Tuberculosis among the homeless at a temporary shelter in London: report of a chest x ray screening programme.


STUDY OBJECTIVE:To estimate the prevalence of active pulmonary tuberculosis in a homeless population in London and to assess whether those with suspected disease could be integrated into the existing health care system for further follow up and treatment. DESIGN:Voluntary screening programme based on a questionnaire survey and chest x ray. SETTING AND CASES: Screening programmes were set up over the Christmas period in 1992 and 1993 at a shelter for the homeless in London. An offer of screening was made to all individuals who visited the centre and an interviewer administered questionnaire was completed on those who volunteered for the screening. Chest x rays were carried out, developed, and read on site. Individuals with chest x rays features suggestive of tuberculosis or other medical problems were referred to a hospital of their choice. RESULTS AND OUTCOME: In 1992 nearly 1600 people visited the centre, of whom 372 volunteered for the screening and 342 were x rayed. Nineteen of the 342 (5.6%) had radiological features suggestive of active tuberculosis. In 1993 around 2000 homeless people visited the centre, of whom 270 volunteered for the screening and 253 were x rayed. Eleven (4.3%) had features consistent with active tuberculosis on the basis of the chest x rays and clinical examination by a chest physician. Overall, of 595 people x rayed in the two surveys, 30 (5%) had changes suggestive of active tuberculosis. Further investigations confirmed nine (1.5%) with active pulmonary disease and eight with no active tuberculosis. In 13, the diagnosis was not determined as four declined further investigation and nine did not attend their hospital appointment. CONCLUSION:Tuberculosis among the homeless remains a cause for concern. Follow up and treatment present unique difficulties. Services for the homeless need to include mechanisms for timely diagnosis and monitored treatment. Control programmes designed for the needs of the homeless are required.


Kumar D,Citron KM,Leese J,Watson JM




Has Abstract


1995-12-01 00:00:00












  • Breast cancer survival in South Asian women in England and Wales.

    abstract:STUDY OBJECTIVES:To estimate ethnic and socioeconomic differences in breast cancer incidence and survival between South Asians and non-South Asians in England and Wales, and to provide a baseline for surveillance of cancer survival in South Asians, the largest ethnic minority. SETTING:115 712 women diagnosed with firs...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Farooq S,Coleman MP

    更新日期:2005-05-01 00:00:00

  • Advocacy for public health: a primer.

    abstract::Public health advocacy is the strategic use of news media to advance a public policy initiative, often in the face of opposition. ...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Chapman S

    更新日期:2004-05-01 00:00:00

  • Effect of smoking, alcohol, and other factors on the selenium status of a healthy population.

    abstract::In a study of selenium status in 391 apparently healthy subjects resident in the south of England statistical examination of the data showed a significant effect with regard to age, smoking, alcohol, and oral contraceptives. The most important of these factors seems to be a combination of alcohol and smoking habits in...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Lloyd B,Lloyd RS,Clayton BE

    更新日期:1983-09-01 00:00:00

  • Increasing smoke alarm operability through theory-based health education: a randomised trial.

    abstract:BACKGROUND:Although working smoke alarms halve deaths in residential fires, many households do not keep alarms operational. We tested whether theory-based education increases alarm operability. METHODS:Randomised multiarm trial, with a single arm randomly selected for use each day, in low-income neighbourhoods in Mary...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章,随机对照试验


    authors: Miller TR,Bergen G,Ballesteros MF,Bhattacharya S,Gielen AC,Sheppard MS

    更新日期:2014-12-01 00:00:00

  • Interactions between environmental pollutants and dietary nutrients: current evidence and implications in epidemiological research.

    abstract::Environmental pollutants and nutrients may be present in the same foodstuffs or dietary patterns; share internal mechanisms of transport, metabolism and cellular uptake; or target the same molecular signalling pathways and biological functions. Lipophilic pollutants and nutrients, like dioxins and polyunsaturated fatt...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Cano-Sancho G,Casas M

    更新日期:2021-02-01 00:00:00

  • Association of age and social class with suicide among men in Great Britain.

