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Pesquisa : E01.370.600.750 [Categoria DeCS]
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[PMID]:28759333
[Au] Autor:John KK; Jensen JD; King AJ; Ratcliff CL; Grossman D
[Ad] Endereço:a School of Communication , Brigham Young University , Provo , Utah , USA.
[Ti] Título:Do Pattern-Focused Visuals Improve Skin Self-Examination Performance? Explicating the Visual Skill Acquisition Model.
[So] Source:J Health Commun;22(9):732-742, 2017 Sep.
[Is] ISSN:1087-0415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Skin self-examination (SSE) consists of routinely checking the body for atypical moles that might be cancerous. Identifying atypical moles is a visual task; thus, SSE training materials utilize pattern-focused visuals to cultivate this skill. Despite widespread use, researchers have yet to explicate how pattern-focused visuals cultivate visual skill. Using eye tracking to capture the visual scanpaths of a sample of laypersons (N = 92), the current study employed a 2 (pattern: ABCDE vs. ugly duckling sign [UDS]) × 2 (presentation: photorealistic images vs. illustrations) factorial design to assess whether and how pattern-focused visuals can increase layperson accuracy in identifying atypical moles. Overall, illustrations resulted in greater sensitivity, while photos resulted in greater specificity. The UDS × photorealistic condition showed greatest specificity. For those in the photo condition with high self-efficacy, UDS increased specificity directly. For those in the photo condition with self-efficacy levels at the mean or lower, there was a conditional indirect effect such that these individuals spent a larger amount of their viewing time observing the atypical moles, and time on target was positively related to specificity. Illustrations provided significant gains in specificity for those with low-to-moderate self-efficacy by increasing total fixation time on the atypical moles. Findings suggest that maximizing visual processing efficiency could enhance existing SSE training techniques.
[Mh] Termos MeSH primário: Educação de Pacientes como Assunto/métodos
Autoexame
Neoplasias Cutâneas/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Movimentos Oculares
Feminino
Seres Humanos
Masculino
Modelos Educacionais
Reconhecimento Visual de Modelos
Fotografia
Autoeficácia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171028
[Lr] Data última revisão:
171028
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE
[do] DOI:10.1080/10810730.2017.1344750


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[PMID]:28569149
[Au] Autor:Moshki M; Shahgheibi S; Taymoori P; Moradi A; Roshani D; Holt CL
[Ad] Endereço:Department of Public Health, School of Health Sciences; Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
[Ti] Título:Psychometric properties of the mammography self-efficacy and fear of breast cancer scales in Iranian women.
[So] Source:BMC Public Health;17(1):534, 2017 May 31.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Research investigating mammography screening has often reported low mammography self-efficacy and breast cancer fear contribute to underutilization of mammography. This study aimed to examine the reliability and validity of Champion's Mammography Self-efficacy Scale (CMSS) and Champion's Breast Cancer Fear Scale (CBCFS) in a sample of Iranian women. METHODS: The adapted instruments were administered to a community sample of 482 women aged 40 years or older. They inhibited in Sanandaj, Iran. Cronbach's α coefficients, item-total, and test-retest correlations were used to assess the reliability of the scales. Confirmatory factor analysis was applied to assess construct validity. RESULTS: The α coefficients for the Farsi 14-item CMSS and 8-item BCFS were .87 and.95, respectively. In terms of the CMSS confirmatory factor analysis, the proportion of x /df was 2.4, Comparative Fit Index (CFI) = 0.93, Tucker Lewis Index (TLI) = 0.96 providing a strong fit to the data induced by two-factor model. With regard to CBCFS, x /df was 86.33, CFI =0.99, and TLI =0.99 supporting one-factor model. CONCLUSION: The CMSS and CBCFS exhibited strong initial psychometric properties; therefore, they are recommended to understand women's breast cancer screening behaviors better.
