Download or read book Psychosocial Influences on Non adherence to Mammography Screening Guidelines in African American and White Women Ages 40 79 written by Lisa Calvocoressi and published by . This book was released on 2003 with total page 666 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Exploring Risk Factors for Non adherence to Screening Mammography Among Women Living with Human Immunodeficiency Syndrome HIV written by Janna Gordon and published by . This book was released on 2020 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: Women living with HIV (WLWH) in the U.S. are more than twice as likely to die of breast cancer compared to women without HIV. Although WLWH are less likely to obtain mammography than women without HIV, research examining risk factors for non-adherence to screening among WLWH is limited, particularly among those aged 50-74 years for whom biennial screening is currently recommended. This project examined risk factors for non-adherence to screening mammography among WLWH aged 50-74 receiving primary care at UC San Diego and UC San Francisco between 2016 and 2018. This study used electronic medical record data to compare rates of adherence to mammography guidelines between WLWH and the general population of women in California (Aim 1). Logistic regression analyses were conducted to evaluate individual (i.e., age, race/ethnicity, medical and psychiatric co-morbidities, smoking status, HIV-related medical characteristics), interpersonal (i.e., marital status, PCP department, PCP relationship length, number of office visits), and organizational (i.e., insurance, healthcare site) factors associated with non-adherence to recommended mammography screening among WLWH (Aims 2, 3, 4). Multiple logistic regression was used to identify the unique contribution of variables identified in Aims 2, 3, and 4 in predicting non-adherence to screening mammography and to determine the influence of individual, interpersonal, and organizational variable(s) on model fit (Aim 5). WLWH (N = 293, mean age = 57.4, 36.2% non-Hispanic White) were significantly less likely to obtain mammography screening than the general population. WLWH at greatest risk for non-adherence to mammography screening included those with mental health or substance use diagnoses, Hispanic women, and women who engaged in fewer office visits. In adjusted analyses, WLWH with a mental health diagnosis were more than twice as likely to be non-adherent with screening recommendations than their peers, and Hispanic women were twice as likely to be non-adherent than non-Hispanic White women. The inclusion of interpersonal, but not organizational, variables significantly improved model fit. Evidence-based interventions are needed to increase adherence to mammography screening among WLWH. Such interventions have the potential to increase the uptake of timely breast cancer screening and decrease breast-cancer related morbidity and mortality among this medically vulnerable population.

Download or read book Psychosocial Associations of Mammography Screening written by Carlyn Marie Richardson and published by . This book was released on 2010 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study examined compliance in mammography screening among a sample of African American and Caucasian women aged 40 and over, using data from the 2005 Health Information National Trends Survey (HINTS). The socio-ecological model helped to identify the psychosocial associations that influence breast cancer screening. Compared to Caucasian women, African American women reported significantly higher psychological distress (M=1.7, SD=.69; M=1.9, SD=.84, respectively). Logistic regression indicated that race (z = 5.556), age (z = 22.933), household income (z = 8.398), health coverage (z = 6.772), and having a family history of breast cancer (z = 5.167) have significant predictive contributions to compliance.

Download or read book Radical Differences in Breast Cancer Screening Behaviors and Beliefs in Urban Public School Teachers written by and published by . This book was released on 1999 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Breast cancer is the leading cause of cancer mortality in African-American women. Studies have reported that African-American women with breast cancer are more likely to be diagnosed at a later stage of the disease and have a higher mortality rate than white women. Despite this, African-American women are less likely than White women to avail themselves of the benefits of screening mammography. This is most often attributed to lack of education, lack of access, and low socioeconomic status. However, it has been repeatedly shown that when socioeconomic, educational, and logistic barriers are minimized, African-Americans continue to underutilize these screening procedures. In this study, breast cancer screening behaviors and the factors that influence those behaviors were measured by means of a survey questionnaire distributed to members of a defined population of African-American and White women with potentially comparable levels of education, health care access, and socioeconomic status. This report describes the background, objectives, and procedures of this study, and details the work carried out in Year 02, including data collection and analysis. A total of 782 usable surveys were returned from female public school teachers in Philadelphia aged 40 and older. White respondents were more likely than African-Americans to be married or cohabiting, and had significantly higher annual household incomes; they were also more likely to have been adherent to mammography guidelines over the previous five years and to say that they would definitely get a mammogram in the next 24 months. African-Americans, by contrast, were more likely than Whites to have practiced regular breast self-examination. When demographic and health- related factors were controlled for, however, no significant effect of race on mammography adherence or intentions was found.

