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 90 referents. Tests included a neurological physical examination, 5 nerve conduction tests, 2 vibrotactile sensitivity tests, 10 neurobehavioral tests, and 1 postural sway test. RESULTS:After correcting for confounding, the poisoned group performed significantly worse than the referent group on two neurobehavioral tests (sustained visual attention and mood scales). When the data were restricted to men with documented cholinesterase inhibition (n = 83) or to men who had been hospitalized (n = 36), the poisoned subjects also showed significantly worse vibrotactile sensitivity of finger and toe. Significant trends of increased impairment were found with increased days of disability on a wide spectrum of tests of both central and peripheral nerve function. CONCLUSIONS:While these findings are limited by low response rates and by small sample sizes for specific pesticides, this study was based on a large surveillance database and is the largest study to date of the chronic effects of organophosphate pesticide poisoning. The evidence of some long-term effects of poisoning is consistent with two prior studies.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Steenland K,Jenkins B,Ames RG,O'Malley M,Chrislip D,Russo Jdoi
10.2105/ajph.84.5.731subject
Has Abstractpub_date
1994-05-01 00:00:00pages
731-6issue
5eissn
0090-0036issn
1541-0048journal_volume
84pub_type
杂志文章abstract:OBJECTIVES:We compared the association between 3 different definitions of social smoking-a common pattern of smoking among young adults-and cessation indicators. METHODS:We used a Web-enabled, cross-sectional national survey of 1528 young adults (aged 18-25 years) from a panel (recruited by random-digit dialing) maint...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300012
更新日期:2011-07-01 00:00:00
abstract::Improving oral health is a leading population health goal; however, curricula preparing health professionals have a dearth of oral health content and clinical experiences. We detail an educational and clinical innovation transitioning the traditional head, ears, eyes, nose, and throat (HEENT) examination to the additi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302495
更新日期:2015-03-01 00:00:00
abstract::This paper describes the all-cause mortality experience, following a fracture of the hip, of 712,027 persons covered by the Medicare program from 1984 through 1987. White women experienced the lowest mortality rate (17.2 per 1000 person-months), followed by Black women (22.9 per 1000 person-months), Black men (33.5 pe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.8.1147
更新日期:1992-08-01 00:00:00
abstract::Recent changes in policymaking, such as the passage of the Patient Protection and Affordable Care Act, have ushered in a new era in community health partnerships. To investigate characteristics of effective collaboration between hospitals, their parent systems, and the public health community, with the support of majo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302938
更新日期:2016-01-01 00:00:00
abstract::Understanding mental health issues faced by young homeless persons is instrumental to the development of successful targeted interventions. No systematic review of recent published literature on psychopathology in this group has been completed. We conducted a systematic review of published research examining the preva...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2013.301318
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:We explored the relationship between social isolation and mortality in a nationally representative US sample and compared the predictive power of social isolation with that of traditional clinical risk factors. METHODS:We used data on 16,849 adults from the Third National Health and Nutrition Examination Su...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301261
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVES:We systematically identified and evaluated the quality and comprehensiveness of online information related to weight loss that users were likely to access. METHODS:We evaluated the content quality, accessibility of the information, and author credentials for Web sites in 2012 that were identified from weigh...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302070
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVES:From 1985 to 1995, drivers younger than 21 years experienced a 50% drop in fatal crashes involving alcohol. This study addresses whether the decrease is explained by young drivers' drinking less or by their separating drinking from driving. METHODS:Nighttime roadside surveys were conducted in 3 communities ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.5.755
更新日期:1999-05-01 00:00:00
abstract::To develop a protocol for prevention of hepatitis B virus (HBV) transmission in Wisconsin prisons, we interviewed 619 male prisoners at incarceration to obtain information on hepatitis B risk factors. We defined previous infections by the presence of hepatitis B surface antigen (HBsAg), antibody to hepatitis B surface...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.10.1182
更新日期:1985-10-01 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::In recent years, advocates for increasing access to medical and oral health care have argued for expanding the scope of practice of dentists and physicians. Although this idea may have merit, significant legal and other barriers stand in the way of allowing dentists to do more primary health care, physicians to do mor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302654
更新日期:2015-09-01 00:00:00
abstract::We developed a quality-of-life method for valuing changes in health status. Our model determines changes in health attributes for different illnesses and then estimates the dollar value of the corresponding welfare losses. We used our quality-of-life approach to estimate willingness to pay to avoid asthma, a headache,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.11.1553
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVES:We examined the potential relation of mental ability test scores at age 10 years with alcohol problems and alcohol intake at age 30 years. METHODS:We used data from a prospective observational study involving 8170 members of a birth cohort from Great Britain born in 1970. Data included mental ability scores...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.109488
更新日期:2008-12-01 00:00:00
abstract::The authors review the available empirical evidence from population-based studies of the association between perceptions of racial/ethnic discrimination and health. This research indicates that discrimination is associated with multiple indicators of poorer physical and, especially, mental health status. However, the ...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.93.2.200
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVES:This study was undertaken to determine the relative efficacy of home visitation with and without husband participation on the use of modern contraception in Ethiopia. METHODS:A randomized field trial of a family planning education intervention using home visitation with and without husband participation was...
