obtain a mammogram if their doctor advised it. Forty percent of these women said they had not heard of mammography even after the procedure was described. Few o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.11.1172
更新日期:1979-11-01 00:00:00
abstract::Cape Town, South Africa experienced an upsurge in the level of political violence from May to July of 1986. To determine the impact of the political violence on health and health services, selected routinely available information was analyzed, a community survey was conducted of 1,540 randomly selected households in h...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.7.772
更新日期:1988-07-01 00:00:00