Abstract:
BACKGROUND:When communicating risks to the general population, the format of the epidemiological results may affect individual reactions. In environmental epidemiology, no study has compared the use of different statistical formats in communicating results to the population. The aim of this paper is to investigate whether the degree of concern expressed by residents of a high environmental risk site, regarding epidemiological results on cancer mortality in the area where they live, is influenced by the statistical indicator used in communication. METHODS:A sample of residents in the high environmental risk area of Livorno (Italy) was randomized to respond to different questionnaires, in which the same epidemiological results were expressed by two alternative risk indexes: percent excess risk and time needed to harm, defined as the number of days that one has to wait for, on average, to observe 1 death in excess in respect to the baseline. Participants were asked to express their concern on a quantitative scale or to rank different diseases according to their impressions. The statistical analysis was performed using an Inverse Probability of Treatment Weighting approach based on propensity score, in order to account for sample stratification and adjust for unbalance between groups occurring despite randomization. RESULTS:The probability of high concern levels was larger under time needed to harm than under percent excess, with a difference between proportions of 6.7% (95% Confidence Interval, 0.6,12.8%). Mortality from sexual glands cancer was ranked as more worrisome and mortality from thyroid gland cancer as less worrisome under time needed to harm than under percent excess. No rank change was found for lung cancer. Larger differences between the two indicators arose in subjects with higher education or better numerical skills. CONCLUSIONS:Communicating epidemiological results to the population is not a neutral task. The degree of concern and judgments when comparing results on different diseases may depend on the risk indicators used. Translating scientific results into lay language should not exempt from careful evaluation of the impact of this translation on lay people.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Baccini M,Ghirardi L,Farinella D,Biggeri Adoi
10.1186/s12889-019-7003-ysubject
Has Abstractpub_date
2019-06-11 00:00:00pages
733issue
1issn
1471-2458pii
10.1186/s12889-019-7003-yjournal_volume
19pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Obesity is a global public health issue. Having a BMI of 30 kg/m2 or more (classifying a person as obese) at the start of pregnancy is a significant risk factor for maternal and fetal morbidity. There is a dearth of evidence to inform suitable interventions to support pregnant women with a BMI of 30 kg/m2 or...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-284
更新日期:2010-05-27 00:00:00
abstract:BACKGROUND:There are various factors that play a major role in influencing the overall health conditions of women diagnosed with breast cancer. The population of women in Makkah region are diverse, therefore it is significant to highlight the possible determinants of breast cancer in this population. This is a case-con...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7942-3
更新日期:2019-11-21 00:00:00
abstract:BACKGROUND:In early 2016, we implemented a community-based maternal, newborn, and child health (MNCH) surveillance using mobile phones to collect, analyze, and use data by village health volunteers (VHV) in Kenge Health Zone (KHZ), in the Democratic Republic of Congo (DRC). The objective of this study was to determine ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5186-2
更新日期:2018-03-05 00:00:00
abstract:BACKGROUND:Since its development in the early 1980s, Hepatitis B virus (HBV) vaccine has been proven to be highly protective. However, its immunogenicity may be ineffective among HIV-infected children. In Morocco, HBV vaccine was introduced in 1999, and since then all infants, including vertically HIV-infected infants,...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4776-8
更新日期:2017-09-29 00:00:00
abstract:BACKGROUND:Common mental disorders are frequent psychiatric comorbid conditions among people with HIV/AIDS. The presence of such psychiatric disorders negatively affects the treatment adherence, viral load suppression, quality of life, treatment outcomes and functionality of people with HIV/AIDS. However, available stu...
journal_title:BMC public health
pub_type: 杂志文章,meta分析
doi:10.1186/s12889-020-08800-8
更新日期:2020-05-14 00:00:00
abstract:BACKGROUND:Detained asylum seekers are at increased risk of self-harm, and the type of detention in which they are held may further exacerbate this risk. In Australia, there are four types of closed (or held) immigration detention for people seeking asylum, with varying levels of security and supports: Immigration Dete...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08717-2
更新日期:2020-04-30 00:00:00
abstract:BACKGROUND:Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the "black" category, along with other phe...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-019-8127-9
更新日期:2020-01-08 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09151-0
更新日期:2020-06-29 00:00:00
abstract:BACKGROUND:Physical inactivity is deemed to be the fourth leading cause for premature death. Nevertheless, only a minority of children and adolescents in Germany fulfil the guideline of the World Health Organization of at least 60 min of moderate-to-vigorous physical activity per day. Children and adolescents with a lo...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-019-6817-y
更新日期:2019-05-06 00:00:00
abstract:BACKGROUND:In Australia there have been many calls for government action to halt the effects of unhealthy food marketing on children's health, yet implementation has not occurred. The attitudes of those involved in the policy-making process towards regulatory intervention governing unhealthy food marketing are not well...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-1123
更新日期:2012-12-28 00:00:00
abstract:BACKGROUND:Screening rates for breast and cervical cancer for Muslim women in the United States are low, particularly for first-generation immigrants. Interpretations of the Muslim faith represent some of the barriers for breast and cervical cancer screening. Working to understand how faith influences breast and cervic...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4182-2
更新日期:2017-03-20 00:00:00
abstract:BACKGROUND:Physicians' mental health may be adversely affected by the number of days of work and time spent on-call, and improved by sleep and days-off. The aim of this study was to determine the associations of depressive symptoms with taking days of off duty, hours of sleep, and the number of days of on-call and over...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-127
更新日期:2010-03-12 00:00:00
abstract:BACKGROUND:Mixed evidence exists with respect to the association between household food insecurity (HFIS) and obesity in low-to-middle income countries (LMICs), particularly among women. This study aimed to measure socioeconomic correlates of HFIS and explores its association with dietary intake and odds of obesity amo...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4317-5
更新日期:2017-06-12 00:00:00
abstract:OBJECTIVES:Epidemiology is often described as 'the science of public health'. Here we aim to assess the extent that epidemiological methods, as covered in contemporary standard textbooks, provide tools that can assess the relative magnitude of public health problems and can be used to help rank and assess public health...
