Featured Research

from universities, journals, and other organizations

Unhealthy substance use a risk factor for not receiving some preventive health services, study finds

Date:
May 13, 2011
Source:
Boston University Medical Center
Summary:
Researchers have identified unhealthy substance use as a risk factor for not receiving all appropriate preventive health services.

Researchers from Boston Medical Center (BMC) and Boston University School of Medicine (BUSM) have identified unhealthy substance use as a risk factor for not receiving all appropriate preventive health services. The findings, which currently appear in BMJ Open, identify unhealthy substance use as a barrier to completion of mammography screening and influenza vaccination.

Related Articles


Cancer and influenza are among the leading causes of mortality in the United States. Influenza is preventable, in part, through vaccination, and mortality from cervical, breast and colorectal cancer can be reduced through routine screening. Nevertheless, many eligible U.S. adults do not receive these recommended preventive services, in particular, low-income persons, racial and ethnic minorities, the uninsured and the foreign-born.

Despite this knowledge, and the implementation of interventions targeting these groups, preventive services are still underused, which has led some to believe that high-risk "pockets" of the population may account for gaps in service receipt.

"Persons with unhealthy substance use (for alcohol, the spectrum that ranges from risky use to dependence; for drugs, the spectrum from any illicit drug use, including prescription drugs to dependence), represent one such "pocket," said lead author Karen Lasser, MD, MPH, a primary care physician at BMC as well as an associate professor of medicine at BUSM.

The researchers analyzed data from 4,804 women eligible for mammograms, 4,414 eligible for Papanicolou (Pap) smears, 7,008 persons eligible for colorectal cancer (CRC) screenings, and 7,017 persons eligible for influenza vaccination. All patients were screened for unhealthy substance use.

Among the nearly 10,000 patients eligible for one or more of the preventive services of interest, 10 percent screened positive for unhealthy substance use. Compared to women without unhealthy substance use, women with unhealthy substance use received mammograms less frequently (75.4 percent vs. 83.8 percent), but Pap smears no less frequently (77.9 percent vs. 78.1 percent). Persons with unhealthy substance use received CRC screenings no less frequently (61.7 percent vs. 63.4 percent), yet received influenza vaccination less frequently (44.7 percent vs. 50.4 percent). "We speculate that persons with unhealthy substance use who are not engaged in primary care at the high thresholds used in these analyses may have substantially lower receipt of preventive services," said Lasser.

According to the researchers future interventions to promote mammography screening might target women with unhealthy substance use, and those to promote influenza vaccination might target both men and women with unhealthy substance use. "Clinical interventions could embed mammography screening and influenza vaccination in other services delivered to individuals with substance use problems. In addition, training interventions could enhance skills and systems for health care personnel who screen for substance use disorders to include referrals for preventive health services," she added.


Story Source:

The above story is based on materials provided by Boston University Medical Center. Note: Materials may be edited for content and length.


Journal Reference:

  1. K. E. Lasser, T. W. Kim, D. P. Alford, H. Cabral, R. Saitz, J. H. Samet. Is unhealthy substance use associated with failure to receive cancer screening and flu vaccination? A retrospective cross-sectional study. BMJ Open, 2011; DOI: 10.1136/bmjopen-2010-000046

Cite This Page:

Boston University Medical Center. "Unhealthy substance use a risk factor for not receiving some preventive health services, study finds." ScienceDaily. ScienceDaily, 13 May 2011. <www.sciencedaily.com/releases/2011/05/110513204427.htm>.
Boston University Medical Center. (2011, May 13). Unhealthy substance use a risk factor for not receiving some preventive health services, study finds. ScienceDaily. Retrieved April 1, 2015 from www.sciencedaily.com/releases/2011/05/110513204427.htm
Boston University Medical Center. "Unhealthy substance use a risk factor for not receiving some preventive health services, study finds." ScienceDaily. www.sciencedaily.com/releases/2011/05/110513204427.htm (accessed April 1, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Wednesday, April 1, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Wound-Healing Laser Soon to Be a Reality Israeli Scientist

Wound-Healing Laser Soon to Be a Reality Israeli Scientist

Reuters - Innovations Video Online (Apr. 1, 2015) Israeli scientists says laser bonding of tissue allows much faster healing and less scarring. Amy Pollock has more. Video provided by Reuters
Powered by NewsLook.com
Liberia Sees Resurgence of Drug Trafficking as Ebola Wanes

Liberia Sees Resurgence of Drug Trafficking as Ebola Wanes

AFP (Apr. 1, 2015) The governments of Liberia and Sierra Leone have been busy fighting the menace created by the deadly Ebola virus, but illicit drug lords have taken advantage of the situation to advance the drug trade. Duration: 01:12 Video provided by AFP
Powered by NewsLook.com
Stigma Stalks India's Leprosy Sufferers as Disease Returns

Stigma Stalks India's Leprosy Sufferers as Disease Returns

AFP (Apr. 1, 2015) The Indian government declared victory over leprosy in 2005, but the disease is making a comeback in some parts of the country, with more than a hundred thousand lepers still living in colonies, shunned from society. Duration: 02:41 Video provided by AFP
Powered by NewsLook.com
7-Year-Old Girl Gets 3-D Printed 'robohand'

7-Year-Old Girl Gets 3-D Printed 'robohand'

AP (Mar. 31, 2015) Although she never had much interest in prosthetic limbs before, Faith Lennox couldn&apos;t wait to slip on her new robohand. The 7-year-old, who lost part of her left arm when she was a baby, grabbed it as soon as it came off a 3-D printer. (March 31) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins