Abstract:
OBJECTIVES:This study was designed to determine the prevalence of at-risk drinking using varying alcohol use criteria. METHODS:A period prevalence survey was conducted in 22 primary care practices (n = 19372 adults). RESULTS:The frequency of at-risk alcohol use varied from 7.5% (World Health Organization criteria) to 19.7% (National Institute on Alcohol Abuse and Alcoholism criteria). A stepwise logistic model using National Institute on Alcohol Abuse and Alcoholism criteria found male gender, current tobacco use, never married status, retirement, and unemployment to be significant predictors of at-risk alcohol use. CONCLUSIONS:Public health policy needs to move to a primary care paradigm focusing on identification and treatment of at-risk drinkers.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Fleming MF,Manwell LB,Barry KL,Johnson Kdoi
10.2105/ajph.88.1.90subject
Has Abstractpub_date
1998-01-01 00:00:00pages
90-3issue
1eissn
0090-0036issn
1541-0048journal_volume
88pub_type
杂志文章abstract::Mortality trends suggest that increases in Connecticut incidence for cutaneous melanoma (CM) equal or under estimate increases for the entire country. One-sixth of CM in Connecticut occurs under age 35. In the 1955 birth cohort, modeled incidence rates per 100,000 age-adjusted to the 1960 US population are 38.2 in mal...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.6.679
更新日期:1985-06-01 00:00:00
abstract:OBJECTIVES:Using Jackson Heart Study data, we examined whether perceived discrimination was associated with prevalent hypertension in African Americans. METHODS:Everyday discrimination, lifetime discrimination, burden of discrimination, and stress from discrimination were examined among 4939 participants aged 35 to 84...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300523
更新日期:2012-05-01 00:00:00
abstract::Despite recognition of the importance of posttrial access to antiretroviral therapy (ART), the implementation process has not been studied. We examined whether the National Institutes of Health (NIH) guidance document was being implemented in NIH-funded ART trials conducted in developing countries between July 2005 an...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2008.157982
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVES:I studied the extent to which maternal deaths are underreported on death certificates. METHODS:We collected data on maternal deaths from death certificates, linkage of death certificates with birth and fetal death records, and review of medical examiner records. RESULTS:Thirty-eight percent of maternal dea...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.040063
更新日期:2005-03-01 00:00:00
abstract::We analyzed the variation in the risk of AIDS in US Blacks, Hispanics, and other racial/ethnic groups relative to that in Whites (non-Hispanic) by geographic area and mode of acquiring HIV infection, based on data reported between June 1, 1981 and January 18, 1988 to the Centers for Disease Control and 1980 US census ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.12.1539
更新日期:1988-12-01 00:00:00
abstract:OBJECTIVES:This article describes the implementation and impact of the first statewide condom social marketing intervention in the United States. METHODS:A statewide social marketing program made condoms freely available in 93 public health clinics, 39 community mental health centers, 29 substance abuse treatment site...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.2.204
更新日期:1999-02-01 00:00:00
abstract::Nondaily intermittent smokers (ITS) are common, but their cessation behavior remains elusive. We examined cessation of native-ITS (n = 2040), converted-ITS (n = 1808), and daily smokers (DS; n = 25 344). All ITS were more likely than were DS to make a quit attempt (native-ITS adjusted odds ratio [AOR] = 1.60, 95% conf...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300186
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVES:This study sought to estimate the population-based prevalence of environmental hazards in the homes of older persons and to determine whether the prevalence of these hazards differs by housing type or by level of disability in terms of activities of daily living (ADLs). METHODS:An environmental assessment w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.4.553
更新日期:1999-04-01 00:00:00
abstract::National rates of unintended births are a major public health concern. The availability of highly effective long-acting contraceptives has prompted some public officials to promote the coercive use of these methods to reduce such problems as intergenerational poverty and child abuse. Broad-brush public policies that r...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.86.6.787
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVES:Our community health center attempted to meet public health goals for encouraging exercise in adult patients vulnerable to obesity, diabetes, hypertension, and other chronic diseases by partnering with a local YMCA. METHODS:During routine office visits, providers referred individual patients to the YMCA at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300958
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVES:Much research has documented that youthful substance use typically follows a sequence starting with use of alcohol or tobacco or both and potentially proceeding to marijuana and then hard drug use. This study explicitly examined the probabilities of progression through each stage and their covariates. METHO...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.2.225
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVES:We describe behavioral health diagnoses and community release patterns among adult male and female inmates in New Jersey prisons and assess their implications for correctional health care and community reentry. METHODS:We used clinical and classification data on a census of "special needs" inmates (those wi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.059733
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:We studied 5 members of the National Network Consortium on Tobacco Control in Priority Populations. These networks, which consist of governmental and nongovernmental organizations, targeted lesbian, gay, bisexual, and transgender persons; Asian Americans, Native Hawaiians, and Pacific Islanders; American Ind...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.184358
更新日期:2010-07-01 00:00:00
abstract::Mercury is a growing environmental threat that can cause serious health problems and birth defects. Household thermometers are high-risk sources of mercury because most people lack the knowledge to properly dispose of one when it is broken. The Boston Public Health Commission's Environmental Health Office, with local ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.12.1997