[Mh] Termos MeSH primário: Detecção Precoce de Câncer/psicologia
Medo/psicologia
Mamografia/psicologia
Autoeficácia
Autoexame/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Neoplasias da Mama/diagnóstico
Análise Fatorial
Feminino
Seres Humanos
Irã (Geográfico)
Meia-Idade
Psicometria
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE
[do] DOI:10.1186/s12889-017-4404-7


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[PMID]:28408001
[Au] Autor:Gordon LG; Brynes J; Baade PD; Neale RE; Whiteman DC; Youl PH; Aitken JF; Janda M
[Ad] Endereço:Population Health Department, QIMR Berghofer Medical Research Institute, Royal Brisbane Hospital, Brisbane, Queensland, Australia; NHMRC Centre for Research Excellence in Sun and Health, Queensland University of Technology, Kelvin Grove, Queensland, Australia. Electronic address: louisa.gordon@qimrb
[Ti] Título:Cost-Effectiveness Analysis of a Skin Awareness Intervention for Early Detection of Skin Cancer Targeting Men Older Than 50 Years.
[So] Source:Value Health;20(4):593-601, 2017 Apr.
[Is] ISSN:1524-4733
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To assess the cost-effectiveness of an educational intervention encouraging self-skin examinations for early detection of skin cancers among men older than 50 years. METHODS: A lifetime Markov model was constructed to combine data from the Skin Awareness Trial and other published sources. The model incorporated a health system perspective and the cost and health outcomes for melanoma, squamous and basal cell carcinomas, and benign skin lesions. Key model outcomes included Australian costs (2015), quality-adjusted life-years (QALYs), life-years, and counts of skin cancers. Univariate and probabilistic sensitivity analyses were undertaken to address parameter uncertainty. RESULTS: The mean cost of the intervention was A$5,298 compared with A$4,684 for usual care, whereas mean QALYs were 7.58 for the intervention group and 7.77 for the usual care group. The intervention was thus inferior to usual care. When only survival gain is considered, the model predicted the intervention would cost A$1,059 per life-year saved. The likelihood that the intervention was cost-effective up to A$50,000 per QALY gained was 43.9%. The model was stable to most data estimates; nevertheless, it relies on the specificity of clinical diagnosis of skin cancers and is subject to limited health utility data for people with skin lesions. CONCLUSIONS: Although the intervention improved skin checking behaviors and encouraged men to seek medical advice about suspicious lesions, the overall costs and effects from also detecting more squamous and basal cell carcinomas and benign lesions outweighed the positive health gains from detecting more thin melanomas.
[Mh] Termos MeSH primário: Conscientização
Carcinoma Basocelular/diagnóstico
Carcinoma de Células Escamosas/diagnóstico
Detecção Precoce de Câncer/economia
Conhecimentos, Atitudes e Prática em Saúde
Melanoma/diagnóstico
Saúde do Homem/economia
Educação de Pacientes como Assunto/economia
Autoexame/economia
Neoplasias Cutâneas/diagnóstico
[Mh] Termos MeSH secundário: Fatores Etários
Idoso
Austrália
Carcinoma Basocelular/economia
Carcinoma Basocelular/mortalidade
Carcinoma Basocelular/terapia
Carcinoma de Células Escamosas/economia
Carcinoma de Células Escamosas/mortalidade
Carcinoma de Células Escamosas/terapia
Redução de Custos
Análise Custo-Benefício
Técnicas de Apoio para a Decisão
Detecção Precoce de Câncer/métodos
Custos de Cuidados de Saúde
Seres Humanos
Masculino
Cadeias de Markov
Melanoma/economia
Melanoma/mortalidade
Melanoma/terapia
Meia-Idade
Modelos Econômicos
Valor Preditivo dos Testes
Prognóstico
Anos de Vida Ajustados por Qualidade de Vida
Reprodutibilidade dos Testes
Fatores de Risco
Fatores Sexuais
Neoplasias Cutâneas/economia
Neoplasias Cutâneas/mortalidade
Neoplasias Cutâneas/terapia
Fatores de Tempo
Gravação em Vídeo/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170415
[St] Status:MEDLINE


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[PMID]:28218963
[Au] Autor:Melo J; Tschann M; Soon R; Kuwahara M; Kaneshiro B
[Ad] Endereço:Department of Obstetrics and Gynecology, University of California, Davis, Sacramento, CA, USA.
[Ti] Título:Women's willingness and ability to feel the strings of their intrauterine device.
[So] Source:Int J Gynaecol Obstet;137(3):309-313, 2017 Jun.
