Abstract:
OBJECTIVES:Interpreting associations between lead exposure and child behavior problems is difficult because studies have not controlled for sociodemographic confounders or have used shed teeth to mark exposure. This study explored associations between blood lead and preschool behavior. METHODS:Children from a smelter town and a non-lead-exposed town in Yugoslavia were followed up prospectively from pregnancy through age 3. The Child Behavior Checklist was used to assess behavior problems in 379 3-year-olds, controlling for sociodemographic factors and difficult infant temperament. RESULTS:Multiple regression revealed the expected significant associations between checklist subscales and sociodemographic factors, which explained 7% to 18% of the variance on the subscales. Concurrent blood lead explained a significant 1% to 4% of the variance on the Destructive and Withdrawn subscales. Earlier difficult temperament explained an additional 2% to 5% of the checklist variance. Scores on the Destructive subscale were consistently associated with blood lead. As blood lead increased from 10 to 20 micrograms/dL, subscale scores increased by approximately 0.5 points. CONCLUSIONS:Lead/behavior associations are significant but small compared with the effects of social factors.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Wasserman GA,Staghezza-Jaramillo B,Shrout P,Popovac D,Graziano Jdoi
10.2105/ajph.88.3.481subject
Has Abstractpub_date
1998-03-01 00:00:00pages
481-6issue
3eissn
0090-0036issn
1541-0048journal_volume
88pub_type
杂志文章abstract::We evaluated the risks of brain cancer in relation to employment history in a case-control study of 312 cases and 1,248 cancer controls. Subjects were identified through the Missouri Cancer Registry for the period 1984 through 1988. Job classification was based on data routinely abstracted from hospital records. Eleva...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.2.169
更新日期:1990-02-01 00:00:00
abstract::Objectives. To assess the health impact of Hurricane Irma and Hurricane Maria on St Thomas, US Virgin Islands.Methods. We collected data from interviews conducted 6 and 9 months after the hurricanes, a review of 597 randomly selected emergency department (ED) encounters, and administrative records from 10 716 ED visit...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305310
更新日期:2019-12-01 00:00:00
abstract::Urban form, the law, and health are undoubtedly linked. However, nonlegal factors such as 20th-century reliance on the automobile as well as associated governmental actions and private investment choices have greatly influenced urban form, especially urban sprawl. The American system of federalism, with its traditiona...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.9.1395
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVES:We identified courses of depressive symptoms in an epidemiological sample of emerging adults. METHODS:We used latent class growth modeling to identify trajectories of depressive symptoms measured by the 12-item Center for Epidemiological Studies Depression Scale (CES-D) during a 14-year follow-up of 2825 Ca...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302817
更新日期:2015-11-01 00:00:00
abstract::The United Nations Convention on the Rights of Persons with Disabilities (CRPD) has foregrounded disability as a human rights and equity issue, elevating it to a priority global research area. Academics from Western universities are likely to play an increasing role in disability health research in developing countrie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302006
更新日期:2014-11-01 00:00:00
abstract::An ever-present challenge for the oral health profession is to reduce the extent of oral disease among racial and ethnic minority populations. Adding to this complex dilemma is the linkage between oral health and systemic health. We describe enhanced cultural competency, in the context of individual cultural beliefs, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303721
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVES:This study developed national estimates of the burden of selected infectious diseases among correctional inmates and releases during 1997. METHODS:Data from surveys, surveillance, and other reports were synthesized to develop these estimates. RESULTS:During 1997, 20% to 26% of all people living with HIV in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.11.1789
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVES:To evaluate the effectiveness of an evidence-based, parent-centered intervention, Familias Unidas, delivered by nonresearch personnel, in preventing substance use (alcohol, illicit drugs) and sex without a condom among Hispanic adolescents. METHODS:A randomized controlled trial (n = 746) evaluated the effec...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2017.303653
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVES:The authors examined Americans' opinions about financial and treatment competence of people with mental health problems, potential for harm to self or others, and the use of legal means to force treatment. METHODS:The 1996 General Social Survey provided interview data with a nationally representative sample...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.9.1339
更新日期:1999-09-01 00:00:00
abstract::Consumption and prices of tobacco products in Canada and the United States are compared over the period 1981 to 1989. In Canada, consumption has fallen from a higher level and at a faster rate than in the United States (3.52 kg/adult to 2.48 kg/adult vs 3.21 kg/adult to 2.48 kg/adult). With respect to cost, the real t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.7.902
更新日期:1991-07-01 00:00:00
abstract::The US Public Health Service began the medical examination of immigrants at US ports in 1891. By 1924, national origin had become a means to justify broad-based exclusion of immigrants after Congress passed legislation restricting immigration from southern and eastern European countries. This legislation was passed ba...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.84.12.2011
更新日期:1994-12-01 00:00:00
