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 occult blood tests were up-to-date in eligible patients and then established a division of office responsibilities to ensure that tests were ordered and completed. METHODS:The cost-effectiveness analysis was predicated on data generated from a cluster-randomized controlled trial of Cancer Screening Office Systems conducted at eight clinics participating in a county-funded health insurance plan in Florida. Cost numerators were computed from estimated time inputs of both clinical personnel and patients valued at nationally representative wages as well as expenses for Cancer Screening Office Systems-related materials and overhead. Effectiveness denominators were constructed from net changes in screening rates observed experimentally over a 12-month follow-up. Two types of incremental cost-effectiveness ratios were computed: the cost per extra screening test by type and the cost per life-year saved without and with Cancer Screening Office Systems. RESULTS:Cancer Screening Office Systems produced statistically significant increases in screening rates, and these gains more than outweighed the costs of the intervention viewed from either payer or societal perspectives. CONCLUSIONS:Cancer Screening Office Systems are a cost-effective means of addressing cancer-related health disparities.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Chirikos TN,Christman LK,Hunter S,Roetzheim RGdoi
10.1016/j.ypmed.2004.03.021subject
Has Abstractpub_date
2004-08-01 00:00:00pages
230-8issue
2eissn
0091-7435issn
1096-0260pii
S009174350400180Xjournal_volume
39pub_type
杂志文章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:Existing data suggest that influenza vaccination rates among adults in the United States fall far short of the Healthy People 2010 goals and the updated Healthy People 2020 targets. We identified characteristics associated with influenza vaccination that might inform strategies for increasing coverage. METHO...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2012.03.008
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVE:The relationships between trait anxiety, or anxiety proneness, and smoking and between trait anxiety and smoking cessation, among an adult population were investigated. METHODS:The subjects were 2,669 male Japanese personnel working for a Japanese government agency. Participants completed a self-administered...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1999.0569
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:Few studies have examined the long-term adherence to a yearlong exercise intervention among postmenopausal women. We examined the patterns of adherence to a yearlong exercise intervention and the influence of demographic, physiologic, and psychosocial variables on patterns of adherence among 173 sedentary, o...
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.2004.04.017
更新日期:2004-12-01 00:00:00
abstract::Measures of well-being have proliferated over the past decades. Very little guidance has been available as to which measures to use in what contexts. This paper provides a series of recommendations, based on the present state of knowledge and the existing measures available, of what measures might be preferred in whic...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2020.106004
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Smoking, diet, and lack of exercise are the top preventable causes of death in the United States. Some 23% of high school students currently smoke and many teens do not meet Healthy People 2010 standards for healthy eating or physical activity. This study examined the relationship between smoking and the con...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.10.005
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND:Lifestyle factors, sometimes associated with physical health and mortality, have also been known to be associated with mental health status. This study seeks to correlate behavioral lifestyles with major components of mental health among Japanese factory workers. METHOD:We administered the 28-item version o...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1994.1014
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:U.S. Latino adults have experienced an 80% increase in obesity in the last decade. METHODS:A cross-sectional survey of 18-64-year-old Latino women (N = 380) and men (N = 335) from a community sample, and men (N = 186) from an agricultural labor camp sample in Monterey County, California, provided data on co...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.09.001
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:Treatment delays in breast cancer are generally thought to affect prognosis but the impact on survival remains unclear. Indicators for breast cancer care include time to primary treatment. The purpose of this study was to evaluate whether time to primary treatment (TPT) in breast cancer impacts survival. MET...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2012.12.001
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:This paper presents reliability and validity analyses of physical activity-related psychosocial questionnaires completed by 8- to 10-year-old African-American girls at baseline and follow-up assessments of pilot intervention studies in the Girls health Enrichment Multi-site Study (GEMS). METHODS:Two hundred...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2003.12.030
更新日期:2004-05-01 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::The 2014 National Research Council report on American incarceration optimistically anticipated the Affordable Care Act (ACA) would be "a turning point in the nation's health care, and … will provide unprecedented access to care for many people being released from correctional facilities." However, the ACA was not desi...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.105897
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:The effect of nonsteroidal anti-inflammatory drugs (NSAIDs) on the risk of breast cancer is unclear. We assessed the association in a hospital-based case-control study. METHODS:The cases (n = 6558) were compared with cancer controls (n = 3296) and noncancer controls admitted for trauma or acute infection (n...
journal_title:Preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1006/pmed.1999.0518
更新日期:1999-08-01 00:00:00
abstract::The systematic review investigated the effectiveness of active travel (AT) interventions on physical activity and fitness in primary school children. The review assessed intervention effectiveness, design, complexity, and study quality. Searches were conducted in five databases on 30/08/2018. Studies with an AT interv...
