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 Healthjournal_title
American journal of public healthauthors
Rowland J,Rivara F,Salzberg P,Soderberg R,Maier R,Koepsell Tdoi
10.2105/ajph.86.1.41subject
Has Abstractpub_date
1996-01-01 00:00:00pages
41-5issue
1eissn
0090-0036issn
1541-0048journal_volume
86pub_type
杂志文章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
更新日期:2003-01-01 00:00:00
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
更新日期:1998-10-01 00:00:00
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
更新日期:1977-09-01 00:00:00
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
更新日期:2016-07-01 00:00:00
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
更新日期:2013-01-01 00:00:00
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
更新日期:2003-11-01 00:00:00
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
更新日期:1977-02-01 00:00:00
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
更新日期:2007-01-01 00:00:00
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
更新日期:1986-10-01 00:00:00
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
更新日期:2004-09-01 00:00:00
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
更新日期:1990-08-01 00:00:00
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
更新日期:2010-06-01 00:00:00
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
更新日期:2015-06-01 00:00:00
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
更新日期:2003-08-01 00:00:00
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
更新日期:2016-01-01 00:00:00
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
更新日期:1988-07-01 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::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
更新日期:1985-11-01 00:00:00
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
更新日期:1981-12-01 00:00:00
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
更新日期:1985-03-01 00:00:00
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
更新日期:2008-01-01 00:00:00
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
更新日期:1994-12-01 00:00:00
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
更新日期:2016-09-01 00:00:00
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
更新日期:2002-02-01 00:00:00
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
更新日期:2013-02-01 00:00:00
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
更新日期:2013-10-01 00:00:00
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
更新日期:2006-09-01 00:00:00
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
更新日期:2014-02-01 00:00:00
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
更新日期:1993-03-01 00:00:00
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
更新日期:2014-05-01 00:00:00