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 difficulty in meeting their subsistence needs. These odds were then adjusted for a range of characteristics assumed to affect the utilization of health services among the homeless. RESULTS:Before and after adjustment, those with frequent subsistence difficulty were less likely to have a regular source of care (odds ratio [OR] = 0.30, 95% confidence interval [CI] = 0.16, 0.53) and more likely to have gone without needed medical care (OR = 1.77, 95% CI = 1.04, 3.00). Subsistence difficulty had no impact on the likelihood of having an outpatient visit or having been hospitalized. Conclusions remained the same after adjustment. CONCLUSIONS:Frequent subsistence difficulty appears to be an important nonfinancial barrier to the utilization of health services perceived as discretionary among homeless adults.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Gelberg L,Gallagher TC,Andersen RM,Koegel Pdoi
10.2105/ajph.87.2.217subject
Has Abstractpub_date
1997-02-01 00:00:00pages
217-20issue
2eissn
0090-0036issn
1541-0048journal_volume
87pub_type
杂志文章abstract:OBJECTIVES:Message tailoring, based on individual needs and circumstances, is commonly used to enhance face-to-face patient counseling. Only recently has individual tailoring become feasible for printed messages. This study sought to determine whether printed tailored recommendations addressing women's specific screeni...
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.84.1.43
更新日期:1994-01-01 00:00:00
abstract::We analyzed the variation in the risk of AIDS in US Blacks, Hispanics, and other racial/ethnic groups relative to that in Whites (non-Hispanic) by geographic area and mode of acquiring HIV infection, based on data reported between June 1, 1981 and January 18, 1988 to the Centers for Disease Control and 1980 US census ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.12.1539
更新日期:1988-12-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to examine relationships between income and mortality, focusing on the predictive utility of single-year and multiyear measures of income, the shape of the income gradient in mortality, trends in this gradient over time, the impact of income change on mortality, and the joint effect...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.9.1476
更新日期:1997-09-01 00:00:00
abstract:BACKGROUND:The logistic regression model is being used with increasing frequency in all areas of public health research. In the calendar year 1989, over 30% of the articles published in the American Journal of Public Health employed some form of logistic regression modeling. In spite of this increase, there has been no...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.12.1630
更新日期:1991-12-01 00:00:00
abstract::Mortality trends suggest that increases in Connecticut incidence for cutaneous melanoma (CM) equal or under estimate increases for the entire country. One-sixth of CM in Connecticut occurs under age 35. In the 1955 birth cohort, modeled incidence rates per 100,000 age-adjusted to the 1960 US population are 38.2 in mal...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.6.679
更新日期:1985-06-01 00:00:00
abstract::We evaluated perceived social and environmental supports for physical activity and walking using multivariable modeling. Perceptions were obtained on a sample of households in a southeastern county. Respondents were classified according to physical activity levels and walking behaviors. Respondents who had good street...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.3.440
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVES:We examined the influence of neighborhood environment on the weight status of adults 55 years and older. METHODS:We conducted a 2-level logistic regression analysis of data from the 2002 wave of the Health and Retirement Study. We included 8 neighborhood scales: economic advantage, economic disadvantage, ai...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.127712
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:We examined migration-related changes in smoking behavior in the transnational Mexican-origin population. METHODS:We combined epidemiological surveys from Mexico (Mexican National Comorbidity Survey) and the United States (Collaborative Psychiatric Epidemiology Surveys). We compared 4 groups with increasing...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300739
更新日期:2012-11-01 00:00:00
abstract::Ischemic heart disease (IHD) mortality of Connecticut firemen and policemen is studied for the years 1960-78, using death certificate data. The mortality of these two occupations is expected to be greater than that of other workers. Standardized Mortality Odds Ratios for firemen and policemen are greater than 1.00. Al...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.9.1140
更新日期:1986-09-01 00:00:00
abstract:OBJECTIVES:To describe changes in suspected heroin overdose emergency department (ED) visits. Methods. We analyzed quarterly and yearly changes in heroin overdoses during 2017-2018 by using data from 23 states and jurisdictions (including the District of Columbia) funded by the Centers for Disease Control and Preventio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305053
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVES:We assessed whether multiple psychosocial factors are additive in their relationship to sexual risk behavior and self-reported HIV status (i.e., can be characterized as a syndemic) among young transgender women and the relationship of indicators of social marginalization to psychosocial factors. METHODS:Par...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300433
更新日期:2012-09-01 00:00:00
abstract::We analyzed data from a survey of occupational factors and pregnancy outcome to examine the effects of cigarette, alcohol, and coffee consumption on pregnancy outcome. Clear and statistically significant associations were found between cigarette and alcohol consumption and spontaneous abortion. There was a weaker but ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.85