[Is] ISSN:1879-3479
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine how many intrauterine device (IUD) users are willing and able to palpate their IUD strings. METHODS: A cross-sectional survey was conducted among IUD users presenting for their 6-week follow-up visit after insertion at the University of Hawaii, USA, between January 2011 and January 2012. Participants were asked whether they had previously felt the strings and whether they were willing to do so during the visit. Bivariate analyses and multiple logistic regression were performed. RESULTS: Previous attempts to palpate IUD strings were reported by 74 (58.7%) of 126 participants, of whom 49 (66.2%) could feel the strings. At the study visit, 60 (47.6%) participants were willing to try to feel their strings; 33 (55.0%) were successful. Overall, 58 (46.0%) participants were willing and able to palpate their IUD strings at home and/or at the study visit. Fewer women who self-identified as native Hawaiian than women of other races reported previous attempts (P=0.005). Previous instruction to check IUD strings was associated with willingness to palpate them before and after controlling for native Hawaiian race (odds ratio 8.78, 95% CI 3.43-22.43; adjusted odds ratio 9.64, 95% CI 3.57-26.04). CONCLUSION: Approximately half the participants were willing and able to palpate their IUD strings. Routinely counseling women to check their IUD strings could have limited clinical utility.
[Mh] Termos MeSH primário: Dispositivos Intrauterinos
Autoexame
[Mh] Termos MeSH secundário: Adolescente
Adulto
Aconselhamento
Estudos Transversais
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Inquéritos Epidemiológicos
Seres Humanos
Autoexame/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170221
[St] Status:MEDLINE
[do] DOI:10.1002/ijgo.12130


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[PMID]:28100761
[Au] Autor:Nelson EJ; Maynard BR; Loux T; Fatla J; Gordon R; Arnold LD
[Ad] Endereço:Department of Epidemiology, College for Public Health and Social Justice, St Louis, Missouri, USA.
[Ti] Título:The acceptability of self-sampled screening for HPV DNA: a systematic review and meta-analysis.
[So] Source:Sex Transm Infect;93(1):56-61, 2017 Feb.
[Is] ISSN:1472-3263
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To examine whether or not self-sampled cervical screening for human papillomavirus (HPV) DNA is acceptable and if women prefer self-sampling to clinician-based sampling. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Thirty-seven primary studies obtained through a comprehensive search of six electronic bibliographic databases from 1986 to 2014 and other sources. Search keywords included HPV, screening, DNA testing, vaginal testing, self-collected specimen, self-collected sample, self-sampling, self-screening, preferences and acceptability. REVIEW METHODS: Studies eligible for analysis included those that had participants perform self-sampling, evaluated participant acceptance of or preference for self-sampled vaginal HPV DNA and reported data to calculate an effect size. There were no exclusion criteria for publication status or geographical location. Meta-analytic methods were used to quantitatively synthesise effect sizes across studies. RESULTS: The 37 studies included 18 516 female participants from 24 countries across five continents. Overall, there was a high level of acceptability of self-sampling among the participants. Participants reported preference for self-sampling over clinician sampling due to attractive characteristics such as ease and privacy. CONCLUSIONS: The overall acceptability of self-sampled cervical screening, coupled with economic and effective care, provides opportunities for expanding screening services. Importantly, this can provide a creative screening alternative for women who do not participate in traditional cytological screening, and may ultimately reduce health disparities and prevent cervical disease.
[Mh] Termos MeSH primário: Papillomaviridae/isolamento & purificação
Infecções por Papillomavirus/diagnóstico
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Autoexame
Neoplasias do Colo do Útero/prevenção & controle
[Mh] Termos MeSH secundário: Detecção Precoce de Câncer/métodos
Feminino
Seres Humanos
Infecções por Papillomavirus/prevenção & controle
Autoexame/estatística & dados numéricos
Manejo de Espécimes
Esfregaço Vaginal
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170529
[Lr] Data última revisão:
170529
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170120
[St] Status:MEDLINE
[do] DOI:10.1136/sextrans-2016-052609


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[PMID]:27741039
[Au] Autor:Hinten F; Hilbrands LB; Meeuwis KA; van Bergen-Verkuyten MC; Slangen BF; van Rossum MM; Rahamat-Langendoen J; Massuger LF; de Hullu JA; Melchers WJ
[Ad] Endereço:1Departments of Obstetrics and Gynecology, 2Nephrology, 3Dermatology, and 4Medical Microbiology, Radboud University Medical Center, Nijmegen; and 5Department of Obstetrics and Gynecology, Maastricht University Medical Centre, Maastricht, The Netherlands.
