[PDF-1.02 MB]

Details:

Alternative Title:

Public Health Rep

Personal Author:

Weisman, C S ; Celentano, D D ; Teitelbaum, M A ; Klassen, A C ;

Description:

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.

Subject:

[+]

Pubmed ID:

2543020

Pubmed Central ID:

PMCnull

Document Type:

Journal Article

Funding:

CA36569/CA/NCI NIH HHS/United States

Collection(s):

Public Health Reports

Main Document Checksum:

[+]

File Type:

Supporting Files:

No Additional Files

Analysis of fatal pedestrian injuries in King County, WA, and prospects for prevention.

[PDF - 1023.84 KB]

Personal Author:

Rivara, F P; Reay, D T; Bergman, A B;

Published Date:

1989 May-Jun

Source:

Public Health Rep. 104(3):293-297

Description:

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...

File Type:

[PDF - 1023.84 KB]
Suicide in the State of Maryland, 1970-80.

[PDF - 596.77 KB]

Personal Author:

Popoli, G; Sobelman, S; Kanarek, N F;

Published Date:

1989 May-Jun

Source:

Public Health Rep. 104(3):298-301

Description:

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...

File Type:

[PDF - 596.77 KB]
Improving the health of Indian teenagers--a demonstration program in rural New Mexico.

[PDF - 1.88 MB]

Personal Author:

Davis, S M; Hunt, K; Kitzes, J M;

Published Date:

1989 May-Jun

Source:

Public Health Rep. 104(3):271-278

Description:

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,...

File Type:

[PDF - 1.88 MB]
A multistate analysis of active life expectancy.

[PDF - 1.13 MB]

Personal Author:

Rogers, A; Rogers, R G; Branch, L G;

Published Date:

1989 May-Jun

Source:

Public Health Rep. 104(3):222-226

Description:

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...

File Type:

[PDF - 1.13 MB]
Family physicians: supply and demand.

[PDF - 1.20 MB]

Personal Author:

Bowman, M A

Published Date:

1989 May-Jun

Source:

Public Health Rep. 104(3):286-293

Description:

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...

File Type:

[PDF - 1.20 MB]
Years of potential life lost among a Native American population.

[PDF - 2.07 MB]

Personal Author:

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 ...

File Type:

[PDF - 2.07 MB]
Public Health Rep ; v. 104, no. 3 : table of contents

[PDF - 493.39 KB]

Published Date:

May-Jun 1989

Source:

Public Health Rep. 104(3)

File Type:

[PDF - 493.39 KB]
Cancer incidence following exposure to drinking water with asbestos leachate.

[PDF - 997.59 KB]

Personal Author:

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...

File Type:

[PDF - 997.59 KB]
Performance characteristics of a blood cholesterol measuring instrument used in screening programs.

[PDF - 919.20 KB]

Personal Author:

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 ...

File Type:

[PDF - 919.20 KB]
PROGRAMS, PRACTICES, PEOPLE

[PDF - 967.39 KB]

Published Date:

1989 May-Jun

Source:

Public Health Rep. 104(3):309-313

File Type:

[PDF - 967.39 KB]
Factors influencing early prenatal enrollment in the WIC program.

[PDF - 1.22 MB]

Personal Author:

Ku, L

Published Date:

1989 May-Jun

Source:

Public Health Rep. 104(3):301-306

Description:

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 ...

File Type:

[PDF - 1.22 MB]
The growth and development status of homeless children entering shelters in Boston.

[PDF - 724.77 KB]

Personal Author:

Lewis, M R; Meyers, A F;

Published Date:

1989 May-Jun

Source:

Public Health Rep. 104(3):247-250

Description:

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...

File Type:

[PDF - 724.77 KB]
Correlates and predictors of serum total cholesterol in adolescents aged 12-17 years: the National Health Examination Survey.

[PDF - 1.85 MB]

Personal Author:

Gillum, Richard F.

Published Date:

1989 May-Jun

Source:

Public Health Rep. 104(3):256-265

Description:

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...

File Type:

[PDF - 1.85 MB]
Enhancing mental health services for homeless persons: state proposals under the MHSH Block Grant Program.

[PDF - 1.46 MB]

Personal Author:

Salem, D A; Levine, I S;

Published Date:

1989 May-Jun

Source:

Public Health Rep. 104(3):241-246

Description:

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...

File Type:

[PDF - 1.46 MB]
A statewide preventive health care program for the aged.

[PDF - 1.21 MB]

Personal Author:

Weiler, P G; Chi, I; Lubben, J E;

Published Date:

1989 May-Jun

Source:

Public Health Rep. 104(3):215-221

Description:

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...

File Type:

[PDF - 1.21 MB]
The Centers for Disease Control program to prevent primary and secondary disabilities in the United States.

[PDF - 1.16 MB]

Personal Author:

Houk, Vernon N.; Thacker, Stephen B.;

Published Date:

1989 May-Jun

Source:

Public Health Rep. 104(3):226-231

Description:

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...

File Type:

[PDF - 1.16 MB]
Correlates of participation in AIDS education and HIV antibody testing by methadone patients.

[PDF - 2.10 MB]

Personal Author:

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...

File Type:

[PDF - 2.10 MB]
Public Health Rep ; v. 104, no. 3 : Masthead

[PDF - 560.62 KB]

Published Date:

May-Jun 1989

Source:

Public Health Rep. 104(3)

File Type:

[PDF - 560.62 KB]
Public Health Reports ; v. 104 , no. 3 : cover

[PDF - 557.34 KB]

Published Date:

May-Jun 1989

Source:

Public Health Rep 104 (3)

File Type:

[PDF - 557.34 KB]

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