Abstract:
OBJECTIVES:This study characterized exposure-monitoring activities and findings under the Occupational Safety and Health Administration's (OSHA's) 1984 ethylene oxide (EtO) standard. METHODS:In-depth mail and telephone surveys were followed by on-site interviews at all EtO-using hospitals in Massachusetts (n = 92, 96% participation rate). RESULTS:By 1993, most hospitals had performed personal exposure monitoring for OSHA's 8-hour action level (95%) and the excursion limit (87%), although most did not meet the 1985 implementation deadline. In 1993, 66% of hospitals reported the installation of EtO alarms to fulfill the standard's "alert" requirement. Alarm installation also lagged behind the 1985 deadline and peaked following a series of EtO citations by OSHA. From 1990 through 1992, 23% of hospitals reported having exceeded the action level once or more; 24% reported having exceeded the excursion limit; and 33% reported that workers were accidentally exposed to EtO in the absence of personal monitoring. CONCLUSIONS:Almost a decade after passage of the EtO standard, exposure-monitoring requirements were widely, but not completely, implemented. Work-shift exposures had markedly decreased since the mid-1980s, but overexposures continued to occur widely. OSHA enforcement appears to have stimulated implementation.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
LaMontagne AD,Kelsey KTdoi
10.2105/ajph.87.7.1119subject
Has Abstractpub_date
1997-07-01 00:00:00pages
1119-25issue
7eissn
0090-0036issn
1541-0048journal_volume
87pub_type
杂志文章abstract::An editorial in a previous issue of this journal falsely claims that the US government's efforts to reduce road fatalities are not based on science. It says that, as a result, the United States has fallen behind other countries in road death prevention. A large body of research and evaluation informed federal and stat...
journal_title:American journal of public health
pub_type: 评论,杂志文章
doi:10.2105/AJPH.2014.302352
更新日期:2014-12-01 00:00:00
abstract::Iodine-131 was found to dominate the gamma spectra of dried sludge and concentration liquid effluent samples from a sewage treatment plant serving the area containing the Texas Medical Center in 1975. The concentration of Iodine-131 varied considerably on a time scale of weeks but was fairly stable in the course of a ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.1.47
更新日期:1981-01-01 00:00:00
abstract::The development of body fatness and leanness is examined in an ongoing prospective nutrition and growth study. Individual skinfold thicknesses, relative weights, weight gains, activity levels, and caloric intakes were examined at seven ages between 6 months and 9 years. Changes in body fatness in this group of childre...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.9.968
更新日期:1984-09-01 00:00:00
abstract:BACKGROUND:Drug overdose is an important, yet an inadequately understood, public health problem. Global attention to unintentional drug overdose has been limited by comparison with the scope of the problem. There has been a substantial increase in drug overdose incidence and prevalence in several countries worldwide ov...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2015.302843
更新日期:2015-11-01 00:00:00
abstract::An increased incidence of obvious live-birth neural tube defects (i.e., spina bifida cystica and encephalocele) occurred in Jamaica 11 to 18 months after Hurricane Gilbert. The conceptions of the affected babies coincided with a rise in megaloblastic change in sickle cell patients, suggesting a wide-spread drop in die...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.3.473
更新日期:1994-03-01 00:00:00
abstract:OBJECTIVES:We conducted a meta-analysis summarizing the effects of interventions designed to increase physical activity among healthy adults. METHODS:Our comprehensive searches located 358 reports eligible for inclusion. We used random-effects analyses to synthesize data, and we used meta-analytic analogues of regress...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/AJPH.2010.194381
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:We assessed the distribution of immunization records among 3 health care delivery sectors and the impact of a regional immunization registry on "up to date" rates. METHODS:Immunization registry records in 2 regions were categorized as having originated in private practices, community health centers, or publ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.6.967
更新日期:2004-06-01 00:00:00
abstract::Recent theoretical studies suggest that the earth's ozone layer which filters ultraviolet radiation may be depleted by a fleet of supersonic transports or by continued use of chlorofluoromethanes. It is now generally accepted that short wavelength ultraviolet radiation leads to the development of skin cancer. In this ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.5.461
更新日期:1976-05-01 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::Objectives. To examine changes in age of initiation of e-cigarette, cigarette, cigar, and smokeless tobacco use among adolescents in the United States.Methods. We used data from 5 cohorts of the National Youth Tobacco Survey (2014-2018; n = 26 662).Results. In 2014, 8.8% of lifetime e-cigarette users initiated use at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305421
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to evaluate whether Put Prevention Into Practice (PPIP) materials affected the delivery of 8 clinical preventive services. METHODS:Program materials were provided to a family medicine practice serving a diverse, low-income population. Appropriate use of clinical preventive serv...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.10.1622
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:We examined whether Medicaid beneficiaries are more likely to be diagnosed with late-stage cervical cancer than women not enrolled in Medicaid. METHODS:Using the California Cancer Registry-Medicaid linked file, we identified 4682 women diagnosed during 1996-1999 with invasive cervical cancer. Multivariate l...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.072553
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVES:We assessed the prevalence of antituberculosis drug resistance among children with tuberculosis (TB) in the Western Cape Province of South Africa. METHODS:Drug susceptibility testing for isoniazid and rifampin was prospectively done on all children with culture-confirmed TB at Tygerberg Children's Hospital,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.143271
