Abstract:
OBJECTIVES:This study assessed the effectiveness of a family planning intervention with and without husband's participation in reducing pregnancy and abortion rates in Shanghai, China. METHODS:In this 3-arm randomized trial among 1800 nonsterilized married women, educational interventions targeting both spouses and targeting the wife only were compared with usual family planning care. RESULTS:Among women not using intrauterine devices (IUDs), the intervention with husband's participation had an effect in reducing pregnancy rates (adjusted odds ratio [OR] = 0.36, 95% confidence interval [CI] = 0.12, 1.1) and abortion rates (adjusted OR = 0.29, CI = 0.09, 0.94) compared with control subjects, and a significant effect in reducing pregnancy rates (adjusted OR = 0.29, CI = 0.10, 0.85) and abortion rates (adjusted OR = 0.24, CI = 0.07, 0.77) compared with wife-only subjects. CONCLUSIONS:Family planning interventions involving husbands may reduce pregnancy and abortion rates among non-IUD users.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Wang CC,Vittinghoff E,Hua LS,Yun WH,Rong ZMdoi
10.2105/ajph.88.4.646subject
Has Abstractpub_date
1998-04-01 00:00:00pages
646-8issue
4eissn
0090-0036issn
1541-0048journal_volume
88pub_type
临床试验,杂志文章,随机对照试验abstract::Curricular change is essential for maintaining vibrant, timely, and relevant educational programming. However, major renewal of a long-standing curriculum at an established university presents many challenges for leaders, faculty, staff, and students. We present a case study of a dramatic curriculum renewal of one of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302470
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to elucidate changes in attitudes, experiences, readiness, and confidence levels of medical residents to perform screening, brief intervention, and referral to treatment (SBIRT) and factors that moderate these changes. METHODS:A cohort of 121 medical residents received an educa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300802
更新日期:2012-08-01 00:00:00
abstract::Thirty-nine per cent of 1,900 randomly selected adult Health Plan members received one or more tetanus injections during a 10-year period of continuous eligibility. Age-specific immunization rates decreased from 47 per cent for 20-39 year olds to 28 per cent for those over age 70. Nearly half of the elderly, age 60+, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.8.841
更新日期:1984-08-01 00:00:00
abstract::A representative sample of women living in metropolitan Los Angeles were asked what they heard and what they believed about mammography and whether they would obtain a mammogram if their doctor advised it. Forty percent of these women said they had not heard of mammography even after the procedure was described. Few o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.11.1172
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abstract::The advent of RU 486 (mifepristone), a steroid analogue capable of inducing menses within 8 to 10 weeks of a missed menstrual period, has provoked a firestorm of concern and controversy. When used in conjunction with prostaglandin (RU 486/PG), it is at least 95% effective. Used in France principally to terminate confi...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.82.10.1399
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abstract:OBJECTIVES:This study sought to estimate the risk of silicosis by cumulative exposure-years in a cohort of miners exposed to silica, as well as the lifetime risk of silicosis under the current Occupational Safety and Health Administration (OSHA) standard (0.09 mg/m3). METHODS:In a cohort study of 3330 gold miners who ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.10.1372
更新日期:1995-10-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to determine the prevalence and effect of domestic violence and childhood sexual abuse in women with HIV or at risk for HIV infection. METHODS:Participants with HIV or at risk for HIV infection enrolled in the Women's Interagency HIV Study. Childhood sexual abuse; all physical,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.4.560
更新日期:2000-04-01 00:00:00
abstract::Oral health needs are urgent in rural states. Creative, broad-based, and collaborative solutions can alleviate these needs. "Health commons" sites are enhanced, community-based, primary care safety net practices that include medical, behavioral, social, public, and oral health services. Successful intervention require...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.98.supplement_1.s89
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVES:We estimated the effects of high incarceration rates on rates of sexually transmitted infections and teenage pregnancies. METHODS:We calculated correlations between rates of incarceration in state prisons and county jails and rates of sexually transmitted infections and teenage pregnancies for each of the 1...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.081760
更新日期:2006-10-01 00:00:00
abstract::To understand the social distribution of environmental hazards, methods to assess cumulative effects and their health implications are needed. We developed a cumulative environmental hazard index integrating environmental data on pollution sites, air quality, and pesticide use; a social vulnerability index to measure ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300466
更新日期:2012-05-01 00:00:00
abstract::This paper models the prevailing political attack on government as a heuristic, a judgmental strategy that simplifies complex phenomena by applying simple tests to a limited set of relevant data. The heuristic of market individualism offers three tools for analyzing the problems of governing: the supremacy of the free...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.10.1607
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVES:We examined the impact of a change in New York tax law on the numbers of untaxed cigarettes bootlegged from Native American reservations and resold in the South Bronx. METHODS:Discarded cigarette packs were systematically collected in 30 randomized South Bronx census tracks before and after the amended tax ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302340
更新日期:2015-04-01 00:00:00
abstract::We report on the use of an instrument to measure exposure to stressors among 149 women presenting with their children for pediatric care at an urban primary care center. Overall, 38.3 percent of the women had significant levels of depressive symptoms; 71.4 percent of those in the "high stress" group had an adjusted pr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.9.1295
更新日期:1989-09-01 00:00:00
