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Titolo:
MAMMOGRAPHY AND PAP SMEAR USE BY OLDER RURAL WOMEN
Autore:
IVES DG; LAVE JR; TRAVEN ND; SCHULZ R; KULLER LH;
Indirizzi:
UNIV PITTSBURGH,DEPT EPIDEMIOL,PARRAN HALL ROOM 505 PITTSBURGH PA 15261 UNIV PITTSBURGH,DEPT HLTH SERV ADM PITTSBURGH PA 15261 ALLEGHENY GEN HOSP,DEPT EMERGENCY MED SUPPORT SERV PITTSBURGH PA 15212 UNIV PITTSBURGH,DEPT PSYCHIAT PITTSBURGH PA 15260
Titolo Testata:
Public health reports
fascicolo: 3, volume: 111, anno: 1996,
pagine: 244 - 250
SICI:
0033-3549(1996)111:3<244:MAPSUB>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
CANCER SCREENING PRACTICES; CERVICAL-CANCER; BREAST-CANCER; UNITED-STATES; HEALTH; INTERVENTION; CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
40
Recensione:
Indirizzi per estratti:
Citazione:
D.G. Ives et al., "MAMMOGRAPHY AND PAP SMEAR USE BY OLDER RURAL WOMEN", Public health reports, 111(3), 1996, pp. 244-250

Abstract

Objective. To compare the characteristics of older women who did and did not have screening mammograms and Pap smears during the first two years both services were a Medicare Part B benefit. Methods. A prospective study was conducted in five rural Pennsylvania counties of 2205 female community-dwelling Medicare Part B beneficiaries who volunteeredto participate in a Medicare prevention demonstration project. The baseline health risk appraisal included information on demographics, insurance status, disease history, symptomatology, and functional and cognitive status. These variables were tested for their association with the use of mammography and Pap smear using Medicare utilization claimsdata from 1991 to 1992. Results. Of 2175 women still alive after three years, 44.6% had had a mammogram and 14.6% had had a Pap smear in either 1991 or 1992. Multivariate logistic regression revealed that women were more likely to have a mammogram if they were younger, were moreeducated, had supplemental insurance, did not need assistance with activities of daily living, and did not have diabetes or arthritis. Younger, college educated, and non-widowed women were more likely to have Pap smears than women in other categories. Conclusions. With cost lessof a barrier, more aggressive efforts to persuade older women to havemammograms and Pap smears must be developed.

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Documento generato il 01/12/20 alle ore 08:20:36