Abstract:
BACKGROUND:Initiation of sun protection strategies can be promoted, to some extent, by educational efforts, but little is known about the merit of continuing education interventions in sustaining the desired behaviors or adding new behaviors. This prospective study clarifies the choices individuals make among the four strategies that allow them to maintain lifestyle changes. METHODS:From 1983 to 1987, the population received education about sun protection coupled with the removal of a nonmelanoma skin cancer. One year later, their choice of sun protection methods was determined. Then annually from 1985 to 1989, they received written recommendations about sun protection for a period of 2-6 years after the initial education. The maintenance, cessation, and addition to the initial sun protection behaviors were ascertained by a questionnaire, as was the intention to change. Frequency of physician visits and development of subsequent nonmelanoma skin cancer were evaluated by medical chart review for the 2-6 year phase of continued education. RESULTS:One percent of the population consisting mostly of women described ceasing tanning after 2-6 years of education. The population related a greater use of protective clothing and/or sunscreen with an SPF of 15 or greater as their reported restrictions on outdoor activities ceased. An emerging new strategy of some of the population (n = 185) was the use of sunscreens with an SPF less than 15 in association with attempts to deliberately tan and longer daily outdoor exposure. Neither frequency of physician visits nor numbers of subsequent nonmelanoma skin cancers influenced continuation or addition of sun protection behaviors. CONCLUSIONS:While the greatest reported change in behavior was temporarily associated with educational intervention linked to removal of the skin cancer, continued educational efforts may have recruited some individuals to cease tanning and encouraged others to adopt the use of protective clothing or more frequent sunscreen use as they were unable to maintain the limitations on outdoor activities. It is not possible to structure a control group restricted from mass media education; therefore, the effectiveness of specific behavior-directed education cannot be precisely determined. Nonetheless, the population described using knowledge to develop compensation sun protection strategies that preserved lifestyle.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Robinson JKdoi
10.1016/0091-7435(92)90082-ssubject
Has Abstractpub_date
1992-11-01 00:00:00pages
754-65issue
6eissn
0091-7435issn
1096-0260journal_volume
21pub_type
杂志文章abstract::As a major public health issue, human trafficking (HT) affects individuals, families, communities, and societies around the world. A public health approach to combating HT has been advocated. Such an approach seeks to prevent HT by engaging diverse stakeholder groups in addressing risk factors at multiple levels. As a...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2018.07.006
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Clinical guidelines for using the prostate-specific antigen (PSA) test as a population-based screening tool vary considerably. This study qualitatively explored primary care physicians' PSA screening practices and their understanding of the PSA screening controversy. METHODS:Fourteen telephone focus groups ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2003.09.035
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:This study aimed to identify cognitive and environmental correlates of daily adolescent breakfast consumption. METHODS:Adolescents (n=1089) aged 12-15 years in schools in Rotterdam, The Netherlands, completed a questionnaire measuring daily breakfast consumption, individual cognitions, and home environmental...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2009.02.009
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:In this paper two large nationwide trials are described, both of which will test a comparable telephone-based counseling intervention to promote cancer screening among the first-degree relatives (FDRs) of breast and colorectal cancer patients. The unit of randomization will be the family unit of eligible FDR...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1998.0408
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Based on previous studies on the blocking effect of Chinese tea in the formation of N-nitroso compounds in rats and humans, experiments were carried out to study the effects of Chinese tea on the occurrence of esophageal tumors induced by N-nitrosomethylbenzylamine (NMBzA) in rats. METHODS:In the first expe...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(92)90046-k
更新日期:1992-05-01 00:00:00
abstract:BACKGROUND:Diet is an essential part of the nonpharmacological management of hypertension. The aim of this study was to investigate in a primary health care setting the effect of intensified diet counseling on the diet of hypertensive subjects. METHODS:A total of 715 free-living subjects, ages 25-74 years, with systol...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1006/pmed.2002.1120
更新日期:2003-01-01 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:OBJECTIVE:To test a computer-delivered program for preventing substance use among adolescent girls. METHODS:Randomly, 916 girls aged 12.76+/-1.0 years and their mothers were assigned to an intervention arm or to a test-only control arm. Intervention-arm dyads engaged in exercises to improve the mother-daughter relatio...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2009.08.001
更新日期:2009-11-01 00:00:00
abstract::Use of five early disease detection tests was examined in relation to history of specific chronic disease and other health habits, as part of a cohort study including 11,888 residents of a retirement community in Southern California. Self-reported utilization rates by residents in the year preceding study entry were a...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(87)90053-3
更新日期:1987-09-01 00:00:00
abstract:BACKGROUND:Lifetime risk estimates of disease are limited by long-term data extrapolations and are less relevant to individuals who have already lived a period of time without the disease, but are approaching the age at which the disease risk becomes common. In contrast, short-term age-conditional risk estimates, such ...
