Abstract:
OBJECTIVE:Although recent screening guidelines recommend annual fecal occult blood testing (FOBT) for adults aged > or = 50, a number of studies report that these tests are underused. Systematic efforts to increase awareness of colorectal cancer (CRC) and to promote screening participation are needed to meet national objectives for CRC control. METHODS:This study examined CRC-screening practices and evaluated factors related to recent participation in screening by FOBT in a sample of women aged 50 to 80 who were surveyed about their use of clinical preventive services at Group Health Cooperative, a managed care organization in western Washington State. RESULTS:Of the 931 women eligible for analysis, 75% reported ever having been screened by FOBT and 48% reported having been screened within 2 years before the survey. Participation in screening did not vary by demographic characteristics or by perceived or actual risk of CRC. Women with a positive attitudes toward CRC screening had sevenfold greater odds of recent screening by FOBT (odds ratio=7.1; 95% confidence interval, 4.4 to 11.6). Only 58% of study women reported that their physicians encouraged CRC screening, but this factor was strongly related to participation (odds ratio=12.7; 95% confidence interval, 6.6 to 24.4). CONCLUSIONS:We identified several areas in which understanding of CRC risk may be low. As a whole, these findings suggest that effective strategies to control CRC may include efforts to improve knowledge of risk and prevention, but must also appeal directly to primary care physicians to identify and address their barriers to screening recommendations.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Mandelson MT,Curry SJ,Anderson LA,Nadel MR,Lee NC,Rutter CM,LaCroix AZdoi
10.1016/s0749-3797(00)00193-8subject
Has Abstractpub_date
2000-10-01 00:00:00pages
149-54issue
3eissn
0749-3797issn
1873-2607pii
S0749-3797(00)00193-8journal_volume
19pub_type
杂志文章abstract:BACKGROUND:Studies suggest that women are at greater risk than men for sports and training injuries. This study investigated the association between gender and risk of exercise-related injuries among Army basic trainees while controlling for physical fitness and demographics. METHODS:Eight hundred and sixty-one traine...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(99)00173-7
更新日期:2000-04-01 00:00:00
abstract:INTRODUCTION:Although numerous studies have suggested that lifestyle-related factors are associated with chronic diseases and preventable deaths, limited evidence is available for the Chinese population. METHODS:This study established a prospective cohort of >360,000 residents on the basis of the Yinzhou Health Inform...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.01.029
更新日期:2020-09-01 00:00:00
abstract:CONTEXT:As life expectancy in individuals with congenital hemophilia approaches that of the general population, we hypothesize that public health risks, including overweight and obesity, also follow a similar trend. EVIDENCE ACQUISITION:A search of the literature included terms relating to overweight, sequelae of bein...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2011.09.008
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Although the majority of smokers initiate smoking during their teenage years, significant rates of initiation occur among young adults. Adolescents are more price sensitive than adults, but little is known about the impact of tobacco taxation on smoking initiation among young adults. Using a longitudinal des...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2006.02.001
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVES:This paper describes the methods used in the Guide to Community Preventive Services: Systematic Reviews and Evidence-Based Recommendations (the Guide) for conducting systematic reviews of economic evaluations across community health-promotion and disease-prevention interventions. The lack of standardized met...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(99)00120-8
更新日期:2000-01-01 00:00:00
abstract::The Epidemiologic Surveillance Project (ESP) is a computer-based surveillance system for the rapid transmission and analysis of national morbidity data. These data are transmitted weekly by state health department computers to the Centers for Disease Control (CDC), using a commercial electronic mail facility (MINET). ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract:INTRODUCTION:Because of the rapidly increasing use of electronic cigarettes (e-cigarettes), this study aimed to investigate the individual characteristics and state-level prevalence of U.S. adults who have switched to e-cigarettes from traditional cigarettes. METHODS:Data from the 2012-2013 and 2013-2014 National Adul...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.06.033
更新日期:2017-11-01 00:00:00
abstract:INTRODUCTION:Two issues remain elusive in weight management programs: significant, long-term weight-loss maintenance and widely accessible programs that produce significant weight loss for reasonable costs. The purpose of this study is to determine the long-term weight loss of participants who consecutively renew their...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.02.011
更新日期:2015-08-01 00:00:00
abstract:INTRODUCTION:Successful strategies are needed to address parental vaccine hesitancy, a significant public health issue. The study objective was to assess whether an Internet-based platform with vaccine information and interactive social media components improved parents' vaccine-related attitudes. STUDY DESIGN:A three...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2018.04.010
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Circles of Tobacco Wisdom (CTW) was an elder-led, community-based project that aimed to enhance tobacco control in the American Indian community. Its goal was to provide elders with the knowledge, opportunities, and support to enable them to assume leadership of a tobacco control movement that was grounded i...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.08.003
更新日期:2012-11-01 00:00:00
abstract::Behavioral counseling interventions can address significant causes of preventable morbidity and mortality. However, despite a growing evidence base for behavioral counseling interventions, there remain significant research gaps that limit translating the evidence into clinical practice. Using U.S. Preventive Services ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.06.007
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Physical activity is necessary for bone mass development in adolescence. There are few studies quantifying the associations between physical activity and bone mass in adolescents. PURPOSE:To assess the relationship between moderate-to-vigorous physical activity (MVPA) and vigorous physical activity (VPA) an...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2011.03.001
