Abstract:
BACKGROUND:We examined levels of diabetes preventive care services and glycemic and lipid control among African Americans with diabetes in two North Carolina communities. METHODS:Cross-sectional, population-based study of 625 African-American adults with diagnosed diabetes. Participants had a household interview to determine receipt of preventive care services including glycosylated hemoglobin (HbA(1c)), blood pressure, lipid, foot, dilated eye, and dental examinations; diabetes education; and health promotion counseling. A total of 383 gave blood samples to determine HbA(1c) and lipid values. RESULTS:Annual dilated eye, foot, and lipid examinations were reported by 70% to 80% of the population, but only 46% reported HbA(1c) tests. Rates of regular physical activity (31%) and daily self-monitoring of blood glucose (40%) were low. Sixty percent of the population had an HbA(1c) level >8% and one fourth had an HbA(1c) level >10%. Half of the population had a low-density lipoprotein value >130 mg/dL. Lack of insurance was the most consistent correlate of inadequate care (odds ratio [OR]=2.3; 95% confidence interval [CI]=1.3-3.9), having HbA(1c) >9.5% (OR=2.1, 95% CI=1.1-4.2), and LDL levels >130 mg/dL (OR=2.1; 95% CI=1.0-4.5). CONCLUSIONS:Levels of diabetes preventive care services were comparable to U.S. estimates, but glycemic and lipid control and levels of self-management behaviors were poor. These findings indicate a need to understand barriers to achieving and implementing good glycemic and lipid control among African Americans with diabetes.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Gregg EW,Geiss LS,Saaddine J,Fagot-Campagna A,Beckles G,Parker C,Visscher W,Hartwell T,Liburd L,Narayan KM,Engelgau MMdoi
10.1016/s0749-3797(01)00351-8subject
Has Abstractpub_date
2001-10-01 00:00:00pages
197-202issue
3eissn
0749-3797issn
1873-2607pii
S0749379701003518journal_volume
21pub_type
杂志文章abstract:BACKGROUND:Regular physical activity is known to help prevent chronic disease and promote healthy aging. Yet, most older women are not regularly active. This study attempts to identify objectively measured attributes of the neighborhood environment that may be associated with physical activity levels in older women. M...
journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
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abstract:INTRODUCTION:For chronic disease prevention and management, brief but valid dietary assessment tools are needed to determine risk, guide counseling, and monitor progress in a variety of settings. Starting The Conversation (STC) is an eight-item simplified food frequency instrument designed for use in primary care and h...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
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abstract::Successfully reaching at-risk teens aged 12-17 years with smoking-prevention messages capable of changing their knowledge, attitudes, and beliefs about cigarette smoking requires a multifaceted approach to understand the target audience's unique demographic, environmental, behavioral, interpersonal, and intrapersonal ...
journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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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
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更新日期:1998-08-01 00:00:00
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2008-12-01 00:00:00
abstract:INTRODUCTION:Colorectal cancer (CRC) is the second leading cause of cancer mortality in the U.S.; however, if the population aged 50 years or older received routine screening, approximately 60% of these deaths could be eliminated. This study investigates whether adults, aged 50-75 years, with one of three disabilities ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Fecal occult blood testing (FOBT) programs cost-effectively reduce colon cancer mortality. To improve the rate of colon cancer screening with FOBT, we tested the effect of mailing FOBT cards timed to appointments on the rates of completion of FOBT. DESIGN:Controlled trial. SETTING/PARTICIPANTS:A total of 1...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章
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更新日期:2004-06-01 00:00:00
abstract::This paper defines the appropriation and resource allocation structure of federal government programs that deliver vaccines to the public through state and local governments, with a special focus on the Centers for Disease Control and Prevention (CDC) Section 317 program. The paper places these programs in the context...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2000-10-01 00:00:00
abstract:INTRODUCTION:This study uses a recent source of nationally representative data from in-person surveys to examine national estimates of e-cigarette use among adults and their relationship with demographic, socioeconomic, and health behavior measures. METHODS:Data were provided by the National Health Interview Survey, c...
journal_title:American journal of preventive medicine
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更新日期:2017-03-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2010.08.013
更新日期:2010-12-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
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journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2016-08-01 00:00:00
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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journal_title:American journal of preventive medicine
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更新日期:2005-08-01 00:00:00
abstract:INTRODUCTION:Spatial-temporal trends in prostate cancer mortality are of interest because of the introduction and increasing use of the prostate-specific antigen (PSA) screening test after 1986. This article describes spatial-temporal changes in U.S. prostate cancer mortality from 1968 to 1998. METHODS:Prostate cancer...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2006-02-01 00:00:00
abstract:INTRODUCTION:The aims of this prospective cohort study were to examine 16-year trajectories of weight and BMI in young adult women who had a healthy BMI in 1996 and determinants of remaining in the healthy BMI category. METHODS:A total of 4,881 women with healthy BMI at baseline and either healthy, overweight, or obes...
journal_title:American journal of preventive medicine
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更新日期:2016-12-01 00:00:00
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journal_title:American journal of preventive medicine
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更新日期:2018-01-01 00:00:00
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journal_title:American journal of preventive medicine
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更新日期:2017-03-01 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
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更新日期:2006-07-01 00:00:00
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更新日期:2021-01-01 00:00:00
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journal_title:American journal of preventive medicine
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更新日期:1995-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-01-01 00:00:00