Abstract:
OBJECTIVES:Knowledge of infection is essential for human immunodeficiency virus-type 1 (HIV-1) treatment initiation and epidemic control. This study evaluates infection knowledge among infected injection drug users and acceptance of confidential testing among injection drug users, particularly those infected with HIV-1. METHODS:A total of 810 injection drug users entering treatment in Contra Costa County, Calif, were examined. Clients were tested with unlinked (blinded) tests and simultaneously counseled and offered voluntary confidential HIV-1 antibody testing. Data on confidential testing acceptance, previous testing, drug use, and demographic information were collected. RESULTS:Of the 810 tested, 105 (13.0%) were infected. The current confidential test was accepted by 507 (62.6%). HIV seroprevalence in the unlinked survey was four times greater than in the voluntary survey (13% and 3.5%, respectively). HIV-1 infection was associated with refusal of a confidential test largely because most infected injection drug users (n = 58; 55.2%) already knew of their infection. Of the 47 injection drug users who were not aware of their infection, 12 (25.5%) accepted the test. Although African-American injection drug users presented with a higher infection rate (37.3%), they were three times less likely to know of their infection. CONCLUSIONS:"In-clinic" HIV-1 testing is highly accepted, and most infected clients in treatment will learn their status. Nevertheless, voluntary testing data are likely to yield considerable underestimates of the true rate of infection among injection drug users.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Reardon J,Warren N,Keilch R,Jenssen D,Wise F,Brunner Wdoi
10.2105/ajph.83.10.1414subject
Has Abstractpub_date
1993-10-01 00:00:00pages
1414-7issue
10eissn
0090-0036issn
1541-0048journal_volume
83pub_type
杂志文章abstract:OBJECTIVES:We determined whether a representative national probability sample of US community-dwelling older adults who reported less social support also reported poorer general health status, which is a robust predictor of prospective mortality among elders. METHODS:We analyzed 2 subsamples generated via random sampl...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.146894
更新日期:2009-10-01 00:00:00
abstract::We reviewed Florida pediatric gonococcal (GC) infection surveillance data collected between 1984 and 1988. The incidence rate was 11 per 100,000 per year for the age group 1 month through 9 years. Incidence rates were higher for females, other-than-Whites, and residents of rural counties than for males, Whites, and re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.426
更新日期:1992-03-01 00:00:00
abstract::The Delphi Technique was used to elicit a number of essential competencies expected of the "entry-level" public health nutritionist from members of Graduate Faculties of Programs in Public Health Nutrition. Questionnaires composed of "competency statements" were constructed from these responses and sent to practitione...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.11.1099
更新日期:1979-11-01 00:00:00
abstract::Nicotine replacement therapy (NRT) is recommended for tobacco cessation on the basis of pharmaceutical industry research showing its effectiveness when combined with counseling. The tobacco industry opposed NRT when it first appeared in the 1980s but by 2016 was marketing its own NRT products. We used internal tobacco...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303935
更新日期:2017-10-01 00:00:00
abstract::Effects of a brief educational and purchase program concerning home fires and smoke detectors by two pediatricians were compared to "routine" counseling without such a program using two groups each of 120 patients of well children. Inspection performed four to six weeks after the office visits showed that of 55 experi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.4.392
更新日期:1982-04-01 00:00:00
abstract::The Model State Emergency Health Powers Act became a contentious document in more than 30 states in 2001 and 2002. Controversy has focused on recommendations by the authors of the Model Act that seemed to accord higher priority to collective action in emergencies than to protecting privacy and property. This situation...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.3.397
更新日期:2003-03-01 00:00:00
abstract:OBJECTIVES:We examined the effect of worldwide oil price fluctuations on household fuel use and child respiratory health in Guatemala. METHODS:We regressed measures of household fuel use and child respiratory health on the average worldwide oil price and a rich set of covariates. We leveraged variation in oil prices o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300131
更新日期:2011-09-01 00:00:00
abstract::To evaluate the utility of statewide laboratory Cryptosporidium surveillance, we screened stools from all 5,256 patients evaluated at local health departments for parasitic disease from January 1985 through June 1988. Fifty-seven patients (1.1 percent) were found to have Cryptosporidium. Seasonal peaks in positivity w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.3.305
更新日期:1990-03-01 00:00:00
abstract::Community health workers (CHWs) have gained increased visibility in the United States. We discuss how to strengthen the roles of CHWs to enable them to become collaborative leaders in dramatically changing health care from "sickness care" systems to systems that provide comprehensive care for individuals and families ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300386
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVES:We used data from the National Health Interview Survey to compare health care access among individuals involved in same-sex versus opposite-sex relationships. METHODS:We conducted descriptive and logistic regression analyses from pooled data on 614 individuals in same-sex relationships and 93418 individuals...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.062661
更新日期:2006-06-01 00:00:00
abstract::We evaluated perceived social and environmental supports for physical activity and walking using multivariable modeling. Perceptions were obtained on a sample of households in a southeastern county. Respondents were classified according to physical activity levels and walking behaviors. Respondents who had good street...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.3.440
更新日期:2004-03-01 00:00:00
abstract::The female condom is the only other barrier contraception method besides the male condom, and it is the only "woman-initiated" device for prevention of sexually transmitted infections. Although studies demonstrate high acceptability and effectiveness for this device, overall use in the United States remains low. The f...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.179598
更新日期:2010-10-01 00:00:00