更新日期:2011-06-01 00:00:00
abstract::The California Department of Health Services conducted a $28,600,000 tobacco education media campaign in 1990 and 1991. An independent evaluation of the media campaign featured four waves of data-gathering, one prior to the campaign's beginning and three at intervals thereafter. In all, 29,264 students in grades 4-12 ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1994-11-01 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
doi:10.1016/j.amepre.2005.09.006
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Recently, suicide exceeded motor vehicle crashes as the leading cause of injury death in the U.S. However, details of this change in suicide methods and the relationship to individual demographics, such as age and societal influences, have not been reported. PURPOSE:To determine the characteristics of the c...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.10.010
更新日期:2013-02-01 00:00:00
abstract:INTRODUCTION:Obesity treatment is less successful for socioeconomically disadvantaged populations, particularly when delivered in primary care. Digital health strategies can extend the reach of clinical obesity treatments to care settings serving patients at highest risk. METHODS:Track was an effectiveness RCT of a 12...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2018.07.005
更新日期:2018-12-01 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:BACKGROUND:Although influenza immunization significantly reduces mortality from influenza, over one third of elderly Americans are not immunized each year. Low rates of immunization are particularly concerning among African-American low-income populations. Preliminary interviews suggested that fear of undisclosed ingre...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(00)00263-4
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Nondaily smokers are a growing subpopulation of smokers. Current cessation guidelines were developed for daily smokers, and how clinicians might help nondaily smokers is not clear. METHODS:Analyzing the 2000 National Health Interview Survey in 2004, we compared characteristics of nondaily smokers with never...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.08.048
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:The English medical literature for the past decade lacks any reports on Papanicolaou (Pap) test status among inner-city adolescent girls. Our objectives were (1) to assess the pattern of Pap test status among inner-city adolescent girls and (2) to ascertain the association of the Pap test status with their k...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1996-11-01 00:00:00
abstract:CONTEXT:This study reviews collective evidence on the longitudinal impact of housing disadvantage (based on tenure, precarity, and physical characteristics) on mental health. It is focused on temporally ordered studies where exposures preceded outcomes, a key criterion to establishing causal evidence. EVIDENCE ACQUISI...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.03.018
更新日期:2019-08-01 00:00:00
abstract:INTRODUCTION:The prevalence of obesity in Chinese adults increased from 1991 to 2000; however, recent changes in this trend are unclear. This study aims to estimate the current prevalence of obesity and to assess trends in obesity and BMI distribution in Chinese adults from 1991 through 2011. METHODS:Height and weight...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.05.005
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:The tobacco industry has challenged new FDA rules restricting outdoor tobacco advertising near schools and playgrounds on First Amendment grounds, arguing that they would lead to a near complete ban on tobacco advertising in dense urban areas. PURPOSE:To examine how the 2009 Family Smoking Prevention and To...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2010.11.018
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVES:This descriptive summary of the literature provides an overview of the available studies (published before October 2006) on sociodemographic, psychosocial, and other correlates of risk and protective behaviors for hearing loss in young people aged 12 to 25 years. METHODS:Publications were identified by a st...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2007.03.016
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND:Beginning in 2009, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) revised its food packages and provided more whole grains, fruits, and vegetables and fewer foods with high saturated fat content. However, knowledge of the impact of this policy shift on the diets of WIC part...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.01.021
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND:Recognition of health disparities among underserved individuals, whose demographic, geographic, or economic characteristics impede access to health-related services, has led to calls for the development of medical school curricula that address care for the underserved, but reports of the development and eval...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2006.06.024
更新日期:2006-10-01 00:00:00
abstract:INTRODUCTION:Tobacco contributes to multiple cancers, and it is largely preventable. As overall smoking prevalence in California declines, smoking has become concentrated among high-risk groups. Targeting social/cultural groups (i.e., "peer crowds") that share common values, aspirations, and activities in social venues...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.03.026
更新日期:2017-09-01 00:00:00
abstract::In 1996, the Agency for Health Care Policy and Research (AHCPR, now AHRQ, the Agency for Healthcare Research and Quality) released the first federal clinical practice guideline for smoking cessation that was updated in 2000 by the United States Public Health Service (USPHS). The innovative guideline identified six evi...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2007.09.001
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:Few investigations have examined whether associations between the apolipoprotein E genotype (apo E) and total cholesterol or LDL-C are modified or explained by other characteristics. The objective of this study was to explore effects of behavioral characteristics, physical growth, body composition, sexual ma...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.04.009
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:A widely advocated strategy in public health is community-based health promotion. The aim of this study was to investigate the net effect of a cardiovascular disease prevention program (Hartslag Limburg) on cardiovascular risk factors after 5 years of intervention. DESIGN:Cohort study comparing 5-year mean ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.10.020
更新日期:2006-03-01 00:00:00