Motorcycle helmet use and injury outcome and hospitalization costs from crashes in Washington State.

Abstract:

OBJECTIVES:The incidence, type, severity, and costs of crash-related injuries requiring hospitalization or resulting in death were compared for helmeted and unhelmeted motorcyclists. METHODS:This was a retrospective cohort study of injured motorcyclists in Washington State in 1989. Motorcycle crash data were linked to statewide hospitalization and death data. RESULTS:The 2090 crashes included in this study resulted in 409 hospitalizations (20%) and 59 fatalities (28%). Although unhelmeted motorcyclists were only slightly more likely to be hospitalized overall, they were more severely injured, nearly three times more likely to have been head injured, and nearly four times more likely to have been severely or critically head injured than helmeted riders. Unhelmeted riders were also more likely to be readmitted to a hospital for follow-up treatment and to die from their injuries. The average hospital stay for unhelmeted motorcyclists was longer, and cost more per case; the cost of hospitalization for unhelmeted motorcyclists was 60% more overall ($3.5 vs $2.2 million). CONCLUSIONS:Helmet use is strongly associated with reduced probability and severity of injury, reduced economic impact, and a reduction in motorcyclist deaths.

journal_name

Am J Public Health

authors

Rowland J,Rivara F,Salzberg P,Soderberg R,Maier R,Koepsell T

doi

10.2105/ajph.86.1.41

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

41-5

issue

1

eissn

0090-0036

issn

1541-0048

journal_volume

86

pub_type

杂志文章
  • Health care reform and social movements in the United States.

    abstract::Because of the importance of grassroots social movements, or "change from below," in the history of US reform, the relationship between social movements and demands for universal health care is a critical one. National health reform campaigns in the 20th century were initiated and run by elites more concerned with def...

    journal_title:American journal of public health

    pub_type: 历史文章,杂志文章

    doi:10.2105/ajph.93.1.75

    authors: Hoffman B

    更新日期:2003-01-01 00:00:00

  • Targeting early antecedents to prevent tobacco smoking: findings from an epidemiologically based randomized field trial.

    abstract:OBJECTIVES:This study examined whether interventions aimed at aggressive/disruptive classroom behavior and poor academic achievement would reduce the incidence of initiation of smoking. METHODS:An epidemiologically based, universal randomized preventive trial involved 2311 children in 2 classroom-based preventive inte...

    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.88.10.1490

    authors: Kellam SG,Anthony JC

    更新日期:1998-10-01 00:00:00

  • Maternal mortality in Michigan: an epidemiologic analysis, 1950-1971.

    abstract::An analysis was performed of direct maternal mortality over 22 years (1950 through 1971) in the state of Michigan. The overall direct maternal mortality rate fell from 5.0/10,000 live births in 1950 to 1.5 in 1971. The rate among nonwhites was more than four times greater than among whites and the difference in relati...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.67.9.821

    authors: Schaffner W,Federspiel CF,Fulton ML,Gilbert DG,Stevenson LB

    更新日期:1977-09-01 00:00:00

  • Why the World Will Never Be Tobacco-Free: Reframing "Tobacco Control" Into a Traditional Tobacco Movement.

    abstract::As successes mount in reducing commercial tobacco use, an alarming disparity has taken shape in Minnesota. Recent studies revealed that overall smoking rates have dropped to 14%, whereas American Indians' rates remain higher than 50%. With support from ClearWay Minnesota, the organization created from the state's toba...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2016.303125

    authors: Boudreau G,Hernandez C,Hoffer D,Preuss KS,Tibbetts-Barto L,Villaluz NT,Scott S

    更新日期:2016-07-01 00:00:00

  • Association between community socioeconomic position and HIV diagnosis rate among adults and adolescents in the United States, 2005 to 2009.

    abstract:OBJECTIVES:We examined the association between socioeconomic position (SEP) and HIV diagnosis rates in the United States and whether racial/ethnic disparities in diagnosis rates persist after control for SEP. METHODS:We used cases of HIV infection among persons aged 13 years and older, diagnosed 2005 through 2009 in 3...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2012.300853

    authors: An Q,Prejean J,McDavid Harrison K,Fang X

    更新日期:2013-01-01 00:00:00

  • Caregiving to children and grandchildren and risk of coronary heart disease in women.

