Document Detail


Does cholesterol screening result in negative labeling effects? Results of the Massachusetts Model Systems for Blood Cholesterol Screening Project.
MedLine Citation:
PMID:  1789817     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Several previous studies that looked at the effects of labeling individuals as hypertensive found increases in psychosocial distress, diminished feelings of well-being, or absenteeism. Other studies found no such effects. Thus far, similar studies relating to labeling for high blood cholesterol levels have not been published. The Massachusetts Model Systems for Blood Cholesterol Screening Project investigated whether labeling effects occurred as a result of the community-based screening, education, and referral programs it conducted in Worcester and Lowell. Nine questions concerning perceptions of physical and psychological well-being were asked on a questionnaire given to screening participants. The same questions were asked as part of a follow-up questionnaire given to all individuals identified as having high blood cholesterol levels at one of the screenings. Comparison of the baseline and follow-up results did not demonstrate significant overall negative effects among any age, sex, racial, income, or educational groups. On the contrary, responses to many of the questions revealed small but statistically significant improvements in perceptions of physical and psychological well-being. The absence of negative labeling effects may be attributable to the positive, supportive approach to participant counseling taken by the project.
Authors:
S Havas; J Reisman; L Hsu; L Koumjian
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of internal medicine     Volume:  151     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1991 Jan 
Date Detail:
Created Date:  1991-02-07     Completed Date:  1991-02-07     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  113-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore 21201.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Aging / psychology
Attitude to Health*
Cholesterol / blood*
Counseling / methods
Educational Status
Female
Follow-Up Studies
Humans
Hypertension / psychology
Male
Mass Screening / methods,  psychology*
Massachusetts
Middle Aged
Questionnaires
Self Concept
Grant Support
ID/Acronym/Agency:
R01HL37832/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
57-88-5/Cholesterol
Comments/Corrections
Comment In:
Arch Intern Med. 1991 Nov;151(11):2313   [PMID:  1953238 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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