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At least 19 recordsLinked to original sources
PubMed1999

The impact of premenstrual symptomatology on functioning and treatment-seeking behavior: experience from the United States, United Kingdom, and France.

Up to 80% of women experience mood and physical symptoms associated with the menstrual cycle. This study assessed the impact of premenstrual symptomatology on functioning and treatment-seeking behavior for a community-based sample of women in the United States, United Kingdom, and France. A sample of 1045 menstruating women (aged 18-49) completed a telephone questionnaire that measured, at a point in time, premenstrual symptoms, impact on functioning, and treatment-seeking behavior. Results were generally consistent across the three countries. Irritability/anger, fatigue, and physical swelling/bloating, or weight gain were among the most commonly reported symptoms (approximately 80%). Functional impairment tended to be highest at home, followed by social, school, and occupational situations. Among working women, over 50% reported at least somewhat affected occupational functioning. Of women who ever missed work because of symptoms, 1-7 days were missed in the past year. Almost three fourths of the women had never sought treatment, and symptom severity was an important factor in treatment-seeking behavior. Treatment with selective serotonin reuptake inhibitors (SSRIs), which have demonstrated efficacy in this population, occurred with surprisingly low frequency. The functional impairment of premenstrual symptomatology (home, social, and occupational) and treatment-seeking behavior is consistent across countries. Women who experience more impairment are more likely to have severe symptoms and are more likely to believe, relative to women with less severe symptoms, that no treatment is available. This suggests significant unmet medical need in this more severely affected population. Improved clinical identification of these women and increasing awareness of the efficacy of SSRIs in treating premenstrual symptomatology may be of benefit.

Adaptation, Physiological↗
PubMed1975

A comparison of effectiveness of screening for phenylketonuria in the United States, United Kingdom and Ireland.

A study of the effectiveness of screening for phenylketonuria in the United Kingdom, Ireland, and the United States indicated that the diagnosis is more likely to be missed in the latter two countries because of the earlier age at which infants are screened. Furthermore, in the United States, diagnosis and treatment are delayed as compared with Ireland and the United Kingdom. Because test most commonly used to detect phenylketonuria is identical in all three countries, the differences in effectiveness are attributable to the way in which it is applied. In the United Kingdom, personnel and facilities have clearly defined roles and responsibilities. There is co-ordination between in-hospital and extra-hospital health care, and follow-up care of young infants in the community is assured. Greater effectiveness of screening in the United States will require a more rational organization of health services.

Age Factors↗
PubMed1984

Physician maldistribution in cross-cultural perspective: United States, United Kingdom, and Sweden.

Physician maldistribution is a widely recognized problem facing virtually all health care systems. In this study, information from three health care systems--the United States, the United Kingdom, and Sweden--was used to address two questions: How do organizational features of health care systems affect their ability to deal with the problem of physician maldistribution? What are the effects of physician distribution on the health status of populations? It was found, first, that all three systems perceived similar problems of physician maldistribution and drew on a repertoire of similar solutions, none of which was altogether responsive to the problem. Second, the relationship of physician distribution to health status was found to be ambiguous, with some evidence that physician/population ratios may affect some health measures but not others.

Cross-Cultural Comparison↗
PubMed1993

Surveillance for pregnancy and birth rates among teenagers, by state--United States, 1980 and 1990.

PROBLEM/CONDITION: In the United States in 1990, there were an estimated 1 million pregnancies and 521,826 births among women ages 15-19 years. Rates of teenage pregnancy and birth rates by state in 1990 exceeded those in most developed countries. An estimated 95% of teenage pregnancies are unintended (i.e., they occur sooner than desired or are not wanted at any time). REPORTING PERIOD COVERED: This report summarizes and reviews surveillance data for pregnancies, abortions, and births among women ages 15-19, 15-17, and 18-19 years reported by CDC for 1980 and 1990. DESCRIPTION OF SYSTEM: Data for births and abortions were reported to state health departments and other health agencies and sent to CDC. The data from each state included the total number of births and abortions by age and race/ethnicity. RESULTS: Data in this report indicate that pregnancy rates by state among U.S. teenagers ages 15-19 years have changed little since 1980. Moreover, many states have reported increases in birth rates that are probably related to concurrent decreases in abortion rates. Pregnancy rates range from 25 to 75 per 1,000 for 15- to 17-year-olds and from 92 to 165 per 1,000 for 18- to 19-year-olds. INTERPRETATION: States with low rates of teenage pregnancy or birth may have developed and used prevention strategies directed at the needs of both younger and older teenagers; these programs may serve as models for other states where birth rates have remained high or have increased since 1980. ACTIONS TAKEN: CDC will continue to conduct surveillance of and analyze data for pregnancies, abortions, and births among teenagers to monitor progress toward national goals and to assist in targeting program efforts for reducing teenage pregnancy.

