Abstract:
:HIV counselling and testing was provided to 4267 individuals between September 1987 and June 1992 at a multi-site program, including community clinics, drug treatment programs, and a men's prison in central Massachusetts. Half of those tested reported the risk behaviors targeted by the programs: injection drug use (38.1%) and sexual contact with a drug injector (12.6%). The objectives of this study were to examine 1) factors associated with repeat HIV testing among these initially seronegative, and 2) behavior change following counselling and testing. Initially 7.4% were HIV positive, and 12.4% of those testing negative were retested within one year. Risk behavior was the only strong independent predictor of retesting (odds ratios of 3.8 and 4.2 for men reporting sex with men and recent drug injectors, respectively). Changes in risk behaviors between the time of the initial test and the second test were assessed (n = 207). Among those who continued to inject drugs at follow-up there was a reduction in the percent visiting shooting galleries (p = 0.05); no other significant behavior changes were reported. While selection bias may be responsible in part for the minimal behavior change observed, continued monitoring of risk behavior and counselling are warranted.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
McCusker J,Willis G,McDonald M,Sereti SM,Lewis BF,Sullivan JLdoi
10.1007/BF01682760subject
Has Abstractpub_date
1996-02-01 00:00:00pages
11-22issue
1eissn
0094-5145issn
1573-3610journal_volume
21pub_type
临床试验,杂志文章,多中心研究abstract::The Spring Valley community of Washington, District of Columbia, was built on the site of a World War I chemical weapons lab where testing activities had distributed arsenic to surface soil and waste disposal had resulted in localized subsurface contamination. In previous work, findings were suggestive of potential si...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-014-9848-4
更新日期:2014-10-01 00:00:00
abstract::A group of nine states in the Southern United States, hereafter referred to as the targeted states, has experienced particularly high HIV diagnosis and case fatality rates. To provide additional information about the HIV burden in this region, we used CDC HIV surveillance data to examine characteristics of individuals...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-014-9979-7
更新日期:2015-08-01 00:00:00
abstract::Timely public health interventions reduce heat-related illnesses (HRIs). HRI emergency department (ED) visit data provide near real-time morbidity information to local and state public health practitioners and may be useful in directing HRI prevention efforts. This study examined statewide HRI ED visits in North Carol...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-011-9469-0
更新日期:2012-04-01 00:00:00
abstract::This paper examines volunteer ambulance corps that provide emergency medical care and transportation to their communities. The authors have compared volunteer corps to all ambulance services in Michigan and have focused on the relationship between organizational characteristics, such as membership and community charac...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01349703
更新日期:1977-04-01 00:00:00
abstract::The objective of this study was to examine Hepatitis A (HAV) and Hepatitis B (HBV) screening, and the risk of HBV reactivation during Hepatitis C (HCV) therapy with direct-acting antivirals (DAAs). A retrospective chart review was performed of patients treated with second generation DAA therapy from January 2014 to Se...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-018-0530-0
更新日期:2018-12-01 00:00:00
abstract::A 3-year project was undertaken to evaluate two methods of promoting residential smoke alarm installation and maintenance in high risk households across the U.S. Five states (Arkansas, Maine, Maryland, Massachusetts, and North Carolina) participated. The two strategies under study were direct installation of smoke ala...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1023/b:johe.0000038653.59255.57
更新日期:2004-10-01 00:00:00
abstract::A study was carried out in a rural area of Asir region in Southwest of Saudi Arabia where information on the types of domestic water supply and sociodemography in relation to intestinal protozoal infections were obtained from 1417 inhabitants (81.4% of the total) of nine villages. Stool samples were collected from the...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF02260439
更新日期:1995-10-01 00:00:00
abstract::A seventy-nine question survey concerning AIDS was administered to 142 students in a high school senior class in Manhasset, Long Island, an affluent New York City suburb with a low incidence of AIDS. The instrument elicited information about knowledge, attitudes and beliefs, behaviors, and risks. Overall knowledge lev...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01702786
更新日期:1996-10-01 00:00:00
abstract::We conducted a 2-year pilot randomized controlled trial (N = 105) in a high HIV-prevalence area in rural western Kenya to test whether providing young orphan adolescents with uniforms, school fees, and community visitors improves school retention and reduces HIV risk factors. The trial was a community intervention, li...
journal_title:Journal of community health
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10900-012-9548-x
更新日期:2012-10-01 00:00:00
abstract::Older adults are at risk of problems of medication use including underuse, overuse, and misuse. The purposes of this study were to investigate the prevalence of the use of conventional and complementary and alternative medications (CAM) in older adults and to explore which factors related to their medication use. For ...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-014-9934-7
更新日期:2015-04-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01324015
更新日期:1979-01-01 00:00:00
abstract::This paper presents a baseline evaluation of four demonstration family support programs located in communities identified as having a disproportionate number of families at risk for malfunctioning. In this baseline evaluation, a one year cohort of 422 family support participants were assessed along key dimensions of p...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01321513
更新日期:1986-07-01 00:00:00
abstract::Belgium and The Netherlands have fairly similar smoking prevalence patterns, but distinct tobacco control policies. It is our aim to use lung cancer death rates, especially among the youngest age groups (30-39 years), as indicators of past smoking behavioral patterns to evaluate recent tobacco control efforts in both ...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-008-9147-z
更新日期:2009-06-01 00:00:00
abstract::An environmental and economic evaluation of the smoke-free law in Massachusetts provides a broad appreciation of how a state-wide smoking ban affects the health of patrons and workers as well as the industries that are commonly concerned about the effects of smoking bans on business. The aim of this study is to evalua...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-007-9048-6
更新日期:2007-08-01 00:00:00
abstract::This review aims to determine the prevalence of smoking among Saudi students and to study and to identify, synthesize and summarize the predictors that initiate smoking among students in different ages in Saudi Arabia. Different databases were searched (Web of Science, Google Scholar, Pub Med and Science Direct) with ...
