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725 records – page 1 of 73.

A 2-year follow-up study of anxiety and depression in women referred for colposcopy after an abnormal cervical smear.

https://arctichealth.org/en/permalink/ahliterature85180
Source
BJOG. 2008 Jan;115(2):212-8
Publication Type
Article
Date
Jan-2008
Author
Hellsten C.
Sjöström, K.
Lindqvist P G
Author Affiliation
Department of Obstetrics and Gynaecology, Malmö University Hospital, Lund University, Malmö, Sweden. charlotte.hellsten@med.lu.se
Source
BJOG. 2008 Jan;115(2):212-8
Date
Jan-2008
Language
English
Publication Type
Article
Keywords
Adult
Anxiety Disorders - etiology
Colposcopy - psychology
Depressive Disorder - etiology
Female
Follow-Up Studies
Humans
Middle Aged
Prospective Studies
Referral and Consultation
Uterine Cervical Neoplasms - prevention & control - psychology
Vaginal Smears - psychology
Abstract
OBJECTIVES: The aim of this study was to determine if there were any long-lasting elevated anxiety levels in women attending colposcopy after an abnormal cervical smear. DESIGN: Prospective study. SETTING: Department of Obstetrics and Gynaecology, Malm�?�¶ University Hospital, Sweden. POPULATION: One hundred consecutive women were invited to participate when referred for colposcopy. METHODS: Women in the study group completed the State-Trait Anxiety Inventory, the Montgomery-Asberg Depression Rating Scale-self-rate (MADRS-S) and had a psychosocial interview prior to colposcopy at their two follow-up visits. MAIN OUTCOME MEASURES: State anxiety levels and depression scores at first visit, 6 months and 2 years. RESULTS: At follow up, levels of state anxiety and the depression scores of the women studied had decreased and were comparable to those of Swedish normative data. Two variables from the MADRS-S, 'ability to focus on different activities' and 'emotional involvement with others and in activities' were the most prominent for women with moderate to severe depression. At the 2-year visit, 30% of the women still had a fear of cancer. CONCLUSIONS: Referral for colposcopy after an abnormal cervical smear does not seem to result in long-lasting anxiety and depression. However, a subgroup of women, with the initially highest depression scores, still had at 2-year state anxiety levels and depression scores significantly higher than normal. Almost one-third of the women still had a fear of cancer in spite of lower 2-year state anxiety levels.
PubMed ID
18081601 View in PubMed
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Acceptability of HPV vaccination among young adults aged 18-30 years--a population based survey in Sweden.

https://arctichealth.org/en/permalink/ahliterature140702
Source
Vaccine. 2010 Nov 3;28(47):7492-500
Publication Type
Article
Date
Nov-3-2010
Author
Karin Sundström
Trung Nam Tran
Cecilia Lundholm
Cecilia Young
Pär Sparén
Lisen Arnheim Dahlström
Author Affiliation
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Box 281, S-171 77 Stockholm, Sweden. karin.sundstrom@ki.se
Source
Vaccine. 2010 Nov 3;28(47):7492-500
Date
Nov-3-2010
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Cross-Sectional Studies
Female
Health Behavior
Humans
Male
Papillomavirus Infections - prevention & control
Papillomavirus Vaccines
Patient Acceptance of Health Care
Sexually Transmitted Diseases, Viral - prevention & control
Sweden
Uterine Cervical Neoplasms - prevention & control - virology
Vaccination - psychology
Young Adult
Abstract
Acceptability of human papillomavirus (HPV) vaccination seems to be high in the Western world but fewer data are available for men than for women. There are also concerns that HPV vaccination might lead young people to change their healthcare-related behaviours. We investigated these issues in a population-based survey performed in Sweden during January-May, 2007, just after HPV vaccination had been licensed. A total of 10567 men and women aged 18 to 30 years participated. The intention to accept HPV vaccination among these young adults was relatively high but could likely be improved with higher awareness of HPV-related diseases as well as of the safety and efficacy of vaccines in general. Also, the cost of the vaccine needs to be affordable. Even though few young adults stated their healthcare-related behaviours would change after HPV vaccination, a significant number were uncertain, suggesting a need for continued educational efforts when HPV-vaccinating this group.
PubMed ID
20851088 View in PubMed
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[Acceptance of mammographic screening by immigrant women]

