Abstract：
BACKGROUND:Developing effective programs to promote colorectal cancer (CRC) screening requires understanding of the effect of healthcare system factors on access to screening and adherence to guidelines. METHODS:This study assessed the role of insurance status, type of plan, the frequency of preventive health visits, and provider recommendation on utilization of CRC screening tests using a cross-sectional, random-digit-dial survey of 1002 Massachusetts residents aged > or =50. RESULTS:A broad definition of CRC screening status included colonoscopy or barium enema (screening or diagnostic) within 10 years, flexible sigmoidoscopy (FSIG) within 5 years, and fecal occult blood testing (FOBT) in the past year as options; 51.7% of subjects aged 50 to 64 and 61.5% of older subjects were current. The uninsured had the lowest current testing rate. Among insured participants, type of insurance had little impact on CRC testing; older subjects enrolled in HMOs had marginally higher rates, although not statistically significant. Increased frequency of preventive health visits and ever receiving a physician's recommendation for FSIG or ever receiving FOBT cards were associated with higher rates of CRC screening among both age groups. CONCLUSIONS:Even when broad criteria are used to define current CRC screening status, a substantial proportion of the age-eligible population remains underscreened. Obtaining regular preventive care and receiving a physician's recommendation for screening appear to be potent facilitators of screening that should be considered in designing promotional efforts.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Zapka JG,Puleo E,Vickers-Lahti M,Luckmann Rdoi
10.1016/s0749-3797(02)00444-0subject
Has Abstractpub_date
2002-07-01 00:00:00pages
28-35issue
1eissn
0749-3797issn
1873-2607pii
S0749379702004440journal_volume
23pub_type
临床试验,杂志文章,随机对照试验abstract：:Low-cost generic cigarettes grew dramatically in market share between 1990 and 1993, raising concerns that some smokers might view generics as an alternative to quitting. We report sociodemographic predictors of generic brand choice among a cross-sectional sample of California smokers and investigate changes in brand ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1996-01-01 00:00:00
abstract：INTRODUCTION:Firearm violence injures or kills 100,000 Americans each year. This paper applies the Host-Agent-Vector-Environment model to this issue. Research on firearm violence tends to focus on two elements-the host (i.e., victims of firearm violence) and the environment (i.e., gun policies)-but little attention has...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2017.05.002
更新日期：2017-11-01 00:00:00
abstract：BACKGROUND:The 2009 pandemic influenza A (H1N1) virus (2009 H1N1) was first identified in April 2009 and quickly spread around the world. The first doses of influenza A (H1N1) 2009 monovalent vaccine (2009 H1N1 vaccine) became available in the U.S. in early October 2009. Because people with asthma are at increased risk...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2011.08.004
更新日期：2011-12-01 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
abstract：BACKGROUND:Tobacco use has been found to be more prevalent among lesbian, gay, bisexual, and transgender (LGBT) adults than among the general population, but there is little information about LGBT youth. This study examined tobacco use in relation to sexual identity in a community venue-based sample of youth. METHODS:...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2008.09.002
更新日期：2008-12-01 00:00:00
abstract：BACKGROUND:Data indicating the extent to which evidence-based decision making (EBDM) is used in local health departments (LHDs) are limited. PURPOSE:This study aims to determine use of decision-making processes by New York State LHD leaders and upper-level staff and identify facilitators and barriers to the use of EBD...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2013.08.004
更新日期：2013-12-01 00:00:00
abstract：CONTEXT:Adolescence marks a time when many young people engage in risky behaviors with potential implications for long-term health. Interventions focused on adolescents' parents and other caregivers have the potential to affect adolescents across a variety of risk and health-outcome areas. EVIDENCE ACQUISITION:Communi...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2011.12.001
更新日期：2012-03-01 00:00:00
abstract：BACKGROUND:Social capital has been related to a number of important public health variables such as overall mortality, health status, and sexually transmitted infections (including AIDS case rates). However, the relationship of social capital to tuberculosis has received little attention. Because social capital may be ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2003.10.014
更新日期：2004-02-01 00:00:00
abstract：OBJECTIVE:To examine demographics and immunization attitudes, beliefs, and behaviors of parents who sought medical attention for a child due to an adverse event following immunization (AEFI). METHODS:A sample of households that participated in the National Immunization Survey was re-contacted during 2001. This analysi...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2006.03.017
更新日期：2006-07-01 00:00:00
abstract：:Worksite cholesterol screening programs are becoming increasingly prevalent. Variability in cholesterol measurements frequently renders the interpretation of single or repeated cholesterol determinations problematic, complicating employee counseling within screening programs. In the setting of a corporate cholesterol ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1991-11-01 00:00:00
abstract：BACKGROUND:Although religiosity has often been shown to have a deterrent effect on teen drug use, noteworthy theoretic gaps and contradictory findings have left important questions unanswered. METHODS:Conceptualizing religion as a measure of social capital and using cross-sectional data from Monitoring the Future (199...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2007.03.001
更新日期：2007-06-01 00:00:00
abstract：:This study was undertaken to determine the beliefs of family physicians about the role of diet and cancer, as well as to determine how often family physicians assess dietary risks in patient encounters and recommend preventive dietary practices to reduce cancer risk. This study consisted of a survey of a national rand...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1995-05-01 00:00:00
abstract：INTRODUCTION:Environmental and policy approaches to promote physical activity, such as walking trail construction and promotion, are being widely recommended, yet sparse data exist on their effectiveness. In conjunction with ongoing community-intervention projects in Missouri, walking trails are being built, promoted, ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(99)00165-8