更新日期:2003-12-01 00:00:00
abstract::Accidental exposure to the blood of hepatitis B patients produced less fear than does accidental exposure today to the human immunodeficiency virus (HIV), even though both have an approximately equal overall risk of death (approximately 1%). Subjects responding to hypothetical insect-exposure and disease-exposure scen...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.4.584
更新日期:1992-04-01 00:00:00
abstract::We examined the association between telomere length and prenatal tobacco exposure (PTE) in 104 children aged 4 to 14 years. Salivary telomere length (STL) was determined from salivary DNA using quantitative polymerase chain reaction. Of the children, 18% had maternal reported PTE. Mean STL was significantly lower amon...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301208
更新日期:2013-10-01 00:00:00
abstract::The Protection of Lawful Commerce in Arms Act (PLCAA), enacted in 2005, grants the firearm industry broad immunity from liability. The PLCAA not only prevents most people from receiving compensation for their firearm-related injuries, it erodes litigation's ability to serve its public health role of providing manufact...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.092544
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVES:We sought to test the efficacy of an intervention that was designed to promote social inclusion and commitment to education, in reducing among students health risk behaviors and improving emotional well-being. METHODS:The design was a cluster-randomized trial in 25 secondary schools in Victoria, Australia. ...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2004.047399
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVES:This study sought to determine whether nutrient-rich whole grains reduce mortality risk. METHODS:The study included 38,740 Iowa women, aged 55 to 69 years. A food frequency questionnaire was used to obtain data on grain intake. RESULTS:Median whole grain intake quintiles ranged from a median of 0.2 to more...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.3.322
更新日期:1999-03-01 00:00:00
abstract::In the North Karelia Youth Program five to 10 classroom sessions over two years taught skills to resist pressures to start smoking to 13 to 15 year old students. Compared to students from comparison schools, the treatment groups reported less smoking immediately after the intervention and in a four-year follow-up surv...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.1.78
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVES:This study sought to identify characteristics of high-risk pregnant women that predicted long-term participation in a home visitation program. METHODS:Data regarding sociodemographic characteristics, perceived needs, psychological functioning, substance use, and informal social support were collected prospe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.1.121
更新日期:2000-01-01 00:00:00
abstract::For both clinical and economic reasons, the increasing number of persons living with chronic conditions represents a public health issue of growing importance. Emphasizing patient responsibility, and acting in concert with the provider community, self-management represents a promising strategy for treating chronic con...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2014.302041
更新日期:2014-08-01 00:00:00
abstract::Workplace barriers contribute to low rates of breastfeeding. Research shows that supportive state laws correlate with higher rates, yet by 2009, only 23 states had adopted any laws to encourage breastfeeding in the workplace. Federal law provided virtually no protection to working mothers until the 2010 enactment of t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.185280
更新日期:2011-02-01 00:00:00
abstract::Information regarding all patient and staff exposures to varicella-zoster virus (VZV) was prospectively accumulated from 1/1/86 to 12/31/86 at North Carolina Memorial Hospital. During this period of time 37 sources of exposure to VZV were reported: 10 outside and 27 within the hospital. Index cases for nosocomial expo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.1.19
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVES:We estimated national and state-level potential medical care cost savings achievable through modest reductions in the prevalence of several diseases associated with the same lifestyle-related risk factors. METHODS:Using Medical Expenditure Panel Survey Household Component data (2003-2005), we estimated the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.182287
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVES:We examined how National Cancer Institute-funded Community Network Programs (CNPs) operationalized principles of community-based participatory research (CBPR). METHODS:We reviewed the literature and extant CBPR measurement tools. On the basis of that review, we developed a 27-item questionnaire for CNPs to ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300304
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVES:To examine the role of Department of Defense policies in identifying theater-sustained traumatic brain injuries (TBIs). METHODS:We conducted a retrospective study of 48 172 US military service members who sustained their first lifetime TBIs between 2001 and 2016 while deployed to Afghanistan or Iraq. We use...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304347
更新日期:2018-05-01 00:00:00
abstract::The Gay, Lesbian, Bisexual, and Transgender (GLBT) Health Access Project is a unique public-private collaboration working to eliminate barriers to health care for the GLBT community, foster development of comprehensive, culturally appropriate health promotion policies and health care services for GLBT people and their...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.6.895
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVES:We examined the contribution of hospital type and quality of care to perinatal mortality rates in the city of Belo Horizonte, Brazil. METHODS:We used a cohort study of all births (40953) and perinatal deaths (826) in Belo Horizonte in1999. After adjusting for maternal education and birthweight, we compared ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.075986
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVES:This study examined the relationship of sociodemographic factors and use of substances other than cocaine to cocaine use from 1987 to 1992 in a cohort of Black and White men and women 20 to 32 years of age. METHODS:Data were collected as part of the Coronary Artery Risk Development in Young Adults study. Se...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.86.12.1736
更新日期:1996-12-01 00:00:00