Abstract:
BACKGROUND:This article describes the results of studies on the barriers and benefits of cervical cancer screening from the perspective of women, men, and health providers in five Latin American countries and compares them to other findings from the literature. METHODS:Five separate qualitative studies (focus groups and interviews) were conducted among low-income women in Venezuela, Ecuador, Mexico, El Salvador, and Peru regarding barriers and benefits of cervical cancer screening. Views from health providers and men were also included. RESULTS:The main barriers identified by all participants are accessibility and availability of quality services, facilities that lack comfort and privacy, costs, and courtesy of providers, which interact with poor service delivery. Barriers that pertain to women's beliefs are anxiety borne by women awaiting test results, associated with negligence and fear of cancer (although not to a particular cancer or a particular procedure). Benefits of screening are peace of mind and being in control of their health, which then enable other life activities to continue unhindered. CONCLUSIONS:Except for the accessibility and availability of quality services, these results are consistent with findings from other studies in developed and developing countries. Barriers could be lifted if health service delivery was enhanced, for instance, through quality improvement techniques that are available at low cost. Women's anxiety over test results still needs to be further assessed to devise risk communication strategies that take into account broader cultural frameworks. It is to be noted that such strategies should permeate the way health services are provided for cervical cancer prevention regardless of the specific test used. Vulnerability perceived by low-income women with respect to their capacity to cope with diseases and trust the health services and how this affects their perceptions of risk and their behaviors have not been studied as yet.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Agurto I,Bishop A,Sánchez G,Betancourt Z,Robles Sdoi
10.1016/j.ypmed.2004.03.040subject
Has Abstractpub_date
2004-07-01 00:00:00pages
91-8issue
1eissn
0091-7435issn
1096-0260pii
S0091743504001835journal_volume
39pub_type
杂志文章abstract:OBJECTIVE:To determine the association between self-reported diabetes and posttraumatic stress disorder (PTSD) among adults in the community and to investigate the specificity of this link. METHOD:Data were drawn from the National Comorbidity Survey (NCS), a household probability sample of adults ages 15-54 in the Uni...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.07.013
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:The AIDS epidemic has profoundly affected public health policy and everyday choices of individuals. Understanding the self-protective strategies adopted by the general population is crucial to designing appropriate and more effective primary AIDS prevention strategies. METHODS:A probability sample of the U....
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0270
更新日期:1998-05-01 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:OBJECTIVE:Existing smoking cessation interventions tend to be under utilized by ethnic minority groups. We sought to identify smoking cessation interventions that have been adapted to meet the needs of African-, Chinese- and South Asian-origin populations, to increase understanding of the approaches used to promote beh...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2013.09.014
更新日期:2013-12-01 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: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::The benefits of physical activity are established, however, increasing population physical activity levels remains a challenge. Participating in activities that are enjoyable and multidimensional, such as dancing, are associated with better adherence. However, the extent to which the general population participates in...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.11.005
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Recent studies find lesbians at greater risk for overweight and obesity than heterosexual women. While this may reflect differences in attitudes concerning weight and body shape, little is actually known about risk factors within this group. This study examines correlates of obesity and exercise frequency am...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/s0091-7435(03)00020-3
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects of a lifestyle intervention and a structured exercise intervention on physical activity in older adults. METHOD:Participants were randomly assigned to a lifestyle intervention (n=60), including an individualized home-based program supported by phone calls, or to a structured intervent...
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.2008.02.017
更新日期:2008-06-01 00:00:00
abstract::Primordial prevention seeks to prevent future disease by influencing its social determinants. Henry Blackburn's writings are prime portrayals of social factors causing premature cardiovascular disease (CVD). His classic paper, Diet and Mass Hyperlipidemia, identified changes needed in professional attitudes, medical e...
journal_title:Preventive medicine
pub_type: 传,历史文章,杂志文章
doi:10.1006/pmed.1998.0474
更新日期:1999-12-01 00:00:00
abstract:BACKGROUND:Underutilization of breast and cervical cancer screening has been observed in many ethnic groups and underserved populations. Effective community-based interventions are needed to eliminate disparities in screening rates and thus to improve prospects for survival. METHODS:The Breast and Cervical Cancer Inte...
