Are Older Adults Up-to-Date With Cancer Screening and Vaccinations?

Preventing chronic disease

Douglas Shenson¹  Mary Adams¹  Donald Blackman¹  MD¹  Julie Bolen¹  Laura Seeff¹ 

关键词: Rheumatoid arthritis;    hip;    computed tomography;    magnetic resonance imaging;    conventional radiography;    Spondyloarthritides;    hip;    computed tomography;    magnetic resonance imaging;    conventional radiography;    Ultrasound;    hip;    rheumatoid arthritis;    sp;   

DOI  :  

学科分类：医学（综合）

来源: U.S. Centers for Disease Control and Prevention * National Center for Chronic Disease Prevention and Health Promotion

【 摘 要 】

IntroductionPublic health organizations in the United States emphasize the importance of providing routine screening for breast cancer, cervical cancer, and colorectal cancer, as well as vaccinations against influenza and pneumococcal disease among older adults. We report a composite measure of adults aged 50 years and older who receive recommended cancer screening services and vaccinations.MethodsWe analyzed state data from the 2002 Behavioral Risk Factor Surveillance System, which included 105,860 respondents aged 50 and older. We created a composite measure that included colonoscopy or sigmoidoscopy within 10 years or a fecal occult blood test in the past year, an influenza vaccination in the past year, a Papanicolaou test within 3 years for women with an intact cervix,a mammogram, and for adults aged 65 and older, a pneumonia vaccination during their lifetime. We performed separate analyses for four age and sex groups: men aged 50 to 64, women aged 50 to 64, men aged 65 and older, and women aged 65 and older.ResultsThe percentage of each age and sex group that was up-to-date according to our composite measure ranged from 21.1% of women aged 50 to 64 (four tests) to 39.6% of men aged 65 and older (three tests). For each group, results varied by income, education, race/ethnicity, insurance status, and whether the respondent had a personal physician.ConclusionThese results suggest the need to improve the delivery of cancer screenings and vaccinations among adults aged 50 and older. We propose continued efforts to measure use of clinical preventive services.

【 授权许可】

Unknown