Abstract:
OBJECTIVES:Follow-up of California blood lead registry reports, 95% of which are of occupationally exposed adults, can guide interventions at specific high-risk work sites and measure the impact of targeted, industry-specific interventions. METHODS:A protocol was implemented to follow up the most severe case reports (> or = 2.90 mumol/L) and establish a statistical database for descriptive analysis. RESULTS:From 1987 through 1990, the California Department of Health Services received 17,951 reports for 4069 civilian, noninstitutionalized adults employed by at least 328 companies. Of 232 incident case subjects with severe lead toxicity (> or = 2.90 mumol/L), 182 were successfully traced and interviewed. Index case subjects were mostly male (95%) and disproportionately Hispanic (46%); 35% lived with children aged 7 or younger, and 10% had been hospitalized. Ninety-four percent involved overexposures at work sites that lacked medical removal (50%), ventilation (36%), appropriate respirators (62%), training (64%), clothing changes (45%), or showering (60%). CONCLUSIONS:Well-known risk factors for occupational lead poisoning clustered at the work sites of index case subjects. Despite standards of the Occupational Safety and Health Administration, lead overexposure in California adults remains a significant public and occupational health concern.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Maizlish N,Rudolph Ldoi
10.2105/ajph.83.3.402subject
Has Abstractpub_date
1993-03-01 00:00:00pages
402-5issue
3eissn
0090-0036issn
1541-0048journal_volume
83pub_type
杂志文章abstract:OBJECTIVES:We used Bronfenbrenner's ecological systems theory to identify factors that predicted never or sometimes using condoms in a multiethnic cohort of adolescent mothers. METHODS:We interviewed adolescent mothers within 48 hours of delivery and surveyed them 6 and 12 months after delivery (n = 636). We used mult...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.131870
更新日期:2009-10-01 00:00:00
abstract::Consumption and prices of tobacco products in Canada and the United States are compared over the period 1981 to 1989. In Canada, consumption has fallen from a higher level and at a faster rate than in the United States (3.52 kg/adult to 2.48 kg/adult vs 3.21 kg/adult to 2.48 kg/adult). With respect to cost, the real t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.7.902
更新日期:1991-07-01 00:00:00
abstract:OBJECTIVES:This study determined the prevalence and factors associated with hepatitis B virus (HBV) infection among men who have sex with men. METHODS:At the baseline visit of an HIV study among men who have sex with men, we asked about HBV vaccination status and tested for HBV markers. RESULTS:Of 625 subjects, 48% h...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.10.1570
更新日期:2000-10-01 00:00:00
abstract::Historically Black colleges and universities (HBCUs) continue to be overlooked as a resource to address health care workforce shortages and growing needs for a diverse health workforce, despite our commitment as a nation to health equity and eliminating health disparities. Health workforce graduation rates help illum...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300726
更新日期:2013-03-01 00:00:00
abstract::Seventy-eight inner city mothers of third and fourth grade children in three racial groups--white, black, and American Indian--known to need dental treatment for disease on permanent teeth, were interviewed at home by a trained community resident interviewer. Sixty-two per cent of the mothers were on public assistance...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.1.37
更新日期:1977-01-01 00:00:00
abstract:OBJECTIVES:This study assessed seroprevalence rates of HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) among individuals with severe mental illness. METHODS:Participants (n = 931) were patients undergoing inpatient or outpatient treatment in Connecticut, Maryland, New Hampshire, or North Carolina. RESULTS:T...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.91.1.31
更新日期:2001-01-01 00:00:00
abstract::To assess the association with birthweight of prenatal medical care, length of gestation, and other prenatal factors, birth certificate data were studied for babies born in 1978 to mothers who were residents of Alameda or Contra Costa counties, California. Using multiple regression data analytic techniques, adequate p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.9.1003
更新日期:1984-09-01 00:00:00
abstract:OBJECTIVES:We reviewed literature on comparative social policy and life course research and compared associations between health and socioeconomic circumstances during an 11-year period in the United States and the United Kingdom. METHODS:We obtained data from the US Panel Study of Income Dynamics and the British Hous...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.092320
更新日期:2007-05-01 00:00:00
abstract::Epidemiologists have expressed concern about constraints upon the conduct of epidemiological research imposed by Institutional Review Boards (IRBs), attorneys, and both institutional and individual health services providers. The epidemiologists assert that these constraints, not necessarily required by law or sound po...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.10.1155
更新日期:1982-10-01 00:00:00
abstract::Certificates of 1,454 deaths occurring over 11 months were retrieved from the Civil Register in Valencia, Spain. Relevant medical information was systematically gathered from hospital records, questionnaires, and Coroner reports. We compared the underlying cause of death (UCD) from the original death certificate, and ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.10.1352
更新日期:1989-10-01 00:00:00
abstract::We studied sexual orientation disparities in health outcomes among US adolescents by pooling multiple Youth Risk Behavior Survey (YRBS) data sets from 2005 and 2007 for 14 jurisdictions. Here we describe the methodology for pooling and analyzing these data sets. Sexual orientation-related items assessed sexual orienta...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301748
更新日期:2014-02-01 00:00:00
abstract::The United States' international ranking for infant mortality slipped from 19th in the 1980s to 27th in 1997. This slippage may be related to the segregation of priorities that occurred early in the 1990s, when national concern was diverted from infant mortality to minority health. To rekindle concern about infant mor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.4.552
更新日期:2002-04-01 00:00:00
