Abstract:
OBJECTIVES:This study investigated douching and reduced fertility. METHODS:The monthly probability of conception for douchers and nondouchers was compared in a sample of 840 married, parous women in King County, Washington. Data on the number of months required to conceive were analyzed. RESULTS:In comparison with nondouchers, women who douched were 30% less likely to become pregnant each month they attempted pregnancy. This relationship remained after adjustment for covariates, and it could not be explained by women douching for medical reasons. The reduction was not related to the type of douching preparation used. Young women who douched had significantly greater reductions in monthly fertility than older women (50% reduction for women 18 to 24 years old, 29% reduction for women 25 to 29 years old, and 6% reduction for women 30 to 39 years old). CONCLUSIONS:Douching was associated with reduced fertility. Further research is needed to determine whether the relationship is casual and, if so, to what extent it is mediated by pelvic infection. In the meantime, women should be informed that douching may have adverse effects.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Baird DD,Weinberg CR,Voigt LF,Daling JRdoi
10.2105/ajph.86.6.844subject
Has Abstractpub_date
1996-06-01 00:00:00pages
844-50issue
6eissn
0090-0036issn
1541-0048journal_volume
86pub_type
杂志文章abstract:OBJECTIVES:This work was undertaken to determine whether there are any chronic neurological sequelae to acute organophosphate pesticide poisoning. METHODS:California surveillance data were used in a study of neurological function among 128 men poisoned by organophosphate pesticides in California from 1982 to 1990 and ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.5.731
更新日期:1994-05-01 00:00:00
abstract:OBJECTIVES:We estimated annual mortality, years of potential life lost, and associated economic costs attributable to regular cigar smoking among US adults aged 35 years or older. METHODS:We estimated cigar-attributable mortality for the United States in 2010 using the Centers for Disease Control and Prevention's Smok...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301991
更新日期:2014-09-01 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::We investigated the effects of improved indoor environmental quality (IEQ) on perceived health and productivity in occupants who moved from conventional to green (according to Leadership in Energy and Environmental Design ratings) office buildings. In 2 retrospective-prospective case studies we found that improved IEQ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.180687
更新日期:2010-09-01 00:00:00
abstract::To estimate the seroprevalence and investigate risk behaviors for HIV (human immunodeficiency virus) infection in intravenous drug users in Los Angeles County, a stratified, random sample of 790 clients, enrolled in either methadone maintenance or detoxification programs, were studied. Thirteen study participants (1.8...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.1.81
更新日期:1989-01-01 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. To quantify the number of people in the US who delay medical care annually because of lack of available transportation and to examine the differential prevalence of this barrier for adults across sociodemographic characteristics and patient populations.Methods. We used data from the National Health Intervi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305579
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVES:We evaluated relationships among physical and psychological indicators and oral health-related quality of life (OHRQOL) in youths with cleft. METHODS:We recruited youths aged 7 to 18 years with cleft palate (n = 282) or cleft lip and palate (n = 918) and their caregivers into a 5-year observational investig...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301686
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVES:To assess the readiness to vaccinate critical infrastructure personnel (CIP) involved in managing public works, emergency services, transportation, or any other system or asset that would have an immediate debilitating impact on the community if not maintained. METHODS:We analyzed self-reported planning to ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303942
更新日期:2017-10-01 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::Selected characteristics and total medical claims of health risk appraisal (HRA) responders and non-responders were compared in a sample of employees having a three-year employment and claims history. HRA responders were younger and more likely to file medical claims than non-responders. Although mean medical claims w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.7.887
更新日期:1989-07-01 00:00:00
abstract::Compared with other developed countries, the United States has an inefficient and expensive health care system with poor outcomes and many citizens who are denied access. Inefficiency is increased by the lack of an integrated system that could promote an optimal mix of personal medical care and population health measu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.156588
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVES:To estimate the risk of exposure to fentanyl among syringe exchange program (SEP) participants in New York City. METHODS:We recruited a convenience sample from 11 SEPs in New York City between March and June 2017. Consenting participants (n = 434) received a labeled syringe for their next injection. We test...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304694
更新日期:2018-12-01 00:00:00
abstract::We evaluated a community-based 12-week healthy lifestyle program in Moloka'i, HI, called Ke 'Ano Ola, which was developed to decrease chronic disease risk through health education emphasizing weight loss, exercise, and risk factor reduction. Program leaders' strong commitment and positive role modeling, along with soc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.176222