Download or read book Perceived Barriers to Mammography Screening in Women Age 40 and Older who Do Not Follow the Recommended Mammography Screening Guidelines written by Rita A. Dekker and published by . This book was released on 1995 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Psychological and Neuropsychological Predictors of Non Compliance to Mammography Screening Among High Risk African American Women written by and published by . This book was released on 2004 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: The breast cancer death rate is high for African American women compared to U.S. National figures and an explanation is that African American women are more likely to be diagnosed with advanced breast cancer disease. Regular mammography screening reduce the number of deaths from breast cancer by helping to detect the disease at an early stage. Although effective, the number of women engaging in repeat screening is low, and this is the case for women with a family history of breast cancer. Improving use of mammography screening and subseguently reducing breast cancer deaths will involve an understanding of psychological and neuropsychological factors impacting repeat mammography screenings. This project proposed to evaluate the relationship between psychological distress (anxiety and intrusive thoughts about breast cancer) and neuropsychological functioning (executive cognitive functioning) responsible for behavioral self-regulation on adherence to repeat use of screenings. To meet the objective, 112 women were proposed to be selected to participate in the study. The study has currently enrolled 37 participants, 18 adherers to mammography screening and 19 non-adherers. These participants completed a series of guestionnaires evaluating anxiety and intrusive thoughts and test of neuropsychological functioning. Once the full complement of participants has been tested, the scores on the psychological and neuropsychological instruments will be analyzed for both groups to assess relationships between executive cognitive functioning, anxiety, and adherence to repeat screenings.

Download or read book Social Network Characteristics and Breast Cancer Screening Behavior in Vietnamese American Women written by Minh-Tram Gem Le and published by . This book was released on 2011 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: The last 40 years have seen a large influx of Vietnamese immigrants to the United States (U.S.) as a result of the Vietnam War. The Vietnamese now constitute one of the fastest growing Asian and Pacific Islander populations in the U.S. Breast cancer is the most commonly diagnosed cancer in Vietnamese American women, with incidence rates steadily increasing in this immigrant population. Early detection of breast cancer through mammography screening and clinical breast examination is critical for reducing breast cancer morbidity and mortality. However, Vietnamese American women are less likely to be screened than non-Hispanic white women. This dissertation investigates social network characteristics and their relationship to breast cancer screening behavior in Vietnamese American women aged 40 and older within a community-based breast cancer screening intervention study based in Santa Clara County, California. Because this intervention study was embedded in the framework of interpersonal relationships, it presents an ideal opportunity and optimal approach to exploring how social networks influence breast screening behavior in an underserved population. A positive association between social network integration and breast cancer screening was found for recent receipt of a clinical breast examination (CBE) but not for mammography. Women in the highest tertile of social network integration were more likely to receive a CBE than women in the lowest tertile (OR = 1.20, 95% CI: 1.07-1.33). This dissertation also examined perceived availability of different types of social support (emotional, instrumental, informational, affectionate, and positive social interaction) and the relative contributions of each type of support to recent use of mammography and CBE. Findings indicate that Vietnamese American women generally perceived moderate to high levels of available social support across all types. Instrumental support was the single most important social support predictor for recent use of mammography (OR = 1.05, 95% CI: 1.02-1.08). Because breast cancer screening is only optimally effective for early detection if women adhere to annual screening guidelines, this dissertation also examined breast cancer screening norms as one type of social network influence on intention to receive screening in the future. Results showed no associations between social influence and intention to receive a mammogram or CBE within the next 12 months. Findings from this analysis suggest challenges in measuring both social influence and screening intention constructs in Vietnamese American women and warrant further methodological investigation in developing more culturally appropriate, accurate, and comprehensive measures. Overall, findings from this dissertation have laid the necessary groundwork for identifying new opportunities for future research on social networks and health. Such research will enable us to gain a better understanding of ways in which social networks can inform more effective interventions and programs to close the gap in breast cancer health disparities.

