Abstract:
OBJECTIVES:This study examined the relationship between atrial fibrillation and (1) stroke and (2) all-cause mortality. METHODS:All eligible Medicare patients older than 65 years of age hospitalized in 1985 were followed up for 4 years. Kaplan-Meier and Cox proportional hazards models were used for assessment of risk of stroke and mortality. RESULTS:A total of 4,282,607 eligible Medicare patients were hospitalized in 1985. The mean age was 76.1 (+/- 7.7) years; 58.7% were female; 7.2% were Black; and 8.4% had a diagnosis of atrial fibrillation. During the follow-up period, 66,063 patients (32.6/1000 person-years) developed nonembolic stroke and 7285 (3.6/1000 person-years) developed embolic stroke. After adjustment for age, race, sex, and comorbid conditions, atrial fibrillation remained a significant risk factor for both nonembolic stroke (relative risk [RR] = 1.56) and embolic stroke (RR = 5.80) and for mortality (RR = 1.31). Approximately 4.5% of nonembolic and 28.7% of embolic strokes among hospitalized Medicare patients aged 65 years and older were attributable to atrial fibrillation. CONCLUSIONS:This study demonstrates that atrial fibrillation is associated with an appreciable increase in the risk of stroke (both embolic and nonembolic) and in the risk of mortality from all causes.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Yuan Z,Bowlin S,Einstadter D,Cebul RD,Conners AR Jr,Rimm AAdoi
10.2105/ajph.88.3.395subject
Has Abstractpub_date
1998-03-01 00:00:00pages
395-400issue
3eissn
0090-0036issn
1541-0048journal_volume
88pub_type
杂志文章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:BACKGROUND:Brazil is the world's fifth largest and sixth most populous nation. Its economy is varied, with strong manufacturing, agriculture, mining, and service sectors. Therefore, a wide variety of workplace hazards confronts its work force. This paper describes Brazil's occupational safety and health regulatory sche...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.12.1619
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVES:To evaluate trends in rates of personal belief exemptions (PBEs) to immunization requirements for private kindergartens in California that practice alternative educational methods. METHODS:We used California Department of Public Health data on kindergarten PBE rates from 2000 to 2014 to compare annual avera...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303498
更新日期:2017-01-01 00:00:00
abstract::Using data from the American Medical Association's Physician Masterfiles (1963-80) and the GINI index of resource concentration as a global measure of changes in the pattern of locational choice, the expectation of a more uniform distribution of physicians is shown to have been met for all major categories of physicia...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.6.638
更新日期:1986-06-01 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::Curriculum development in masters of public health programs that effectively meets the complex challenges of the 21st century is an important part of public health education and requires purposeful thinking. Current approaches to training the public health work-force do not adequately prepare professionals to be cultu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.062950
更新日期:2006-07-01 00:00:00
abstract::This paper offers suggestions to adi the selection of appropriate instruments and data gathering methods for studies that require measures of personal health status applicable in general populations. Before selecting measures, the reason for studying health status must be identified. Next, definitional issues arise wh...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.6.620
更新日期:1981-06-01 00:00:00
abstract::Public awareness of the risks of drinking during pregnancy was assessed in a Northwestern metropolitan county. Ninety per cent of respondents stated spontaneously that drinking might be harmful, and one-fourth of this group felt pregnant women should customarily abstain from alcohol. The balance of those who considere...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.3.312
更新日期:1981-03-01 00:00:00
abstract:OBJECTIVES:We sought to examine sexual violence victimization in childhood and sexual risk indicators in young adulthood in a primarily Latina and Black cohort of "mostly heterosexual" and heterosexual women in the Project on Human Development in Chicago Neighborhoods (PHDCN). METHODS:In 2000, a comprehensive survey t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.099473
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVES:We examined low-birthweight (LBW) rates among participants in Colorado's Prenatal Plus program by prenatal risk factors (smoking, inadequate weight gain during pregnancy, and psychosocial problems) and the effect of successful resolution of these risks during pregnancy. METHODS:Data for 3569 Medicaid-eligib...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.047068
更新日期:2005-11-01 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::A two-year study of the microbiological quality of drinking water in 27 randomly selected North Carolina migrant labor camps yielded total and fecal coliform prevalences of 44 percent and 26 percent, respectively in 1988 and similar but higher prevalences in 1989. Preoccupancy testing by county sanitarians had found v...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.762
更新日期:1991-06-01 00:00:00
abstract::Response levels obtained from two methods of patient contact to obtain subject consent for participation in epidemiologic studies were compared. When a signed, return card was required prior to further contact, 70 to 83 per cent of patients consented to participate, compared with consistently higher levels (89 to 93 p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.11.1331
更新日期:1986-11-01 00:00:00
abstract::More than 100 years ago, public health began as an organized discipline, its purpose being to improve the health of populations rather than of individuals. Given its population-based focus, however, public health perennially faces dilemmas concerning the appropriate extent of its reach and whether its activities infri...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.11.1776
更新日期:2001-11-01 00:00:00