abstract:OBJECTIVES:We examined changes in service use in a Housing First (HF) pilot program for adults who were homeless with medical illnesses and high prior acute-care use relative to a similar comparison group. METHODS:We used a 1-year pre-post comparison group design. The 29 participants and 31 comparison group members we...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300867
更新日期:2013-02-01 00:00:00
abstract:BACKGROUND:In Oregon, adult foster care (AFC) homes, which are private residences where a live-in manager cares for one to five disabled residents, have been covered by Medicaid since 1981 and seem to offer a mainstream alternative to nursing homes. They house almost 6000 older people, two thirds of which pay privately...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.9.1113
更新日期:1991-09-01 00:00:00
abstract::We describe a community-based pilot study to boost HIV testing in a minority community through social network recruitment and a noninvasive HIV testing methodology. Over an 11-month period, the number of test takers at the intervention site increased by 71.7%, and the proportions of test takers with risk factors simil...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.1.29
更新日期:2004-01-01 00:00:00
abstract::The effects of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on breast-feeding behavior have been sometimes found inadequate. The determinants of breast-feeding initiation and duration among WIC participants and nonparticipants were modeled by using retrospective cross-sectional dat...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.5.729
更新日期:1995-05-01 00:00:00
abstract::Cancer mortality in Texas 1969-80 was 25 per cent lower among Mexican American males compared to other Whites; among females, rates were only 4 per cent lower. Reduced mortality was primarily a result of lower rates for cancers of the most common sites: lung, colon, breast and prostate. However, for cancers of the sto...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.7.851
更新日期:1987-07-01 00:00:00
abstract::The World Health Organization's determination of the Ebola virus disease outbreak as a public health event of international concern prompted nonaffected countries to implement measures to prevent, detect, and manage the introduction of the virus in their territories. The outbreak provided an opportunity to assess the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302969
更新日期:2016-02-01 00:00:00
abstract::Addiction is a complex brain disease with frequently overlapping expressions involving nicotine, alcohol, and other drugs. Yet current health care practices, public policies, and national treatment data too often exclude nicotine or address its use as completely separate from other forms of substance use and addiction...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301448
更新日期:2013-08-01 00:00:00
abstract::This study was designed to assess the effects of the North Carolina Improved Pregnancy Outcome (IPO) Project on use of prenatal care and incidence of low birthweight among its primarily Black registrants . Weighted least squares and stratified analysis procedures were used to scrutinize vital statistics data for subpo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.6.549
更新日期:1984-06-01 00:00:00
abstract::We use systems thinking to develop a strategic framework for analyzing the tobacco problem and we suggest solutions. Humans are vulnerable to nicotine addiction, and the most marketable form of nicotine delivery is the most harmful. A tobacco use management system has evolved out of governments' attempts to regulate t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165910
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVES:The World Health Organization's Regional Office for Europe has undertaken a large study to evaluate housing and health in 7 European cities. METHODS:Survey tools were used to obtain information about housing and living conditions, health perception, and health status from a representative sample of the popu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.9.1559
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of dietary advice in primary prevention of chronic disease. METHODS:A meta-analysis was conducted of 17 randomized controlled trials of dietary behavior interventions of at least 3 months' duration. Results were analyzed as changes in reported dietary fat intakes and b...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/ajph.87.9.1415
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVES:We examined HIV diagnosis rates and disease progression among men who have sex with men (MSM) according to race/ethnicity and age. METHODS:Using data obtained from the national HIV/AIDS surveillance system, we examined trends in HIV diagnosis rates for 2001 through 2004 using Poisson regression. We used a s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087551
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVES:We examined rates of uninsurance among workers in the US health care workforce by health care industry subtype and workforce category. METHODS:We used 2004 to 2006 National Health Interview Survey data to assess health insurance coverage rates. Multivariate logistic regression analyses were conducted to est...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.152413
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVES:The role of competing priorities as a barrier to the utilization of physical health services was assessed in a subset (n = 363) of a probability sample of homeless adults in Los Angeles. METHODS:Unadjusted odds of four measures of health services utilization were calculated for those with frequent difficult...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.2.217
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVES:We estimated the prevalence and determinants of secondhand smoke (SHS) exposure among nonsmoking adolescents in 9 West African countries. METHODS:We conducted a pooled analysis with nationally representative 2006 to 2009 Global Youth Tobacco Survey data. We used descriptive statistics to determine the preva...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302661
更新日期:2015-09-01 00:00:00
abstract::Suicide is a public health problem disproportionately associated with some demographic characteristics (e.g., sexual orientation, veteran status). Analyses of the Massachusetts Behavioral Risk Factor Surveillance Survey data revealed that more lesbian, gay, and bisexual (i.e., sexual minority) veterans reported suicid...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300565
更新日期:2012-03-01 00:00:00
abstract::Hookah use is gaining popularity nationwide. We determined the correlates and trends for hookah use from the California Tobacco Survey. Between 2005 and 2008 hookah use increased more than 40%, and in 2008, 24.5% of young men reported ever using a hookah. Hookah use was more common among the young (18-24 years), the e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300196
更新日期:2011-10-01 00:00:00