Abstract:
OBJECTIVES:This study evaluated the effectiveness of a low-intensity dietary intervention in primary care practice in lowering dietary fat intake and raising dietary fiber intake. METHODS:A randomized controlled trial of 28 physician practices in six primary care clinics enrolled, by telephone, adult patients who had appointments for nonurgent nonacute visits. Of 3490 eligible patients contacted, 2111 completed baseline interview; 86.1% also completed a 12-month follow-up. Physicians gave intervention participants a self-help booklet and a brief motivational message. Changes in fat and fiber from baseline to 12-month follow-up were evaluated. RESULTS:Intervention and control groups both reported a decrease in fat intake and an increase in fiber intake. The differential change and 95% confidence interval (CI) for the percentage of energy obtained from fat was -1.2 (CI = -0.71, -1.7) (P = .0015), for grams fiber/1000 kcal 0.32 (CI = -0.066, 0.71) (P = .086), for fat score -0.044 (CI = -0.016, -0.072) (P = .010), and for fiber score 0.036 (CI = 0.011, 0.061) (P = .014), with greater reductions in fat and greater increase in fiber in the intervention group. CONCLUSIONS:This low-intensity intervention was effective in dietary behavior change.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Beresford SA,Curry SJ,Kristal AR,Lazovich D,Feng Z,Wagner EHdoi
10.2105/ajph.87.4.610subject
Has Abstractpub_date
1997-04-01 00:00:00pages
610-6issue
4eissn
0090-0036issn
1541-0048journal_volume
87pub_type
临床试验,杂志文章,随机对照试验abstract:OBJECTIVES:We sought to examine trends in hepatitis B virus (HBV) vaccination among high-risk adults and assess the potential effect vaccinated adolescents have on these trends as they age. METHODS:We used data from the National Health Interview Survey 2000, 2002, and 2004 to examine trends in HBV vaccination among hi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.116046
更新日期:2008-05-01 00:00:00
abstract::A Monthly Health Review was developed to monitor symptoms, illnesses and injuries among Air Traffic Controllers. Return rate of the mailed check-list exceeded 90 per cent. Diagnoses were generated from symptom clusters by computer algorithms. Telephone interview by physicians, laboratory analyses for serum pepsinogen ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.1.82
更新日期:1980-01-01 00:00:00
abstract::Following Hurricane Katrina, the uniformed US Public Health Service created an updated system through which its officers participated in emergency responses. The Rapid Deployment Force (RDF) concept, begun in 2006, involved five teams of officers with diverse clinical and public health skill sets organized into an inc...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
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更新日期:2018-09-01 00:00:00
abstract::Eight matched men's and women's intercollegiate varsity teams were studied prospectively for one academic year to determine the incidence of athletic injury and resulting disability. Sports in which both men and women participated in a comparable manner were chosen: basketball, fencing, gymnastics, swimming, tennis, i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.12.1459
更新日期:1990-12-01 00:00:00
abstract:OBJECTIVES:This study described factors related to colorectal cancer stage at diagnosis. METHODS:Logistic regression analyses were used on data from the New York State Tumor Registry and US Census area-level social class indicators. RESULTS:After the effects of other predictors were controlled for, the odds of late-s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.12.1794
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVES:The Minnesota Heart Health Program is a 13-year research and demonstration project to reduce morbidity and mortality from coronary heart disease in whole communities. METHODS:Three pairs of communities were matched on size and type; each pair had one education site and one comparison site. After baseline su...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.9.1383
更新日期:1994-09-01 00:00:00
abstract:OBJECTIVES:We evaluated changing patterns of tobacco use following a period of forced tobacco abstinence in a US military cohort to determine rates of harm elimination (e.g., tobacco cessation), harm reduction (e.g., from smoking to smokeless tobacco use), and harm escalation (e.g., from smoking to dual use or from smo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.175091
更新日期:2010-12-01 00:00:00
abstract::During the early stages of an influenza pandemic, a pandemic vaccine likely will not be available. Therefore, interventions to mitigate pandemic influenza transmission in communities will be an important component of the response to a pandemic. Public-housing residents, single-parent families, and low-income populatio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165134
更新日期:2009-10-01 00:00:00
abstract::During the summer of 1987, a common source waterborne outbreak of leptospirosis occurred on the island of Kauai in the state of Hawaii. Eight leptospirosis cases were identified using the microscopic agglutination test. Methodologic weaknesses in this technique were responsible for the initial missed diagnosis on six ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.10.1310
更新日期:1991-10-01 00:00:00
abstract:OBJECTIVES:We explored whether excesses in influenza severity can be detected by combining respiratory syndromic hospital and mortality data with data on influenza-like illness (ILI) cases obtained from general practitioners. METHODS:To identify excesses in the severity of influenza infections in the population of the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.168245
更新日期:2010-11-01 00:00:00
abstract::As one element of Baltimore's effort to combat its high rate of teenage pregnancy, the Baltimore City Health Department added the implantable contraceptive Norplant to the array of services offered at one of its school-based health centers in early 1993. The initial findings with the adolescents who received this cont...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.3.309