[Ti] Título:Improvement of Gynecological Screening of Female Renal Transplant Recipients by Self-Sampling for Human Papillomavirus Detection.
[So] Source:J Low Genit Tract Dis;21(1):33-36, 2017 Jan.
[Is] ISSN:1526-0976
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Female renal transplant recipients (RTRs) have increased risk for developing human papillomavirus (HPV)-related (pre)malignancies of the lower genital tract. Annual cervical screening is advised for RTRs, but the participation rate is low. The aim of this study is to investigate whether HPV self-sampling is suitable for gynecological screening of RTRs to increase participation rate. METHODS: A large cohort of 253 RTRs was investigated for the prevalence of HPV. All participants received a device for a cervicovaginal self-sample. Questionnaires were sent to assess the experience with this device. High-risk (hrHPV) presence was determined with the SPF10-LiPA25 system and GP5+/6+ PCR. HrHPV-positive patients underwent gynecological examination. RESULTS: More than 90% of the patients rated their experience with the self-sample device as good to excellent, and 77% preferred self-sampling over a physician taken sample. Approximately thirty-five of 217 women tested hrHPV positive with SPF10- LiPA25, and 22 tested positive with the GP5+/6+ PCR. Eleven hrHPV-positive patients had clinically relevant gynecological abnormalities, and they all tested positive with GP5+/6+ PCR. CONCLUSIONS: Self-sampling is clinically applicable in a gynecological screening and is preferred by female RTRs. Therefore, self-sampling could be implemented with the aim to increase the participation rate of female RTRs in yearly gynecological screening.
[Mh] Termos MeSH primário: Detecção Precoce de Câncer/métodos
Transplante de Rim
Infecções por Papillomavirus/diagnóstico
Autoexame/métodos
Manejo de Espécimes/métodos
Transplantados
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Meia-Idade
Aceitação pelo Paciente de Cuidados de Saúde
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161015
[St] Status:MEDLINE
[do] DOI:10.1097/LGT.0000000000000270


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[PMID]:27672216
[Au] Autor:Bottari F; Igidbashian S; Boveri S; Tricca A; Gulmini C; Sesia M; Spolti N; Sideri M; Landoni F; Sandri MT
[Ad] Endereço:Division of Laboratory Medicine, European Institute of Oncology, Milan, Italy.
[Ti] Título:HPV self-sampling in CIN2+ detection: sensitivity and specificity of different RLU cut-off of HC2 in specimens from 786 women.
[So] Source:J Clin Pathol;70(4):327-330, 2017 Apr.
[Is] ISSN:1472-4146
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: Mortality for cervical cancer varies between the different regions of the world, with high rates in low-income countries where screening programmes are not present and organised. However, increasing screening coverage is still a priority in all countries: one way to do that is to base screening on self-sampled screening. The success of a self-sampling screening strategy depends on capacity to recruit unscreened women, on the performance and acceptability of the device and on the clinical performance of the high-risk human papillomavirus (HPV) test. METHODS: This study based on 786 enrolled women investigates the best cut-off value of Hybrid Capture 2 HPV test (HC2) for self-sampled specimens in terms of sensitivity and specificity. RESULTS: In this population, we found that the sensitivity and the specificity for cervical intraepithelial neoplasia grade 2 or more detection of HC2 performed on self-sampled specimens were 82.5% and 82.8%, respectively considering the relative light units (RLU) cut-off value of 1. Increasing the cut-off value the sensitivity decreases and the specificity raises and the best area under the curve for the RLU cut-off value is 1. CONCLUSIONS: Our results confirm that the cut-off value of 1 suggested by Qiagen for PreservCyt specimen is the best cut-off value also for self-sampled specimens.
