Abstract:
BACKGROUND:Smoking is a UK public health threat but GPs can be effective in helping patients to quit; consequently, the Quality and Outcomes Framework (QOF) incentivises the recording of smoking status and delivery of cessation advice in patients' medical records. This study investigates the association between smoking-related QOF targets and such recording, and the factors which influence these clinical activities. METHODS:For 2000 to 2008, using medical records in The Health Improvement Network (THIN) database, the annual proportions of i) patients who had a record of smoking status made in the previous 27 months and ii) current smokers recorded as receiving cessation advice in the previous 15 months were calculated. Then, for all patients at selected points before and after the QOF's implementation, data on gender, age, Townsend score, and smoking-related morbidity were extracted. Multivariate logistic regression was used to investigate individual-level characteristics associated with the recording of smoking status and cessation advice. RESULTS:Rapid increases in recording smoking status and advice occurred around the QOF's introduction in April 2004. Subsequently, compliance to targets has been sustained, although rates of increase have slowed. By 2008 64.5% of patients aged 15+ had smoking status documented in the previous 27 months and 50.5% of current smokers had cessation advice recorded in the last 15 months. Adjusted odds ratios show that, both before and after the introduction of the QOF, those with chronic medical conditions, greater social deprivation and women were more likely to have a recent recording of smoking status or cessation advice. Since the QOF's introduction, the strongest characteristic associated with recording activities was the presence of co-morbidity. An example of this was patients with COPD, who in 2008, were 15.38 (95% CI 13.70-17.27) times and 11.72 (95% CI 10.41-13.21) times more likely to have a record of smoking status and cessation advice, respectively. CONCLUSIONS:Rates of recording smoking status and cessation advice plateaued after large increases during the QOF's introduction; however, recording remains most strongly associated with the presence of chronic disease as specified by the QOF, and suggests that incentivised targets have a direct effect on clinical behaviour.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Taggar JS,Coleman T,Lewis S,Szatkowski Ldoi
10.1186/1471-2458-12-329subject
Has Abstractpub_date
2012-07-10 00:00:00pages
329issn
1471-2458pii
1471-2458-12-329journal_volume
12pub_type
杂志文章abstract:BACKGROUND:The aim of this study was to investigate and present some pertinent comments concerning Acquired Immunodeficiency Syndrome (AIDS) knowledge, attitudes and misconceptions among the general population in a city of west Turkey. This study was deemed important and relevant due to the increasing importance of AID...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-5-95
更新日期:2005-09-13 00:00:00
abstract:BACKGROUND:The synanthropic house fly, Musca domestica (Diptera: Muscidae), is a mechanical vector of pathogens (bacteria, fungi, viruses, and parasites), some of which cause serious diseases in humans and domestic animals. In the present study, a systematic review was done on the types and prevalence of human pathogen...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-018-5934-3
更新日期:2018-08-22 00:00:00
abstract:BACKGROUND:Data on Non-Communicable Diseases (NCDs) among indigenous populations are needed for interventions to improve health care. We conducted a survey in 2013 among rural indigenous Mbororo, Fulbe and other ethnic groups to determine the distribution of risk factors of NCDs in Cameroon. METHODS:We selected seven ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3837-8
更新日期:2016-11-24 00:00:00
abstract:BACKGROUND:Volunteering has been advocated by the United Nations, and American and European governments as a way to engage people in their local communities and improve social capital, with the potential for public health benefits such as improving wellbeing and decreasing health inequalities. Furthermore, the US Corpo...