abstract::Results from a random sample survey of US Air Force personnel show that 4.6 per cent exhibit alcohol dependence, indicated by symptoms of withdrawal and impaired control over drinking. An additional 9.3 per cent can be identified as nondependent alcohol abusers, indicated by serious adverse effects of drinking (such a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.10.1125
更新日期:1981-10-01 00:00:00
abstract::African Americans and Hispanics are disproportionately affected by the HIV/AIDS epidemic. Within the most heavily affected cities, a few neighborhoods account for a large share of new HIV infections. Addressing racial and economic disparities in HIV infection requires an implementation program and research agenda that...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301864
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVES:We sought to provide estimates of disability prevalence for states and metropolitan areas in the United States. METHODS:We analyzed Behavioral Risk Factor Surveillance System data from 2001 for all 50 states and the District of Columbia and 103 metropolitan areas. We performed stratified analyses by demogra...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.047308
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVES:The authors examined Americans' opinions about financial and treatment competence of people with mental health problems, potential for harm to self or others, and the use of legal means to force treatment. METHODS:The 1996 General Social Survey provided interview data with a nationally representative sample...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.9.1339
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVES:We compared Black West Indian immigrants' and US-born Blacks' sexual and drug-use risk behaviors and their beliefs related to using condoms and informing partners of sexually transmitted infections (STIs) to identify possible differences in risk. METHODS:We drew data from the baseline assessment of a clinic...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2006.106443
更新日期:2008-11-01 00:00:00
abstract::We use systems thinking to develop a strategic framework for analyzing the tobacco problem and we suggest solutions. Humans are vulnerable to nicotine addiction, and the most marketable form of nicotine delivery is the most harmful. A tobacco use management system has evolved out of governments' attempts to regulate t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165910
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVES:To estimate the prevalence and causes of functional paralysis in the United States. METHODS:We used the 2013 US Paralysis Prevalence & Health Disparities Survey to estimate the prevalence of paralysis, its causes, associated sociodemographic characteristics, and health effects among this population. RESULT...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303270
更新日期:2016-10-01 00:00:00
abstract:OBJECTIVE:We assessed the quality of hospital care for women who underwent a hysterectomy to compare Medicaid-covered women with privately insured women and minority women with White women. METHODS:We evaluated medical decisions, inpatient care, quality of inpatient care, and outcomes. RESULTS:Quality of hospital car...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.8.1399
更新日期:2004-08-01 00:00:00
abstract:OBJECTIVES:We examined the relationship between quality improvement (QI) maturity and accreditation attributes of US local health departments (LHDs), specifically those in Nebraska. METHODS:Using 2011 Nebraska LHD QI survey data, we conducted Spearman correlation analyses between QI maturity domains and accreditation ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302278
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:This study examined the relationship of sociodemographic factors and use of substances other than cocaine to cocaine use from 1987 to 1992 in a cohort of Black and White men and women 20 to 32 years of age. METHODS:Data were collected as part of the Coronary Artery Risk Development in Young Adults study. Se...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.86.12.1736
更新日期:1996-12-01 00:00:00
abstract::We describe the impact of the Adolescent Health Project on sexually transmitted infection (STI) testing in Omaha, NE, during phase 1 (media campaigns) and phase 2 (free STI testing). To assess the impact of each phase on STI testing, we examined monthly data from January 2013 to April 2017 via interrupted time series ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304391
更新日期:2018-06-01 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. To examine emerging adults' experiences of food insecurity in relation to measures of diet quality, food literacy, home food availability, and health behaviors.Methods. We used EAT 2010-2018 (Eating and Activity over Time) study data on 1568 participants who completed surveys as adolescents in 2009 to 2010...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305783
更新日期:2020-09-01 00:00:00
abstract::Five years after the Three Mile Island nuclear accident, the mental health of women who had been pregnant and living within 10 miles of Three Mile Island at the time of the accident was similar to that of women from the same area who became pregnant after the accident. Ratings of the development of the two groups of c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.3.384
更新日期:1991-03-01 00:00:00
abstract:OBJECTIVES:Whether or not spermicides can reduce the risk of human immunodeficiency virus (HIV) transmission remains an important question for the control of heterosexual HIV transmission. The authors provide estimates from a reanalysis of one of the few observational studies on the efficacy of condoms and spermicides,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.4.590
更新日期:1998-04-01 00:00:00
abstract::The United Nations Convention on the Rights of Persons with Disabilities (CRPD) has foregrounded disability as a human rights and equity issue, elevating it to a priority global research area. Academics from Western universities are likely to play an increasing role in disability health research in developing countrie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302006
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:We sought to evaluate outcomes of the Veterans Administration (VA) Afghan and Iraq Post-Deployment Screen for mental health symptoms. METHODS:Veterans Administration clinicians were encouraged to refer Iraq or Afghanistan veterans who screened positive for posttraumatic stress disorder, depression, or high-...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.115519
更新日期:2008-04-01 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