A survey of compliance: Medicaid's mandated blood lead screenings for children age 12–18 months in Nebraska

Wilken, Marlene; Currier, Sarah; Abel-Zieg, Carla; Brady, Linda A

doi:10.1186/1471-2458-4-4

Cited by 8 publications

(6 citation statements)

References 3 publications

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“…Specifically, women who were overweight and those who were obese were each 40% less likely to report any recent CRC screening, after controlling for other influential predictors of CRC screening such as receiving a physician recommendation. Our results are congruent with prior literature suggesting that BMI within the overweight and obese range is significantly associated with a lower likelihood of screening for CRC, among women only[22–23, 25]. …”

Section: Discussionsupporting

confidence: 92%

“…Because evidence suggests that associations between BMI and CRC screening differ among women and men[18, 22, 24–25], the gender by BMI category interaction was explored in the current sample using crosstabular analyses and Cochran’s and Mantel-Haenszel Tests of Conditional Independence. A significant gender by BMI category interaction was observed for CRC screening (described in the Results section), thus, subsequent bivariate and multivariate analyses were conducted separately for women and men.…”

Section: Methodsmentioning

confidence: 99%

“…Leone et al[24] found that obesity was associated with lower rates of colonoscopy among white women but not among African American women and suggest that some mixed findings may be due to the racial composition of the sample. Heo et al[25] found that while BMI was not associated with FOBT use, screening sigmoidoscopy was more frequent among high BMI men but less frequent among high BMI women. Conversely, Slattery et al[26] found greater sigmoidoscopy use among overweight and obese women (compared to those with normal weight) but not among overweight and obese men.…”

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confidence: 99%

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Body mass index and screening for colorectal cancer: Gender and attitudinal factors

Messina

Lane

Anderson

2012

Cancer Epidemiology

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Background Overweight/obese women and men are at increased risk for colorectal cancer (CRC) incidence and mortality. Research examining body mass index (BMI) and CRC screening has had mixed results. A clearer understanding of the extent to which high-BMI subgroups are screened for CRC is needed to inform planning for CRC screening promotions targeting BMI. Methods Data were obtained from a random, population-based sample of women and men at average-risk for CRC (aged 50–75 years) during 2004 (n=1098). Multiple logistic regression analyses were conducted to evaluate whether BMI category was significantly associated with the probability of reporting recent CRC screening and with the probability of agreeing with statements denoting attitudes/perceptions about CRC and screening. Attitudes/perceptions about CRC and screening were evaluated as potential mediators and moderators of the association between BMI category and CRC screening. Results After controlling for characteristics associated with CRC screening, overweight and obese women were each 40% less likely to have CRC screening than women with normal-BMI (OR=0.6, 95%CI:0.4–0.9 and OR=0.6, 95%CI:0.3–0.9). BMI category was unrelated to screening among men. Obese women (but not men) were less aware than normal-BMI women that obesity increased risk for CRC (OR=0.5, 95%CI:0.3–0.9) and less worried about CRC (OR=0.5, 95%CI:0.3–0.8). However, findings suggest that attitudes/perceptions about CRC and screening did not mediate or moderate the association between BMI category and CRC screening. Conclusion Overweight/obese women are at increased risk for CRC because of their greater BMI and their propensity to not screen for CRC. Study findings suggest that potentially modifiable perceptions, e.g. lack of awareness of risk for CRC and less worry about CRC, in this subgroup may not explain the relationship between BMI category and reduced screening.

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Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Body mass index and screening for colorectal cancer: Gender and attitudinal factors

Messina

Lane

Anderson

2012

Cancer Epidemiology

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“…Informed written consent was given by all eligible participant or a proxy where appropriate. Baseline fieldwork was conducted over a three year period from 1991 for CFAS I (77% response rate) [ 11 ] and 2008 for CFAS II (56% response rate) [ 12 ]. Informed consent was sought from the participant or if they themselves were unable from a consultee who was either a family member, carer or someone nominated by the participant, complying with the mental capacity act regulations.…”

Section: Methodsmentioning

confidence: 99%

Who Lives Where and Does It Matter? Changes in the Health Profiles of Older People Living in Long Term Care and the Community over Two Decades in a High Income Country

et al. 2016

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BackgroundThere have been fundamental shifts in the attitude towards, access to and nature of long term care in high income countries. The proportion and profile of the older population living in such settings varies according to social, cultural, and economic characteristics as well as governmental policies. Changes in the profiles of people in different settings are important for policy makers and care providers. Although details will differ, how change occurs across time is important to all, including lower and middle income countries developing policies themselves. Here change is examined across two decades in England.Methods and FindingsUsing the two Cognitive Function and Ageing Studies (CFAS I: 77% response, CFAS II: 56% response), two population based studies of older people carried out in the same areas conducted two decades apart, the study diagnosis of dementia using the Automated Geriatric Examination for Computer Assisted Taxonomy, health and wellbeing were examined, focusing on long term care. The proportion of individuals with three or more health conditions increased for everyone living in long term care between CFAS I (47.6%, 95% CI: 42.3–53.1) and CFAS II (62.7%, 95% CI: 54.8–70.0) and was consistently higher in those without dementia compared to those with dementia in both studies. Functional impairment measured by activities of daily living increased in assisted living facilities from 48% (95% CI: 44%-52%) to 67% (95% CI: 62%-71%).ConclusionsHealth profiles of residents in long term care have changed dramatically over time. Dementia prevalence and reporting multiple health conditions have increased. Receiving care in the community puts pressure on unpaid carers and formal services; these results have implications for policies about supporting people at home as well as for service provision within long term care including quality of care, health management, cost, and the development of a skilled, caring, and informed workforce.

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“…2 However, the rate of testing has been reported to be higher than 75% in 2 communities among younger children. 6,7 We believe that one important reason that the overall rate of blood lead testing is low but variable across different communities is that primary care physicians tailor their screening practices to their understanding of the local risk of lead poisoning. Not surprisingly, despite the mandate for repeated testing of all Medicaidenrolled children, testing tends to focus on those Medicaid-enrolled children at greatest risk of having an elevated blood lead level (eg, areas with more poverty or greater burden of lead exposure).…”

Section: Discussionmentioning

confidence: 99%

Blood Lead Testing Among Medicaid-Enrolled Children in Michigan

Kemper

Cohn

Fant

et al. 2005

Arch Pediatr Adolesc Med

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A survey of compliance: Medicaid's mandated blood lead screenings for children age 12–18 months in Nebraska

Abstract: Background: To determine the frequency of Medicaid mandated blood lead level (BLL) screening compliance rates by clinical site.

Cited by 8 publications

References 3 publications

Body mass index and screening for colorectal cancer: Gender and attitudinal factors

Body mass index and screening for colorectal cancer: Gender and attitudinal factors

Who Lives Where and Does It Matter? Changes in the Health Profiles of Older People Living in Long Term Care and the Community over Two Decades in a High Income Country

Blood Lead Testing Among Medicaid-Enrolled Children in Michigan

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