https://arctichealth.org/en/permalink/ahliterature19313
Source
Ugeskr Laeger. 2002 Jan 7;164(2):195-200
Publication Type
Article
Date
Jan-7-2002
Author
Ida Kristine Holk
Nils Rosdahl
Karen L Damgaard Pedersen
Author Affiliation
Embedslaegeinstitutionen for Københavns, Frederiksberg Kommuner, Henrik Pontoppidansvej 8, DK-2200 København N.
Source
Ugeskr Laeger. 2002 Jan 7;164(2):195-200
Date
Jan-7-2002
Language
Danish
Publication Type
Article
Keywords
Aged
Attitude to Health
Breast Neoplasms - prevention & control - psychology - radiography
Comparative Study
Denmark - epidemiology - ethnology
Emigration and Immigration
English Abstract
Female
Humans
Mammography - psychology - statistics & numerical data
Mass Screening - methods - psychology - statistics & numerical data
Middle Aged
Pakistan - ethnology
Patient compliance
Poland - ethnology
Turkey - ethnology
Yugoslavia - ethnology
Abstract
BACKGROUND: The aim was to investigate compliance by ethnic groups to the mammography screening programme in the City of Copenhagen over six years and to look at developments over time. MATERIAL AND METHODS: Mammography screening has, since 1 April 1991, been offered free of charge to all women between 50 and 69 years of age in the City of Copenhagen. Data on women born in Poland, Turkey, Yugoslavia, and Pakistan divided into five-year groups were compared to that of women born in Denmark and all other foreign-born women. Data from 1991 to 1997 were grouped according to the mammography performed, the offer refused, or non-appearance. RESULTS: Whereas 71% of Danish-born women accepted mammography, compliance by foreign-born women was significantly lower. The offer was accepted by 36% of Pakistanis, 45% of Yugoslavians, 53% of Turks, and 64% of Poles. Compliance fell in all ethnic groups with advancing age. Of the Danish women, 16% failed to keep the appointment. The corresponding percentages were 52 for Pakistanis, 48 for Yugoslavians, 41 for Turks, and 23 for Poles. The proportion of women who actively refused the offer was similar in all groups. The number of invited women fell during the period. CONCLUSIONS: The lower participation of women from the countries under study might have various explanations: among them the language barrier, procedure-related factors, and a lower incidence of breast cancer in the countries of origin.
PubMed ID
11831089 View in PubMed
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Access to colposcopy services for high-risk Canadian women: can we do better?

https://arctichealth.org/en/permalink/ahliterature177878
Source
Can J Public Health. 2004 Sep-Oct;95(5):346-51
Publication Type
Article
Author
Gina S Ogilvie
Elizabeth A Shaw
Sandra P Lusk
Joyce Zazulak
Janusz A Kaczorowski
Author Affiliation
Department of Family Practice, University of British Columbia, Vancouver, British Columbia. gina.ogilvie@bccdc.ca
Source
Can J Public Health. 2004 Sep-Oct;95(5):346-51
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Analysis of Variance
Canada
Colposcopy - utilization
Community health centers - standards
Female
Health Services Accessibility
Humans
Middle Aged
Retrospective Studies
Uterine Cervical Neoplasms - prevention & control
Women's Health Services - standards
Abstract
Despite overall decreasing mortality from cervical cancer, selected groups of Canadian women continue to have suboptimal access to diagnostic and treatment interventions for cervical cancer. In this paper, we present an evaluation of a colposcopy program developed to improve attendance for colposcopy in a lower socio-economic and immigrant population.
All women attending the North Hamilton Community Health Centre (CHC) who required colposcopic assessment and were referred to a newly developed colposcopy program based at the CHC were evaluated. Attendance rates for consultation, follow up and treatment in women referred for colposcopy were compared retrospectively for the CHC-based colposcopy program and concurrently with the regional colposcopy clinic (RCC).
Women referred to the CHC colposcopy program had a significant reduction in their no-show rate after the introduction of the locally based colposcopy program (17.2% vs. 1.3%, p
Notes
Comment In: Can J Public Health. 2004 Sep-Oct;95(5):325-815490919
PubMed ID
15490923 View in PubMed
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Access to medical care: how do women in Canada and the United States compare?

