Preventive medicine
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Preventive medicine · Feb 2025
ReviewAdherence to recommended blood-based screening tests for cancer and chronic diseases: A systematic literature review.
Blood-based tests represent a compelling option for early detection and management of cancers and other chronic diseases. While they may increase patient engagement, assumptions about greater adherence in clinical practice need further evaluation. This systematic review aimed to evaluate real-world adherence to established blood-based tests for commonly recommended screening indications to inform expectations for average-risk colorectal cancer (CRC) screening. ⋯ Real-world adherence to recommended blood-based screening is suboptimal. Future research is needed to determine whether these findings are generalizable to blood-based CRC screening and to assess how such a strategy could impact clinical, economic, and health equity outcomes.
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Preventive medicine · Feb 2025
Review Meta AnalysisSchool-based environment and physical activity in adolescents: A systematic review and meta-analysis.
This study aimed to evaluate the effectiveness of school environmental factors in promoting adolescents' physical activity. ⋯ This meta-analysis demonstrates the role of school environment in promoting adolescents' physical activity. School social environmental factors, including school-offered daily physical education, school-organized extracurricular physical activities, encouragement to use sports resources, and outdoor obstacle courses, are particularly effective in enhancing adolescents' physical activity. Among school physical environmental factors, the number of physical activity facilities was found to be a key factor in promoting adolescents' physical activity.
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Preventive medicine · Feb 2025
U.S. national trends in cervical cancer screening by sexual orientation and race/ethnicity in cisgender women.
Changes in up-to-date cervical cancer screening (CCS) over time by sexual orientation and race/ethnicity were estimated to identify trends in screening disparities. ⋯ In 2021 there were approximately 19.72 million women aged 21-65 who were not up-to-date with CCS. 1.76 million LGB women were not up-to-date for CCS, and a greater proportion of these women identified as non-Hispanic Black/African American. CCS must be improved for all cisgender women, and specific attention should be given to those who identify as LGB and/or Black/African American.
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Preventive medicine · Feb 2025
Exploring the determinants to accept dementia screening among patients at high risk of dementia based on the theory of planned behavior: A cross-sectional study.
Dementia represents a major public health challenge. Despite numerous initiatives promoting screening for early cognitive impairment to help prevent or delay its onset, participation remains limited. Moreover, there is limited evidence regarding screening intentions and predictors among populations at high risk of dementia. This study used the theory of planned behavior to identify modifiable factors associated with screening participation. ⋯ PBC, subjective norm, and attitudes are associated with dementia screening willingness among high-risk groups. Healthcare professionals and policymakers should focus on enhancing favorable attitudes toward screening, increasing familial encouragement, and reducing perceived barriers to developing effective prevention or intervention strategies.
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The age-standardised rate of cervical cancer is 8.5 per 100,000 in England, double the WHO "elimination" goal of 4.0 per 100,000, despite England being close to the target coverage for both HPV vaccination and cervical screening. Our aim was to see whether trends in mortality and incidence rates suggest that England is on the path to elimination. ⋯ Raising the age of starting screening from 20 to 25 transiently increased incidence and mortality in women born 1984-1990. Vaccination may enable the NHS to reach its target for cervical cancer incidence of 4.0 per 100,000 by 2040. Whether the switch from cytology to primary HPV testing in 2019 will reduce rates among unvaccinated women born before 1991 is not yet clear.