    abstract:STUDY OBJECTIVE:The aim was to investigate suicide and "undetermined" deaths by age, economic activity status, and social class in Great Britain among males of working age. DESIGN:The study was a cross sectional analysis of Registrar General's data for England and Wales around 1981, repeated for around 1971, and for S...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Kreitman N,Carstairs V,Duffy J

    更新日期:1991-09-01 00:00:00

  • The importance of the past in public health.

    abstract:STUDY OBJECTIVE:To explore the role of history in public health and its relevance to current practice and professional development. DESIGN:An analysis of the issues surrounding the poor attention paid to the history of public health by its current practitioners. SETTING:The paper is written from the perspective of pr...

    journal_title:Journal of epidemiology and community health

    pub_type: 历史文章,杂志文章


    authors: Scally G,Womack J

    更新日期:2004-09-01 00:00:00

  • Occupational mortality of women aged 15-59 years at death in England and Wales.

    abstract:STUDY OBJECTIVE:The aim was to analyse occupational mortality differences among women using follow up data from a large nationally representative sample. DESIGN:Occupational information was obtained from the 1971 census records of women in the Longitudinal Study carried out by the Office of Population Censuses and Sur...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Moser KA,Goldblatt PO

    更新日期:1991-06-01 00:00:00

  • Induced abortions, miscarriages, and tobacco smoking as risk factors for secondary infertility.

    abstract:STUDY OBJECTIVE:The aim was to determine whether induced abortions could increase the risk of secondary infertility. DESIGN:This was a case-control study; cases were women with secondary infertility, individually matched to two controls who were currently pregnant. Each participant was interviewed by one of two medica...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Tzonou A,Hsieh CC,Trichopoulos D,Aravandinos D,Kalandidi A,Margaris D,Goldman M,Toupadaki N

    更新日期:1993-02-01 00:00:00

  • Maternal ambient air pollution, preterm birth and markers of fetal growth in Rhode Island: results of a hospital-based linkage study.

    abstract:BACKGROUND:Maternal exposure to ambient air pollution has been associated with higher risk of preterm birth and reduced fetal growth, but heterogeneity among prior studies suggests that additional studies are needed in diverse populations and settings. We examined the associations between maternal ambient air pollution...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Kingsley SL,Eliot MN,Glazer K,Awad YA,Schwartz JD,Savitz DA,Kelsey KT,Marsit CJ,Wellenius GA

    更新日期:2017-12-01 00:00:00

  • A longitudinal study of blood folate levels and depressive symptoms among young women in the Southampton Women's Survey.

    abstract:BACKGROUND:Lower blood folate levels have been associated with depression in cross-sectional surveys, but no studies have examined the relationship prospectively to determine whether the relationship is causal. A follow-up study was designed to examine whether lower blood folate levels predict incident depressive sympt...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章,多中心研究


    authors: Kendrick T,Dunn N,Robinson S,Oestmann A,Godfrey K,Cooper C,Inskip H,Southampton Women's Survey Study Group.

    更新日期:2008-11-01 00:00:00

  • Long work hours of mothers and fathers are linked to increased risk for overweight and obesity among preschool children: longitudinal evidence from Germany.

    abstract:BACKGROUND:Most existing studies on maternal employment and childhood overweight/obesity are from the USA. They are predominantly cross-sectional and show a consistent linear association between the two. Less is known about the joint impact of fathers' and mothers' work hours on childhood overweight and obesity. OBJEC...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Li J,Kaiser T,Pollmann-Schult M,Strazdins L

    更新日期:2019-08-01 00:00:00

  • Sociodemographic risk factors of alcohol drinking in Hong Kong adolescents.

    abstract:BACKGROUND:Adolescent drinking in Western countries has been associated with older age and high socioeconomic status, but the association with family structure was inconsistent. METHODS:In a 2012-2013 school-based survey in Hong Kong, 23,096 students (mean age 14.7 years, SD 1.8 years) completed an anonymous questionn...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Huang R,Ho SY,Wang MP,Lo WS,Lam TH

    更新日期:2016-04-01 00:00:00

  • A mathematical model of a heroin epidemic: implications for control policies.