journal_title:Preventive medicine
pub_type: 杂志文章,meta分析
doi:10.1006/pmed.1998.0399
更新日期:1999-02-01 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
abstract:BACKGROUND:While previous research has generally supported a relationship between hostility and health risk behaviors, the majority of this research has been conducted in predominately male, highly educated, Caucasian samples. The current study was designed to further examine the relationship between hostility and heal...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2001.0921
更新日期:2001-12-01 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:The aim of this study is to provide an overview of interventions to reduce or prevent overweight or obesity and improve diet or physical activity. METHODS:A review of meta-analyses and/or systematic reviews of these interventions in any setting or age group were conducted. Narrative systematic reviews were i...
journal_title:Preventive medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ypmed.2014.02.008
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Missed childhood vaccination opportunities have been generally described, yet not since the immunization schedule's recent rapid expansion. Little is known about the relationship between the number of vaccine doses due and whether all scheduled doses are administered, and the effect of dose deferral on immun...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2004.12.001
更新日期:2005-08-01 00:00:00
abstract::Few studies from the United Kingdom have fully investigated inequalities between members of different sexual minority groups and heterosexuals over range of health outcomes. Using data from over 40,000 individuals, this study explores the health inequalities of sexual minority UK adults. We include respondents who ide...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.06.010
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Women age 50 years and older are in need of multiple preventive health care services. Despite recent improvements in rates of delivery of preventive care services, especially within managed care organizations, substantial numbers of women are still being underscreened. Efforts to improve delivery of preventi...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1006/pmed.2000.0724
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND:Organized sport participation in youth is a common form of physical activity; yet, little is known about how it is associated with adult obesity and related health behaviors. The purpose of this study was to investigate whether a history of youth sport participation was related to adult obesity, physical act...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2001.0963
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:To provide a systematic review of the existing literature on health consequences of vaporing of electronic cigarettes (ECs). METHODS:Search in: PubMed, EMBASE and CINAHL. INCLUSION CRITERIA:Original publications describing a health-related topic, published before 14 August 2014. PRISMA recommendations were ...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2014.10.009
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:This study examines the relationship between smoking cessation and absence from work by analyzing data collected from a large sample of ex-smokers. In particular, it is hypothesized that if smoking cessation is of benefit for work attendance, the incidence of absence should be inversely related to the amount...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1995.1084
更新日期:1995-09-01 00:00:00
abstract:BACKGROUND:Although the U.S. Navy mandated Total Quality Leadership (TQL) as a management strategy throughout its medical department in the early 1990s, it was unknown to what extent it was being used for health promotion activities and, if so, how effectively. METHODS:A brief mail survey of 204 Navy commands suppleme...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2000.0665
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVE:We assessed the effectiveness of the Luoghi di Prevenzione-Prevention Grounds school-based smoking prevention programme. METHODS:We undertook a cluster randomized controlled trial of 989 students aged 14-15 years in 13 secondary schools located in Reggio Emilia, Italy. The intervention consisted of the "Smok...
journal_title:Preventive medicine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ypmed.2014.01.004
更新日期:2014-04-01 00:00:00
abstract::Patterns of cigarette smoking in Switzerland were analyzed on the basis of sales data (available since 1924) and national health surveys conducted in the last decade. There was a steady and substantial increase in cigarettes sales up to the early 1970s. Thereafter, the curve tended to level off around an average value...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(88)90090-4
更新日期:1988-11-01 00:00:00
abstract::We conducted a health impact assessment (HIA) of cycling network expansions in seven European cities. We modeled the association between cycling network length and cycling mode share and estimated health impacts of the expansion of cycling networks. First, we performed a non-linear least square regression to assess th...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.12.011
更新日期:2018-04-01 00:00:00
abstract::Only a small fraction of the health-care dollar is directed toward lifestyle changes that would reduce the social burden from cardiovascular diseases (CVD). Here we discuss the challenge, opportunity, methods, and potential for managed care to implement risk reduction strategies and preventive care. A systematic team ...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1006/pmed.1999.0563
更新日期:1999-12-01 00:00:00
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::In 1960 the meat-consumption habits of 25,153 California Seventh-Day Adventists were assessed by questionnaire. Between 1960 and 1980 ischemic heart disease deaths were identified. Meat consumption was positively associated with fatal ischemic heart disease in both men and women. This association was apparently not du...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(84)90017-3
更新日期:1984-09-01 00:00:00
abstract::The purpose of this research is to investigate peer-to-peer sexual violence victimization and perpetration among male and female adolescents in a large, racially and economically diverse, community-based sample. Using cross-sectional data over a four-year period (2009-2013) from a regional sample of middle school and ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2018.08.032
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVE:Our purpose was to assess whether participation in needle exchange programs (NEPs) influenced incident hepatitis C virus (HCV) infection through effects on injection risk behaviors among young injection drug users (IDUs) in the United States. METHODS:Data were drawn from three multi-site studies carried out ...
journal_title:Preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ypmed.2009.04.014
更新日期:2009-08-01 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