American journal of preventive medicine
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American Indian/Alaska Native (AI/AN) youth are more likely to smoke than non-Native youth. The aim of this study is to compare tobacco product use among youth by AI/AN race and region over time to identify populations and geographies of higher risk. ⋯ The prevalence of AI/AN youth cigarette, cigar, and smokeless tobacco use is significantly higher than that of non-Native youth. Tobacco control efforts to address AI/AN cigarette use disparities may consider those younger than 13 years.
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Financial concerns are frequently cited by providers as a barrier to adult vaccination. This study assessed insurance reimbursements to providers for administering vaccines to adults in the private sector. ⋯ On average, reimbursements for administering vaccines to privately insured adults were adequate for most private practices. However, providers' financial concerns may vary across geographic locations.
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Lung cancer is the leading cause of cancer-related death in the U.S. The National Lung Screening Trial found that low-dose computed tomography reduced lung cancer mortality in high-risk individuals. As a result, the U.S. Preventive Services Task Force began recommending low-dose computed tomography screening for those at a high risk in 2013. Therefore, it is imperative to continually monitor lung cancer screening uptake. The objective of this study was to determine computed tomography screening uptake across ten states using 2017 Behavioral Risk Factor Surveillance System survey data. ⋯ Computed tomography screening utilization was higher than in earlier estimates. However, further research is needed to elucidate geographic variation in screening.