journal_title:BMC public health
pub_type: 杂志文章,meta分析
doi:10.1186/1471-2458-13-773
更新日期:2013-08-23 00:00:00
abstract:BACKGROUND:The 2008 Wenchuan earthquake resulted in extensive loss of life and physical and psychological injuries for survivors. This research examines the relationship between social support and health-related quality of life for the earthquake survivors. METHODS:A multistage cluster sampling strategy was employed t...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-573
更新日期:2010-09-24 00:00:00
abstract:BACKGROUND:There is current controversy about the efficacy of smoking cessation interventions that are based on information obtained by spirometry. The objective of this study is to evaluate the effectiveness in the primary care setting of structured motivational intervention to achieve smoking cessation, compared with...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1471-2458-11-859
更新日期:2011-11-11 00:00:00
abstract:BACKGROUND:Globally, mental health promotion related to psychological distress in the workplace has become a great concern, and a focus of much research attention. However, a sense of contribution to society and sense of bonding with the workplace have not been examined in relation to psychological distress. Thus, the ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-253
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Despite widespread implementation of syndromic surveillance systems within public health agencies, previous studies of the implementation and use of these systems have indicated that the functions and responses taken in response to syndromic surveillance data vary widely according to local context and prefer...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4073-6
更新日期:2017-02-15 00:00:00
abstract:BACKGROUND:Mortality among patients with mental disorders is higher than in general population. By using national longitudinal registers, we studied mortality changes and excess mortality across birth cohorts among people with severe mental disorders in Denmark and Finland. METHODS:A cohort of all patients admitted wi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-834
更新日期:2013-09-11 00:00:00
abstract:BACKGROUND:Social norms and self-efficacy play important roles in promoting consistent condom use among men who have sex with men (MSM). Few studies have investigated the association between social norms, self-efficacy and consistent condom use with different kinds of male partners among MSM. We conducted an online sur...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-018-6090-5
更新日期:2018-10-16 00:00:00
abstract:BACKGROUND:Despite the high mortality and morbidity resulting from acute respiratory infections (ARI) globally, there are few data from low-income countries on costs of ARI to inform public health policy decisions We conducted a prospective survey to assess costs of ARI episodes in selected primary, secondary, and tert...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究
doi:10.1186/s12889-015-1685-6
更新日期:2015-04-07 00:00:00
abstract:BACKGROUND:Although there is abundant evidence to recommend a physically active lifestyle, adult physical activity (PA) levels have declined over the past two decades. In order to understand why this happens, numerous studies have been conducted to uncover the reasons for people's participation in PA. Often, the measur...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-909
更新日期:2014-09-03 00:00:00
abstract:BACKGROUND:Stress is an increasing public health problem, and the association between stress and subjective social status (SSS) among adolescents has received little attention. SSS in society have shown to be associated with perceived stress, but the association between SSS in school and stress has never been examined....
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08509-8
更新日期:2020-04-16 00:00:00
abstract:BACKGROUND:Spatial analytical techniques and models are often used in epidemiology to identify spatial anomalies (hotspots) in disease regions. These analytical approaches can be used to not only identify the location of such hotspots, but also their spatial patterns. METHODS:In this study, we utilize spatial autocorr...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-464
更新日期:2009-12-14 00:00:00
abstract:BACKGROUND:The WHO Framework Convention on Tobacco Control was shown to effectively lower smoking prevalence in in high income countries, however knowledge for low and middle income settings is sparse. The objective of this study was to describe WHO MPOWER policy measures in thirteen West-African countries and to inves...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2562-z
更新日期:2015-12-08 00:00:00
abstract:BACKGROUND:Although body fat percent (BF%) may be used for screening metabolic risk factors, its accuracy compared to BMI and waist circumference is unknown in a Mexican population. We compared the classification accuracy of BF%, BMI and WC for the detection of metabolic risk factors in a sample of Mexican adults; opti...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-341
更新日期:2014-04-10 00:00:00
abstract:BACKGROUND:Hypertension has been declared as a global public health crisis by the World Health Organization, because of its high prevalence. It affects the health of one billion people worldwide and is directly responsible for the deaths of more than 10 million people per year. The purpose of our research was to explor...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09760-9
更新日期:2020-11-10 00:00:00
abstract:BACKGROUND:The evidence linking stress to hypertension has been scarcely documented in population-based studies. METHODS:Participants were selected through a multi-stage probability sampling and interviewed at home, being submitted to measures of demographics, anthropometrics, blood pressure (BP), and risk factors for...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-357
更新日期:2008-10-15 00:00:00
abstract:BACKGROUND:Globally syphilis is an important yet preventable cause of stillbirth, neonatal mortality and morbidity. OBJECTIVES:This review sought to estimate the effect of detection and treatment of active syphilis in pregnancy with at least 2.4 MU benzathine penicillin (or equivalent) on syphilis-related stillbirths ...