abstract::Bacillus thuringiensis var. kurstaki (B.t.-k) is a microbial pesticide which has been widely used for over 30 years. Its safety for a human population living in sprayed areas has never been tested. Surveillance for human infections caused by B.t.-k among Lane County, Oregon residents was conducted during two seasons o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.7.848
更新日期:1990-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.129064
更新日期:2008-08-01 00:00:00
abstract::The soviet Union has experienced an increase in the incidence of coronary heart disease over the last 15 years sufficient to result in an overall deterioration in the health of adults. The distribution of coronary risk factors, and the secular trends in diet and cigarette consumption, provide a potential explanation f...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.5.431
更新日期:1982-05-01 00:00:00
abstract::Public health, like politics, is the art of the possible. To maximize effectiveness, public health officers in any jurisdiction should (1) get good data and ensure timely and effective dissemination; (2) prioritize and tackle more difficult initiatives first; (3) find, fight, and win winnable battles in areas where pr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303204
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVES:We examined the associations of local public health system organization and local health department resources with county-level sexually transmitted disease (STD) incidence rates in large US health jurisdictions. METHODS:We linked annual county STD incidence data (2005-2008) to local health department direc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300497
更新日期:2012-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301111
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVES:We provide an updated meta-analysis on the effectiveness of Project D.A.R.E. in preventing alcohol, tobacco, and illicit drug use among school-aged youths. METHODS:We used meta-analytic techniques to create an overall effect size for D.A.R.E. outcome evaluations reported in scientific journals. RESULTS:The...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.6.1027
更新日期:2004-06-01 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
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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::Cervix and breast cancer incidence in 1978-82 was computed for immigrant and United States-born Black women in Brooklyn, New York. Compared to the national SEER (Surveillance, Epidemiology and End Results) rates, US-born and Haitian women had high rates of invasive cervical cancer, while English-speaking Caribbean imm...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.722
更新日期:1990-06-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to identify circumstances in which biochemical assessments of smoking produce systematically higher or lower estimates of smoking than self-reports. A secondary aim was to evaluate different statistical approaches to analyzing variation in validity estimates. METHODS:Literature...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/ajph.84.7.1086
更新日期:1994-07-01 00:00:00
abstract::Objectives. To assess the validity of the immigrant health paradox among Arab Americans in California.Methods. We used data from the 2003 to 2017 California Health Interview Survey (n = 1425). We used survey-weighted χ2 and logistic regression analyses to compare Arabs by immigrant generation on socioeconomic indicato...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305308
更新日期:2019-12-01 00:00:00
abstract::In recent years, advocates for increasing access to medical and oral health care have argued for expanding the scope of practice of dentists and physicians. Although this idea may have merit, significant legal and other barriers stand in the way of allowing dentists to do more primary health care, physicians to do mor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302654
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:We sought to describe the extent and nature of contact with the health care system before suicide among veterans with substance use disorders (SUDs). METHODS:We examined all male Veterans Health Administration patients who died by suicide between October 1, 1999, and September 30, 2007, and who had a docume...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300392
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVES:The median incidence rate of acquired immunodeficiency syndrome (AIDS) among prisoners is 7 times higher than for the general population. Yet high-risk sexual activity and drug use in US correctional facilities remain unexamined. This study explores inmate perceptions of high-risk behavior in New York state ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.9.1211
更新日期:1996-09-01 00:00:00
abstract::The expansion of United States for-profit hospital chains into the international arena is a new and important development. Experiences with contract management of middle eastern hospitals in the early 1970s gave the American firms impetus to pursue ownership of health facilities in other parts of the world. US compani...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.10.1280
更新日期:1987-10-01 00:00:00
abstract::This study examined the prevalence and correlates of unprotected anal intercourse among 758 young African American men who have sex with men. A quarter of the sample reported unprotected anal intercourse in the past 3 months; nonsupportive peer norms and not carrying condoms predicted risky sexual behavior. Effective ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.7.1122
更新日期:2004-07-01 00:00:00
abstract::Estimates from the National Study of the Incidence and Severity of Child Abuse and Neglect suggest that hospitals recognized over 77,000 cases of child abuse between May 3, 1979, and April 30, 1980. Compared to other agencies in the sample, hospitals identified children who were younger, Black, lived in urban areas, a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.1.56
更新日期:1985-01-01 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