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVES:I examined how sexual minority status, as indicated by sex of sexual partners, is associated with self-rated health and how socioeconomic status suppresses and age and sex moderate this association. METHODS:I used multinomial logistic regression to analyze aggregated data from the 1991 to 2010 General Socia...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301040
更新日期:2013-05-01 00:00:00
abstract::The World Health Organization's determination of the Ebola virus disease outbreak as a public health event of international concern prompted nonaffected countries to implement measures to prevent, detect, and manage the introduction of the virus in their territories. The outbreak provided an opportunity to assess the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302969
更新日期:2016-02-01 00:00:00
abstract::Roots of the epidemic of alcohol-related problems among many Native North Americans are sought in cultural responses to European arrival, the role of alcohol in frontier society, and colonial and postcolonial policies. Evidence from the historical record is considered within the framework of current social science. In...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.90.3.344
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVES:Prospectively gathered data were used to reexamine and to strengthen previously described observations about education and the risk of alcohol abuse and dependence. The hypothesis was that individuals who dropped out of high school and those who entered college but failed to get a college degree might be at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.6.830
更新日期:1993-06-01 00:00:00
abstract::A two-week composite sample of prime time television programming from fall 1984 was analyzed for portrayals of alcohol and tobacco. Earlier studies note that smoking acts have progressively declined, suggesting smoking is no longer as frequent on prime time television. The current study notes higher levels of smoking....
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.6.698
更新日期:1986-06-01 00:00:00
abstract:OBJECTIVES:We evaluated risk for hepatitis C virus (HCV) infection in women residing in low-income neighborhoods of northern California. METHODS:A population-based sample of 1707 women, aged 18 to 29, were surveyed and screened for sexually transmitted infections and HCV. RESULTS:Women infected with HCV (2.5%) were m...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.4.670
更新日期:2002-04-01 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:The effect of a community-based physical activity program in Pawtucket, RI, was evaluated relative to one in a comparison community. METHODS:Cross-sectional surveys of 7529 residents of Pawtucket, RI, and 7732 residents of the comparison city were conducted at 2-year intervals during 7 years of intervention...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.11.1741
更新日期:1999-11-01 00:00:00
abstract::We assessed the proportion and characteristics of patients who do not regularly visit general health care providers but do visit dentists and whose unaddressed systemic health conditions could therefore be identified by their dentist. Of the 26.0% of children and 24.1% of adults that did not access general outpatient ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300420
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVES:We sought to determine the prevalence of and risk factors associated with Mycoplasma genitalium infection in a nationally representative sample of young adults in the United States. METHODS:Urine specimens from 1714 women and 1218 men who participated in Wave III of the National Longitudinal Study of Adoles...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.074062
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVES:This study reports on Canadian mammography rates between 1990, when mass screening programs were launched, and 1994/95. METHODS:Mammography rates from 2 national surveys were compared according to the presence of a provincial screening program. RESULTS:Mammography rates among women aged 50 to 69 years (the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.6.927
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVES:We examined the probability of an obese person attaining normal body weight. METHODS:We drew a sample of individuals aged 20 years and older from the United Kingdom's Clinical Practice Research Datalink from 2004 to 2014. We analyzed data for 76,704 obese men and 99,791 obese women. We excluded participants...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302773
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to compare temperature and two windchill indices with respect to the strength of their association with daily variation in mortality in the Netherlands during 1979 to 1987. The two windchill indices were those developed by Siple and Passel and by Steadman. METHODS:Daily numbers...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.11.1738
更新日期:1994-11-01 00:00:00
abstract:OBJECTIVES:This study examined the effect of an active program of household lead paint hazard abatement, applied over 22 years, on childhood lead poisoning in Massachusetts. METHODS:A small areas analysis was used to compare screening blood lead levels of children in Worcester County, Mass (n = 27,590), with those in ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.11.1690
更新日期:1999-11-01 00:00:00
abstract::The University of Illinois at Chicago, School of Public Health, Doctor of Public Health degree is designed to build leadership skills and an ability to contribute to the evidence base of practice. The competency-based, distance-format, doctoral-level program for midcareer professionals features an action learning appr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302331
更新日期:2015-03-01 00:00:00
abstract::With access to reproductive health care eroding, examination of prescribing of contraception, including emergency contraception (EC), is important. We examined whether working in a family practice affiliated with a religious institution changes the likelihood of a provider prescribing EC. Our survey asked about EC pre...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.061218
更新日期:2006-08-01 00:00:00