abstract::This paper compares cases of paralytic poliomyelitis reported to the systems operated by the National Vaccine Injury Compensation Program and the Centers for Disease Control and Prevention (CDC) for reporting of adverse events associated with vaccination. Of the 118 cases of vaccine-associated paralytic poliomyelitis ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.5.734
更新日期:1996-05-01 00:00:00
abstract::The evolution of the emergency medical services system in the United States accelerated rapidly between 1960 and 1973 as a result of a number of medical, historical, and social forces. Current emergency medical services researchers, policy advocates, and administrators must acknowledge these forces and their limitatio...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2004.048793
更新日期:2006-03-01 00:00:00
abstract::Sexual and reproductive health remains the contentious concept it was at the 1994 United Nations International Conference on Population and Development (ICPD), held in Cairo, Egypt. In light of the recent 15-year review of ICPD, we suggest several areas where advocates, practitioners, and researchers can inform future...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.177873
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVES:We examined the mechanisms by which living in a disadvantaged minority community influences smoking and illegal cigarette sale and purchasing behaviors after a large cigarette tax increase. METHODS:Data were collected from 14 focus groups (n=104) that were conducted during the spring of 2003 among Blacks ag...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.079921
更新日期:2007-08-01 00:00:00
abstract::This commentary argues that 100 years after the deadly Spanish flu, the public health emergency community's responses to much more limited pandemics and outbreaks demonstrate a critical shortage of personnel and resources. Rather than relying on nonpharmaceutical interventions, such as quarantine, the United States mu...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2018.304682
更新日期:2018-11-01 00:00:00
abstract::Data from a national sample of hospitals were used to explore reasons for improved in-hospital survival rate for coronary artery bypass graft (CABG) surgery between 1972 and 1982. Increases in annual volumes of surgery explain a large fraction of the decline in death rates. The residual can be attributed to improved t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.4.498
更新日期:1987-04-01 00:00:00
abstract::Current theoretical approaches to bioethics and public health ethics propose varied justifications as the basis for health care and public health, yet none captures a fundamental reality: people seek good health and the ability to pursue it. Existing models do not effectively address these twin goals. The approach I e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.143651
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVES:This study sought to determine the accuracy of geocoding for public health databases. METHODS:A test file of 70 addresses, 50 of which involved errors, was generated, and the file was geocoded to the census tract and block group levels by 4 commercial geocoding firms. Also, the "real world" accuracy of the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.7.1114
更新日期:2001-07-01 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::This paper examines artificial reproduction (AR) within a broad comparative perspective and with specific reference to Czechoslovak law, medicine, and demography. It proceeds form an analysis of the social context that gives rise to technologies of AR to a review of the two principal technologies, artificial inseminat...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.79.1.57
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVES:This study examined the relationships between wealth and income and selected racial and ethnic differences in health. METHODS:Cross-sectional data on a national sample of 9744 men and women aged 51 through 61 from the 1992 Health and Retirement Survey were analyzed to examine the association between socioec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.5.805
更新日期:1997-05-01 00:00:00
abstract::Wage theft, or nonpayment of wages to which workers are legally entitled, is a major contributor to low income, which in turn has adverse health effects. We describe a participatory research study of wage theft among immigrant Chinatown restaurant workers. We conducted surveys of 433 workers, and developed and used a ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301813
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVES:We estimated human papillomavirus (HPV) vaccine series completion and examined predictors of completion among adolescents and young adults in a large family planning network. METHODS:Our retrospective cohort study of vaccine completion within 12 months and time to completion used electronic health record da...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302834
更新日期:2015-12-01 00:00:00
abstract::From February through December 2012, we examined responses to health behavior questions integrated into the electronic medical record of primary care centers in the Bronx, New York in the context of New York City Community Health Survey data. We saw a higher proportion of unhealthy behaviors among patients than among ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302326
更新日期:2015-03-01 00:00:00
abstract::We examined associations of different levels of same-ethnicity neighborhood concordance with health care access and utilization among all Asian American, Chinese, Filipino, and Vietnamese adults (aged 18-64 years) using the 2005, 2007, and 2009 California Health Interview Survey and the 2010 US Census. Although associ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302275
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:This study examined the prevalence and correlates of survival sex among runaway and homeless youths. METHODS:A nationally representative sample of shelter youths and a multicity sample of street youths were interviewed. RESULTS:Approximately 28% of street youths and 10% of shelter youths reported having par...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.9.1406
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVES:We assessed whether associations between education and 2 health behaviors--smoking and leisure-time physical inactivity (LTPI)--depended on nativity and age at immigration among Hispanic and Asian young adults. METHODS:Data came from the 2000-2008 National Health Interview Survey. The sample included 13 345...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.191890
更新日期:2011-03-01 00:00:00
abstract::Two generations of epidemiological studies of the true prevalence of mental disorders have been conducted since the turn of the century. The first and smaller in number took place prior to World War II and was characterized by the use of records and key informants to define "cases." The second, utilizing the greatly e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.11.1271
更新日期:1982-11-01 00:00:00