    abstract:OBJECTIVES:We examined the relationship between burden of providing care to non-ill children and grandchildren and incidence of coronary heart disease (CHD) among women. METHODS:A prospective cohort study was conducted as part of the Nurses' Health Study among 54,412 women aged 46 to 71 years who were registered nurse...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.93.11.1939

    authors: Lee S,Colditz G,Berkman L,Kawachi I

    更新日期:2003-11-01 00:00:00

  • Nutrition surveillance in Arizona: selected anthropometric and laboratory observations among Mexican-American children.

    abstract::A nutrition surveillance system in public health clinics is providing data for patient care and program planning. Through this system, Arizona's Mexican-American population has been shown to differ from other ethnic groups seen in clinic. Anemia and low height-for-age are significant problems in the Mexican-American p...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.67.2.151

    authors: Yanochik-Owen A,White M

    更新日期:1977-02-01 00:00:00

  • Best-evidence interventions: findings from a systematic review of HIV behavioral interventions for US populations at high risk, 2000-2004.

    abstract:OBJECTIVES:The Centers for Disease Control and Prevention's HIV/AIDS Prevention Research Synthesis Team conducted a systematic review of US-based HIV behavioral intervention research literature from 2000 through 2004 to identify interventions demonstrating best evidence of efficacy for reducing HIV risk. METHODS:Stand...

    journal_title:American journal of public health

    pub_type: 杂志文章,评审

    doi:10.2105/AJPH.2005.076182

    authors: Lyles CM,Kay LS,Crepaz N,Herbst JH,Passin WF,Kim AS,Rama SM,Thadiparthi S,DeLuca JB,Mullins MM,HIV\/AIDS Prevention Research Synthesis Team.

    更新日期:2007-01-01 00:00:00

  • Planning for community physician services prior to deinstitutionalization of mentally retarded persons.

    abstract::This study assessed the need for physician services among a group of institutionalized mentally retarded individuals in anticipation of their transfer to community residential facilities and subsequent management of their care by community-based physicians. The clients' personal physicians in the institution identifie...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.76.10.1202

    authors: Minihan PM

    更新日期:1986-10-01 00:00:00

  • The relation of breastfeeding and body mass index to asthma and atopy in children: a prospective cohort study to age 6 years.

    abstract:OBJECTIVES:We investigated the relationship between breastfeeding, asthma and atopy, and child body mass index (BMI). METHODS:From a prospective birth cohort (n = 2860) in Perth, Western Australia, 2195 children were followed up to age 6 years. Asthma was defined as doctor-diagnosed asthma and wheeze in the last year,...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.94.9.1531

    authors: Oddy WH,Sherriff JL,de Klerk NH,Kendall GE,Sly PD,Beilin LJ,Blake KB,Landau LI,Stanley FJ

    更新日期:2004-09-01 00:00:00

  • The infrastructure of religious communities: a neglected resource for care of people with AIDS.

    abstract::The AIDS Interfaith Council of Houston, sponsored by the Foundation for Interfaith Research and Ministry, recruits, trains, and coordinates volunteers for home-based care for adults and children with AIDS (acquired immunodeficiency syndrome). The program provides compassionate, non-judgmental care for the sick and res...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.80.8.970

    authors: Shelp EE,DuBose ER,Sunderland RH

    更新日期:1990-08-01 00:00:00

  • Socioeconomic gradients in sexually transmitted diseases: a geographic information system-based analysis of poverty, race/ethnicity, and gonorrhea rates in California, 2004-2006.

    abstract:OBJECTIVES:We quantified the relationship between gonorrheal infection rates in California and a measure of poverty status and investigated how this relationship and the spatial dispersion of cases varied among the 4 dominant racial/ethnic groups in the state. METHODS:We geocoded gonorrhea cases reported in California...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2009.172965

    authors: Springer YP,Samuel MC,Bolan G

    更新日期:2010-06-01 00:00:00

  • The Ryan White HIV/AIDS Program in the Age of Health Care Reform.