journal_title:BMC public health
pub_type: 杂志文章,meta分析,评审
doi:10.1186/1471-2458-11-S3-S9
更新日期:2011-04-13 00:00:00
abstract:BACKGROUND:Risky sexual behaviors of adolescents in Mexico are a public health problem; 33.4 % of adolescent girls and 14.7 % of boys report not having used any protection at their first intercourse. The fertility rate is 77 births/1000 girls aged 15-19 years. The infrequent contact of adolescents with health services ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-2990-4
更新日期:2016-04-18 00:00:00
abstract:BACKGROUND:Breast cancer (BC) is a major public health problem, with rising incidence in many regions of the globe. Although mortality has recently dropped in developed countries, death rates are still increasing in some developing countries, as seen in Brazil. Among the reasons for this phenomenon are the lack of stru...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-83
更新日期:2009-03-13 00:00:00
abstract:BACKGROUND:Poultry farmers are at high-risk from avian influenza A/H7N9 infection due to sustained occupational exposures to live poultry. This study examined factors associated with poultry farmers' adoption of personal protective behaviours (PPBs) based on Protection Motivation Theory (PMT). METHODS:Totally, 297 pou...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4364-y
更新日期:2017-05-18 00:00:00
abstract:BACKGROUND:Folate and iron deficiency during pregnancy are risk factors for anaemia, preterm delivery, and low birth weight, and may contribute to poor neonatal health and increased maternal mortality. The World Health Organization recommends supplementation of folic acid (FA) and iron for all pregnant women at risk of...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-481
更新日期:2012-06-26 00:00:00
abstract:BACKGROUND:Continued management of sanitation and hygiene services, post-intervention, is a global challenge, particularly in the school-setting. This situation threatens anticipated impacts of school sanitation and hygiene investments. To improve programming and policies, and increase the effectiveness of limited deve...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-6
更新日期:2014-01-08 00:00:00
abstract:BACKGROUND:The sexual and reproductive health (SRH) status of female sex workers is influenced by a wide range of demographic, behavioural and structural factors. These factors vary considerably across and even within settings. Adopting an overly standardised approach to sex worker programmes may compromise its impact ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4346-0
更新日期:2017-07-04 00:00:00
abstract:BACKGROUND:Alcohol is a well-known risk factor in unintentional drownings. Whereas psychotropic drugs, like alcohol, may cause psychomotor impairment and affect cognition, no detailed studies have focused on their association with drowning. Finland provides extensive post-mortem toxicological data for studies on drowni...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4306-8
更新日期:2017-05-19 00:00:00
abstract:BACKGROUND:Parental support interventions have shown some effectiveness in improving children's dietary and physical activity habits and preventing overweight and obesity. To date, there is limited research on barriers and facilitators of school-based parental support interventions targeting overweight and obesity. Thi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-2701-1
更新日期:2016-01-14 00:00:00
abstract:BACKGROUND:In China, there is increasing concern because of the rapid increase in HIV infection recorded over recent years. Migrant workers are recognized as one of the groups most affected. In this study, HIV/AIDS-related knowledge, attitudes, and behavior among unmarried migrant workers in Shanghai are investigated, ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-1152
更新日期:2013-12-09 00:00:00
abstract:BACKGROUND:Smoking causes heart disease, the major cause of death in China and Hong Kong. Stress is one major trigger of smoking and relapse, and understanding stress among smoking cardiac patients can therefore help in designing effective interventions to motivate them to quit. The objective of this study was to exami...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-513
更新日期:2010-08-25 00:00:00
abstract:BACKGROUND:A dearth of knowledge exists regarding how multiple health behavior changes made within an exercise prescription programme can improve health parameters. This study aimed to analyse the impact of changing diet and increasing exercise on health improvements among exercise prescription patients. METHODS:In 20...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5152-z
更新日期:2018-02-08 00:00:00