journal_title:Journal of community health
pub_type: 杂志文章,评审
doi:10.1007/s10900-014-9909-8
更新日期:2014-10-01 00:00:00
abstract::Seasonal influenza continues to impose a substantial healthcare and economic burden in the United States each year. This study assessed influenza vaccination rates among the uninsured population, determined the need for free flu vaccines, and analyzed associations of vaccination status with access, beliefs, and sociod...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-020-00873-1
更新日期:2020-12-01 00:00:00
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journal_title:Journal of community health
pub_type: 临床试验,杂志文章
doi:10.1007/s10900-011-9437-8
更新日期:2012-02-01 00:00:00
abstract::This study aims to describe the prevalence of preventive dental care among New York City (NYC) children, including disparities by race/ethnicity or poverty and to identify health care utilization factors associated with these outcomes. Data were obtained from the 2009 NYC Child Community Health Survey. Descriptive sta...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-013-9662-4
更新日期:2013-08-01 00:00:00
abstract::Motives may be an important influence for substance use among youth. The goal of this research was to study the relation of social, self-enhancement, boredom relief and affect regulation motives to smoking and drinking in a sample of Eastern European high school students and to examine variation in the effects of thes...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-015-9993-4
更新日期:2015-08-01 00:00:00
abstract::To know and understand the intention of young adults to use, during the Christmas and New Year's period, the community drive-home service after drinking alcohol, that is, to phone for oneself when they are the driver or when they are the passenger to suggest to a friend who is the driver to phone for the service. This...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1023/a:1018757230433
更新日期:1999-06-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01557999
更新日期:1996-06-01 00:00:00
abstract::In the few surveys of injuries occurring in schools, severity has been defined using a priori criteria based on the nature of injury and by the area injured. The validity of these methods of classifying injury severity has not been established. The association between two commonly used measures of injury severity (nat...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01324294
更新日期:1987-01-01 00:00:00
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journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-011-9456-5
更新日期:2012-04-01 00:00:00
abstract::Recent developments in the courts have indicated an increased vulnerability of the tobacco industry to civil lawsuits brought because of tobacco-related illness. Much of the recent public discussion has dealt with how to attack the public health problem of childhood smoking, and the judicial system may also be of help...
journal_title:Journal of community health
pub_type: 杂志文章,评审
doi:10.1023/a:1018721120980
更新日期:1998-10-01 00:00:00
abstract::Description of the consumer food environment has proliferated in publication. However, there has been a lack of systematic reviews focusing on how the consumer food environment is associated with the following: (1) neighborhood characteristics; (2) food prices; (3) dietary patterns; and (4) weight status. We conducted...
journal_title:Journal of community health
pub_type: 杂志文章,评审
doi:10.1007/s10900-011-9524-x
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVE:To assess perceptions of risk and related factors concerning COVID-19 epidemic among residents in Chongqing city, China. METHODS:With convenience sampling, a web questionnaire survey was conducted among 476 residents living in Chongqing on February 13rd to 14th in 2020, when citizens just started to get back...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-020-00870-4
更新日期:2020-06-26 00:00:00
abstract::Smokefree policies (SFPs) have diffused throughout the US and worldwide. However, the development of SFPs in the difficult policy environment of tobacco-producing states and economies worldwide has not been well-explored. In 2007, Tennessee, the third largest tobacco producer in the US, enacted the Non-Smoker Protecti...
journal_title:Journal of community health
pub_type: 历史文章,杂志文章
doi:10.1007/s10900-013-9814-6
更新日期:2014-08-01 00:00:00
abstract::We examine whether workplace climate-quality of staff relationships (QSR) and manageable clinic workload (MCW) are related to better patient care experiences and diabetes care in community health centers (CHCs) catering to Latino and Chinese patients. Patient experience surveys of adult patients with type 2 diabetes a...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-016-0280-9
更新日期:2017-06-01 00:00:00
abstract::Though smokeless tobacco (SLT) use has decreased in many communities, concern for American Indian (AI) SLT use remains, as this population continues to be disproportionally affected by SLT-related diseases. Tobacco has cultural significance to many AI tribes, therefore tobacco cessation messages portraying tobacco as ...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-017-0362-3
更新日期:2017-12-01 00:00:00
abstract::Childhood obesity remains a significant public health concern. Children from lower income households have a greater risk of being obese. Low-income families generally have less access to healthy, affordable food choices and turn to federal food assistance programs. Few studies have examined the impact of food assistan...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-015-0138-6
更新日期:2016-06-01 00:00:00