    abstract::An exponential model based on the infectious disease model of Kermack and McKendrick has been simplified to illustrate how the use of heroin spreads in epidemic fashion. A numerical simulation is arranged to show how the dynamics of spread are influenced by the original number of users, rates of conversion, and time o...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Mackintosh DR,Stewart GT

    更新日期:1979-12-01 00:00:00

  • Extreme temperatures and paediatric emergency department admissions.

    abstract:BACKGROUND:Children are particularly vulnerable to the effects of extreme temperatures. OBJECTIVE:To examine the relationship between extreme temperatures and paediatric emergency department admissions (EDAs) in Brisbane, Australia, during 2003-2009. METHODS:A quasi-Poisson generalised linear model combined with a di...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Xu Z,Hu W,Su H,Turner LR,Ye X,Wang J,Tong S

    更新日期:2014-04-01 00:00:00

  • Auditing and improving notification and chemoprophylaxis in bacterial meningitis.

    abstract:STUDY OBJECTIVE:The aim was to audit, against agreed standards, the control of bacterial meningitis, in particular completeness of notification and appropriateness of distribution of chemoprophylaxis to contacts; and to implement appropriate changes and monitor their impact. DESIGN:The first phase involved determinati...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Harvey I,Kaul S,Peters TJ

    更新日期:1992-08-01 00:00:00

  • Five-year age-specific incidence rates. II: The accuracy of calculations of expected number of tumours.

    abstract::Five-year age-specific incidence rates were shown to produce small but systematic errors in the calculation of the expected number of tumours in a hypothetical but realistic study population. Underestimates occurred at younger ages (under 55) and overestimates at older ages, with a small overestimate (0.22%) overall. ...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Cramer N,Crombie IK

    更新日期:1981-06-01 00:00:00

  • Patterns in trouble sleeping among women at mid-life: results from a British prospective cohort study.

    abstract:BACKGROUND:Although trouble sleeping is a common problem among women at mid-life, patterns in trouble sleeping relating to social and health-related risk factors are unclear. This analysis describes the dynamics of trouble sleeping among women at mid-life. METHODS:The National Survey of Health and Development is a nat...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章,多中心研究


    authors: Tom SE,Kuh D,Guralnik JM,Mishra GD

    更新日期:2009-12-01 00:00:00

  • Lifestyle changes at middle age and mortality: a population-based prospective cohort study.

    abstract:BACKGROUND:The effect of modifying lifestyle at middle age on mortality has been sparsely examined. METHODS:Men and women aged 50-54 years randomised to the control group (no intervention) in the population-based Norwegian Colorectal Cancer Prevention trial were asked to fill in lifestyle questionnaires in 2001 and 20...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章,随机对照试验


    authors: Berstad P,Botteri E,Larsen IK,Løberg M,Kalager M,Holme Ø,Bretthauer M,Hoff G

    更新日期:2017-01-01 00:00:00

  • Can data from primary care medical records be used to monitor national smoking prevalence?

    abstract:BACKGROUND:Data from primary care records could potentially provide more comprehensive population-level information on smoking prevalence at lower cost and in a more timely fashion than commissioned national surveys. Therefore, we compared smoking prevalence calculated from a database of primary care electronic medical...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Szatkowski L,Lewis S,McNeill A,Huang Y,Coleman T

    更新日期:2012-09-01 00:00:00

  • Ethnic differences in perinatal mortality--a challenge.

    abstract::The perinatal mortality rates of mothers who delivered at St. Thomas's Hospital from 1969 to 1976 have been examined. The rate in the West Indian population was significant higher than in the United Kingdom white population. The increased West Indian mortality was confined to infants with a birth weight of more than 2...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Robinson MJ,Palmer SR,Avery A,James CE,Beynon JL,Taylor RW

    更新日期:1982-03-01 00:00:00

  • Coronary artery bypass graft surgery: socioeconomic inequalities in access and in 30 day mortality. A population-based study in Rome, Italy.

    abstract:OBJECTIVES:To evaluate whether coronary artery bypass graft (CABG) surgery is equally provided among different socioeconomic status (SES) groups in accordance with need. To estimate the association between SES and mortality occurring 30 days after CABG surgery. DESIGN:Individual socioeconomic index assigned with respe...