    abstract::Thanks to the Affordable Care Act, thousands of people living with HIV who have received Ryan White HIV/AIDS Program-funded care are now eligible for Medicaid or subsidized insurance. The protection against insurance discrimination on the basis of preexisting conditions is increasing health care access for many, but t...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.302442

    authors: Cahill SR,Mayer KH,Boswell SL

    更新日期:2015-06-01 00:00:00

  • Childhood pesticide exposures on the Texas-Mexico border: clinical manifestations and poison center use.

    abstract:OBJECTIVES:The purpose of this study was to describe differences in childhood pesticide exposures between counties on the Texas-Mexico border and nonborder counties. METHOD:The authors reviewed all pesticide exposures among children younger than 6 years reported to the South Texas Poison Center during 1997 through 200...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.93.8.1310

    authors: Belson M,Kieszak S,Watson W,Blindauer KM,Phan K,Backer L,Rubin C

    更新日期:2003-08-01 00:00:00

  • Impact of Improving Home Environments on Energy Intake and Physical Activity: A Randomized Controlled Trial.

    abstract:OBJECTIVES:We assessed the effectiveness of an intervention targeting home food and activity environments to reduce energy intake and increase physical activity among overweight and obese patients from 3 community health centers in rural Georgia. METHODS:We conducted a randomized controlled trial (n = 349) from 2011 t...

    journal_title:American journal of public health

    pub_type: 杂志文章,随机对照试验

    doi:10.2105/AJPH.2015.302942

    authors: Kegler MC,Haardörfer R,Alcantara IC,Gazmararian JA,Veluswamy JK,Hodge TL,Addison AR,Hotz JA

    更新日期:2016-01-01 00:00:00

  • The impact of political violence on health and health services in Cape Town, South Africa, 1986: methodological problems and preliminary results.

    abstract::Cape Town, South Africa experienced an upsurge in the level of political violence from May to July of 1986. To determine the impact of the political violence on health and health services, selected routinely available information was analyzed, a community survey was conducted of 1,540 randomly selected households in h...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.78.7.772

    authors: Yach D

    更新日期:1988-07-01 00:00:00

  • Obesity prevention and diabetes screening at local health departments.

    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

    authors: Zhang X,Luo H,Gregg EW,Mukhtar Q,Rivera M,Barker L,Albright A

    更新日期:2010-08-01 00:00:00

  • Lipid, kilocalorie, and selected mineral intakes of rural black schoolgirls.

    abstract::Dietary intakes of nutrients implicated in cardiovascular disease were studied in 143 Black females, age 9 years. Dietary recall interviews were conducted and data compared with recommendations of several authoritative groups. A majority of subjects reported intakes: exceeding recommendations for total fat, saturated ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.75.11.1323

    authors: Steele MF,Gallagher ML

    更新日期:1985-11-01 00:00:00

  • Life-style and death patterns of the Missouri RLDS church members.

    abstract::Members of the Reorganized Church of Jesus Christ of Latter-Day Saints (RLDS) are dissuaded from the use of tobacco, alcohol, and hot drinks. A well-balanced diet is also stressed. This study compares the 1972-78 mortality experience of the Missouri RLDS with three other population groups. The findings show Missouri R...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.71.12.1350

    authors: McEvoy L,Land G

    更新日期:1981-12-01 00:00:00

  • Prescribing practices among nurse practitioners in adult and family health.

    abstract::Data derived through log recordings of 89 nurse practitioners (NPs) in adult/family practice on 7,086 prescriptions issued during 890 clinical days were analyzed to describe prescribing practices of NPs who held prescriptive authority from the licensing regulatory boards of five western states. Results showed drug uti...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.75.3.258

    authors: Batey MV,Holland JM

    更新日期:1985-03-01 00:00:00

  • Autonomy, paternalism, and justice: ethical priorities in public health.

    abstract::With attention to the field of public health ethics growing, significant time has been devoted to identifying a sound ethical justification for paternalistic interventions that override individual autonomy to prevent people from adopting unhealthy behaviors. Efforts focused on specifying the conditions that warrant pa...

    journal_title:American journal of public health

    pub_type: 杂志文章,评审

    doi:10.2105/AJPH.2007.110361

    authors: Buchanan DR

    更新日期:2008-01-01 00:00:00

  • Policies of containment: immigration in the era of AIDS.