Abortion, Legal↗
PubMed1998

Years of healthy life--selected states, United States, 1993-1995.

Some public health policy goals in the United States have been expressed as increases in the number of years of healthy life (YHL) (i.e., quality-adjusted life years), a measure of health that combines the effects of mortality with information about morbidity and disability. Data from national health surveys, in combination with life-table death rates and other information, have been used to calculate national estimates of the expected number of YHL at a given age. This report summarizes an analysis of data from the Behavioral Risk Factor Surveillance System (BRFSS) using these methods to estimate YHL for state populations during 1993-1995. The findings indicate substantial variability among the participating states.

Adult↗
PubMedDate not supplied

Evaluation of sampling plans used in the United States, United Kingdom, and The Netherlands to test raw shelled peanuts for aflatoxin.

The United States is a large producer and exporter of peanuts. The United Kingdom and The Netherlands are major importers of U.S. peanuts. Each country has a different guideline or legal limit for peanut products containing aflatoxin. Peanuts are tested for aflatoxin in each country by using specifically designed aflatoxin sampling plans to determine if the aflatoxin concentration in a lot of raw shelled peanuts is less than the guideline or legal limit. For raw shelled peanuts, the U.S. plan has the highest sample acceptance limit of 15 ng total aflatoxin/g, the UK plan has a sample acceptance limit of 10 ng total aflatoxin/g, and the Dutch Code of Practice (called the Dutch plan) has the lowest sample acceptance limit at 3 ng aflatoxin B1/g. The U.S. plan uses a maximum of 3 sampling units, each weighing 21.8 kg; the UK plan uses a single sampling unit of 10 kg; and the Dutch plan uses 4 sampling units, each weighing 7.5 kg. The sampling variance is lowest for the U.S. plan and highest for the Dutch plan. The sample preparation variance is lowest for both the Dutch and UK plans and highest for the U.S. plan, primarily because of the mill type used to comminute the kernels in the sample. For a given distribution among lot concentrations, the U.S. plan accepts the greatest number of lots and the Dutch plan rejects the greatest number of lots. The average aflatoxin concentration among accepted lots is highest for the U.S. plan and lowest for the Dutch plan.(ABSTRACT TRUNCATED AT 250 WORDS)

Aflatoxins↗
PubMed1979

Time trends in colo-rectal cancer mortality in relation to food and alcohol consumption: United States, United Kingdom, Australia and New Zealand.

Recent epidemiologically and experimental research has implicated dietary factors, including alcoholic drinks, in cancers of the colon and rectum. Analysis of time trends in cancer mortality since 1921, in the United States, England and Wales, Australia, and New Zealand, in relation to changes in per capita consumption of foodstuffs and alcohol reveals some support for the protective effect of fibre, but an inconsistent role for fat and meat in colon cancer. For rectal cancer, and to a lesser extent colon cancer, the most consistent correlate in comparisons across time, and between place, sex, and age-group, is beer consumption. Possible reasons for this correlation within this data set are discussed.

Adult↗
PubMed1994

Cancer survival among American Indians in western Washington State (United States).