https://arctichealth.org/en/permalink/ahliterature115809
Source
Prev Med. 2013 May;56(5):345-7
Publication Type
Article
Date
May-2013
Author
Karen Buhr
Author Affiliation
Penn State Harrisburg, School of Public Affairs, Middletown, PA 17057, USA. kjb44@psu.edu
Source
Prev Med. 2013 May;56(5):345-7
Date
May-2013
Language
English
Publication Type
Article
Keywords
Aged
Breast Neoplasms - prevention & control
Canada
Early Detection of Cancer - utilization
Female
Health Services Accessibility - statistics & numerical data
Humans
Insurance Coverage - statistics & numerical data
Mammography - utilization
Medically Uninsured - statistics & numerical data
Middle Aged
United States
Uterine Cervical Neoplasms - prevention & control
Vaginal Smears - utilization
Abstract
The purpose of this study is to determine if access to medical care and utilization of cancer screenings differs between women in the United States and Canada. This study examined this question by comparing women in Canada to women in the United States who have insurance coverage and those who do not.
This study used data from the 2002/03 Joint Canada United States Survey of Health and examined access to medical care and cancer screenings. A binary probit model was used to address several measures of access to medical care and cancer screening utilization.
This study finds five significant differences between insured American and Canadian women. Canadian women are better off in terms of ever having a mammogram, having a regular doctor, and having access to needed medicine, but fare worse in terms of having had a recent mammogram and having perceived unmet healthcare needs. With the exception of having recent mammograms, there is no statistical difference between uninsured and insured American women.
Although this study does not show that one group is strictly better off, it does show that there are significant differences between the two groups of women.
PubMed ID
23462478 View in PubMed
Less detail
Source
Can J Oncol. 1995 Dec;5(4):VII-VIII
Publication Type
Article
Date
Dec-1995
Author
J D Beatty
Source
Can J Oncol. 1995 Dec;5(4):VII-VIII
Date
Dec-1995
Language
English
Publication Type
Article
Keywords
Canada
Government Agencies
Humans
Neoplasms - prevention & control
Research
Social Responsibility
PubMed ID
8770456 View in PubMed
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[A consensus on preventive oophorectomy is necessary]

https://arctichealth.org/en/permalink/ahliterature23638
Source
Lakartidningen. 1994 Jun 1;91(22):2212
Publication Type
Article
Date
Jun-1-1994
Author
F. Flam
Source
Lakartidningen. 1994 Jun 1;91(22):2212
Date
Jun-1-1994
Language
Swedish
Publication Type
Article
Keywords
Female
Humans
Ovarian Neoplasms - prevention & control
Ovariectomy
Sweden
Notes
Comment On: Lakartidningen. 1994 Apr 13;91(15):14918183032
PubMed ID
8052008 View in PubMed
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[Active screening for cancer patients].

https://arctichealth.org/en/permalink/ahliterature229298
Source
Klin Med (Mosk). 1990 Apr;68(4):106-10
Publication Type
Article
Date
Apr-1990
Author
Iu Ia Gritsman
G A Frank
E F Stranadko
M A Khadzhiev
I N Batinov
Source
Klin Med (Mosk). 1990 Apr;68(4):106-10
Date
Apr-1990
Language
Russian
Publication Type
Article
Keywords
Aged
Breast Neoplasms - prevention & control
Female
Humans
Lung Neoplasms - prevention & control
Male
Middle Aged
Moscow
Neoplasms - prevention & control
Risk factors
Stomach Neoplasms - prevention & control
Uterine Cervical Neoplasms - prevention & control
Abstract
Basic conventional methods of secondary cancer prevention are clinically reviewed. The authors hold that further extensive development of present-day organisational patterns (wider screening coverage of population, growing number of objective diagnostic techniques) shows no promise in inducing positive trends of cancer outcome statistics. Scientifically validated diminution of precancer definition is stated. Selection of population at risk for cancer and proper examination of these risk groups seem most perspective in improvement of cancer statistics.
PubMed ID
2370767 View in PubMed
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Acute lymphoblastic leukemia in Swedish children 1973-1978.