更新日期:1995-03-01 00:00:00
abstract::Data from the Hispanic Health and Nutrition Examination Survey (HHANES) (1982 through 1984) and the National Health and Nutrition Examination Survey (NHANES) II (1976 through 1980) were used to examine reported physician-diagnosed asthma among 6-month-old through 11-year-old children. The highest prevalence of active ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.4.580
更新日期:1993-04-01 00:00:00
abstract::Considering the poor socioeconomic status of the Spanish surnamed population in Texas, the Spanish surname neonatal mortality rate seems surprisingly low. During five of the last 10 years, the neonatal mortality rate for Texas Spanish surnamed population was actually lower than for Anglos. It is often suggested that t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.9.993
更新日期:1982-09-01 00:00:00
abstract::This analysis compares the rates of spontaneous abortion among women living in the vicinity of a lead smelter with those of women living in a town where blood lead levels were low. Data derive from the obstetric histories of both groups of women obtained while seeking prenatal care for a later pregnancy. A total of 63...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.1.33
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVES:We evaluated the association of household-level stressors with depressive symptoms among low-wage nursing home employees. METHODS:Data were collected in 2006 and 2007 from 452 multiethnic primary and nonprimary wage earners in 4 facilities in Massachusetts. We used logistic regression to estimate the associ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300323
更新日期:2012-01-01 00:00:00
abstract::This paper describes the employment experience of 266 individuals one year after traumatic injury severe enough to require hospitalization. Of those working full-time prior to their injury, 56 per cent were employed full-time at one year; an additional 5 per cent were working part-time. Those sustaining a severe head ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.3.329
更新日期:1987-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302069
更新日期:2014-10-01 00:00:00
abstract::Mercury is a growing environmental threat that can cause serious health problems and birth defects. Household thermometers are high-risk sources of mercury because most people lack the knowledge to properly dispose of one when it is broken. The Boston Public Health Commission's Environmental Health Office, with local ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.12.1997
更新日期:2003-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.079921
更新日期:2007-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.11.1500
更新日期:1992-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087734
更新日期:2007-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.2.149
更新日期:1985-02-01 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:OBJECTIVES:We used data from the Dental Atherosclerosis Risk in Communities study to examine whether individual- and neighborhood-level socioeconomic characteristics were associated with periodontal disease. METHODS:We assessed severe periodontitis with a combination of clinical attachment loss and pocket depth measur...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.055277
更新日期:2006-02-01 00:00:00
abstract::In 1999, a cluster of encephalitis cases was detected in New York City. The city applied larvicide to standing water and aerially sprayed pesticides to control adult mosquitoes. The causative agent was West Nile virus, a type of encephalitis that had never before been transmitted in the western hemisphere. This experi...
journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:2002-08-01 00:00:00
abstract:OBJECTIVES:We conducted case studies of 10 agencies that participated in early quality improvement efforts. METHODS:The agencies participated in a project conducted by the National Association of County and City Health Officials (2007-2008). Case study participants included health directors and quality improvement tea...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301413
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:We investigated attitudes toward provider-initiated HIV testing and counseling (PITC) in the suburbs of Harare, Zimbabwe, where late presentation after mother-to-child HIV transmission (MTCT) is a major cause of adolescent mortality. METHODS:Adolescents (10-18 years) attending 2 primary clinics were offered...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300250
更新日期:2011-12-01 00:00:00
abstract::Results from a random sample survey of US Air Force personnel show that 4.6 per cent exhibit alcohol dependence, indicated by symptoms of withdrawal and impaired control over drinking. An additional 9.3 per cent can be identified as nondependent alcohol abusers, indicated by serious adverse effects of drinking (such a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.10.1125
更新日期:1981-10-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the relationship between syphilis and human immunodeficiency virus (HIV) infection in injection drug users. METHODS:A 6-year prospective study of 790 injection drug users receiving methadone maintenance treatment in the Bronx, NY, was conducted. RESULTS:Sixteen perce...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.8_pt_1.1112
更新日期:1996-08-01 00:00:00
abstract::Effects of a brief educational and purchase program concerning home fires and smoke detectors by two pediatricians were compared to "routine" counseling without such a program using two groups each of 120 patients of well children. Inspection performed four to six weeks after the office visits showed that of 55 experi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.4.392
更新日期:1982-04-01 00:00:00