Abstract:
OBJECTIVES:This study examined two major methadone treatment factors, visit frequency and methadone dose, posited to be important in reducing intravenous drug use and human immunodeficiency virus (HIV) transmission. METHODS:One hundred fifty opiate-dependent subjects randomly assigned to four groups received 50 or 80 mg of methadone and attended a clinic 2 or 5 days per week. RESULTS:Survival analysis indicated higher dropout rates for groups having five vs two visits per week (Chi2[1]=7.76). Higher proportions of opiate-positive results on urine screens were associated with lower methadone doses (F[1,91]=4.74). CONCLUSIONS:Receiving take-home doses early in treatment enhanced treatment retention. The 50-mg dose combined with five visits per week produced the worst outcome. Fewer visits enhanced retention at 50 mg, but opiate use rates were higher at this dose than they were for either 80-mg group. The HIV infection rate at entry was 9%. No subjects seroconverted during the study. Risk behaviors for acquired immunodeficiency syndrome declined over time regardless of group/dose assignment. These results have important implications for modification of regulatory and clinic policy changes.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Rhoades HM,Creson D,Elk R,Schmitz J,Grabowski Jdoi
10.2105/ajph.88.1.34subject
Has Abstractpub_date
1998-01-01 00:00:00pages
34-9issue
1eissn
0090-0036issn
1541-0048journal_volume
88pub_type
临床试验,杂志文章,随机对照试验abstract:OBJECTIVES:Healthy People 2010: Understanding and Improving Health lists 6 areas of disparity in minority health services: infant mortality, cancer, cardiovascular disease, HIV/AIDS, diabetes, and immunizations. This study compiles existing Asian American and Pacific Islander (AAPI) health data to establish a baseline....
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.12.2093
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVES:We identified barriers and facilitators to the state-level implementation of primary stroke center (PSC) policies, which encourage the certification or designation of specialized stroke treatment facilities and may address concerns such as transportation bypass, telemedicine, and treatment protocols. METHOD...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.197954
更新日期:2011-03-01 00:00:00
abstract::We investigated the effects of improved indoor environmental quality (IEQ) on perceived health and productivity in occupants who moved from conventional to green (according to Leadership in Energy and Environmental Design ratings) office buildings. In 2 retrospective-prospective case studies we found that improved IEQ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.180687
更新日期:2010-09-01 00:00:00
abstract::We investigated sexual orientation disparities in Papanicolaou screening among US women aged 21 to 44 years (n = 9581) in the 2006 to 2010 National Survey of Family Growth. The odds ratios for lesbian versus heterosexual women and women with no versus only male sexual partners were 0.40 and 0.32, respectively, and wer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301548
更新日期:2014-02-01 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::A parasitic surveillance of farm workers of Puerto Rican background and their children revealed a high prevalence rate (35.5%) of parasites in this population. This high prevalence rate, however, was expected in view of the fact that other researchers have found a high degree of parasitosis in Puerto Rican populations...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.10.1103
更新日期:1980-10-01 00:00:00
abstract::This study assessed the need for physician services among a group of institutionalized mentally retarded individuals in anticipation of their transfer to community residential facilities and subsequent management of their care by community-based physicians. The clients' personal physicians in the institution identifie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.10.1202
更新日期:1986-10-01 00:00:00
abstract::To evaluate helmet use in California before and after the introduction of an unrestricted helmet use law on January 1, 1992, observations of motorcycles and their riders were made at 60 locations in seven California counties, twice before and four times after the law was introduced. Helmet use increased from about 50%...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.1.96
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVES:This study determined the effect of provider (nurse or teacher) and training method (workshop or self-preparation) on outcomes of a social influences smoking prevention program. METHODS:One hundred elementary schools were stratified by school risk score (high risk = high smoking rate among senior students) ...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.89.12.1827
更新日期:1999-12-01 00:00:00
abstract::Children screened for lead poisoning in the Brownsville district of New York City in either summer or winter were followed with blood lead tests for approximately six months to one year from screening to measure longitudinal changes in blood lead level and to identify some determinants of the changes. Only minimal evi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.4.348
更新日期:1979-04-01 00:00:00
abstract:OBJECTIVES:We sought to learn how employees reacted to changes in the corporate narrative of Philip Morris Companies (PMC) in the late 1990s and early 2000s. METHODS:We analyzed archival internal tobacco industry documents about PMC's creation of a new corporate story. RESULTS:In response to litigation and public opp...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302767
更新日期:2015-10-01 00:00:00
abstract::The science of eliminating health disparities is complex and dependent on demographic data. The Health Information Technology for Economic and Clinical Health Act (HITECH) encourages the adoption of electronic health records and requires basic demographic data collection; however, current data generated are insufficie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302384
更新日期:2015-07-01 00:00:00
abstract::Pandemic Influenza: Special Considerations for Pregnant Women was a meeting convened by the Centers for Disease Control and Prevention in 2008 to obtain input from experts and key partners regarding clinical management of pregnant women and related public health actions to be taken during a pandemic. Meeting goals wer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.152900
更新日期:2009-10-01 00:00:00
