Preventive medicine and community health最新文献

Patterns of Mammography Screening in Women with Breast Cancer in a Kansas Community. 堪萨斯州社区乳腺癌妇女的乳房x光检查模式

Preventive medicine and community health Pub Date : 2023-02-12

S Lai, K Molnar, L Huang, S Garimella, M Enko, P Pordell, A White, V Senkomago

{"title":"Patterns of Mammography Screening in Women with Breast Cancer in a Kansas Community.","authors":"S Lai, K Molnar, L Huang, S Garimella, M Enko, P Pordell, A White, V Senkomago","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: The objective of this study was to examine patterns of mammography screening prior to breast cancer diagnosis in all women with breast cancer in a Kansas community.Methods: The study population included 508 women in the Kansas Cancer Registry database diagnosed with breast cancer between 2013-2014 who were patients and residents of a defined area at the time of diagnosis. Screening history within 4 years of diagnosis was obtained. Poisson regression analysis was used to examine the relationship between sociodemographic factors and biennial screening.Results: About 41.5% of women received at least biennial screening, while 22.1% received less than biennial screening and 36.4% had no screening. About 40% of women aged 50-64, 50.4% aged 65-74, and 48.3% aged 75-84 received biennial screening (p=0.002). Women diagnosed with in-situ and localized breast cancers had significantly higher proportions of biennial screening (46.7% and 48.6%, respectively; p < 0.001). Average tumor size was 15.7, 17.4, and 24.4 mm, for women who received at least biennial, some, and no screening, respectively (p < 0.001). Results from Poisson regression analysis showed the adjusted relative risk associated with rural/mixed residence at diagnosis and Medicaid beneficiary was 0.45 and 0.40 (p=0.003 and p=0.032) respectively.Conclusions: Biennial mammography screening was associated with lower breast cancer stage and smaller tumor size, illustrating the importance of screening as early detection. Different outreach strategies may be necessary to reach women within varied age groups or geographical regions to help increase the number of women who remain up-to-date with mammography screening.","PeriodicalId":74491,"journal":{"name":"Preventive medicine and community health","volume":"5 ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2023-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9574087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physical exercise as a potential strategy to mitigate the effects of Covid-19 in sleep quality: a systematic review 体育锻炼作为减轻Covid-19对睡眠质量影响的潜在策略:一项系统综述

Preventive medicine and community health Pub Date : 2021-01-01 DOI: 10.15761/pmch.1000156

Ferreira-Souza Lf, Coelho-Oliveira Ac, Julianelli-Peçanha M, Melo-Oliveira Mes, Moura-Fernandes Mc, Paineiras-Domingos Ll, da Cunha de Sá-Caputo D, B. M.

引用次数: 1

Self-monitoring of blood glucose, practices, and determinants in type 2 diabetics 2型糖尿病患者血糖的自我监测、实践和决定因素

Preventive medicine and community health Pub Date : 2021-01-01 DOI: 10.15761/pmch.1000157

Salih Aa, Sadiq Ma, Rayed Mh

引用次数: 0

Assault mortality in United States women of childbearing age 美国育龄妇女的性侵死亡率

Preventive medicine and community health Pub Date : 2021-01-01 DOI: 10.15761/pmch.1000154

L. R., Levine Rs, Mejía-Laguna Mc, G. S, Hennekens Ch, Drowos J

引用次数: 0

Maternal mortality in Nigeria: A consideration of infection control factor 尼日利亚孕产妇死亡率:对感染控制因素的考虑

Preventive medicine and community health Pub Date : 2021-01-01 DOI: 10.15761/pmch.1000158

Osunu Pt, Ofili Cc, Nwose Eu

引用次数: 1

Primary and secondary prevention of cervical cancer in Indian women using a public private participation approach: results of a pilot program 采用公私参与方法对印度妇女宫颈癌进行一级和二级预防:试点方案的结果

Preventive medicine and community health Pub Date : 2021-01-01 DOI: 10.15761/pmch.1000155

Sharma B, S. D

引用次数: 0

Novel academic center model for Spanish-speaking patients in the southeastern United States. 美国东南部西班牙语患者的新型学术中心模式。