journal_title:Preventive medicine
pub_type: 杂志文章,meta分析
doi:10.1016/j.ypmed.2019.03.030
更新日期:2019-06-01 00:00:00
abstract:METHODS:In the context of an epidemiological investigation of AIDS-related knowledge, attitudes, and practices, 2,006 employees of the Tennessee Mental Health and Mental Retardation residential facilities were surveyed to test the hypothesis that blacks have been differentially sensitized to their disproportionate leve...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(91)90050-e
更新日期:1991-07-01 00:00:00
abstract:BACKGROUND:This study assesses the relative validity of a diet history interview in 56 free-living individuals with Type II diabetes mellitus. METHODS:The diet history interview was compared to a 3-day food record in a 1-year dietary intervention trial. The plausibility of energy intake data was examined throughout th...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1016/s0091-7435(02)00054-3
更新日期:2003-04-01 00:00:00
abstract::This paper examined knowledge about the health effects of smoking among health equity groups following the 2012 introduction of refreshed pictorial health warning labels (HWLs) in Canada. Data are from the 2012/2013 Youth Smoking Survey a representative school-based survey of 47,203 adolescents in Grades 6-12 in nine ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.11.025
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:To review the published literature on the effectiveness of web-based interventions designed to decrease consumption of alcohol and/or prevent alcohol abuse. METHOD:Relevant articles published up to, and including, May 2006 were identified through electronic searches of Medline, PsycInfo, Embase, Cochrane Lib...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2008.01.005
更新日期:2008-07-01 00:00:00
abstract::Although U.S. college graduates are at relatively low risk for smoking, 12-15% of U.S. smokers (~8 million people) are college graduates. Few studies have examined smoking risk among college graduates. To address that gap, the present study examined smoking risk among U.S. college graduates and those who did not gradu...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.105853
更新日期:2019-11-01 00:00:00
abstract::The effect of dietary fiber on intestinal carcinogenesis in animals is controversial. Some find that the addition of wheat bran or cellulose inhibits intestinal cancer in rats, while others report no effect. Such mixed results often are due to differences in the design of experiments. One important aspect in this rega...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/0091-7435(87)90071-5
更新日期:1987-07-01 00:00:00
abstract::The use of electronic cigarettes (e-cigarettes) and marijuana remain prevalent problems among adolescents nationwide. We assessed current (past 30-day) exclusive e-cigarette use, exclusive marijuana use, and concurrent use with unintentional injury and violent behaviors, alcohol and other drug use behaviors, and sexua...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2021.106429
更新日期:2021-01-19 00:00:00
abstract::Alcohol consumption as a potential risk factor for breast cancer was examined in a case-control study of 1,467 female breast cancer patients and 10,178 hospital controls. Lean females (Quetelet index less than 22) had elevated unadjusted odds ratios for breast cancer of 2.1, 1.7, and 1.4, associated with consuming les...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/0091-7435(88)90084-9
更新日期:1988-11-01 00:00:00
abstract:BACKGROUND:Relapse remains the most refractory aspect of nicotine dependence, but little is known about relapse that occurs after a period of prolonged abstinence (i.e., "late relapse"). METHOD:The current study examined the prevalence and predictors of late relapse/sustained abstinence in a community-based, longitudi...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.04.028
更新日期:2004-12-01 00:00:00
abstract::Long-term prescription opioid use is associated both with new-onset and recurrence of depression. Whether chronic opioid use interferes with depression management has not been reported, therefore we determined whether patients' longer duration of opioid use and higher opioid dose are associated with new-onset treatmen...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.08.003
更新日期:2016-10-01 00:00:00
abstract::Tamoxifen citrate, the most extensively evaluated antiestrogen, acts primarily as a cytostatic agent by binding to the estrogen receptor. In rodent mammary model systems, when tamoxifen is given continuously after exposure to a carcinogen, the majority of expected tumors do not develop. In humans, adjuvant tamoxifen t...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/0091-7435(89)90037-6
更新日期:1989-09-01 00:00:00
abstract::In October 2019, a federal judge ruled that a Philadelphia nonprofit (Safehouse) group's plan to open the first site in the U.S. where people can use illegal opioids under medical supervision does not violate federal Controlled Substances Act, delivering a major setback to Justice Department lawyers who launched a leg...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106070
更新日期:2020-06-01 00:00:00
abstract::Adolescence is a critical time for disengagement from physical activity making young people a priority group for interventions. To determine whether existing initiatives are working in this population segment and help inform future programs, the present study sought to (i) examine prevalences and trends in physical ac...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.10.006
更新日期:2018-01-01 00:00:00
abstract::A considerable proportion of European adults report little or no interest in physical activity. Identifying individual-level and environmental-level characteristics of these individuals can help designing effective interventions and policies to promote physical activity. This cross-sectional study additionally explore...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2018.02.021
更新日期:2018-06-01 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:OBJECTIVE:The objective of this study was to determine the validity of tobacco questionnaires when using as gold standard either a single biomarker or a combination of two biomarkers. METHODS:The methods were self-reported smoking compared with salivary thiocyanate and expired carbon monoxide in a 1996, population-bas...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0779
更新日期:2001-01-01 00:00:00