Preventive medicine
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Preventive medicine · Oct 2014
Editorial Biography Historical ArticleStriving for excellence while adapting to change: redefining our mission of serving the preventive medicine community.
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Preventive medicine · Oct 2014
ReviewRandomized controlled trial lifestyle interventions for Asian Americans: a systematic review.
Asian Americans are the fastest-growing race in the United States. However, they are largely underrepresented in health research, particularly in lifestyle interventions. A systematic review was conducted to analyze the characteristics and quality of lifestyle intervention literature promoting changes in physical activity (PA), diet, and/or weight management targeting Asian Americans. ⋯ Evidence of the efficacy for lifestyle interventions among Asian Americans was mixed. Recommendations include: more rigorous RCT designs, more objective measures, larger Asian American sample sizes, culturally appropriate interventions, individual tailoring, maintenance phase with support, and providing education and modeling of lifestyle behaviors.
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Preventive medicine · Oct 2014
Observational StudyReceipt of pertussis vaccine during pregnancy across 7 Vaccine Safety Datalink sites.
In response to widespread pertussis outbreaks and infant deaths, in 2010, the California Department of Health (CDPH) and in 2011 the Advisory Committee on Immunization Practices (ACIP) advised that the tetanus toxoid, reduced diphtheria toxoid and acellular pertussis (Tdap) vaccine be administered during pregnancy. The goals of this study were to describe Tdap coverage among pregnant women following these recommendations. ⋯ We observed substantial increases in Tdap coverage during pregnancy following CDPH and ACIP recommendations.
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Preventive medicine · Oct 2014
Comparative StudyUsing electronic health record data to evaluate preventive service utilization among uninsured safety net patients.
This study compared the preventive service utilization of uninsured patients receiving care at Oregon community health centers (CHCs) in 2008 through 2011 with that of continuously insured patients at the same CHCs in the same period, using electronic health record (EHR) data. ⋯ Lack of insurance is a barrier to preventive service utilization, even in patients who can access care at a CHC. Policymakers in the United States should continue to address this significant prevention disparity.
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Preventive medicine · Oct 2014
Smoking during pregnancy was up to 70% more common in the most deprived municipalities - a multilevel analysis of all singleton births during 2005-2010 in Finland.
We investigated whether there was an association between maternal smoking habits during pregnancy and municipality level deprivation defined based on education, income and unemployment after adjustment for individual level covariates, including socioeconomic status (SES), in Finland, a Nordic welfare state. ⋯ Individual SES is the strongest correlate of smoking during pregnancy but conditional on individual variables; lower municipality aggregate education is associated with up to 70% higher smoking prevalence.