State trends in health risk factors and receipt of clinical preventive services among US adults during the 1990s

State trends in health risk factors and receipt of clinical preventive services among US adults during the 1990s
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DOI:
10.1001/jama.287.20.2659
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发表时间:
2002-05-22
影响因子:
120.7
通讯作者:
Marks, JS
Marks, JS
中科院分区:
医学1区
文献类型:
--
作者:
Nelson, DE;Bland, S;Marks, JS

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背景监测趋势对于评估过去的活动和指导当前的预防性卫生计划和政策努力至关重要。尽管跟踪实现国家卫生目标的进展情况是有帮助的,但国家估计的使用是有限的,因为大多数预防性卫生保健活动、政策和其他努力都发生在州或社区一级。可能有一些重要的州趋势被国家数据掩盖。目的评估5个健康风险因素和6个临床预防服务的州特定趋势。作为行为风险因素监测系统的一部分,1991年至2000年进行了设计电话调查。设置和参与者从美国49个州随机选择18岁或以上的成年人。年度国家样本量为1188至7543。主要结果指标变化具有统计学意义(P
Context Monitoring trends is essential for evaluating past activities and guiding current preventive health program and policy efforts. Although tracking progress toward national health goals is helpful, use of national estimates is limited because most preventive health care activities, policies, and other efforts occur at the state or community level. There may be important state trends that are obscured by national data.Objective To estimate state-specific trends for 5 health risk factors and 6 clinical preventive services.Design Telephone surveys were conducted from 1991 through 2000 as part of the Behavioral Risk Factor Surveillance System.Setting and Participants Randomly selected adults aged 18 years or older from 49 US states. Annual state sample sizes ranged from 1188 to 7543.Main Outcome Measures Statistically significant changes (P