Abstract：
BACKGROUND:Blood pressure (BP) reduction is crucial in reducing cardiovascular (CV) morbidity and mortality in the community. Subjects aged 20-65 seldom visit the primary care clinics, so they are unlikely to be detected without an active outreach screening program. The aim of the project was to prepare a professional doctor-nurse screening team, who will instruct those found to be at high risk in control of their risk factors, in order to reduce CV morbidity and mortality. METHODS:During a 10-year period (1980-1990), teams examined 12,202 subjects, (mean age 51 +/- 7 years, range 20-65 years) accounting for 23.4% of the total regional population. High risk subjects underwent an intensive CV risk factor control program. RESULTS:Subjects (3,506 or 28.6%) were found to have one or more CV risk factors (hypertension, obesity, smoking, hypercholesterolemia). During an average of 2 years, follow-up BP, weight reduction, and smoking cessation remained statistically significant. Total cholesterol was unchanged. Over this period, the standardized mortality ratio (SMR) in the area for acute MI fell from 100 to 76 (P < 0.01), for CV disease from 129 to 107 (P < 0.0001), and for hypertension from 121 to 87 (P < 0.1 NS). The project saved many life-years at no additional net cost to society, and cost effectiveness analysis showed positive results. CONCLUSIONS:A community approach with mainly nonpharmacological treatment is feasible and cost effective in reducing CV morbidity and mortality.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Yosefy C,Dicker D,Viskoper JR,Tulchinsky TH,Ginsberg GM,Leibovitz E,Gavish Ddoi
10.1016/j.ypmed.2003.09.003subject
Has Abstractpub_date
2003-12-01 00:00:00pages
571-6issue
6 Pt 1eissn
0091-7435issn
1096-0260pii
S0091743503002081journal_volume
37pub_type
杂志文章abstract：OBJECTIVE:The aim of this study was to investigate the association between self-efficacy, enjoyment, and volitional control with active commuting, as well as to analyze the impact of social support from parents, friends, and teachers with active commuting to school. METHODS:Participants in this cross-sectional study w...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.02.019
更新日期：2014-06-01 00:00:00
abstract：:The psychosocial environment and especially various psychosocial risks in childhood have been shown to predict later negative health behavior and health problems. In this study, we examined whether various psychosocial factor domains in childhood and adolescence: socioeconomic status, the emotional family environment ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.12.023
更新日期：2017-04-01 00:00:00
abstract：BACKGROUND:While MD adherence to U.S. Preventive Services Task Force guidelines has been found to be uneven, nurse practitioners (NPs) and their adherence to guidelines have not been closely examined. METHODS:A retrospective chart review of new patients (n = 1339) in an NP primary health care center, four MD primary h...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2004.09.013
更新日期：2005-06-01 00:00:00
abstract：OBJECTIVES:Determine among a representative sample of pediatricians (Peds), family medicine (FM), and general internal medicine (GIM) physicians in the 2009-2010 influenza season physicians': 1) practices and experiences with delivery of seasonal and pH1N1 influenza vaccines; and 2) anticipated and experienced barriers...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2012.04.014
更新日期：2012-07-01 00:00:00
abstract：:Currently, the Advisory Committee on Immunization Practices recommends one-time tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccination for all adults 19 years and older. This study is designed to evaluate the cost-effectiveness of Tdap vaccination for Tdap-eligible adults aged 19 through...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2020.106066
更新日期：2020-05-01 00:00:00
abstract：:Chronic kidney disease (CKD) affects 15% of the US general population, and this rate is projected to increase. A healthy lifestyle is important for individuals with CKD to reduce risk for CKD progression and adverse heath events. Adults with CKD also have high rates of psychological distress, which may be associated w...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.06.007
更新日期：2019-09-01 00:00:00
abstract：:This study aimed to investigate the effects of sex and deprivation on participation in a population-based faecal immunochemical test (FIT) colorectal cancer screening programme. The study population included 9785 individuals invited to participate in two rounds of a population-based biennial FIT-based screening progra...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.10.012
更新日期：2016-12-01 00:00:00
abstract：:In Israel, the prevention and care of asbestos-associated diseases with latency periods of one to four decades (asbestosis, mesothelioma, increased frequency of cancer of the lung and other sites) are not satisfactory, and new national policies are required. Such policies have three major goals: (a) elimination or red...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/0091-7435(84)90085-9
更新日期：1984-05-01 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：BACKGROUND:This paper examines the prevalence of household and car smoking restrictions, factors associated with these restrictions, and children's exposure to secondhand smoke in homes with varying levels of household smoking restrictions in rural Native American and White families. METHODS:In-person interviews were ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2002.1091
更新日期：2002-10-01 00:00:00
abstract：OBJECTIVE:To assess the preferred methods to quit smoking among current smokers. METHOD:Cross-sectional, population-based study conducted in Lausanne between 2003 and 2006 including 988 current smokers. Preference was assessed by questionnaire. Evidence-based (EB) methods were nicotine replacement, bupropion, physicia...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2011.02.005
更新日期：2011-03-01 00:00:00
abstract：OBJECTIVE:The objective of the study is to evaluate cross-sectional and longitudinal changes in children's commuting to school in a representative sample of a Brazilian city. METHODS:Two school-based studies were carried out in 2002 (n=2936; 7-10 years old) and 2007 (n=1232; 7-15 years old) in Florianopolis, Brazil. C...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2012.06.023
更新日期：2012-09-01 00:00:00
abstract：BACKGROUND:Although colorectal cancer is not one of the major tobacco-related cancers, a possible association with tobacco has been suggested following the observation of a relationship between cigarette smoking and colorectal adenomas. The issue of a long latency of tobacco on colorectal carcinogenesis has also been s...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1995.1091
更新日期：1995-11-01 00:00:00
