“…However, for patients unlikely to present for annual visits (e.g., men under age 45), 20 routine visits for low acuity issues may be the only chance to identify and counsel overweight patients. 23,24 Although intervention physicians more frequently diagnosed and counseled for overweight, overall usage of the counseling template and order set were low. Physicians noted that the alert frequently increased their recognition of weight as a health problem, yet time constraints remained the main barrier to tool usage.…”
“…However, for patients unlikely to present for annual visits (e.g., men under age 45), 20 routine visits for low acuity issues may be the only chance to identify and counsel overweight patients. 23,24 Although intervention physicians more frequently diagnosed and counseled for overweight, overall usage of the counseling template and order set were low. Physicians noted that the alert frequently increased their recognition of weight as a health problem, yet time constraints remained the main barrier to tool usage.…”
“…Further, older patients are more likely to have conditions that require specialists and specialists may be less likely to be prevention-oriented than primary care physicians. Moreover, preventive care is rarely delivered when patients initiate visits to the doctor for illness, a more Table 2 Percentage of women 40 and older who did not have a mammogram (of all women in the 2000 NHIS sample), with and without access to health care by sociodemographic characteristics With access (7,532) Access problems (1,193) Adjusted a % 95% CI Adjusted a % 95% CI common factor for older than younger women [30]. The benefits of mammography are not as clear cut for women older than age 70 [31].…”
Most non-screeners report not receiving a physician recommendation for mammography. Although a minority reported access problems, the effect of lacking access on utilization was strong and is accentuated when women without access do not see a doctor. These findings confirm the importance of a mammography recommendation and raise questions concerning whether this information is being conveyed by physicians or heard by patients.
“…Recent investigations into multiple health behavior interventions suggest that they may be effective in changing behaviors related to CRC and other health outcomes [12,53,54,56]. Much of the work on the implementation of interventions across not just multiple risk factors but multiple medical conditions appears to have focused on clinical settings [3,57]. Given the growing population of adults with multiple chronic conditions [58] and the potential for cost savings in interventions addressing multiple behaviors or conditions [59], public health approaches to address multiple health behaviors and multiple chronic conditions are of increasing interest.…”
Because diabetes is associated with increased colorectal cancer (CRC) risk, it is important that people with diabetes receive CRC screenings according to guidelines. In addition, many diabetes self-care recommendations are associated with a reduced risk of CRC. This study aims to identify potential opportunities for enhancing CRC prevention within the context of diabetes management. Using data from 1,730 adults with diabetes aged 50-75 years who responded to the 2010 National Health Interview Survey, we calculated population estimates of behaviors consistent with US Preventive Services Task Force guidelines for CRC screening and American Diabetes Association recommendations for diabetes care. We examined bivariate associations between CRC screening and selected diabetes self-care behaviors associated with CRC risk. Results were stratified by demographic characteristics. Thirty-nine percent of adults with diagnosed diabetes were not up-to-date with CRC screenings. Sixteen percent smoked and 2 % exceeded alcohol intake recommendations. Among those capable of exercise, 69 and 90 % did not meet aerobic exercise and resistance training recommendations, respectively.
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