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.83.11.1567
更新日期:1993-11-01 00:00:00
abstract:OBJECTIVES:We sought to determine the role of neighborhood poverty and racial composition on race disparities in diabetes prevalence. METHODS:We used data from the 1999-2004 National Health and Nutrition Examination Survey and 2000 US Census to estimate the impact of individual race and poverty and neighborhood racial...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301420
更新日期:2014-11-01 00:00:00
abstract::To ascertain HCV testing practices among US prisons and jails, we conducted a survey study in 2012, consisting of medical directors of all US state prisons and 40 of the largest US jails, that demonstrated a minority of US prisons and jails conduct routine HCV testing. Routine voluntary HCV testing in correctional fac...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302071
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:Proposed increases in corporate average fuel economy standards would probably lead to lighter cars. Well-established relationships between occupant risk and car mass predict consequent additional casualties. However, if size, not mass, is the causative factor in these relationships, then decreasing car mass ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.8.1105
更新日期:1992-08-01 00:00:00
abstract:OBJECTIVES:We examined self-reported health status, health behaviors, access to care, and use of preventive services of the US Hispanic adult population to identify language-associated disparities. METHODS:We analyzed 2003 to 2005 Behavioral Risk Factor Surveillance System data from 45 076 Hispanic adults in 23 states...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.119008
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:We examined the effectiveness of community-level HIV prevention programming for men who have sex with men. METHODS:We used multilevel methods to examine unprotected intercourse by bisexual men (n = 1016) with male and female partners in geographic regions with and without HIV prevention programming. RESULT...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.7.1181
更新日期:2004-07-01 00:00:00
abstract::Asymptomatic infection with either Entameba histolytica or Giardia lamblia was found in 61 per cent of the residents of a dormitory in an institution for the mentally retarded; two other dormitories had rates of 20 per cent and 22 per cent. Drug therapy was successfully undertaken in all three dormitories, and environ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.12.1279
更新日期:1979-12-01 00:00:00
abstract::Incidence rates for hip fracture in the United States were estimated using non-federal hospital discharges from the National Hospital Discharge Survey for the years 1974-1979. Age-specific incidence curves for women and for men showed similar patterns of increase in risk with age, with risks approximately doubling eve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.12.1374
更新日期:1984-12-01 00:00:00
abstract::Academic occupational health centers can support state-based occupational disease surveillance by playing a role in case identification and management, physician education, workplace investigation, and surveillance case criteria development. The existing centers can also serve as models for developing new clinics. As ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.suppl.58
更新日期:1989-12-01 00:00:00
abstract::A federal standard for fuel tank integrity in cars was applied to 1977 and subsequent models. National data indicate that fatalities per 10,000 occupants in rear-end crashes of small cars, where fire was the most harmful event, were reduced by approximately 57% if the fuel tank was located behind the rear axle and 77%...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.8.1168
更新日期:1993-08-01 00:00:00
abstract:OBJECTIVES:We estimated the number and cost of syphilis-attributable HIV cases among African Americans. METHODS:A mathematical model of HIV transmission was used to estimate the number of partnerships consisting of HIV-discordant African Americans in which infectious syphilis was present and the number of new HIV case...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.6.943
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVES:We sought to determine the amount of time required for a primary care physician to provide recommended preventive services to an average patient panel. METHODS:We used published and estimated times per service to determine the physician time required to provide all services recommended by the US Preventive ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.4.635
更新日期:2003-04-01 00:00:00
abstract::Objectives. To examine changes in age of initiation of e-cigarette, cigarette, cigar, and smokeless tobacco use among adolescents in the United States.Methods. We used data from 5 cohorts of the National Youth Tobacco Survey (2014-2018; n = 26 662).Results. In 2014, 8.8% of lifetime e-cigarette users initiated use at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305421
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVES:In this article the author describes public health advocacy and proposes a conceptual framework for understanding how it works. METHODS:The proposed framework incorporates the image of an assembly line. The public health advocacy assembly line produces changes in societal resource allocation that are necess...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.5.722
更新日期:2000-05-01 00:00:00
abstract:OBJECTIVES:We sought to update income-specific secular trends in obesity in Brazil to assess the hypothesis that the disease burden is shifting toward the poor. METHODS:We compared overall and income-specific obesity prevalence rates estimated for Brazilian men and women from national surveys conducted in 1975, 1989, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.099630
更新日期:2007-10-01 00:00:00
abstract::In 2004, Murray et al. reviewed methodological developments in the design and analysis of group-randomized trials (GRTs). We have updated that review with developments in analysis of the past 13 years, with a companion article to focus on developments in design. We discuss developments in the topics of the earlier rev...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2017.303707
更新日期:2017-07-01 00:00:00