abstract：:Despite obesity being a major concern for both children and adults in the United States today, there are few successful childhood interventions that curb obesity later in life. The objective of the current study is to identify childhood predictors of adult obesity at multiple levels in a large longitudinal sample of p...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2020.105993
更新日期：2020-03-01 00:00:00
abstract：BACKGROUND:Physicians prescribing nicotine replacement therapy (NRT), or health plans covering NRT, often want their patients to receive adjuvant behavioral treatment. However, how to do that in a "real world" is unclear. This paper reports results from a public health program that uses proactive telephone counseling a...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.2000.0720
更新日期：2000-10-01 00:00:00
abstract：BACKGROUND:Factors associated with participation in breast and cervix cancer screening among elderly black women of low socioeconomic status were determined. METHODS:Data from a baseline cross-sectional random survey were used together with data on whether screening was subsequently completed or refused. The subjects ...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1993.1002
更新日期：1993-01-01 00:00:00
abstract：OBJECTIVE:The obesity paradox in patients with cardiovascular disease (CVD) remains unexplained. We examined the role of self-rated health, behavioral and objectively assessed risk factors, in order to further explore mechanisms that might influence the association between body mass index (BMI) and mortality in CVD pat...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2013.02.012
更新日期：2013-07-01 00:00:00
abstract：:Implementing comprehensive school health programs presents one of our nation's key challenges for the 1990s and beyond. Whether we are talking about Goals 2000 or Healthy People 2000, we will meet the challenge only through the combined efforts of the education and health sectors working as partners at the national, s...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1993.1041
更新日期：1993-07-01 00:00:00
abstract：OBJECTIVE:This paper examines the short-term risk of cause-specific death following widowhood. METHOD:We followed all individuals registered as married in Norway in 1975 for marital status and mortality until 2006. Widowed individuals were followed for mortality for 7years following widowhood. Causes of death were cat...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.06.019
更新日期：2016-08-01 00:00:00
abstract：OBJECTIVE:To examine the contribution of lifestyle behaviours to the socioeconomic gradient in all-cause mortality, and fatal and non-fatal cardiovascular events. METHOD:10,600 men aged 50-59 years examined in 1991-1994 in Northern Ireland (NI) and France and followed annually for deaths and cardiovascular events for ...
journal_title：Preventive medicine
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ypmed.2012.01.017
更新日期：2012-03-01 00:00:00
abstract：BACKGROUND:This study aims at identifying determinants of all-cause mortality in elderly populations of different countries. METHODS:Men ages 65-84 years from defined administrative areas were enrolled in Finland (rural areas of east and west Finland; N = 693), in the Netherlands (the town of Zutphen; N = 851), and in...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1006/pmed.1996.0062
更新日期：1996-05-01 00:00:00
abstract：:Malaria continues to be among the top causes of death in children and insecticide-treated nets (ITNs) are considered among the most effective malaria control methods. However, information on the association between universal ITN coverage and infant mortality is limited. A Cox proportional hazard model was applied to M...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2019.105790
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:Little is known about the types of physical activity (PA) in which adolescent girls participate. Understanding this, along with examining specific psychosocial correlates of PA, may help guide the development of effective interventions to prevent the decline in PA in female youth. METHODS:2791 sixth grade gi...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2007.02.012
更新日期：2007-05-01 00:00:00
abstract：BACKGROUND:Injury and tobacco effects represent one-quarter of the global burden of disease. Understanding the causes of injury and the effects of smoking may help reduce those burdens. Some smokers have high risks of injury. We provide an initial meta-analysis of cohort associations between smoking and fatal injury. ...
journal_title：Preventive medicine
pub_type： 杂志文章,meta分析
doi：10.1006/pmed.1998.0374
更新日期：1998-11-01 00:00:00
abstract：OBJECTIVE:To identify determinants of use of smoking cessation aids among current and former smokers in the European Union (EU). METHODS:Data from n=9921 current and ex-smokers from 27 European countries (Eurobarometer 77.1, February-March 2012) were analysed. Multivariate binary logistic regression was used to assess...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2014.05.004
更新日期：2014-08-01 00:00:00
abstract：:Research demonstrates that prediabetes awareness has important implications for participation in diabetes risk-reducing behaviors. We examined the impact of levels of access to health services on prediabetes awareness. In 2016, we conducted an analysis among U.S. adults with prediabetes using cross-sectional data from...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2016.09.008
更新日期：2016-12-01 00:00:00
abstract：:Physical activity guidelines for cancer survivors issued by the American Cancer Society and the American College of Sports Medicine emphasize the essential role of a health care provider (HCP) in counseling cancer survivors to achieve healthier lifestyles. However, research has not established whether HCP's recommenda...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2017.01.010
更新日期：2017-06-01 00:00:00
abstract：OBJECTIVE:Numerous studies have observed higher rates of smoking among adults with mental health conditions. We examined posttraumatic stress disorder (PTSD) and smoking over a 7-9year period among adults with firsthand exposure to the 9/11 attacks enrolled in the World Trade Center Health Registry. METHOD:Data were c...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2015.01.023
更新日期：2015-04-01 00:00:00
abstract：BACKGROUND:Utilization of mammography has increased steadily since the early 1990s. It is now important to expand the attention given to obtaining repeat examination. This study examines the prevalence and cross-sectional correlates of repeat mammography, among women aged 55-79, using a 12-month (N = 3,502) and a 24-mo...
journal_title：Preventive medicine
pub_type： 杂志文章
doi：10.1016/j.ypmed.2003.12.032
更新日期：2004-07-01 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