abstract::Nicotine replacement therapy (NRT) is recommended for tobacco cessation on the basis of pharmaceutical industry research showing its effectiveness when combined with counseling. The tobacco industry opposed NRT when it first appeared in the 1980s but by 2016 was marketing its own NRT products. We used internal tobacco...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303935
更新日期:2017-10-01 00:00:00
abstract::Fifty-one infants born to women employed at two capacitor manufacturing facilities with a history of high exposure to polychlorinated biphenyls (PCBs) had a mean birthweight of 153 grams less than that of 337 infants born to women who had worked in low-exposure areas (90 per cent confidence interval, -286 to -20 g); m...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.10.1153
更新日期:1984-10-01 00:00:00
abstract::Using data from the Child Health Supplement to the 1981 National Health Interview Survey, illness and use of physician services are compared for children under 18 years old in three family income groups. The results indicate that although annual prevalence of many health problems does not differ greatly by income leve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.8.927
更新日期:1988-08-01 00:00:00
abstract:OBJECTIVES:We examined medically treated injuries among US workers with disability. METHODS:Using 2006-2010 National Health Interview Survey data, we compared 3-month rates of nonoccupational and occupational injuries to workers with disability (n = 7729) and without disability (n = 175 947). We fitted multivariable l...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300888
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVES:We examined associations among 3 dimensions of sexual orientation (identity, behavior, and attraction) and key health-related indicators commonly studied among sexual minority populations: depressive symptoms, perceived stress, smoking, binge drinking, and victimization. METHODS:We analyzed data from the Na...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300262
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVES:We assessed awareness of and preferences for rapid HIV testing among young, urban men of color who have sex with men and are engaged in high-risk behaviors for HIV. METHODS:A cross-sectional survey was conducted in New York City among 177 young men who have sex with men (MSM). RESULTS:Among the 85% of the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.140632
更新日期:2010-10-01 00:00:00
abstract::A nation-wide survey of Parent-Inclusive Pediatric Units identified innovations and restrictions in policies and practices. Questionnaires mailed to Directors of Nursing Service at 84 general hospitals which encourage parental "living-in" indicated that parents are provided with a place to sleep but infrequently are o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.9.847
更新日期:1978-09-01 00:00:00
abstract::Workplace violence is becoming increasingly recognized as a serious problem in health care settings. All 628 workers' compensation assaults claimed by minority Los Angeles County health care workers from 1986 through 1990 were abstracted. Population-at-risk data from county personnel computer tapes provided denominato...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.7.1011
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVES:A longitudinal survey assessed the distribution of adult body weight among the Chinese population. METHODS:Data from the 1989 and 1991 China Health and Nutrition Survey were used to study changes in the proportions of adults aged 20-45 years who were classified as underweight, normal weight, overweight, and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.5.690
更新日期:1995-05-01 00:00:00
abstract::During 33 screening sessions in Denver gay steambaths, 48 of 419 (11.5 per cent) men were found to have asymptomatic gonorrhea and six (1.4 per cent) had early latent syphilis. Questionnaires were administered to 160 men who reported a mean of 7.9 different male sex contacts per month. Female sex contacts were also re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.8.740
更新日期:1977-08-01 00:00:00
abstract::Objectives. We explored gender role strain (GRS) arising from conflict between homosexuality and cultural conceptions of masculinity among young Black men who have sex with men (MSM). Methods. We conducted a categorical analysis (a qualitative, 3-stage, iterative analysis) of data from studies conducted in 2001 to 200...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301866
更新日期:2015-01-01 00:00:00
abstract::Previous studies of stress in childhood have used instruments containing items describing events/conditions thought by adults to be stressful for children. In interviews with 5th- and 6th-grade children, we asked them to describe circumstances that would make or had made them feel bad, nervous, or worried. After prete...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.2.117
更新日期:1984-02-01 00:00:00
abstract:BACKGROUND:Studies have indicated that cigarette smokers have more occupational accidents and injuries and use more sick time and health benefits than nonsmokers, thereby producing sizeable costs for employers. However, they usually have not controlled for other possible sources of these costs. We analyzed occupational...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.29
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVES:To examine maternal folic acid supplementation and plasma folate concentrations in the Boston Birth Cohort, a predominantly urban, low-income, minority population in Boston, Massachusetts. METHODS:This report includes 7612 mothers with singleton live births (3829 Black, 2023 Hispanic, 865 White, and 895 oth...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304355
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:This field study tested the feasibility and benefits of a program to promote 6 targeted parental behaviors to prevent obesity in children served by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). METHODS:Two WIC sites participated in a nonrandomized, controlled 1-year pros...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章
doi:10.2105/ajph.94.9.1490
更新日期:2004-09-01 00:00:00
abstract::The clinical consequences of HCV infection are increasing because the population with the highest prevalence of the infection, persons born between 1945 and 1965, is aging. As a result, health care expenditures are expected to increase. Now that a cure for HCV infection is the norm, a public health approach is necessa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303718
更新日期:2017-06-01 00:00:00