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.2001.0871
更新日期:2001-09-01 00:00:00
abstract::This report describes a systematic literature review of voucher and related monetary-based contingency management (CM) interventions for substance use disorders (SUDs) over 5.2years (November 2009 through December 2014). Reports were identified using the search engine PubMed, expert consultations, and published biblio...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2016.08.008
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:Obesity was not identified as a risk factor for influenza until the recent 2009 H1N1 pandemic. Based on a cohort of 66,820 subjects aged 65 years and over with the follow-up period from July 1998 to December 2010 in Hong Kong, we assessed the modifying effect of obesity on mortality risks specifically attribu...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2012.11.017
更新日期:2013-02-01 00:00:00
abstract::The opioid crisis presents substantial challenges to public health in New England's rural states, where access to pharmacotherapy for opioid use disorder (OUD), harm reduction, HIV and hepatitis C virus (HCV) services vary widely. We present an approach to characterizing the epidemiology, policy and resource environme...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.05.028
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:To investigate the nutrition-related cancer prevention attitudes of low-income African American women, determine whether a nutrition education program can alter these attitudes, and determine whether these attitudes are related to diet and dietary changes. METHOD:One-hundred and fifty-seven African American ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2007.05.006
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVE:To determine the role of the habitual use of the most common artificial sweeteners (AS) in the development of urinary tract tumors (UTT) in Argentina. METHODS:Case-control study of 197 patients with histologically confirmed UTT of transitional varieties, and 397 controls with acute, non-neoplastic, and non-u...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2008.03.015
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of two in-hospital smoking cessation interventions -- brief advice and extended counseling with follow-up. METHODS:The subjects (n=770) were in-patients who were daily smokers or had stopped smoking 30 days preceding admission to 15 wards in five Swedish hospitals. All wards sta...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2007.06.014
更新日期:2007-08-01 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:BACKGROUND:School playgrounds during break times provide potential opportunities for children to be active during the school day. However, there is limited research on how active children really are during these breaks. METHODS:The CAST (Children's Activity Scanning Tool) instrument was developed, validated, and used ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2001.0905
更新日期:2001-11-01 00:00:00
abstract:BACKGROUND:Body mass index (BMI) is believed to be associated with coronary heart disease (CHD) risks. A major question is whether each BMI category provides independent risk information and whether the BMI categories provide similar results for African-American (AA) men and women relative to lipid, lipoproteins, and b...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.06.013
更新日期:2005-03-01 00:00:00
abstract::Tobacco-related health disparities disproportionately affect smokers with major depression (MD). Although tobacco simulation models have been applied to general populations, to date they have not considered populations with a comorbid mental health condition. We developed and calibrated a simulation model of smoking a...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2020.106241
更新日期:2020-11-01 00:00:00
abstract::For good reason, there is increasing interest in assessing the clinical efficacy of dietary supplements, naturally occurring compounds, and nutraceuticals intended for improving health and reducing disease. This is also a pressing interest in mitigating the effects of age-dependent chronic diseases. This opportunity a...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2012.04.001
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:It is proposed that, historically, when the conditions are right for laboratory sciences to contribute to causal knowledge, they take the place of epidemiology as leaders in a given field. METHODS:Review examples of cholera, pellagra, and Kaposi's sarcoma. RESULTS:In the cases of cholera, pellagra, and Kap...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2011.07.018
更新日期:2011-10-01 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::Men who have sex with men and women (MSMW) compose a subset of men who have sex with men (MSM) and represent an estimated 35% of MSM. Research on the HIV risk behaviors of MSMW has largely focused on their behaviors in comparison to men who have sex with men only (MSMO). Results suggest that compared to MSMO, MSMW are...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.04.024
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Research has shown that social images or prototypes of smoking peers play a role in adolescents' decisions to start smoking. To devise effective prevention measures, specific information is needed about how adolescents evaluate characteristics associated with smoker prototypes. Such evaluation is assumed to ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.09.025
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:Text-messaging shows promise as a health intervention. This randomized controlled trial evaluated a daily text-messaging weight loss intervention. METHODS:Overweight and obese adults (n=170) in California were randomized to receive daily interactive and personally weight-relevant text-messages or monthly e-n...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2012.08.011
更新日期:2012-11-01 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::Given the disease and cost burdens, Multiple Health Behavior Research represents the future of preventive medicine. Growing evidence in this special issue and beyond indicates that simultaneous and sequential interventions can be effective. The challenge for the future is to make such interventions more effective, cos...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2008.01.015
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:The relationship between strength training (ST) behavior and mortality remains understudied in large, national samples, although smaller studies have observed that greater amounts of muscle strength are associated with lower risks of death. We aimed to understand the association between meeting ST guidelines...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.02.038
更新日期:2016-06-01 00:00:00