更新日期：2000-04-01 00:00:00
abstract：BACKGROUND:Smokers may react to cigarette excise tax increases by engaging in price-minimization strategies (i.e., finding ways to reduce the cost of cigarette smoking) rather than by quitting or reducing their cigarette use, thereby reducing the public health benefits of such tax increases. PURPOSE:To evaluate the st...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2013.01.019
更新日期：2013-05-01 00:00:00
abstract：BACKGROUND:Parents are often involved in interventions to engage youth in physical activity, but it is not clear which methods for involving parents are effective. PURPOSE:A systematic review was conducted of interventions with physical activity and parental components among healthy youth to identify how best to invol...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2009.04.020
更新日期：2009-08-01 00:00:00
abstract：:There is a need to assess better the relationship between physical activity and other health behaviors through population-based studies. Using the state-based Behavioral Risk Factor Surveillance System, we examined the behavioral risk factors of smoking, alcohol use, hypertension detection, obesity, seat-belt use, and...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1989-11-01 00:00:00
abstract：:In this article, we will provide an overview of the effects of witnessing violence on children and adolescents, discuss the importance of health clinicians inquiring about violence in the lives of children, and discuss the role of the clinician in educating parents about children's responses to violence. In addition, ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2005.08.023
更新日期：2005-12-01 00:00:00
abstract：:The VERB campaign promoted physical activity to U.S. children aged 9-13 years (tweens) by surrounding them with appealing messages that were associated with the VERB brand and tag line It's what you do! To maximize the impact of the campaign, VERB had a two-level strategy for its marketing. One level was designed to r...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2008.03.012
更新日期：2008-06-01 00:00:00
abstract：:A simple microcomputer system has been developed using off-the-shelf components. The system permits local access, in an acceptable time frame, to several years of New Jersey multiple cause of death data (approximately 70,000 records per calendar year). This report describes the system, including hardware, software, da...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1990-03-01 00:00:00
abstract：INTRODUCTION:This study evaluated whether intervening with child care providers would increase physical activity (PA) and reduce adiposity in preschoolers. METHODS:This was a two-arm, parallel group, cluster RCT whereby six child care centers were randomly assigned in equal numbers to intervention (n=40 children) or c...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.amepre.2016.03.024
更新日期：2016-08-01 00:00:00
abstract：:During the past 10 years a good deal of effort has focused on preventing cigarette smoking among adolescents. This effort has often been made without a clear understanding of (1) which groups within the population are at highest risk, (2) which variables are associated with habitual smoking rather than experimentation...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1988-11-01 00:00:00
abstract：:Modifying identified risk factors for cardiovascular disease should change an individual's risk. Educational interventions might change behavior to modify some risk factors. To evaluate this possibility, we evaluated the health and fitness status of freshman medical students at the University of Utah (n = 89) in 1983 ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1992-01-01 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：BACKGROUND:The Hmong immigrated to the United States from Laos after the Vietnam conflict ended. Hmong encounter numerous readjustment issues, including health care. Traditional Hmong health beliefs and practices encompass more spiritual than biological etiologies. Hmong usually seek the first course of treatment from ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2004.04.003
更新日期：2004-08-01 00:00:00
abstract：:Because of the availability of safe, accurate prenatal diagnosis for hemoglobinopathies, we wanted to know if pregnant women identified as carriers of a hemoglobinopathy by prenatal screening use this information to determine whether their fetus is at risk. Blood from all pregnant women served by a 40 percent sample o...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1987-11-01 00:00:00
abstract：OBJECTIVES:To test the feasibility and effectiveness of a diet intervention (consisting of interactive mailings, computer-generated phone calls, and classes) in hypercholesterolemic low-income public clinic patients. METHODS:Clinic patients with serum cholesterol > 200 mg/dl, referred by their primary care physician w...
journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/s0749-3797(98)00038-5
更新日期：1998-08-01 00:00:00
abstract：CONTEXT:To date, there has not been clear evidence regarding interventions that are effective in addressing the specific needs of homeless youth. A systematic and comprehensive international review on effective interventions for homeless youth is presented. This study seeks to provide an accurate and complete picture o...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2010.02.017
更新日期：2010-06-01 00:00:00
abstract：BACKGROUND:The Microsoft SenseCam, a small camera that is worn on the chest via a lanyard, increasingly is being deployed in health research. However, the SenseCam and other wearable cameras are not yet in widespread use because of a variety of factors. It is proposed that the ubiquitous smartphones can provide a more ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2012.11.010
更新日期：2013-03-01 00:00:00
abstract：:Sickle cell disease (SCD) is one of the most common monogenetic diseases worldwide. Although there have been some advances in the management of SCD in high-income countries, much remains to be learned about the mechanisms underlying the wide phenotypic diversity of the disease. In low-income countries, basic facilitie...
journal_title：American journal of preventive medicine
pub_type：
doi：10.1016/j.amepre.2009.12.021
更新日期：2010-04-01 00:00:00
abstract：INTRODUCTION:Hepatocellular carcinoma disproportionately affects minorities. Southern states have high proportions of black populations and prevalence of known risk factors. Further research is needed to understand the role of southern geography in hepatocellular carcinoma disparities. This paper examined racial dispar...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2018.05.030
更新日期：2018-11-01 00:00:00