abstract::Assessments of the consequences of deinstitutionalization tend to focus primarily on observable changes in psychiatric services. Equally critical, and less often noted, are changes in the target population of deinstitutionalization that have accrued as the result of new service initiatives and changing loci of care. Y...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.4.382
更新日期:1984-04-01 00:00:00
abstract::From 1983 to 1985, the New York City Department of Health investigated five workplace outbreaks of rubella. Approximately 40 per cent of the 265 cases were detected among women of child-bearing age (15-44 years). Data are reviewed from the 1983 Financial District outbreak to illustrate the continued susceptibility of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.6.725
更新日期:1987-06-01 00:00:00
abstract:OBJECTIVES:We described 27-year secular trends in added-sugar intake and body mass index (BMI) among Americans aged 25 to 74 years. METHODS:The Minnesota Heart Survey (1980-1982 to 2007-2009) is a surveillance study of cardiovascular risk factors among residents of the Minneapolis-St Paul area. We used generalized lin...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300562
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:We examined factors associated with completing, initiating, or intending to pursue voluntary national accreditation among local health departments (LHDs). METHODS:We examined National Association of County and City Health Officials 2010 and 2013 profile data in a pooled cross-sectional design with bivariate...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302503
更新日期:2015-08-01 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::From mid-June through early August 1980, an outbreak of gastrointestinal illness in Red Lodge, Montana affected approximately 780 persons, as estimated from attack rates of 33 per cent and 15 per cent in urban and rural residents, respectively. Giardia lamblia was identified in stool specimens from 51 per cent of 47 p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.8.868
更新日期:1983-08-01 00:00:00
abstract:OBJECTIVES:We used Bronfenbrenner's ecological systems theory to identify factors that predicted never or sometimes using condoms in a multiethnic cohort of adolescent mothers. METHODS:We interviewed adolescent mothers within 48 hours of delivery and surveyed them 6 and 12 months after delivery (n = 636). We used mult...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.131870
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVES:We assessed shifts in patterns of mortality during a hot weather event in greater Vancouver, British Columbia. METHODS:We used a case-only analysis to compare characteristics of individuals who died during the hottest week of 2009 with those who died (1) during earlier summer weeks in 2009 and (2) during th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300670
更新日期:2012-12-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to determine the number of induced abortions per woman and the reasons for selecting induced abortion among parous Armenian women. METHODS:A consecutive series of 200 women attending an abortion clinic in Yerevan, Armenia, were queried by a physician about their reproductive hi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.5.803
更新日期:1998-05-01 00:00:00
abstract:OBJECTIVES:In February 2007, Public Health-Seattle and King County issued a press release describing a cluster of multiclass drug-resistant HIV cases among men who had sex with men (MSM). We evaluated the effect of the press release among MSM in the Seattle area. METHODS:We administered a rapid assessment survey at ve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.126656
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVES:We characterized smokers who are likely to use electronic or "e-"cigarettes to quit smoking. METHODS:We obtained cross-sectional data in 2010-2012 from 1567 adult daily smokers in Hawaii using a paper-and-pencil survey. Analyses were conducted using logistic regression. RESULTS:Of the participants, 13% rep...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301453
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVES:This study identified behavioral and psychosocial/interpersonal factors in young adolescence that are associated with handgun carrying in later adolescence. METHODS:A sample of 2200 high school students was surveyed at 9th grade and again at 12th grade. RESULTS:Multivariate logistic regression analyses ind...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.6.960
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVES:We determined racial/ethnic differences in social support and exposure to violence and transphobia, and explored correlates of depression among male-to-female transgender women with a history of sex work (THSW). METHODS:A total of 573 THSW who worked or resided in San Francisco or Oakland, California, were ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.197285
更新日期:2011-10-01 00:00:00
abstract::Examining previously underused corporate documents, we revisit the story of the Asbestos Information Association/North America, an industry trade group that sought in the early 1970s to counteract the growing public attention to, and government regulation of, asbestos as a serious threat to workers and consumers. From...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.303023
更新日期:2016-05-01 00:00:00
abstract::This study provides the first estimated prevalence of implanted orthopedic fixation devices (e.g., pins or wires) among children in the United States, based on the Medical Device Implant Supplement to the 1988 National Health Interview Survey. The overall prevalence was 27 per 10,000 children younger than 18 years; pr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.7.1028
更新日期:1993-07-01 00:00:00
abstract:OBJECTIVES:We assessed whether local health departments (LHDs) were conducting obesity prevention programs and diabetes screening programs, and we examined associations between LHD characteristics and whether they conducted these programs. METHODS:We used the 2005 National Profile of Local Health Departments to conduc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.168831
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND:Smoking among young women is associated with a variety of negative health outcomes. Gender specific influences on smoking, quitting and attempting to quit are hypothesized to occur and may have implications for cessation programs. METHODS:Telephone surveys were conducted in a large (n = 6,711) cohort of you...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.3.324
更新日期:1991-03-01 00:00:00