Preventive medicine
-
Preventive medicine · Jul 2005
Multicenter Study Comparative StudyCancer preventive screening: a cross-border comparison of United States and Canadian Chinese women.
To compare screening mammography and Pap testing among Chinese women in Seattle, Washington to Vancouver, and British Columbia. ⋯ Despite universal health care coverage and baseline characteristics typically associated with greater utilization of preventive screening services, Chinese women in Vancouver did not have higher rates of screening mammography and Pap testing compared to Chinese women in Seattle.
-
Preventive medicine · Jul 2005
Comparative StudyFactors associated with colon cancer screening: the role of patient factors and physician counseling.
The prevalence of colon cancer screening is nationally low. The relative contribution of patient factors and physician counseling patterns to the low prevalence of screening is unclear. ⋯ The low prevalence of screening for colorectal cancer appears to be due to lack of awareness and inadequate provider counseling rather than poor patient acceptance for screening. Systematic counseling about colorectal cancer screening will likely improve screening rates and reduce disparities by race/ethnicity and education.
-
Preventive medicine · Jul 2005
Comparative StudyIncreasing excise taxes on cigarettes in California: a dynamic simulation of health and economic impacts.
California raised cigarette excise taxes in 1999, and may generate additional health and economic benefits by raising them further. ⋯ Even considering benefits from the 1999 increase, California has not yet maximized the potential of excise taxes to lessen the negative impacts of smoking. Additional tax increases would provide added health benefits and revenue to the state.
-
Preventive medicine · Jul 2005
The primary care pediatrician's influence on medical student's performance of smoking assessments and counseling.
American medical schools lack significant educational programs for teaching medical students about counseling parents and children on smoking prevention and cessation. Thus, the objectives of this study were to describe medical student's self-reported behaviors in the assessment of parents and children's use of tobacco and to compare these practices with well-accepted pediatric activities: injury prevention and developmental assessment. ⋯ Third year medical students were less likely to complete smoking assessments than those for developmental assessment and injury prevention counseling. However, primary care pediatricians' strong expectations and modeling of smoking counseling were uniformly associated with improved self-perceived student performance. Future educational activities should engage the primary care pediatrician preceptors of students completing pediatric rotations.
-
Preventive medicine · Jul 2005
Comparative StudySurvey on colorectal cancer screening knowledge, attitudes, and practices of general practice physicians in Lazio, Italy.
Several international guidelines have recommended the involvement of general practitioners (GPs) in screening programs, but current evidence suggests this is very difficult. We implemented a survey to understand the attitudes, knowledge, and practices regarding colorectal cancer screening of GPs in the Lazio region. ⋯ The low response rate reveals the lack of GP's interest in screening. Knowledge about screening and use of guidelines as sources of scientific information are important factors to improve attitudes about screening, but there is a large percentage of well-informed GPs who do not recommend colorectal cancer screening at all. Currently, many GPs do not properly follow the patients up after a positive FOBT.