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Ali H Mokdad - One of the best experts on this subject based on the ideXlab platform.

  • control of hypertension with medication a comparative analysis of National Surveys in 20 countries
    Bulletin of The World Health Organization, 2014
    Co-Authors: Nayu Ikeda, Ali H Mokdad, David Sapienza, Ramiro Guerrero, Wichai Aekplakorn, Mohsen Naghavi, Rafael Lozano, Christopher J L Murray, Stephen S Lim
    Abstract:

    Objective To examine hypertension management across countries and over time using consistent and comparable methods. Methods A systematic search identified Nationally representative health examination Surveys from 20 countries containing data from 1980 to 2011 on blood pressure measurements, the diagnosis and treatment of hypertension and its control with antihypertensive drugs. For each country, the prevalence of hypertension (i.e. systolic blood pressure ≥ 140 mmHg or antihypertensive use) and the proportion of hypertensive individuals whose condition was diagnosed, treated or controlled with medications (i.e. systolic pressure < 140 mmHg) were estimated. Findings The age-standardized prevalence of hypertension varied between countries: for individuals aged 35 to 49 years, it ranged from around 12% in Bangladesh, Egypt and Thailand to around 30% in Armenia, Lesotho and Ukraine; for those aged 35 to 84 years, it ranged from 20% in Bangladesh to more than 40% in Germany, the Russian Federation and Turkey. The age-standardized percentage of hypertensive individuals whose condition was diagnosed, treated or controlled was highest in the United States of America: for those aged 35 to 49 years, it was 84%, 77% and 56%, respectively. Percentages were especially low in Albania, Armenia, the Islamic Republic of Iran and Turkey. Although recent trends in prevalence differed in England, Japan and the United States, treatment coverage and hypertension control improved over time, particularly in England. Conclusion Globally the proportion of hypertensive individuals whose condition is treated or controlled with medication remains low. Greater efforts are needed to improve hypertension control, which would reduce the burden of noncommunicable diseases.

  • tracking chronic disease and risk behavior prevalence as survey participation declines statistics from the behavioral risk factor surveillance system and other National Surveys
    Preventing Chronic Disease, 2008
    Co-Authors: Mansour Fahimi, Michael W Link, Deborah A Schwartz, Ali H Mokdad, Paul S Levy
    Abstract:

    Introduction Response rates for the Behavioral Risk Factor Surveillance System (BRFSS) have declined in recent years. The response rate in 1993 was approximately 72%; in 2006, the response rate was approximately 51%. To assess the impact of this decline on the quality of BRFSS estimates, we compared selected health and risk factor estimates from BRFSS with similar estimates from the National Health Interview Survey (NHIS) and the National Health and Nutrition Examination Survey (NHANES).

  • Prevalence of adult binge drinking: A comparison of two National Surveys
    American Journal of Preventive Medicine, 2004
    Co-Authors: Jacqueline W. Miller, Timothy S Naimi, Robert D Brewer, Joseph C. Gfroerer, Ali H Mokdad, Wayne H. Giles
    Abstract:

    Background Binge drinking (defined as five or more drinks on an occasion) causes approximately half of the estimated 85,000 alcohol-related deaths in the United States each year. The Behavioral Risk Factor Surveillance System (BRFSS), a telephone survey, and the National Survey on Drug Use and Health (NSDUH), an in-person survey, provide population-based estimates of binge drinking. Evaluating the concordance of binge drinking estimates from the BRFSS and the NSDUH is important for surveillance and for planning prevention programs. Methods In 2003, combined data on binge drinking for 1999 and 2001 from the BRFSS ( n  =355,371) and the NSDUH ( n  =87,145) were analyzed for respondents aged ≥18 years. Results National binge drinking estimates were 14.7% (95% confidence interval [CI]=14.5–15.2) for BRFSS and 21.6% (CI=21.2–22.0) for NSDUH. Although there was good correlation between state-specific binge drinking estimates from the two Surveys (Pearson's r  =0.82), the BRFSS state estimates were significantly lower ( p Conclusions Estimates of binge drinking from the NSDUH were consistently higher than those from the BRFSS, probably due to differences in survey methodology. Continued efforts to improve binge drinking surveillance are important for preventing this public health problem.

Jeremy Pickreign - One of the best experts on this subject based on the ideXlab platform.

  • retiree health benefits after medicare part d a snapshot of prescription drug coverage
    2008
    Co-Authors: Jon R Gabel, Heidi Whitmore, Jeremy Pickreign
    Abstract:

    Based on employers’ responses to two National Surveys, conducted in late 2005 and early 2007, fears that the Medicare Part D prescription drug benefit would “crowd out” existing retiree health benefits have not been realized. Employers have largely continued offering their prior benefits. The modest increases in the cost of prescription drug coverage over the past year might have contributed to this trend. However, most employers indicate that they will reconsider their current decision if the cost of coverage rises sharply or the Medicare Part D coverage becomes more comprehensive. A small but significant share of private employers reported they were planning to drop retiree coverage in the next two years for Medicare-eligible retirees, while others were planning to reduce coverage for new hires and active workers.