更新日期:1992-01-01 00:00:00
abstract::The history of consumer protection against household poisons presents a key case study of the uniquely American struggle to balance public health and safety with the interests of business. By the late 19th century, package designs, warning labels, and state statutes had formed an uneven patchwork of protective mechani...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2012.301066
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVES:This study identified behavioral and psychosocial/interpersonal factors in young adolescence that are associated with handgun carrying in later adolescence. METHODS:A sample of 2200 high school students was surveyed at 9th grade and again at 12th grade. RESULTS:Multivariate logistic regression analyses ind...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.6.960
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVES:The effect of caffeine consumption on fertility was examined prospectively in 210 women. METHODS:Women reported on caffeinated beverage consumption and pregnancy status monthly. Odds ratios for becoming pregnant were calculated for both high and moderate vs low consumption. RESULTS:No significant associati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.2.270
更新日期:1998-02-01 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::Legislation in 1967 allowed abortions in North Carolina for reasons of mental or physical danger to the mother or child or in cases of rape. In 1971 the statute was changed to require 2 rather than 3 physicians in agreement, to reduce residency requirements from 4 months to 30 days, and mandatory reporting of all abo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.65.5.480
更新日期:1975-05-01 00:00:00
abstract::Dynamic treatment regimes are an emerging and important methodological area in health research, particularly in the management of chronic health conditions. This paradigm encompasses the ideological shift in research from the acute care model to the chronic care model. It allows individualization of treatment (type, d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.198937
更新日期:2011-01-01 00:00:00
abstract::We report the effects of age error on use of weight-for-age and height-for-age for assessing and screening malnutrition, and for identifying factors of malnutrition in 679 children aged 22-59 months in Companiganj, in rural Bangladesh. Overreporting and random error in age and correlation of age error with each of the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.3.280
更新日期:1987-03-01 00:00:00
abstract:OBJECTIVES:This study evaluated the long-term effectiveness of Draw the Line/Respect the Line, a theoretically based curriculum designed to reduce sexual risk behaviors among middle school adolescents. METHODS:The randomized controlled trial involved 19 schools in northern California. A cohort of 2829 sixth graders wa...
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.94.5.843
更新日期:2004-05-01 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:OBJECTIVES:We assessed whether local health departments (LHDs) were conducting obesity prevention programs and diabetes screening programs, and we examined associations between LHD characteristics and whether they conducted these programs. METHODS:We used the 2005 National Profile of Local Health Departments to conduc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.168831
更新日期:2010-08-01 00:00:00
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: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::The Disablement Process model explicates the transition from health conditions to disability and specifically emphasizes the role of intervening factors that speed up or slow down the pathway between pathology and disability. We used hierarchical Poisson regression analyses with data on older adults from central North...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.054494
更新日期:2005-11-01 00:00:00
abstract::Data were collected from 141 women under age 18 attending an abortion clinic that did not require parental notification. Most of them informed their girl friend but not their parents of the plans for abortion. Younger minors and those who perceive their parents to hold positive attitudes toward abortion were more apt ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.3.283
更新日期:1982-03-01 00:00:00
abstract:OBJECTIVES:We examined the relationship between intimate partner violence victimization among women in the general population and emergency department use. We sought to discern whether race/ethnicity moderates this relationship and to explore these relationships in race/ethnic-specific models. METHODS:We used data on ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.091116
更新日期:2007-12-01 00:00:00
abstract::Increasing knowledge is an important goal of human immunodeficiency virus (HIV) prevention strategies, although increased knowledge may not be associated with increased preventive behaviors. This study examines the association of (1) objective and subjective acquired immunodeficiency syndrome (AIDS) knowledge, and (2)...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.10.1460
更新日期:1993-10-01 00:00:00
abstract::A case of rubella in a male obstetrics-gynecology house staff member exposed 170 staff members and 11 prenatal patients to the clinical disease. Of 163 staff members tested within one week of exposure, 132 (80 per cent) were not susceptibles. Repeat titres three weeks later on 28 susceptibles remained negative. Of the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.3.287
更新日期:1979-03-01 00:00:00
abstract::A coalition of mine operators has used a variety of tactics to obstruct scientific inquiry and impede public health action designed to protect underground miners from diesel particulate matter. These workers are exposed to the highest level of diesel particulate matter compared with any other occupational group. This ...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2005.064410
更新日期:2006-02-01 00:00:00