Cancer survival among American Indians is worse than among other races in some regions of the United States, but has not been studied among American Indians in Washington state. Our purpose was to evaluate cancer survival among American Indians included in the Seattle-Puget Sound Cancer Registry. We compared site-specific survival among American Indians (n = 551) and Whites (n = 110,899) diagnosed from 1974 to 1989 for five cancer sites. For all sites except prostate, the distribution of cancer stage at diagnosis for American Indians was not significantly different from the distribution for Whites, and a similar proportion of American Indians and Whites received cancer treatment. After adjustment for age differences between American Indians and Whites, American Indians experienced poorer survival from prostate, breast, cervical, and colorectal cancer. Poorer survival among American Indians persisted after adjustment for differences in cancer stage at diagnosis, lack of cancer treatment, and residence in a non-urban county. The survival experience among American Indians who were recorded as non-American Indians in the cancer registry but who were listed as American Indians in Indian Health Service records was more favorable than that among persons initially coded as American Indians in the cancer registry. We conclude that cancer survival among American Indians in western Washington is poorer than that among Whites in the same region, and that factors other than age, differences in stage at diagnosis, lack of cancer treatment, and residence in non-urban counties account for this.

Age Factors↗
PubMed1994

Attitudes toward smoking policies in eight states--United States, 1993.

Legislation regulating smoking has at least two functions: to protect nonsmokers from the adverse health effects of environmental tobacco smoke and to prevent young persons from smoking (1). To characterize public attitudes toward such legislation, the National Cancer Institute (NCI) and the American Cancer Society used the Behavioral Risk Factor Surveillance System (BRFSS) to survey persons in eight states during July-August 1993 as part of the American Stop Smoking Intervention Study for Cancer Prevention (2). This report summarizes the survey findings.

Adult↗
PubMed1994

Surveillance for smoking-attributable mortality and years of potential life lost, by state--United States, 1990.

PROBLEM/CONDITION: Mortality and years of potential life lost attributable to cigarette smoking. REPORTING PERIOD COVERED: 1990. DESCRIPTION OF SYSTEM: Mortality and years of potential life lost were estimated for each state by using the Smoking-Attributable Mortality, Morbidity, and Economic Costs (SAMMEC) software. These estimates were based on attributable risk formulas for smoking-related causes of death. Estimates of smoking prevalence were obtained from the Behavioral Risk Factor Surveillance System and the U.S. Bureau of the Census, and mortality data were obtained from CDC. RESULTS: The median estimate for the number of smoking-attributable deaths among states was 5,619 (range: 402 [Alaska] to 42,574 [California]). Within each state, the number of smoking-attributable deaths among males was approximately twice as high as among females. Utah had the lowest mortality rate (218.0 per 100,000 population) and the lowest percentage of all deaths attributable to cigarette smoking (13.4%). Nevada had the highest mortality rate (478.1 per 100,000 population) and the highest percentage of deaths from smoking (24.0%). The number of years of potential life lost ranged from 6,720 (Alaska) to 498,297 (California). INTERPRETATION: The number of deaths attributable to cigarette smoking in 1990 remained high. Efforts are needed to control tobacco use in all states. ACTIONS TAKEN: SAMMEC data are used in many states to assist policymakers in strengthening tobacco control efforts.

Adult↗
PubMed1995

The prevalence of homosexual behavior and attraction in the United States, the United Kingdom and France: results of national population-based samples.

Researchers determining the prevalence of homosexuality in nationally representative samples have focused upon determining the prevalence of homosexual behavior, ignoring those individuals whose sexual attraction to the same sex had not resulted in sexual behavior. We examine the use of sexual attraction as well as sexual behavior to estimate the prevalence of homosexuality in the United States, the United Kingdom, and France using the Project HOPE International Survey of AIDS-Risk Behaviors. We find that 8.7, 7.9, and 8.5% of males and 11.1, 8.6, and 11.7% of females in the United States, the United Kingdom, and France, respectively, report some homosexual attraction but no homosexual behavior since age 15. Further, considering homosexual behavior and homosexual attraction as different but overlapping dimensions of homosexuality, we find 20.8, 16.3, and 18.5% of males, and 17.8, 18.6, and 18.5% of females in the United States, the United Kingdom, and France report either homosexual behavior or homosexual attraction since age 15. Examination of homosexual behavior separately finds that 6.2, 4.5, and 10.7% of males and 3.6, 2.1, and 3.3% of females in the United States, the United Kingdom, and France, respectively, report having had sexual contact with someone of the same sex in the previous 5 years. Our findings highlight the importance of using more than just homosexual behavior to examine the prevalence of homosexuality.

Adolescent↗