Mammogram Compliance Among Low-Income Middle-Aged Women in Puerto Rico

Mammogram Compliance Among Low-Income Middle-Aged Women in Puerto Rico

Author:

Publisher:

Published: 2000

Total Pages: 0

ISBN-13:

DOWNLOAD EBOOK

Despite evidence in favor of breast cancer screening with mammograms and that screening has increased in the last years, mammogram compliance among low-income, minority and women over 50 years of age has been slow. This three-year project contemplates a study of women's compliance with 1997 NIH screening mammogram guidelines and physicians' observance of NIH guidelines in Puerto Rico. Two-hundred low-income women age 40 to 64 in Puerto Rico will be interviewed to assess factors that affect compliance with screening mammogram in order to determine self- assessment cancer risks. Fifty clinicians will be interviewed to obtain data about mammogram referral patterns. Physicians will be asked permission to examine a random number of records to document referral patterns and select potential survey participants. The first stage of the project was directed to obtain qualitative data to develop the instruments to be administered to the physicians and the women. Focus groups were conducted for this purpose. The women's focus groups served to incorporate pertinent issues and appropriate vocabulary. The physicians' focus group was directed to assess an instrument developed by the research team consisting of case-studies by which to probe if physicians were familiar with 1997 NIH screening mammogram guidelines.


Mammogram Compliance Among Low-Income Middle-Women in Puerto Rico

Mammogram Compliance Among Low-Income Middle-Women in Puerto Rico

Author:

Publisher:

Published: 2001

Total Pages: 0

ISBN-13:

DOWNLOAD EBOOK

The purpose of this phase of a larger study was to obtain data about factors that explain screening mammogram referral patterns among physicians in Puerto Rico. It focused on compliance with 1997 NIH Guidelines to mammogram screening for women age 40 to 49 and 50 to 64. A self-administered questionnaire containing twelve hypothetical case studies and open questions was distributed to 50 physicians; 48 answered. Our hypothesis was: Physicians will correctly follow the NIH screening mammogram guidelines for less than 90% of their female patients in each age category. When comparing the physicians' responses with the NIH guidelines for women age 40 to 49 years old, 49.9% of the physicians coincided with the guidelines in recommending an annual exam if there are potential risk factors. For women age 50 to 64, 78% of the physicians recommended an annual mammogram according to the established guidelines. Our hypothesis was correct for both age categories: less than 90% of the physicians followed the NIH guidelines. For women age 40 to 49, where the guidelines are not as specific as for those 50 to 64 and physician- patient communication is highly recommended, the results for physicians following NIH guidelines were much less than anticipated.


Knowledge and Beliefs of Breast Cancer Among Elderly Puerto Rican Women

Knowledge and Beliefs of Breast Cancer Among Elderly Puerto Rican Women

Author:

Publisher:

Published: 1997

Total Pages: 203

ISBN-13:

DOWNLOAD EBOOK

A national survey of older (65+) women in Puerto Rico was conducted to assess their knowledge and beliefs of breast cancer, compliance with early detection practices, and perception of barriers associated to non-compliance. The sample was stratified by area of residence and socioeconomic level. No relationship was found between knowledge and detection practices. Beliefs, on the other hand, had an impact on preventive behavior. Area of residence was not a determining factor for breast-cancer knowledge and beliefs and compliance with early detection practices. A higher socioeconomic status, more years of schooling, and younger age increased the likelihood of early-detection practices. CBE was the most often used early detection practice, followed by the mammogram, with BSE a distant third. The women mainly cited personal factors as most important obstacles for non-compliance with established guidelines. However, statistical analysis demonstrated that external factors were more significant than personal ones in terms of compliance with breast cancer early-detection behavior. A pilot health promotion program was designed based on the findings. It combines education to the aged women, training for health-care providers, and coordination of appointments and transportation to CBE and mammograms. An evaluation plan was also formulated.


