Cardiac screening programs are ineffective when participants with abnormal findings fail to seek treatment and, to a lesser extent, when participants with normal findings use medical facilities unnecessarily because of continuing concern about heart disease. Age, sex, measure of concern about cardiac symptoms and life stress, and abnormal test results were used to predict the use of physician services in the 3 months following screening. Abnormal test results predicted the use of physician services after screening, as did being older, and having life stress and concern about cardiac symptoms. Being older, male, and concerned about cardiac symptoms predicted having at least one abnormal test result. Participants with normal findings and high levels of concern about cardiac symptoms were as likely to see a physician after the screening as were persons with abnormal findings and low levels of concern about cardiac symptoms. Emphasizing participants' concern about symptoms of heart disease or feelings of stress failed to produce an increase in followup for persons who had abnormal screening outcomes.
The impact of changes in the delivery of well child health services by a rural health department on the reported health status, immunization status, and patterns of health care use is evaluated for poor children born in 1981, when well child clinic s...
Smith, Jack C.; Mercy, James A.; Rosenberg, Mark L.;
Published Date:
1986 May-Jun
Source:
Public Health Rep. 101(3):265-270
Description:
A study of suicide and homicide among Hispanics of Mexican origin (Mexican Americans) focused on five southwestern States--Arizona, California, Colorado, New Mexico, and Texas--where more than 60 percent of all Hispanics in the United States reside. ...
Recent reports in the literature on the health status of southwestern Hispanics, most of whom are Mexican Americans, are reviewed critically. The review is organized into the following sections: infant mortality, mortality at other ages, cardiovascul...
Dean, A G; Shultz, J M; Gust, S W; Harty, K C; Moen, M E;
Published Date:
1986 May-Jun
Source:
Public Health Rep. 101(3):270-277
Description:
In 1981, the Minnesota Department of Health began a long-term program to control risk factors for the major health problems of the State as determined by an expert committee. The methods chosen to initiate programs were social, economic, and epidemio...
Peoples-Sheps, M D; Siegel, E; Guild, P A; Cohen, S R;
Published Date:
1986 May-Jun
Source:
Public Health Rep. 101(3):320-329
Description:
With the advent of the Maternal and Child Health Services Block Grant, both maternal and child health programs and crippled children's (CC) programs at the State level have assumed greater responsibility for identifying populations in need, planning ...
Despite the recent attention given to mental disorders in the aged and their higher risk for organic mental disorders, older people rarely receive specialized mental health treatment. This paper reviews recent research on some of the major obstacles ...
Widespread type II diabetes among North American Indians and certain other populations is a relatively recent medical phenomenon. Increased prevalence of diabetes appears to be related to sudden cultural shifts toward sedentary lifestyle and increase...
For 18 months (1983-84), a pilot program was set up to promote the reporting of occupational disease by physicians to a local health agency. The objectives of the program were to increase the awareness among physicians of occupational disease in thei...
The most current research literature on the access of Hispanics to medical care is reviewed, and data from a 1982 national survey by Louis Harris and Associates on access to health care are presented to document current levels of access to health car...
Serdula, M K; Marks, J S; Remington, P L; Ibara, C M; White, M C;
Published Date:
1986 May-Jun
Source:
Public Health Rep. 101(3):329-333
Description:
Premarital rubella screening programs are effective in identifying women of childbearing age who are susceptible to rubella. There is concern, however, that once identified, susceptible women may not be subsequently vaccinated. Therefore, a study was...
Growing evidence indicates that a significant relationship exists between the conductive hearing loss resulting from recurrent otitis media (OM) during the first 3-5 years of life and subsequent problems in acquisition of language and academic skills...
Lum, M K; Knutson, L R; Hall, D B; Margolis, H S; Bender, T R;
Published Date:
1986 May-Jun
Source:
Public Health Rep. 101(3):309-314
Description:
A 1960-62 study of southwestern Alaskan Eskimos documented an infant mortality rate--102.6 deaths per 1,000 live births--that was four times greater than that of U.S. whites. In 1980-81, 20 years after the original study, a similar cohort was identif...
Elliott, Eloise; Lilly, Christa; Murphy, Emily; Pyles, Lee A.; Cottrell, Lesley; Neal, William A.;
Published Date:
2017
Source:
Curr Pediatr Rev. 13(4):265-276.
Description:
BackgroundThe Coronary Artery Risk Detection in Appalachian Communities (CARDIAC) Project is a chronic disease risk factor surveillance, intervention, and research initiative aimed at combating the unacceptably high prevalence of heart disease, diabe...
"The National Institute for Occupational Safety and Health (NIOSH) requests assistance in preventing on-duty cardiovascular deaths among U.S. fire fighters. To reduce these deaths, NIOSH recommends that fire departments and fire fighters follow estab...
Baldwin, Tommy N.; Hales, Thomas R.; Jackson, J. Scott; Noe, Rebecca S.; Proudfoot, Steven L.; Ridenour, Marilyn;
Corporate Authors:
Fire Fighter Fatality Investigation and Prevention Program (U.S.). National Institute for Occupational Safety and Health.
Published Date:
November 2008
Series:
DHHS publication ; no. (NIOSH) 2009-100
Description:
"This document summarizes the most frequent recommendations from the first 8 years of the NIOSH Fire Fighter Fatality Investigation and Prevention Program (FFFIPP). The overall goal of the program is to reduce the number of fire fighter fatalities. T...