American journal of preventive medicine
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Adolescent pregnancy, often unplanned and unwanted, has a negative impact on the physical, emotional, educational, and economic condition of the pregnant teenager. Forty percent of the one million adolescents who became pregnant in 1986 chose abortion, and, of the remainder, 61% were unmarried. Teenage mothers in greater numbers and at younger ages are opting to keep and raise their children. ⋯ Sex education in schools is presented in widely varying formats; in fact, prevention of pregnancy may not even be presented. Family planning clinics are subject to the whims and biases of the funding agencies. Clinicians have an important role in providing guidance for teenage patients and their parents, but can also influence school and community leadership to ensure that all teenagers receive sound sex education in school programs and that family planning agencies are permitted to counsel teenagers and provide contraceptive devices.
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The disparity in health status between black and white Americans exists chiefly because of an excess of preventable disease in blacks. This situation calls for an increase in preventive services for blacks, services which might best be implemented or directed by black specialists in preventive medicine. ⋯ The immediate need for additional black specialists exceeds the total U. S. preventive medicine residency corps.
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A 44-item knowledge and attitude questionnaire was administered to 176 randomly selected shoppers to determine their cardiovascular and nutrition knowledge and attitude toward the diet-heart relationship. An analysis of descriptive sales slips issued by the supermarket determined food purchasing behavior. Food items purchased were categorized according to their polyunsaturated-saturated (P/S) ratio less than 1 (PS0), P/S ratio greater than 1 (PS1), and high cholesterol (greater than 100 mg per serving) (HCHO). ⋯ Correlation for whites was significant and negative (r = -.29, P = .0003) and for blacks nonsignificant and positive (r = .02, P = .9069). Regression analysis found a significant negative slope (b = -.57, P = .0001) of PS0 on knowledge, a marginally significant positive slope (b = -.21, P = .0527) of PS1 on knowledge, and a significant negative slope (b = -.86, P = .0171) of HCHO on education. The interaction of race and knowledge was significant for PS0 (P = .0005).
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We analyzed data obtained from a representative sample of the smoking patients (n = 1,338) of 66 family physicians to determine predictors of attempts to stop smoking, desire to quit smoking, and successful smoking cessation. Compared to subjects who made no attempt to quit smoking, subjects who tried to quit smoking tended to be younger, had tried to quit smoking in the year prior to the study, waited longer before smoking their first cigarette of the day, had more desire to quit smoking, and had more social support for quitting. Education and cigarettes smoked per day were not independently related to the subject making a quit attempt. ⋯ Compared to subjects who tried to quit and failed, subjects who succeeded were older, smoked fewer cigarettes per day, and waited longer to smoke their first cigarette of the day. Spouse support, support of the second most important social contact, and advice of a doctor to quit smoking were not independently related to whether or not a cessation attempt would be successful. These data suggest that successful smoking cessation requires two components: social support to make an attempt to quit and the ability to overcome dependency on cigarettes to make the attempt successful.