    journal_title:Journal of epidemiology and community health

    pub_type: 临床试验,杂志文章,多中心研究


    authors: Ancona C,Agabiti N,Forastiere F,Arcà M,Fusco D,Ferro S,Perucci CA

    更新日期:2000-12-01 00:00:00

  • Neighbourhood deprivation and incidence of coronary heart disease: a multilevel study of 2.6 million women and men in Sweden.

    abstract:STUDY OBJECTIVE:To examine whether neighbourhood deprivation predicts incidence rates of coronary heart disease, beyond age and individual income. DESIGN:Follow up study from 31 December 1995 to 31 December 1999. Women and men were analysed separately with respect to incidence rates of coronary heart disease. Multilev...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Sundquist K,Malmström M,Johansson SE

    更新日期:2004-01-01 00:00:00

  • Paternal contribution to birth weight.

    abstract:STUDY OBJECTIVE:Understanding causes of variation in birth weight has been limited by lack of sufficient sets of data that include paternal birth weight. The objective was to estimate risks of low birth weight dependent on parental birth weights and to estimate father-mother-offspring correlations for birth weight to e...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Magnus P,Gjessing HK,Skrondal A,Skjaerven R

    更新日期:2001-12-01 00:00:00

  • Associations of literacy with diabetes indicators in older adults.

    abstract:BACKGROUND:Literacy, the ability to access, understand and utilise information and concepts from diverse sources in ways that promote good outcomes is key to successful ageing. Domain-specific health and financial literacy are particularly relevant to older adults as they face increasingly complex health and financial ...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Lamar M,Wilson RS,Yu L,James BD,Stewart CC,Bennett DA,Boyle PA

    更新日期:2019-03-01 00:00:00

  • Methadone maintenance treatment and HIV risk-taking behaviour among injecting drug users in Berlin.

    abstract:STUDY OBJECTIVE:To determine whether methadone maintenance treatment (MMT) is effective in reducing the levels of HIV risk-taking behaviour (borrowing and lending of injection equipment, irregular condom use) among injecting drug users (IDUs), and to identify independent predictors of the borrowing of used syringes. D...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Stark K,Müller R,Bienzle U,Guggenmoos-Holzmann I

    更新日期:1996-10-01 00:00:00

  • Toward the next generation of research into small area effects on health: a synthesis of multilevel investigations published since July 1998.

    abstract::To map out area effects on health research, this study had the following aims: (1) to inventory multilevel investigations of area effects on self rated health, cardiovascular diseases and risk factors, and mortality among adults; (2) to describe and critically discuss methodological approaches employed and results obs...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章,评审


    authors: Riva M,Gauvin L,Barnett TA

    更新日期:2007-10-01 00:00:00

  • Family building in parents with Down's syndrome children.

    abstract::Fertility and contraceptive practice were examined by interview with parents of 100 Down's syndrome patients. Before the birth of the affected child, fertility was low by comparison with that in married women in the general population, and to this the socioeconomic class bias in the sample is thought to be contributor...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Boon AR

    更新日期:1986-06-01 00:00:00

  • Cognitive performance in childhood and early adult illness: a prospective cohort study.

    abstract:STUDY OBJECTIVE:To evaluate whether cognitive performance in childhood is an early determinant of adult illness. DESIGN:Prospective cohort study covering over 30 years. SETTING:Providence, Rhode Island, USA. PARTICIPANTS:633 people ages 30-39 followed up since birth as part of the Providence cohort of the national c...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Martin LT,Fitzmaurice GM,Kindlon DJ,Buka SL

    更新日期:2004-08-01 00:00:00

  • The real ecological fallacy: epidemiology and global climate change.

    abstract::Prompted by my participation in the People's Climate March held in New York City on 21 September 2014, as part of the 'Harvard Divest' contingent, in this brief essay I reflect on the late 20th century development of--and debates over--the necessity of ecological thinking in epidemiology, and also the still limited en...

    journal_title:Journal of epidemiology and community health

    pub_type: 杂志文章


    authors: Krieger N

    更新日期:2015-08-01 00:00:00