更新日期:2009-08-01 00:00:00
abstract::Approximately 90,000 inmates are admitted annually to the New York City jail system, many of whom require a high level of medical or mental health services. According to our analysis of deaths in custody from 2001 to 2009, crude death rates have dropped significantly despite the increasing age of the population. Falli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301042
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVES:We analyzed the impact of Connecticut legislation incentivizing voluntary school district-level elimination of unhealthy competitive foods on National School Lunch Program (NSLP) participation. METHODS:We analyzed data on free, reduced, and paid participation in the NSLP from 904 schools within 154 Connecti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301331
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVES:This article describes a unifying conceptual framework for the public health system as a way to facilitate the measurement of public health system performance. METHODS:A conceptual framework for the public health system was developed on the basis of the work of Donabedian and a conceptual model previously d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.8.1235
更新日期:2001-08-01 00:00:00
abstract::Objectives. To assess if historical redlining, the US government's 1930s racially discriminatory grading of neighborhoods' mortgage credit-worthiness, implemented via the federally sponsored Home Owners' Loan Corporation (HOLC) color-coded maps, is associated with contemporary risk of preterm birth (< 37 weeks gestati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305656
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Studies of adolescent smoking suggest that the causes of smoking initiation may differ for Blacks and Whites. METHODS:Correlates of smoking initiation were examined among 1,277 nonsmokers, ages 12-14, who completed questionnaires in their homes. The analyses examined relationships between smoking initiation...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.7.854
更新日期:1991-07-01 00:00:00
abstract:OBJECTIVES:The goal of this project was to develop an interactive CD-ROM for nutrition screening and counseling, designed to produce dietary behavior change in fat and fruit and vegetable intake. METHODS:The design was based on principles of relevance to the learner, readiness for change, feedback, individualization, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.5.781
更新日期:2000-05-01 00:00:00
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:This microqualitative case study of a community-based peer education program led by sex workers at a South African mine examined the role of grassroots participation in sexual health promotion. METHODS:The study involved in-depth interviews with 30 members of the target community. The interviews were analyz...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.12.1978
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVES:We investigated the feasibility of combining an online chain recruitment method (respondent-driven detection) and participatory surveillance panels to collect previously undetected information on infectious diseases via social networks of participants. METHODS:In 2014, volunteers from 2 large panels in the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302717
更新日期:2015-08-01 00:00:00
abstract::The term "rural" suggests many things to many people, such as agricultural landscapes, isolation, small towns, and low population density.However, defining "rural" for health policy and research purposes requires researchers and policy analysts to specify which aspects of rurality are most relevant to the topic at han...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.042432
更新日期:2005-07-01 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::Most health research with American Indian and Alaska Native (AI/AN) people has focused on tribal communities on reservation lands. Few studies have been conducted with AI/AN people living in urban settings despite their documented health disparities compared with other urban populations. There are unique consideration...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302027
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to evaluate the short-term effects of a low-intensity work-site heart disease risk reduction program using a matched pair design with work site as the unit of analysis. METHODS:Twenty-six heterogeneous work sites with between 125 and 750 employees were matched on key organizati...
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.85.2.209
更新日期:1995-02-01 00:00:00
abstract:OBJECTIVES:We examined whether Supplemental Nutrition Assistance Program (SNAP) participation changes associations between food insecurity, dietary quality, and weight among US adults. METHODS:We analyzed adult dietary intake data (n = 8333) from the 2003 to 2010 National Health and Nutrition Examination Survey. Bivar...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302580
更新日期:2015-07-01 00:00:00
abstract::Understanding mental health issues faced by young homeless persons is instrumental to the development of successful targeted interventions. No systematic review of recent published literature on psychopathology in this group has been completed. We conducted a systematic review of published research examining the preva...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2013.301318
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:We evaluated the effectiveness of the Public Health Detailing Program in helping primary care providers and their staff to improve patient care on public health challenges. METHODS:We analyzed reported changes in clinical practice or behavior by examining providers' retention and implementation of recommend...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300622
更新日期:2012-06-01 00:00:00
abstract::Sarasota, Fla, used Crime Prevention Through Environmental Design (CPTED) principles to guide revitalization efforts in its crime-ridden North Trail area. A team of city planners, police officers, and architects examined land use and crime data and sought input from local businesses, residents, and community leaders. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.9.1442
更新日期:2003-09-01 00:00:00