https://arctichealth.org/en/permalink/ahliterature27170
Source
Acta Paediatr Scand. 1981 Sep;70(5):609-14
Publication Type
Article
Date
Sep-1981
Author
G. Gustafsson
A. Kreuger
A. Dohlwitz
Source
Acta Paediatr Scand. 1981 Sep;70(5):609-14
Date
Sep-1981
Language
English
Publication Type
Article
Keywords
Adolescent
Antineoplastic Agents - therapeutic use
Brain Neoplasms - prevention & control - radiotherapy
Child
Child, Preschool
Drug Therapy, Combination
Female
Follow-Up Studies
Humans
Infant
Leukemia, Lymphocytic - radiotherapy - therapy
Male
Research Support, Non-U.S. Gov't
Risk
Sweden
Abstract
Three hundred and sixty-seven children with acute lymphoblastic leukemia have been diagnosed in Sweden 1973-1978, 345 of whom were treated according to the national uniform regimens of the Swedish Child Leukemia Group (SCLG). The patients were classified into an SR (standard risk) and an IR (increased risk) group. Remission was obtained in 354 patients (96%). With 12-84 months observation time the total survival was 54% and the disease-free survival 44%. A more intensive cytostatic regimen in the induction period increased considerably the disease-free survival for the SR and to some extent also for the IR patients. Relapses were significantly more common in the IR group in spite of a more intensive cytostatic regimen. The most decisive IR criteria were B-LPK and age at diagnosis. Prognosis was significantly worse for boys in all groups. After 3 years in CCR treatment was discontinued in 95 out of 246 children (38%) of whom 19 later relapsed (20%).
PubMed ID
6948497 View in PubMed
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Adherence and discontinuation of adjuvant hormonal therapy in breast cancer patients: a population-based study.

https://arctichealth.org/en/permalink/ahliterature127527
Source
Breast Cancer Res Treat. 2012 May;133(1):367-73
Publication Type
Article
Date
May-2012
Author
Annette Wigertz
Johan Ahlgren
Marit Holmqvist
Tommy Fornander
Jan Adolfsson
Henrik Lindman
Leif Bergkvist
Mats Lambe
Author Affiliation
Regional Cancer Centre, Uppsala University Hospital, 751 85 Uppsala, Sweden. Annette.Wigertz@akademiska.se
Source
Breast Cancer Res Treat. 2012 May;133(1):367-73
Date
May-2012
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Antineoplastic Agents, Hormonal - therapeutic use
Aromatase Inhibitors - therapeutic use
Breast Neoplasms - prevention & control
Chemotherapy, Adjuvant
Female
Humans
Logistic Models
Maintenance Chemotherapy
Medication Adherence - statistics & numerical data
Middle Aged
Multivariate Analysis
Neoplasm Recurrence, Local - prevention & control
Neoplasms, Hormone-Dependent - prevention & control
Sweden
Tamoxifen - therapeutic use
Abstract
Adherence to long-term pharmacological treatment for chronic conditions is often less than optimal. Till date, a limited number of population-based studies have assessed adherence to adjuvant hormonal therapy in breast cancer, a therapy with proven benefits in terms of reductions of recurrence and mortality. We aimed to examine rates of adherence and early discontinuation in Sweden where prescribed medications are subsidized for all residents and made available at reduced out-of-pocket costs. Individual-level data were obtained from Regional Clinical Quality Breast Cancer Registers, the Swedish Prescribed Drug Register, and several other population-based registers. Multivariate logistic regression was used to analyze factors associated with adherence to prescribed medication for a period of 3 years. Between January 1 and December 31, 2005, 1,741 patients in central Sweden were identified with estrogen receptor positive breast cancer, and at least one prescription dispensation of either tamoxifen or an aromatase inhibitor. Of these women, 1,193 (69%) were fully adherent to therapy for 3 years (medication possession ratio of 80% or higher and a maximum of 180 days between refills). During the 3-year follow-up, 215 women (12%) had prematurely discontinued therapy. Adherence was positively associated with younger age, large tumor size, being married, and being born in the Nordic countries, while no clear association was observed with education or income. During the 3 years of follow-up, 31% of women were non-adherent to therapy. Further efforts must be undertaken to promote adherence over the entire recommended treatment period.
PubMed ID
22286315 View in PubMed
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725 records – page 1 of 73.