Download or read book Breast Cancer Risk Factors and Screening written by Deborah A. Dawson and published by . This book was released on 1990 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Dissertation Abstracts International written by and published by . This book was released on 2004 with total page 858 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Breast Cancer Metastasis and Drug Resistance written by Aamir Ahmad and published by Springer Nature. This book was released on 2019-08-27 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Resistance to therapies, both targeted and systemic, and metastases to distant organs are the underlying causes of breast cancer-associated mortality. The second edition of Breast Cancer Metastasis and Drug Resistance brings together some of the leading experts to comprehensively understand breast cancer: the factors that make it lethal, and current research and clinical progress. This volume covers the following core topics: basic understanding of breast cancer (statistics, epidemiology, racial disparity and heterogeneity), metastasis and drug resistance (bone metastasis, trastuzumab resistance, tamoxifen resistance and novel therapeutic targets, including non-coding RNAs, inflammatory cytokines, cancer stem cells, ubiquitin ligases, tumor microenvironment and signaling pathways such as TRAIL, JAK-STAT and mTOR) and recent developments in the field (epigenetic regulation, microRNAs-mediated regulation, novel therapies and the clinically relevant 3D models). Experts also discuss the advances in laboratory research along with their translational and clinical implications with an overarching goal to improve the diagnosis and prognosis, particularly that of breast cancer patients with advanced disease.

Download or read book Cumulated Index Medicus written by and published by . This book was released on 1997 with total page 1860 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Neurofibromatoses in Clinical Practice written by Rosalie E Ferner and published by Springer Science & Business Media. This book was released on 2011-09-05 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neurofibromatoses in Clinical Practice provides a succinct, accessible guide to the neurofibromatoses including diagnosis, management protocols and indications for referral to specialist centers. Neurocutaneous diseases are complex to diagnose and treat and many patients require specialist multidisciplinary management and surveillance. Due to multiple disease manifestations, patients can present to different clinicians without specialist expertise - general practitioners, pediatricians, neurologists, geneticists, surgeons and ophthalmologists. The clinically focused format will enable rapid consultation during clinics, facilitate disease pattern recognition, and indicate care pathways. The clinical quiz highlights common pitfalls in diagnosis and management and a glossary and reference section provide details for access to specialist NF clinics throughout the UK and internationally. Written by experts in the field Neurofibromatoses in Clinical Practice is a succinct and practical guide for consultants in training and practice, general practitioners and specialist nurses.

Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.

Download or read book Primary Care and Public Health written by Institute of Medicine and published by National Academies Press. This book was released on 2012-07-19 with total page 212 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health. Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health.

Download or read book Mental Health written by and published by . This book was released on 2001 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

Download or read book Dietary Guidelines for Americans 2015 2020 written by HHS, Office of Disease Prevention and Health Promotion (U.S.) and published by Government Printing Office. This book was released on 2015-12-31 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn more about how health nutrition experts can help you make the correct food choices for a healthy lifestyle The eighth edition of the Dietary Guidelines is designed for professionals to help all individuals, ages 2 years-old and above, and their families to consume a healthy, nutritionally adequate diet. The 2015-2020 edition provides five overarching Guidelines that encourage: healthy eating patterns recognize that individuals will need to make shifts in their food and beverage choices to achieve a healthy pattern acknowledge that all segments of our society have a role to play in supporting healthy choices provides a healthy framework in which individuals can enjoy foods that meet their personal, cultural and traditional preferences within their food budget This guidance can help you choose a healthy diet and focus on preventing the diet-related chronic diseases that continue to impact American populations. It is also intended to help you to improve and maintain overall health for disease prevention. **NOTE: This printed edition contains a minor typographical error within the Appendix. The Errata Sheet describing the errors can be found by clicking here. This same errata sheet can be used for the digital formats of this product available for free. Health professionals, including physicians, nutritionists, dietary counselors, nurses, hospitality meal planners, health policymakers, and beneficiaries of the USDA National School Lunch and School Breakfast program and their administrators may find these guidelines most useful. American consumers can also use this information to help make helathy food choices for themselves and their families.