    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

    authors: Fairchild AL,Tynan EA

    更新日期:1994-12-01 00:00:00

  • Impact of Two Adolescent Pregnancy Prevention Interventions on Risky Sexual Behavior: A Three-Arm Cluster Randomized Control Trial.

    abstract:OBJECTIVES: To test the efficacy of Reducing the Risk (RTR) and Love Notes (LN) on reducing risky sexual behavior among youths yet to experience or cause a pregnancy. METHODS: The four dependent variables were ever had sex, condom use, birth control use, and number of sexual partners at 3- and 6-month follow-up in a 3...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2016.303429

    authors: Barbee AP,Cunningham MR,van Zyl MA,Antle BF,Langley CN

    更新日期:2016-09-01 00:00:00

  • The contribution of expanding portion sizes to the US obesity epidemic.

    abstract:OBJECTIVES:Because larger food portions could be contributing to the increasing prevalence of overweight and obesity, this study was designed to weigh samples of marketplace foods, identify historical changes in the sizes of those foods, and compare current portions with federal standards. METHODS:We obtained informat...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.92.2.246

    authors: Young LR,Nestle M

    更新日期:2002-02-01 00:00:00

  • Marital status, duration of cohabitation, and psychosocial well-being among childbearing women: a canadian nationwide survey.

    abstract:OBJECTIVES:We examined the joint associations of marital status and duration of cohabitation on self-reported intimate partner violence, substance use, and postpartum depression among childbearing women. METHODS:We analyzed data from the 2006-2007 Canadian Maternity Experiences Survey, a cross-sectional nationwide sam...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2012.301116

    authors: Urquia ML,O'Campo PJ,Ray JG

    更新日期:2013-02-01 00:00:00

  • Fraction of gestational diabetes mellitus attributable to overweight and obesity by race/ethnicity, California, 2007-2009.

    abstract:OBJECTIVES:We calculated the racial/ethnic-specific percentages of gestational diabetes mellitus (GDM) attributable to overweight and obesity. METHODS:We analyzed 1 228 265 records of women aged 20 years or older with a live, singleton birth in California during 2007 to 2009. Using logistic regression, we estimated th...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2013.301469

    authors: Kim SY,Saraiva C,Curtis M,Wilson HG,Troyan J,Sharma AJ

    更新日期:2013-10-01 00:00:00

  • Promoting social inclusion in schools: a group-randomized trial of effects on student health risk behavior and well-being.

    abstract:OBJECTIVES:We sought to test the efficacy of an intervention that was designed to promote social inclusion and commitment to education, in reducing among students health risk behaviors and improving emotional well-being. METHODS:The design was a cluster-randomized trial in 25 secondary schools in Victoria, Australia. ...

    journal_title:American journal of public health

    pub_type: 杂志文章,随机对照试验

    doi:10.2105/AJPH.2004.047399

    authors: Patton GC,Bond L,Carlin JB,Thomas L,Butler H,Glover S,Catalano R,Bowes G

    更新日期:2006-09-01 00:00:00

  • The importance of public health agency independence: Marcellus shale gas drilling in Pennsylvania.

    abstract::Public health often deals with inconvenient truths. These are best communicated and acted on when public health agencies are independent of the organizations or individuals for whom the truths are inconvenient. The importance of public health independence is exemplified by the lack of involvement of the Pennsylvania D...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2013.301755

    authors: Goldstein BD

    更新日期:2014-02-01 00:00:00

  • Reducing the use of physical restraints in nursing homes: will it increase costs?

    abstract:OBJECTIVES:Reducing the widespread use of physical restraints in nursing homes is a primary goal of the federal nursing home reforms enacted as part of the Omnibus Budget Reconciliation Act of 1987. However, some nursing home operators assert that reducing restraint use could be prohibitively expensive, costing payors ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.83.3.342

    authors: Phillips CD,Hawes C,Fries BE

    更新日期:1993-03-01 00:00:00

  • Early life conditions, adverse life events, and chewing ability at middle and later adulthood.

    abstract:OBJECTIVES:We sought to determine the extent to which early life conditions and adverse life events impact chewing ability in middle and later adulthood. METHODS:Secondary analyses were conducted based on data from waves 2 and 3 of the Survey of Health, Ageing, and Retirement in Europe (SHARE), collected in the years ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.301918

    authors: Listl S,Watt RG,Tsakos G

    更新日期:2014-05-01 00:00:00