Preventive medicine and community health Pub Date : 2020-07-01 Epub Date: 2020-07-28

Douglas R Morgan, Claudia Rojas, Elizabeth M Prata, Mauricio G Cohen, Maria Ferris, Alfredo C Rivadeneira, John S Kizer, Cristina Munoz, Sarah McGill, Michael J Steiner, Daniel S Reuland, Marco A Alemán

{"title":"Novel academic center model for Spanish-speaking patients in the southeastern United States.","authors":"Douglas R Morgan, Claudia Rojas, Elizabeth M Prata, Mauricio G Cohen, Maria Ferris, Alfredo C Rivadeneira, John S Kizer, Cristina Munoz, Sarah McGill, Michael J Steiner, Daniel S Reuland, Marco A Alemán","doi":"","DOIUrl":"","url":null,"abstract":"Latinos form the largest U.S. minority and will account for one quarter of the population by 2050. Immigration trends from 1995-2010 challenged health systems in \"new destination\" regions such as the southeastern U.S., with Latino population increases of 200-400%, and a minimal bilingual health workforce. Academic medical centers and safety net hospitals are challenged to respond beyond the interpreter paradigm of care delivery to provide efficient, cost-effective and compassionate care that complies with the U.S. Title VI mandates. We describe the design and successful implementation of an academic model in the care of Spanish-speaking patients in the pediatric and adult primary care and subspecialty settings in the University of North Carolina Health Care System. This model leverages a limited bilingual workforce to maximize the extent and quality of language-concordant care for this population The innovative features of the UNC Center for Latino Health (CELAH) is based upon five principles: patient navigation, a medical home, a block-scheduling system, a \"virtual clinic\" model using existing space, and leveraged cost-neutral resources. Patients are scheduled to specific half-day sessions in specialty clinics and matched with bilingual faculty and staff. This facilitates door-to-door care in Spanish for patients, the majority of whom are immigrants from rural Mexico and Central America with limited English and health literacy. CELAH is considered an academic transition model in anticipation of an adequate bilingual health workforce in 1-2 decades. As a hub, this clinical platform supports unique programs in medical education, translational and health equity research, community outreach, and faculty engagement.","PeriodicalId":74491,"journal":{"name":"Preventive medicine and community health","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7461717/pdf/nihms-1618555.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38339064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Novel academic center model for Spanish-speaking patients in the southeastern United States. 美国东南部西班牙语患者的新型学术中心模式。

Preventive medicine and community health Pub Date : 2020-07-01 DOI: 10.15761/PMCH.1000146

D. Morgan, C. Rojas, E. Prata, Mauricio G. Cohen, Maria Ferris, Alfredo C. Rivadeneira, J. Kizer, Cristina Munoz, Sarah McGill, M. Steiner, D. Reuland, Marco A. Alemán

{"title":"Novel academic center model for Spanish-speaking patients in the southeastern United States.","authors":"D. Morgan, C. Rojas, E. Prata, Mauricio G. Cohen, Maria Ferris, Alfredo C. Rivadeneira, J. Kizer, Cristina Munoz, Sarah McGill, M. Steiner, D. Reuland, Marco A. Alemán","doi":"10.15761/PMCH.1000146","DOIUrl":"https://doi.org/10.15761/PMCH.1000146","url":null,"abstract":"Latinos form the largest U.S. minority and will account for one quarter of the population by 2050. Immigration trends from 1995-2010 challenged health systems in \"new destination\" regions such as the southeastern U.S., with Latino population increases of 200-400%, and a minimal bilingual health workforce. Academic medical centers and safety net hospitals are challenged to respond beyond the interpreter paradigm of care delivery to provide efficient, cost-effective and compassionate care that complies with the U.S. Title VI mandates. We describe the design and successful implementation of an academic model in the care of Spanish-speaking patients in the pediatric and adult primary care and subspecialty settings in the University of North Carolina Health Care System. This model leverages a limited bilingual workforce to maximize the extent and quality of language-concordant care for this population The innovative features of the UNC Center for Latino Health (CELAH) is based upon five principles: patient navigation, a medical home, a block-scheduling system, a \"virtual clinic\" model using existing space, and leveraged cost-neutral resources. Patients are scheduled to specific half-day sessions in specialty clinics and matched with bilingual faculty and staff. This facilitates door-to-door care in Spanish for patients, the majority of whom are immigrants from rural Mexico and Central America with limited English and health literacy. CELAH is considered an academic transition model in anticipation of an adequate bilingual health workforce in 1-2 decades. As a hub, this clinical platform supports unique programs in medical education, translational and health equity research, community outreach, and faculty engagement.","PeriodicalId":74491,"journal":{"name":"Preventive medicine and community health","volume":"3 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41619594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

