Epidemiologic research in an integrated regional medical care system: The Marshfield Epidemiologic Study Area

DeStefano, Frank; Eaker, Elaine D.; Broste, Steven K.; Nordstrom, David L.; Peissig, Peggy L.; Vierkant, Robert A.; Konitzer, Kate A.; Gruber, Robert L.; Layde, Peter M.

doi:10.1016/0895-4356(96)00008-x

Cited by 91 publications

(56 citation statements)

References 20 publications

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“…MESA includes residents of a 24-ZIP code region in northern and central Wisconsin in which the majority of residents choose to receive medical care within the Marshfield Clinic system. 26 MESA consists of approximately 60,000 residents in 14 ZIP codes clustered around the city of Marshfield, Wisconsin, making up MESA Central and an additional approximately 25,000 people in 10 ZIP codes near Park Falls, Phillips, and Ladysmith in northern Wisconsin, making up MESA North. 27 The population is predominantly rural, Caucasian, and considered medically underserved and economically disadvantaged.…”

Section: Populationmentioning

confidence: 99%

Adverse Childhood Experiences and Health in Adulthood in a Rural Population-Based Sample

Iniguez

Stankowski

2016

Clin Med Res

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Background: Adverse childhood experiences (ACEs), including emotional abuse, substance abuse in the household, separation or divorce, physical abuse, violence between adults, mental illness in the household, sexual abuse, or incarceration of a household member, have the potential to profoundly impact health and well-being in adulthood. To assess whether previously reported relationships between ACEs and health outcomes withstand validation, we conducted a community-based ACE study with the unique capacity to link self-reported ACEs and other survey results to validated health data in an electronic medical record (EMR).

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Section: Populationmentioning

confidence: 99%

Adverse Childhood Experiences and Health in Adulthood in a Rural Population-Based Sample

Iniguez

Stankowski

2016

Clin Med Res

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“…Subjects were matched on date of birth (five categories), smoking history (ever/never), and residence in the Marshfield Epidemiological Study Area (MESA) (ever/never). 19 In addition, subjects were matched to one of three 5- figure 2). Non-diabetic subjects were eligible for matching during a given time period if they had a minimum of 60 days observation time in that period.…”

Section: Diabetic and Non-diabetic Cohortsmentioning

confidence: 99%

Prostate Cancer Risk in Pre-Diabetic Men: A Matched Cohort Study

Onitilo

Berg

Engel

et al. 2013

Clinical Medicine & Research

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Background: Diagnosis and duration of type 2 diabetes mellitus (DM) appear to be associated with decreased prostate cancer risk. Limitations of previous studies include methods of subject selection and accurate definition of DM diagnosis. We examined the temporal relationship between DM and prostate cancer risk exploring the period of greatest risk starting from the prediabetic to the postdiabetic period using clinical and administrative data to accurately define the date of DM diagnosis.

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“…The sampling frame was obtained from MESA, a defined geographic region whose residents receive their care through the Marshfield Clinic regional network. 30 MESA is divided into 2 geographically distinct regions: MESA-Central and MESA-North. MESA-Central, the control area, comprises 14 zip codes surrounding Marshfield and has a population of 58 910 (as of January 1, 1998), including 2655 children Ͻ4 years of age.…”

Section: Study Populationmentioning

confidence: 99%

The Effect of a Community Intervention Trial on Parental Knowledge and Awareness of Antibiotic Resistance and Appropriate Antibiotic Use in Children

et al. 2001

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ABSTRACT. Background. Overuse of antibiotics for children's upper respiratory infections is widespread and contributes to the emergence of antibiotic-resistant bacteria.Objective. To assess changes in knowledge and awareness regarding antibiotic resistance and appropriate antibiotic use after community-wide educational interventions to reduce inappropriate antibiotic use. Intervention. Parent-oriented activities included distribution of materials and presentations. Physician-oriented activities included formal presentations and small group meetings.Outcome Measure. Change in awareness about antibiotic resistance and knowledge about antibiotic indications.Results. A higher proportion of parents in the intervention area (53%) were exposed to 2 or more local educational messages, compared with the control area (23%). From the baseline to the postintervention survey, the percentage of parents with a high degree of antibiotic resistance awareness increased more in the intervention area (58% to 73%) than in the control area (60% to 65%). In the intervention area, there was also a larger increase in knowledge regarding appropriate indications for antibiotic use, compared with the control area. The proportion of parents who expected an antibiotic for their child and did not receive one declined in the intervention area (14% to 9%), while it increased in the control area (7% to 10%). In addition, the percentage of parents in the intervention area who brought their child to another physician because they did not receive an antibiotic decreased (5% to 2%), while it increased in the control area (2% to 4%).Conclusion.

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Epidemiologic research in an integrated regional medical care system: The Marshfield Epidemiologic Study Area

Cited by 91 publications

References 20 publications

Adverse Childhood Experiences and Health in Adulthood in a Rural Population-Based Sample

Adverse Childhood Experiences and Health in Adulthood in a Rural Population-Based Sample

Prostate Cancer Risk in Pre-Diabetic Men: A Matched Cohort Study

The Effect of a Community Intervention Trial on Parental Knowledge and Awareness of Antibiotic Resistance and Appropriate Antibiotic Use in Children

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