Index Medicus

Index Medicus

Author:

Publisher:

Published: 2003

Total Pages: 1748

ISBN-13:

DOWNLOAD EBOOK

Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.


Access to Health Care in America

Access to Health Care in America

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1993-02-01

Total Pages: 240

ISBN-13: 0309047420

DOWNLOAD EBOOK

Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.


Multiple Origins, Uncertain Destinies

Multiple Origins, Uncertain Destinies

Author: National Research Council

Publisher: National Academies Press

Published: 2006-02-23

Total Pages: 176

ISBN-13: 0309165075

DOWNLOAD EBOOK

Given current demographic trends, nearly one in five U.S. residents will be of Hispanic origin by 2025. This major demographic shift and its implications for both the United States and the growing Hispanic population make Multiple Origins, Uncertain Destinies a most timely book. This report from the National Research Council describes how Hispanics are transforming the country as they disperse geographically. It considers their roles in schools, in the labor market, in the health care system, and in U.S. politics. The book looks carefully at the diverse populations encompassed by the term "Hispanic," representing immigrants and their children and grandchildren from nearly two dozen Spanish-speaking countries. It describes the trajectory of the younger generations and established residents, and it projects long-term trends in population aging, social disparities, and social mobility that have shaped and will shape the Hispanic experience.


Hispanics and the Future of America

Hispanics and the Future of America

Author: National Research Council

Publisher: National Academies Press

Published: 2006-02-23

Total Pages: 502

ISBN-13: 0309164818

DOWNLOAD EBOOK

Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.


Unequal Treatment

Unequal Treatment

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-02-06

Total Pages: 781

ISBN-13: 030908265X

DOWNLOAD EBOOK

Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.


Health, United States, 2016, with Chartbook on Long-Term Trends in Health

Health, United States, 2016, with Chartbook on Long-Term Trends in Health

Author: National Center for Health Statistics

Publisher: Government Printing Office

Published: 2017-08-16

Total Pages: 494

ISBN-13: 9780160939778

DOWNLOAD EBOOK

This annual overview report of national trends in health statistics contains a Chartbook that assesses the nation's health by presenting trends and current information on selected measures of morbidity, mortality, health care utilization and access, health risk factors, prevention, health insurance, and personal health-care expenditures. Chapters devoted to population characteristics, prevention, health risk factors, health care resources, personal health care expenditures, health insurance, and trend tables may provide the health/medical statistician, data analyst, biostatistician with additional information to complete experimental studies or provide necessary research for pharmaceutical companies to gain data for modeling and sampling. Undergraduate students engaged in applied mathematics or statistical compilations to graduate students completing biostatistics degree programs to include statistical inference principles, probability, sampling methods and data analysis as well as specialized medical statistics courses relating to epidemiology and other health topics may be interested in this volume. Related products: Your Guide to Choosing a Nursing Home or Other Long-Term Services & Supports available here: https://bookstore.gpo.gov/products/your-guide-choosing-nursing-home-or-other-long-term-services-supports Health Insurance Coverage in the United States, 2014 available here: https://bookstore.gpo.gov/products/health-insurance-coverage-united-states-2014 "Some System of the Nature Here Proposed": Joseph Lovell's Remarks on the Sick Report, Northern Department, U.S. Army, 1817, and the Rise of the Modern US Army Medical Department can be found here: https://bookstore.gpo.gov/products/some-system-nature-here-proposed-joseph-lovells-remarks-sick-report-northern-department-us Guide to Clinical Preventive Services 2014: Recommendations of the U.S. Preventive Services Task Force (ePub) -Free digital eBook download available at the US Government Online Bookstore here: https://bookstore.gpo.gov/products/guide-clinical-preventive-services-2014-recommendations-us-preventive-services-task-force --Also available for FREE digital eBook download from Apple iBookstore, BarnesandNoble.com (Nook Bookstore), Google Play eBookstore, and Overdrive -Please use ISBN: 9780160926426 to search these commercial platforms.