[Mh] Termos MeSH primário: Neoplasia Intraepitelial Cervical/virologia
Infecções por Papillomavirus/diagnóstico
Autoexame/métodos
Esfregaço Vaginal/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Área Sob a Curva
Feminino
Seres Humanos
Meia-Idade
Curva ROC
Valores de Referência
Sensibilidade e Especificidade
Adulto Jovem
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170323
[Lr] Data última revisão:
170323
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160928
[St] Status:MEDLINE
[do] DOI:10.1136/jclinpath-2016-204044


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[PMID]:27601301
[Au] Autor:Zhong F; Tang W; Cheng W; Lin P; Wu Q; Cai Y; Tang S; Fan L; Zhao Y; Chen X; Mao J; Meng G; Tucker JD; Xu H
[Ad] Endereço:Guangzhou Center for Disease Prevention and Control, Guangzhou, China.
[Ti] Título:Acceptability and feasibility of a social entrepreneurship testing model to promote HIV self-testing and linkage to care among men who have sex with men.
[So] Source:HIV Med;18(5):376-382, 2017 May.
[Is] ISSN:1468-1293
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: HIV self-testing (HIVST) offers an opportunity to increase HIV testing among people not reached by facility-based services. However, the promotion of HIVST is limited as a consequence of insufficient community engagement. We built a social entrepreneurship testing (SET) model to promote HIVST linkage to care among Chinese men who have sex with men (MSM) in Guangzhou. METHODS: The SET model includes a few key steps. Each participant first completed an online survey, and paid a US$23 (refundable) deposit to receive an HIVST kit and a syphilis self-testing (SST) kit. After the testing, the results were sent to the platform by the participants and interpreted by Center for Disease Control and Prevention (CDC) staff. Meanwhile, the deposit was returned to each participant. Finally, the Community based organizations (CBO) contacted the participants to provide counselling services, confirmation testing and linkage to care. RESULTS: During April-June 2015, a total of 198 MSM completed a preliminary survey and purchased self-testing kits. The majority were aged < 34 years (84.4%) and met partners online (93.1%). In addition, 68.9% of participants had ever been tested for HIV, and 19.5% had ever performed HIVST. Overall, feedback was received from 192 participants (97.0%). Of these participants, 14 people did not use the kits; among those who did use the kits, the HIV and syphilis prevalences were 4.5% (eight of 178) and 3.7% (six of 178), respectively. All of the screened HIV-positive individuals sought further confirmation testing and were linked to care. CONCLUSIONS: Using an online SET model to promote HIV and syphilis self-testing among Chinese MSM is acceptable and feasible, and this model adds a new testing platform to the current testing service system.
[Mh] Termos MeSH primário: Contrato de Risco/organização & administração
Infecções por HIV/diagnóstico
Acesso aos Serviços de Saúde
Homossexualidade Masculina
Relações Interpessoais
Aceitação pelo Paciente de Cuidados de Saúde
Autoexame/utilização
[Mh] Termos MeSH secundário: Adulto
China
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170802
[Lr] Data última revisão:
170802
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160908
[St] Status:MEDLINE
[do] DOI:10.1111/hiv.12437


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[PMID]:27492141
[Au] Autor:Flowers P; Riddell J; Park C; Ahmed B; Young I; Frankis J; Davis M; Gilbert M; Estcourt C; Wallace L; McDaid LM
[Ad] Endereço:School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
[Ti] Título:Preparedness for use of the rapid result HIV self-test by gay men and other men who have sex with men (MSM): a mixed methods exploratory study among MSM and those involved in HIV prevention and care.
[So] Source:HIV Med;18(4):245-255, 2017 Apr.