How partnerships for community-based health professions training were affected by national changes in funding 基于社区的卫生专业人员培训伙伴关系如何受到国家供资变化的影响

Preventive medicine and community health Pub Date : 2020-01-01 DOI: 10.15761/pmch.1000153

P. Carney, Eric Wiser, Cynthia Taylor, D. Cole, Shelley Dougherty, Chris Gustaferro, Meredith H. Lair, C. Stilp

{"title":"How partnerships for community-based health professions training were affected by national changes in funding","authors":"P. Carney, Eric Wiser, Cynthia Taylor, D. Cole, Shelley Dougherty, Chris Gustaferro, Meredith H. Lair, C. Stilp","doi":"10.15761/pmch.1000153","DOIUrl":"https://doi.org/10.15761/pmch.1000153","url":null,"abstract":"Background: Area Health Education Centers (AHEC) have contributed to U.S. healthcare workforce training since 1971. National funders recently refocused efforts from K-12 students to matriculated health profession students, which reduced annual funding by $75,000 (25%) per year per Center. Objectives: To describe how community partnership changed due to funding reductions. Methods: Key informant interviews were conducted with all four regional center directors with community partnerships. Lessons learned: Hosted regional centers navigated partnerships in ways that did not significantly change programs because the host institutions supported continuing the partnerships. Independent centers experienced significant changes in partnerships by ending well-established programs and starting new programs with new partners. Both hosted and independent centers took salary cuts, downsized staff, and applied for grants and contracts to fill the funding gap. Improved communication with the Oregon AHEC program office was reported as needed. Conclusions: Navigating partnerships differed according to host status.","PeriodicalId":74491,"journal":{"name":"Preventive medicine and community health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67506212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Family medicine resident sociocultural education using health equity 基于健康公平的家庭医学居民社会文化教育

Preventive medicine and community health Pub Date : 2020-01-01 DOI: 10.15761/PMCH.1000138

Karen Isaacs, C. Sotir

{"title":"Family medicine resident sociocultural education using health equity","authors":"Karen Isaacs, C. Sotir","doi":"10.15761/PMCH.1000138","DOIUrl":"https://doi.org/10.15761/PMCH.1000138","url":null,"abstract":"Background : The milestone project across multiple medical specialties calls for resident attention to sociocultural factors that affect health outcomes. Despite the long-standing reality of disparate health outcomes, there are few well-described approaches for teaching such topics to medical resident physicians. Objectives : This case study reflects a quality improvement process aimed at establishing a meaningful sociocultural curriculum for our family medicine residents. Methods : The Family Medicine Residency at New Hanover Regional Medical Center is a 6-6-6 community-based program with previous limited formal sociocultural training. In 2017, programming related to cultural diversity was mixed into resident educational time over a single four-week period. Qualitative feedback from that effort helped guide the development of a more robust and intentional longitudinal year-long health equity curricular approach in 2018, based on didactics and experiential learning. Self-reported quantitative data on resident knowledge and ability were reviewed to evaluate that curriculum. Results : 18 of 18 residents (100%) were exposed yearly to sociocultural education over two academic years (2017-2019). Qualitative feedback in year one suggested mixed uptake of the topics. Data from the updated year two longitudinal approach revealed significant improvements in resident knowledge about, and ability to apply, health equity topics. Conclusion : Our case study suggests that a longitudinal curriculum with opportunities for concept application to health equity can impact residents’ sociocultural knowledge and skills. The success at our program also holds promise for other small community-based programs that may be short on time and/or resources.","PeriodicalId":74491,"journal":{"name":"Preventive medicine and community health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67506277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0