  • Trends in retiree health benefits
    Health Affairs, 2002
    Co-Authors: L. A. Mccormack, Heidi Whitmore, Jon R Gabel, Wayne L. Anderson, Jeremy Pickreign
    Abstract:

    Based on National Surveys of employers from 1988 through 2001 and recent key-informant interviews, this paper examines trends in employer-based retiree health benefits. We assess trends in the availability of coverage to early and Medicare-eligible retirees, the cost of coverage, plan choice and enrollment, prescription drug coverage, and recent changes in plan design. During a period of low health care inflation and record prosperity, retiree coverage declined slightly, unlike the coverage of active workers. Indemnity enrollment remains strong among retirees, and employers are cautious about Medicare+Choice because of continuing plan withdrawals. Numerous indicators point to a further and accelerating decline in retiree coverage.

Paul S Levy - One of the best experts on this subject based on the ideXlab platform.

Mansour Fahimi - One of the best experts on this subject based on the ideXlab platform.

Trevor W Lambert - One of the best experts on this subject based on the ideXlab platform.

  • factors influencing junior doctors choices of future specialty trends over time and demographics based on results from uk National Surveys
    Journal of the Royal Society of Medicine, 2015
    Co-Authors: Fay Smith, Trevor W Lambert, Michael J Goldacre
    Abstract:

    ObjectiveTo study trends in factors influencing junior doctors’ choice of future specialty.DesignRespondents were asked whether each of 15 factors had a great deal of influence on their career choice, a little influence or no influence on it. Percentages are reported of those who specified that a factor had a great deal of influence on their career choice.SettingUK.ParticipantsA total of 15,765 UK-trained doctors who graduated between 1999 and 2012.Main outcome measuresQuestions about career choices and factors which may have influenced those choices, in particular comparing doctors who qualified in 2008–2012 with those who qualified in 1999–2002.ResultsEnthusiasm for and commitment to the specialty was a greater influence on career choice in the 2008–2012 qualifiers (81%) than those of 1999–2002 (64%), as was consideration of their domestic circumstances (43% compared with 20%). Prospects for promotion were less important to recent cohorts (16%) than older cohorts (21%), as were financial prospects (resp...

  • career choices for obstetrics and gynaecology National Surveys of graduates of 1974 2002 from uk medical schools
    British Journal of Obstetrics and Gynaecology, 2006
    Co-Authors: Gill Turner, Trevor W Lambert, Michael J Goldacre, David H Barlow
    Abstract:

    Objective  To report the trends in career choices for obstetrics and gynaecology among UK medical graduates. Design  Postal questionnaire Surveys of qualifiers from all UK medical schools in nine qualification years since 1974. Setting  United Kingdom. Population  All graduates from UK medical schools in 1974, 1977, 1980, 1983, 1993, 1996, 1999, 2000 and 2002. Methods  Postal questionnaire Surveys. Main outcome measures  Career choices for obstetrics and gynaecology and factors influencing career choices for obstetrics and gynaecology. Results  Seventy-four percent (24 623/33 417) and 73% (20 709/28 468) of doctors responded at 1 and 3 years after qualification. Choices for obstetrics and gynaecology fell sharply during the 1990s from 4.2% of 1996 qualifiers to 2.2% of 1999 qualifiers, and rose slightly to 2.8% of 2002 qualifiers. Only 0.8% of male graduates of 2002 chose obstetrics and gynaecology compared with 4.1% of women. Forty-six percent of those who chose obstetrics and gynaecology 1 year after qualification were working in it 10 years after qualifying. Experience of the subject as a student, and the influence of a particular teacher or department, affected long-term career choices more for obstetrics and gynaecology than for other careers. Conclusions  The unwillingness of young doctors to enter obstetrics and gynaecology may be attributable to concerns about workforce planning and career progression problems, rather than any lack of enthusiasm for the specialty. The number of men choosing obstetrics and gynaecology is now very small; the reasons and the future role of men in the specialty need to be debated.

  • career choices for psychiatry National Surveys of graduates of 1974 2000 from uk medical schools
    British Journal of Psychiatry, 2005
    Co-Authors: Michael J Goldacre, Gill Turner, Seena Fazel, Trevor W Lambert
    Abstract:

    Background Concerns continue about recruitment levels of junior doctors into psychiatry in the UK. Aims To report career choices for and career progression in psychiatry. Method Postal questionnaire Surveys of qualifiers from all UK medical schools in eight qualification years since 1974. Results Totals of 75% (21 845 out of 28 980) and 74% (17 741 out of 24 044) of doctors responded at one and three years after qualification. One and three years after qualification, 4-5% of doctors chose psychiatry. This has changed very little between 1974 and 2000. Most doctors who chose psychiatry one and three years after qualification were working in psychiatry at year 10. Hours and conditions of work, the doctor's personal assessment of their aptitudes and skills and their experience of the subject as a student influenced long-term career choices for psychiatry. Conclusions Greater exposure to psychiatry for clinical students and in junior hospital jobs might improve recruitment.