[Is] ISSN:1468-1293
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The aim of the study was to explore preparedness for the HIV self-test among men who have sex with men (MSM) and those involved in HIV prevention and care. METHODS: A mixed methods exploratory research design was employed, detailing awareness and willingness to use the self-test and the perceived barriers and facilitators to implementation. Quantitative and qualitative data collection and analysis were completed in parallel. Descriptive and inferential analysis of cross-sectional bar-based survey data collected from MSM through a self-completed questionnaire and oral fluid specimen collection (n = 999) was combined with qualitative, thematic, analysis of data collected through 12 expert focus groups (n = 55) consisting of gay men, National Health Service (NHS) staff, community organizations, entrepreneurs and activists. Findings were subsequently combined and assessed for synergies. RESULTS: Among MSM, self-test awareness was moderate (55%). Greater awareness was associated with increased educational attainment [adjusted odds ratio 1.51; 95% confidence interval (CI) 1.00-2.30; P = 0.05] and previous history of sexually transmitted infection (STI) testing (adjusted odds ratio 1.63; 95% CI 1.11-2.39; P = 0.01). Willingness to use the test was high (89%) and associated with meeting sexual partners online (unadjusted odds ratio 1.96; 95% CI 1.31-2.94; P < 0.001). Experts highlighted the overall acceptability of self-testing; it was understood as convenient, discreet, accessible, and with a low burden to services. However, some ambivalence towards self-testing was reported; it could reduce opportunities to engage with wider services, wider health issues and the determinants of risk. CONCLUSIONS: Self-testing represents an opportunity to reduce barriers to HIV testing and enhance prevention and access to care. Levels of awareness are moderate but willingness to use is high. Self-testing may amplify health inequalities.
[Mh] Termos MeSH primário: Testes Diagnósticos de Rotina/métodos
Infecções por HIV/diagnóstico
Conhecimentos, Atitudes e Prática em Saúde
Autoexame/métodos
Minorias Sexuais e de Gênero
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Homossexualidade Masculina
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160806
[St] Status:MEDLINE
[do] DOI:10.1111/hiv.12420


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[PMID]:26113230
[Au] Autor:Warren M; McMeniman E; Adams A; De'Ambrosis B
[Ad] Endereço:Department of Dermatology, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
[Ti] Título:Skin protection behaviour and sex differences in melanoma location in patients with multiple primary melanomas.
[So] Source:Australas J Dermatol;58(1):25-29, 2017 Feb.
[Is] ISSN:1440-0960
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND/OBJECTIVES: Previous studies have shown that sunscreen usage, sun-protection measures and self-examination rates in patients with single primary melanomas (SPM) are similar to that in the general population. This study hypothesises that these rates would be different in a population with multiple primary melanomas (MPM). We further hypothesise that there would be a sex difference in melanoma location in patients with MPM. The objectives of this study were to determine skin protection measures, self-examinations and melanoma location in a cohort of patients with MPM. METHODS: A survey was conducted on 137 patients with MPM examining their sun-protection measures, skin self-examination rates and medical and phenotypic characteristics. These data were combined with a review of their medical records to examine the patients' skin cancer history. RESULTS: Patients with MPM had higher rates of skin self-evaluation (74% vs 22%), sunscreen usage (70% vs 45%) and other sun-protection measures (95% vs 46%) than has been published for patients with a history of a SPM. We have also shown that women have a higher risk of developing melanomas on their arms (p < 0.01) and lower legs (p < 0.05) than men. CONCLUSIONS: This report showed the rates of skin self-examination, sunscreen usage and other sun-protection methods in patients with MPM is higher than in studies of patients with SPM. It also highlighted sex differences in terms of melanoma location for patients with MPM. Further studies to examine the cause of the differences in these forms of protective behaviour could help improve the utilisation of these important preventative measures in all patients.
[Mh] Termos MeSH primário: Comportamentos Relacionados com a Saúde
Melanoma/diagnóstico
Melanoma/psicologia
Neoplasias Primárias Múltiplas/diagnóstico
Neoplasias Primárias Múltiplas/psicologia
Autoexame
Neoplasias Cutâneas/diagnóstico
Neoplasias Cutâneas/psicologia
[Mh] Termos MeSH secundário: Idoso
Braço
Cor de Olho
Feminino
Cor de Cabelo
Seres Humanos
Perna (Membro)
Masculino
Melanoma/prevenção & controle
Meia-Idade
Neoplasias Primárias Múltiplas/prevenção & controle
Roupa de Proteção
Autoexame/estatística & dados numéricos
Fatores Sexuais
Neoplasias Cutâneas/prevenção & controle
Protetores Solares/uso terapêutico
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Sunscreening Agents)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150627
[St] Status:MEDLINE
[do] DOI:10.1111/ajd.12373



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