Abstract:
BACKGROUND:Little is known about patient-physician colorectal cancer (CRC) screening discussions or how discussion content affects screening use. Analyses conducted in 2004-2005 of patient-physician CRC screening discussion content and its association with screening use are described. METHODS:A mailed survey and retrospective claims data were used to compile information on insured, primary care patients aged 50 to 70 years (n = 4966). The survey collected information on patient-physician CRC screening discussion content (including the 5A's: assess, advise, agree, assist, and arrange). Survey responses were linked with 5-year retrospective claims data (ending December 31, 2003) on CRC screening use. Among patients reporting screening discussions, generalized estimating equation approaches were used to estimate the association of discussion content with screening use. RESULTS:Among those reporting discussion information (n = 2463), 80% reported discussing CRC screening with their physician. The content of these discussions varied, and only 54% used CRC screening. Multivariable model results indicated that the likelihood of screening was greater among patients reporting help scheduling an appointment (assist) (odds ratio [OR] = 2.69, 95% confidence interval [CI] = 1.95-3.72) and those reporting a discussion of results or follow-up (arrange) (OR = 1.63, 95% CI = 1.18-2.24), and lower among patients offered a choice among screening modalities (agree) (OR = 0.57, 95% CI = 0.37-0.86) as well as among those who wanted more screening information (OR = 0.65, 95% CI = 0.43-0.97). CONCLUSIONS:Not all patient-physician CRC screening discussions result in CRC screening use. It is important to understand which aspects of shared decision making and discussion content are likely to increase informed and value-concordant decisions to participate in recommended evidence-based CRC screening.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Lafata JE,Divine G,Moon C,Williams LKdoi
10.1016/j.amepre.2006.04.010subject
Has Abstractpub_date
2006-09-01 00:00:00pages
202-9issue
3eissn
0749-3797issn
1873-2607pii
S0749-3797(06)00202-9journal_volume
31pub_type
杂志文章abstract::Atherosclerotic heart disease is the principal cause of death in the United States and other industrial societies. Three major risk factors for developing coronary artery disease (hypertension, hypercholesterolemia, and smoking) are frequently seen in family practice patients. It is therefore important for family phys...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
abstract::To enhance compliance to physician referral as well as dietary and other lifestyle recommendations given at blood cholesterol (BC) screening programs, we randomized Pawtucket Heart Health Program SCORE (screening, counseling, referral event) participants with elevated BC levels into one of four groups: usual care grou...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1994-09-01 00:00:00
abstract:INTRODUCTION:The purpose of this prospective study is to examine the role of emotional abuse in predicting youth smoking. METHODS:Data were drawn from the Longitudinal Studies of Child Abuse and Neglect. The sample was restricted to those who had an interview at age 12 years and at least one interview at ages 14, 16, ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.08.020
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Annual influenza-related hospitalization rates of children aged < 2 years in the United States are second only to those of the elderly. Yet no recommendations existed for vaccinating healthy children aged 6 to 23 months until 2002, when the Advisory Committee on Immunization Practices encouraged influenza va...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2004.07.016
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:Regular exercise is associated with many health benefits. Community-based exercise programs may increase exercise participation, but little is known about cost implications. METHOD:A retrospective, matched cohort study was conducted to determine if changes in healthcare costs for Medicare-eligible adults wh...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(03)00196-x
更新日期:2003-10-01 00:00:00
abstract:INTRODUCTION:Tobacco contributes to multiple cancers, and it is largely preventable. As overall smoking prevalence in California declines, smoking has become concentrated among high-risk groups. Targeting social/cultural groups (i.e., "peer crowds") that share common values, aspirations, and activities in social venues...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.03.026
更新日期:2017-09-01 00:00:00
abstract::Climate change could significantly affect vectorborne disease in humans. Temperature, precipitation, humidity, and other climatic factors are known to affect the reproduction, development, behavior, and population dynamics of the arthropod vectors of these diseases. Climate also can affect the development of pathogens...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2008.08.030
更新日期:2008-11-01 00:00:00
abstract::Most major medical organizations recommend routine screening for breast, cervical, and colorectal cancers. Screening can lead to early detection of these cancers, resulting in reduced mortality. Yet not all people who should be screened are screened, either regularly or, in some cases, ever. This report presents resul...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2008.04.008
更新日期:2008-07-01 00:00:00
abstract:INTRODUCTION:Restaurant food is widely consumed by children and is associated with poor diet quality. Although many restaurants have made voluntary commitments to improve the nutritional quality of children's menus, it is unclear whether this has led to meaningful changes. METHODS:Nutrients in children's menu items (n...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2016.11.007
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Previous studies on physical activity interventions in preschools have reported limited effectiveness. Participatory community-based approaches hold promise for increasing intervention effectiveness and involving parents as key stakeholders in a sustainable way. PURPOSE:To assess whether a participatory par...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2013.01.032
更新日期:2013-07-01 00:00:00
abstract:CONTEXT:Whether physical activity attenuates the association of total daily sitting time with cardiovascular disease and diabetes incidence is unclear. This systematic review and meta-analysis examined the association of total daily sitting time with cardiovascular disease and diabetes with and without adjustment for p...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,meta分析
doi:10.1016/j.amepre.2019.04.015
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Evidence indicates that the rising trend in overweight and obesity may be stronger for people from more socioeconomically advantaged backgrounds. PURPOSE:This study used longitudinal, multilevel data to describe trajectories of BMI for people living in more- versus less-deprived neighborhoods. METHODS:Data...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2010.03.021
更新日期:2010-08-01 00:00:00
