The reported practices and recommendations of primary care physicians with regard to cancer screening of elderly patients (65 years and older) were studied in a 1987 survey of 400 Maryland physicians. More than 90 percent of physicians in four specialties studied reported providing digital rectal examinations, physical breast examinations, and mammography to the elderly. However, only 54 percent of obstetrician-gynecologists and 68 percent of general practitioners provided sigmoidoscopy, 70 percent of obstetrician-gynecologists provided stool guaiac slide tests, 74 percent of general practitioners provided breast self-exam instruction, and 79 percent of internists provided Pap tests. Physicians were asked what screening intervals they recommended for each test for asymptomatic elderly patients. These reports were compared with current American Cancer Society (ACS) recommendations. Large proportions of physicians in four specialties recommended sigmoidoscopy and mammography less often than the ACS recommended. More than 20 percent of physicians in the four specialties believed the elderly do not need routine sigmoidoscopy. Most physicians (90 percent or more) recommended Papanicolaou tests more often than the ACS recommended. Specialty and young physician age were the best predictors of physicians' overall adherence to ACS recommendations for cancer screening schedules.
Pedestrian fatalities caused by motor vehicles in King County, WA, over a 12-month period were reviewed to examine the potential for prevention by various strategies. Cases were identified through the King County Medical Examiner's Office. Between Ap...
A univariate and multivariate analysis of factors associated with suicide for residents of the State of Maryland was conducted. The investigation was statistically oriented in its approach, examining the relationships of age, race, sex, marital statu...
The health status of Indian teenagers in the United States is below that of the general population. The usual barriers to the use of health care services that young people, including young Indians, encounter are compounded in rural areas by distance,...
With today's lower mortality rates, longer expectations of life, and new medical technologies, the nation's health policy focus has shifted from emphasis on individual survival to emphasis on personal health and independent living. Using longitudinal...
The nation's supply of family physicians as estimated by the Graduate Medical Education National Advisory Committee appears fairly accurate. At the same time, the demands for family physicians appear to be strong, partially because case-management sy...
Mahoney, M C; Michalek, A M; Cummings, K M; Hanley, J; Snyder, R L;
Published Date:
1989 May-Jun
Source:
Public Health Rep. 104(3):279-285
Description:
The determination of years of potential life lost (YPLL) can aid in monitoring changes in premature mortality among various population groups. While premature mortality has been shown to differ among blacks and whites, patterns of YPLL have not been ...
Howe, H L; Wolfgang, P E; Burnett, W S; Nasca, P C; Youngblood, L;
Published Date:
1989 May-Jun
Source:
Public Health Rep. 104(3):251-256
Description:
In November 1985, the New York State Department of Health was altered to extraordinary concentrations of asbestos leachate in the drinking water in the Town of Woodstock. Concentrations of 3.2 million fibers per liter (MFL) to 304.5 MFL were found, d...
Lefebvre, R C; Lasater, T H; McKinlay, S M; Gans, K M; Walker, N; Carleton, R A;
Published Date:
1989 May-Jun
Source:
Public Health Rep. 104(3):266-270
Description:
Four experiments were conducted to assess the precision and accuracy of the Boehringer Mannheim Diagnostics Reflotron, an instrument that is being adopted by many public health groups to conduct blood cholesterol screening programs. Our study is one ...
Women's access to prenatal nutrition services was explored using a nationally representative sample of pregnant participants in the Special Supplemental Food Program for Women, Infants, and Children (WIC) in 1984. The probability was examined of the ...
In order to characterize the children who enter emergency shelters in Boston, we reviewed the data collected at intake interviews by the pediatric nurse practitioner visiting 10 family shelters and one hotel in Boston as part of the Boston Health Car...
To examine correlates and childhood predictors of serum total cholesterol in adolescence, measures of growth, development, and obesity were related to serum total cholesterol levels of youths aged 12-17 years in the National Health Examination Survey...
The Mental Health Services for the Homeless Block Grant Program has made available more than $57 million to the States in fiscal years 1987-89 to encourage States to develop and strengthen community services for homeless mentally ill persons. Funds w...
Because of the rising percentage of elderly in the population and the cost of health care expenditures, interest has increased in preventive health care services for the aging. Although the effectiveness of such programs is still being discussed by p...
The Disabilities Prevention Program builds on traditional Centers for Disease Control (CDC) strengths in public health surveillance, epidemiology, and technology transfer to State and local governments in translating the findings of research into pre...
Magura, S; Grossman, J I; Lipton, D S; Amann, K R; Koger, J; Gehan, K;
Published Date:
1989 May-Jun
Source:
Public Health Rep. 104(3):231-240
Description:
The authors examined the factors associated with methadone patients' decisions about participating in a clinic-based AIDS prevention protocol. Despite the offer of incentives, only 27 percent attended AIDS education and only 12 percent obtained volun...
IntroductionPublic health organizations in the United States emphasize the importance of providing routine screening for breast cancer, cervical cancer, and colorectal cancer, as well as vaccinations against influenza and pneumococcal disease among o...
Andresen, Elena M.; Peterson-Besse, Jana J.; Krahn, Gloria L.; Walsh, Emily S.; Horner-Johnson, Willi; Iezzoni, Lisa I.;
Published Date:
2013 Jul-Aug
Source:
Womens Health Issues. 2013; 23(4):e205-e214.
Description:
BackgroundResearch has found some disparities between U.S. women with and without disabilities in receiving clinical preventive services. Substantial differences may also exist within the population of women with disabilities. The current study exami...
Lacey, L P; Phillips, C W; Ansell, D; Whitman, S; Ebie, N; Chen, E;
Published Date:
1989 Nov-Dec
Source:
Public Health Rep. 104(6):536-541
Description:
Most types of cancer are disproportionately present in black populations. Among all ethnic and racial groups, black people have the highest incidence of all types of cancer combined, experiencing the highest mortality and the worst survival rate. A m...
Gordon, P R; Campos-Outcalt, D; Steele, L; Gonzales, C;
Published Date:
1994 Jan-Feb
Source:
Public Health Rep. 109(1):99-103
Description:
The Pascua-Yaqui Tribe of Arizona receives its health care services at a local neighborhood health center in Tucson and a satellite clinic located on the reservation. Using a computerized data base from the health center, the authors determined the u...
Halpern, Michael T.; Romaire, Melissa A.; Haber, Susan G.; Tangka, Florence K.; Sabatino, Susan A.; Howard, David H.;
Published Date:
Aug 25 2014
Source:
Cancer. 120(19):3016-3024
Description:
BACKGROUNDAlthough state Medicaid programs cover cancer screening, Medicaid beneficiaries are less likely to be screened for cancer and are more likely to present with tumors of an advanced stage than are those with other insurance. The current study...
File Type:
[PDF - 263.70 KB]
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