The Oklahoma State Health Department Mobile Multiphasic Screening Program for Chronic Disease. I.

Adler, Jack J.; Bloss, C M; Mosley, Kirk T.

doi:10.2105/ajph.56.6.918

Cited by 7 publications

(3 citation statements)

References 5 publications

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“…Symptom awareness was also likely enhanced by the educational activities during the thyroid health fair week. The increased prevalence of thyroid dysfunction found in our study may also be explained in part by the fact that health fairs typically attract individuals who are older and who are women [5-9]. This may have contributed to our findings since thyroid dysfunction, and hypothyroidism in particular, is more common in older people and is nearly ten times as common in women as in men [10].…”

Section: Discussionmentioning

confidence: 74%

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Thyroid disease awareness is associated with high rates of identifying subjects with previously undiagnosed thyroid dysfunction

Tape

Wigton

2013

BMC Public Health

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BackgroundConventional screening for hypothyroidism is controversial. Although hypothyroidism is underdiagnosed, many organizations do not recommend screening, citing low disease prevalence in unselected populations. We studied attendees at a thyroid health fair, hypothesizing that certain patient characteristics would enhance the yield of testing.MethodsWe carried out an observational study of participants at a Michigan health fair that focused on thyroid disease. We collected patient-reported symptoms and demographics by questionnaire, and correlated these with the TSH values obtained through the health fair.Results794 of 858 health fair attendees participated. Most were women, and over 40% reported a family history of thyroid disease. We identified 97 (12.2%) participants with previously unknown thyroid dysfunction. No symptom or combination of symptoms discriminated between hypothyroid and euthyroid individuals. Hypothyroid and euthyroid participants in the health fair reported each symptom with a similar prevalence (p > 0.01), a prevalence which was very high. In fact, when compared with a previously published case-control study that reported symptoms, the euthyroid health fair participants reported a higher symptom prevalence (range 3.9% to 66.3%, mean 31.5%), than the euthyroid individuals from the case-control study (range 2% to 54%, mean 17.4%).ConclusionsA high proportion of previously undiagnosed thyroid disease was identified at this health fair. We initially hypothesized symptoms would distinguish between thyroid function states. However, this was not the case in this health fair screening population. The prevalence of reported symptoms was similar and high in both euthyroid and hypothyroid participants. Because attendees were self-selected, it is possible that this health fair that focused on thyroid disease attracted participants specifically concerned about thyroid health. Despite the lack of symptom discrimination, the much higher prevalence of hypothyroidism in this study (12%) compared with the general population (<2%) suggests that screening may be appropriate and effective in certain circumstances such as thyroid health fairs.

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Section: Discussionmentioning

confidence: 74%

“…Health fair attendees tend to be older when compared with the general population, likely because older retirees have more time to participate in such programs. Health fairs also tend to attract more women than men, as is the case with health care in general [5-9]. …”

Section: Introductionmentioning

confidence: 99%

Thyroid disease awareness is associated with high rates of identifying subjects with previously undiagnosed thyroid dysfunction

Tape

Wigton

2013

BMC Public Health

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“…The strong increase in rheumatoid arthritis with age held only for Whites; although Blacks had higher rates until age 64, Whites had higher rates in the 65 and older age group (Kasl & Berkman, 1981;Cobb, 1971). Prevalence rates for diabetes were much higher among Blacks than among Whites until age 65 when the rates became almost identical (Adler, Bloss, & Mosely, 1966). Twaddle (1976) reported that Black inmates were more likely to use medical services than were White inmates.…”

Section: Discussionmentioning

confidence: 99%

Selected Predictors of Health Services Needs of Inmates Over Age 50

Falter

1999

Journal of Correctional Health Care

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The purpose of this study was to correlate the characteristics of 1,051 elderly inmates (those over 50 years of age) in the Federal Bureau of Prisons with the number of medical encounters for selected chronic health problems. "Total medical encounters" was the dependent variable. Independent variables were age, sex, length of sentence, and the number of encounters for the following selected medical conditions: noninsulindependent diabetes, insulin-dependent diabetes, arteriosclerotic heart disease, hypertension, and chronic obstructive pulmonary disease. The study used a multiple regression analysis for a population mostly White (78.7%), predominately male (93.0%), with a mean age of 57.12 years. In this study, the researcher found increased health care utilization due to the presence of hypertension (19.2%), arteriosclerotic heart disease (5.4%), diabetes (3.4%), chronic obstructive pulmonary disease (2.5%), length of sentence, and age.

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The Colorado Thyroid Disease Prevalence Study

Canaris¹,

Manowitz²,

G³

et al. 2000

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The prevalence of abnormal biochemical thyroid function reported here is substantial and confirms previous reports in smaller populations. Among patients taking thyroid medication, only 60% were within the normal range of TSH. Modest elevations of TSH corresponded to changes in lipid levels that may affect cardiovascular health. Individual symptoms were not very sensitive, but patients who report multiple thyroid symptoms warrant serum thyroid testing. These results confirm that thyroid dysfunction is common, may often go undetected, and may be associated with adverse health outcomes that can be avoided by serum TSH measurement.

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The Oklahoma State Health Department Mobile Multiphasic Screening Program for Chronic Disease. I.

Cited by 7 publications

References 5 publications

Thyroid disease awareness is associated with high rates of identifying subjects with previously undiagnosed thyroid dysfunction

Thyroid disease awareness is associated with high rates of identifying subjects with previously undiagnosed thyroid dysfunction

Selected Predictors of Health Services Needs of Inmates Over Age 50

The Colorado Thyroid Disease Prevalence Study

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