abstract::This paper examines the relationship between mortality and ruralness in the state of Georgia. In 1979, the rural Standardized Mortality Ratio (SMR) for deaths from all causes was significantly higher than expected when compared to statewide levels, while the urban SMR was significantly lower (p less than 0.01). Of the...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract::Local public health departments traditionally have been supported as providers of preventive care and, in some jurisdictions, as guarantors of other essential services to vulnerable populations that usual providers do not reach. In the 1980s, the responsibility for allocating federal grants for public health shifted t...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract::This pilot study builds on efforts to develop evaluation methods to compare and contrast potential strategies designed to increase population physical activity generally, and to reduce disparities in activity levels more specifically. The study presents a user-friendly, semi-quantitative decision-support tool of inter...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2010.05.013
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Approximately 1% of U.S. women may have an undiagnosed bleeding disorder, which can diminish quality of life and lead to life-threatening complications during menstruation, childbirth, and surgery. PURPOSE:To understand young women's knowledge, attitudes, and perceptions about bleeding disorders and determi...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.07.040
更新日期:2014-11-01 00:00:00
abstract:CONTEXT:Stair climbing is an accessible activity that can be incorporated into one's daily lifestyle to increase physical activity levels and provide health benefits. This review summarizes the effectiveness of stair interventions and explores key differences that may influence intervention effectiveness. EVIDENCE ACQ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2016.08.014
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:This descriptive summary of the literature provides an overview of the available studies (published before October 2006) on sociodemographic, psychosocial, and other correlates of risk and protective behaviors for hearing loss in young people aged 12 to 25 years. METHODS:Publications were identified by a st...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2007.03.016
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND:The purpose of this paper is to establish the reliability and validity of a neighborhood-level measure of active living potential by applying principles of ecometrics. METHODS:Following a 3-day training session, observers (n =8) were provided with a map of a predetermined walking route constructed through t...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2004.10.029
更新日期:2005-02-01 00:00:00
abstract:BACKGROUND:Many infectious disease outbreaks, including those caused by intentional attacks, may first present insidiously as ill-defined syndromes or unexplained deaths. While there is no substitute for the astute healthcare provider or laboratorian alerting the health department of unusual patient presentations, susp...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(02)00490-7
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Text messaging programs on mobile phones have shown some promise in helping people quit smoking. Text2Quit is an automated, personalized, interactive mobile health program that sends text messages to offer advice, support, and reminders about quitting smoking. PURPOSE:To evaluate the effect of Text2Quit on ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2014.04.010
更新日期:2014-09-01 00:00:00
abstract::Although the issue of whether sickle cell trait (SCT) is clinically benign or a significant health concern has not yet been resolved, the potential health risk to affected individuals is of vital importance and represents a tremendous challenge in protecting, promoting, and improving the health of the approximately 30...
journal_title:American journal of preventive medicine
pub_type:
doi:10.1016/j.amepre.2011.09.012
更新日期:2011-12-01 00:00:00
abstract:INTRODUCTION:Safety-net sexually transmitted disease services can prevent transmission of sexually transmitted disease. This study assesses the availability of safety-net sexually transmitted disease clinical services across the U.S. METHODS:A 2018 survey of U.S. local health departments examined the availability of s...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.amepre.2019.11.010
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Physical activity is necessary for bone mass development in adolescence. There are few studies quantifying the associations between physical activity and bone mass in adolescents. PURPOSE:To assess the relationship between moderate-to-vigorous physical activity (MVPA) and vigorous physical activity (VPA) an...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2011.03.001
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVES:We examine the utility of pooling data from the 1987 through 1994 Maryland Behavioral Risk Factor Surveillance system (BRFSS) surveys in order to increase sample size, and we investigate the social and demographic correlates of smoking in Maryland among 18-24-year-olds. METHODS:The data are from 1,714 subje...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract:INTRODUCTION:Acetaminophen is a commonly used analgesic/antipyretic; overdoses can lead to liver damage. Little is known about the relationship of health literacy to exceeding the recommended maximum daily dose (4 g). METHODS:Subjects were recruited at 23 U.S. malls in 2011. Health literacy was measured by Rapid Estim...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.11.005
更新日期:2016-06-01 00:00:00
abstract:INTRODUCTION:In observational studies, the association between the Dietary Approaches to Stop Hypertension (DASH) diet and incident heart failure has been inconsistent. It was hypothesized that higher DASH diet concordance has a protective effect on heart failure in a multi-ethnic cohort. METHODS:The Multi-Ethnic Stud...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.11.022
更新日期:2019-06-01 00:00:00
abstract::Studies describing sexually transmitted disease (STD) and human immunodeficiency virus (HIV) prevention practices of primary care physicians have relied on physician or patient reports. This study describes physician STD/HIV prevention practices as observed by unannounced simulated patient evaluators (SPEs). SPEs visi...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1992-07-01 00:00:00
abstract:INTRODUCTION:Most Americans spend half their waking hours at work and consume food acquired there. The hypothesis was that the healthfulness of worksite food purchases was associated with employees' overall diet and health. METHODS:Participants were 602 hospital employees who regularly used worksite cafeterias and enr...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.02.020
更新日期:2019-07-01 00:00:00
abstract:INTRODUCTION:This study examines the frequency, associated factors, and characteristics of healthcare personnel coronavirus disease 2019 cases in a healthcare department that comprises a tertiary hospital and its associated 12 primary healthcare centers. METHODS:This study included healthcare personnel that showed sym...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.07.014
更新日期:2020-12-01 00:00:00