journal_title:BMC public health
pub_type: 信件,评审
doi:10.1186/1471-2458-14-139
更新日期:2014-02-10 00:00:00
abstract:BACKGROUND:Health risk behaviours known to result in poorer outcomes in adulthood are generally established in late childhood and adolescence. These 'risky' behaviours include smoking, alcohol and illicit drug use and sexual risk taking. While the role of social capital in the establishment of health risk behaviours in...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-13-971
更新日期:2013-10-19 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-134
更新日期:2009-05-11 00:00:00
abstract:BACKGROUND:Over the past decade, about one-third of all births nationwide in Taiwan were delivered by cesarean section (CS). Previous studies in the US and Europe have documented the need for risk adjustment for fairer comparisons among providers. In this study, we set out to determine the impact that adjustment for pa...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-6-246
更新日期:2006-10-09 00:00:00
abstract:BACKGROUND:Human Papilloma Virus (HPV) vaccine has undergone successful trials and has recently been approved for use for the primary prevention of cervical cancer. The aim of this study was to determine knowledge and attitudes towards HPV vaccination. METHODS:Semi-structured interview and questionnaire delivered in a...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-368
更新日期:2008-10-23 00:00:00
abstract:BACKGROUND:The triple epidemic of silicosis, tuberculosis and HIV infection among migrant miners from South Africa and neighbouring countries who have worked in the South African mining industry is currently the target of regional and international control efforts. These initiatives are hampered by a lack of informatio...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4640-x
更新日期:2017-08-03 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-3-4
更新日期:2003-01-10 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6022-4
更新日期:2018-09-24 00:00:00
abstract:BACKGROUND:Consistent findings about the effectiveness of parent programs to prevent or reduce child maltreatment are lacking. METHODS:In the present meta-analysis we synthesized findings from 27 independent samples from randomized controlled trials (RCTs) on the effectiveness of 20 different intervention programs aim...
journal_title:BMC public health
pub_type: 杂志文章,meta分析
doi:10.1186/s12889-015-2387-9
更新日期:2015-10-18 00:00:00
abstract:BACKGROUND:Mobility limitations in older adults are associated with poor clinical outcomes including higher mortality and disability rates. A decline in mobility (including physical function and life-space) is detectable and should be discovered as early as possible, as it can still be stabilized or even reversed in ea...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-8069-2
更新日期:2019-12-19 00:00:00
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journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-8005-5
更新日期:2019-12-10 00:00:00
abstract:BACKGROUND:Over the last decade, patient involvement in treatment-related decision-making has been widely advocated in Japan, where patient-physician encounters are still under the influence of the long-standing tradition of paternalism. Despite this profound change in clinical practice, studies investigating the actua...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-77
更新日期:2008-02-27 00:00:00
abstract:BACKGROUND:Patients with inflammatory bowel disease (IBD) have a higher risk of developing opportunistic infections due to either the disease itself or to treatment with immunosuppressants. This risk can be reduced through vaccination. The aim of this study was to determine the prevalence of compliance with the guideli...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08850-y
更新日期:2020-05-19 00:00:00
abstract:BACKGROUND:Despite concerted global efforts being made to eradicate poliomyelitis, the wild poliovirus still circulates in three countries, including Nigeria. In addition, Nigeria experiences occasional outbreaks of the circulating vaccine-derived poliovirus type 2 (cVDPV2). Vaccine rejection by caregivers persists in ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6192-0
更新日期:2018-12-13 00:00:00
abstract:BACKGROUND:Vaccination and screening are forms of primary and secondary prevention methods. These methods are recommended for controlling the spread of a vast number of diseases and conditions. To determine the most effective preventive methods to be used by a society, multi-level models have shown to be more effective...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-016-3802-6
更新日期:2016-11-17 00:00:00
abstract:BACKGROUND:Inadequate consumption of dairy products without appropriate dietary substitution may have deleterious health consequences. Social research reveals the factors that may impede compliance with dietary recommendations. This is particularly important given the recent introduction of functional dairy products. O...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-843
更新日期:2011-11-03 00:00:00
abstract:OBJECTIVES:The aim of this study is to 1) investigate the pain situation among working adults in China; 2) explore the self-initiate pain reliving strategies applied by working adults; and 3) collect people's interests and suggestions to the topics of the online pain education program. METHODS:This is an exploratory s...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7503-9
更新日期:2019-08-22 00:00:00