Greater Use Of Preventive Services In U.S. Health Care Could Save Lives At Little Or No Cost

Maciosek, Michael V.; Coffield, Ashley B.; Flottemesch, Thomas J.; Edwards, Nichol M.; Solberg, Leif I.

doi:10.1377/hlthaff.2008.0701

Cited by 238 publications

(170 citation statements)

References 11 publications

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“…Timely implementation of breast cancer screening services not only averts a loss of significant number of life years, but also reduces a considerable burden on the health care system (Elixhauser, 1991;Maciosek et al, 2010). Yet, utilization of breast cancer screening services is poor in South Asian women living in Asia (Maqsood et al, 2009;Bhatt et al, 2011;Grosse Frie et al, 2013), the US (Islam et al, 2006;Glenn et al, 2009;Lee et al, 2010) as well as other western countries (Sutton et al, 2001;Szczepura et al, 2008;Price et al, 2010;Rajan et al, 2011;Peltzer and Phaswana-Mafuya, 2014).…”

Section: Introductionmentioning

confidence: 99%

Attitudes of South Asian Women to Breast Health and Breast Cancer Screening: Findings from a Community Based Sample in the United States

Poonawalla

Goyal

Mehrotra

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: Breast cancer incidence is increasing among South Asian migrants to the United States (US). However, their utilization of cancer screening services is poor. This study characterizes attitudes of South Asians towards breast health and screening in a community sample. Materials and Methods: A cross-sectional survey based on the Health Belief Model (HBM) was conducted among South Asians (n=124) in New Jersey and Chicago. The following beliefs and attitudes towards breast cancer screening were assessed-health motivation, breast self-examination confidence, breast cancer susceptibility and fear, and mammogram benefits and barriers. Descriptive statistics and Spearman rank correlation coefficients were computed for HBM subscales. Findings: Mean age of participants was 36 years with an average 10 years stay in the US. Most women strived to care for their health (3.82±1.18) and perceived high benefits of screening mammography (3.94±0.95). However, they perceived lower susceptibility to breast cancer in the future (2.30±0.94). Conclusions: Increasing awareness of breast cancer risk for South Asian women may have a beneficial effect on cancer incidence because of their positive attitudes towards health and breast cancer screening. This is especially relevant because South Asians now constitute one of the largest minority populations in the US and their incidence of breast cancer is steadily increasing.

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Section: Introductionmentioning

confidence: 99%

Attitudes of South Asian Women to Breast Health and Breast Cancer Screening: Findings from a Community Based Sample in the United States

Poonawalla

Goyal

Mehrotra

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…18 A study of the likely cost-effectiveness of a package of 20 preventive services (including all of the services measured in this study) found that, if uptake reached 90 percent, it could avert the loss of more than 2 million life-years and save $3.7 billion annually. 19 The ACA will not solve all the problems with access to care for previously uninsured individuals. Even with the ACA, the United States will continue to have a substantial number of uninsured people, and although the ACA includes provisions to increase access to preventive care, these provisions do not apply to the uninsured.…”

Section: Discussionmentioning

confidence: 99%

Insurance Coverage and Preventive Care Among Adults

Lines¹,

Urato²,

Halpern³

et al. 2014

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This PDF document was made available from www.rti.org as a public service of RTI International. More information about RTI Press can be found at http://www.rti.org/rtipress. RTI International is an independent, nonprofit research organization dedicated to improving the human condition by turning knowledge into practice. The RTI Press mission is to disseminate information about RTI research, analytic tools, and technical expertise to a national and international audience. RTI Press publications are peer-reviewed by at least two independent substantive experts and one or more Press editors. All rights reserved. This report is protected by copyright. Credit must be provided to the author and source of the document when the content is quoted. Neither the document nor partial or entire reproductions may be sold without prior written permission from the publisher. www.rti.org/rtipress AbstractThe Affordable Care Act (ACA) is intended to provide health insurance to all US citizens, but many people will likely continue to have gaps in their insurance coverage after reform. For this study, we used longitudinal survey data from Panel 11 (2006)(2007) of the Medical Expenditure Panel Survey to examine the effect of gaps in insurance coverage on adults' receipt of preventive screening. We categorized individuals (n = 8,985) between the ages of 18 and 64 at baseline as continuously insured (private only or any public), intermittently insured, or continuously uninsured. Outcome measures were routine checkup, blood pressure check, cholesterol check, flu shot, sigmoidoscopy or colonoscopy, mammogram, Pap smear, and an overall composite measure. Logistic regression models controlled for age, sex, race, limited English proficiency, education, urbanicity, census region, income, perceived health, and employment status. Crude rates of receiving preventive services were generally highest for those with public insurance and lowest for the continuously uninsured. In adjusted analyses, having intermittent coverage increased the odds of receiving no preventive services to 1.64 compared with continuous private insurance. Continuously lacking insurance increased the odds of receiving no preventive services to 4.41 compared with continuous private coverage. The effect of intermittent coverage was larger than the effect of race/ethnicity, education, where individuals lived, perceived health status, or employment status. Lack of continuous health insurance is a critical barrier to receiving appropriate health care services. Implementation of the ACA will be less successful if gaps in coverage are not prevented.

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“…25 Such an imbalance defies peer-reviewed findings that show prevention activities in most instances are far more costeffective in improving health than medical treatment. 25,26 Unlike medical schools, SPH do not receive core federal funding for education [beyond a small pool of students], such as is received through Medicare funding for medical residents or core federal funding for research and service/care available through the Veterans Administration for faculty effort.…”

Section: Sources Of Support For Sphmentioning

confidence: 99%

Public Health Education in the United States: Then and Now

2011

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It was against a background of no formal career path for public health officers that, in 1915, the seminal Welch-Rose Report 1 outlined a system of public health education for the United States. The first schools of public health soon followed, but growth was slow, with only 12 schools by 1960. With organization and growing numbers, accreditation became an expectation. As the mission of public health has grown and achieved new urgency, schools have grown in number, depth and breadth. By mid-2011, there were 46 accredited schools of public health, with more in the pipeline. While each has a unique character, they also must possess certain core characteristics to be accredited. Over time, as schools developed, and concepts of public health expanded, so too did curricula and missions as well as types of people who were trained. In this review, we provide a brief summary of US public health education, with primary emphasis on professional public health schools. We also examine public health workforce needs and evaluate how education is evolving in the context of a growing maturity of the public health profession. We have not focused on programs (not schools) that offer public health degrees or on preventive medicine programs in schools of medicine, since schools of public health confer the majority of master's and doctoral degrees. In the future, there likely will be even more inter-professional education, new disciplinary perspectives and changes in teaching and learning to meet the needs of millennial students.

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Greater Use Of Preventive Services In U.S. Health Care Could Save Lives At Little Or No Cost

Cited by 238 publications

References 11 publications

Attitudes of South Asian Women to Breast Health and Breast Cancer Screening: Findings from a Community Based Sample in the United States

Attitudes of South Asian Women to Breast Health and Breast Cancer Screening: Findings from a Community Based Sample in the United States

Insurance Coverage and Preventive Care Among Adults

Public Health Education in the United States: Then and Now

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