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 examined the longitudinal effects of a Housing First program for homeless, mentally ill individuals' on those individuals' consumer choice, housing stability, substance use, treatment utilization, and psychiatric symptoms. METHODS:Two hundred twenty-five participants were randomly assigned to receive hou...
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.94.4.651
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVES:To describe changes in infant mortality rates, including birthweight-specific rates and rates by age at death and cause. METHODS:We analyzed US linked birth/infant-death data for 1989-1991 and 1998-2000 for American Indians/Alaska Native (AIAN) and White singleton infants at > or =20 weeks' gestation born t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.053744
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVES:We explored an innovative strategy for targeted testing and disease management among immigrant communities at risk for tuberculosis. METHODS:Taxi drivers were recruited at an airport holding lot to undergo tuberculin skin testing (Mantoux). After receiving their test results in a location convenient for the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2003.019620
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the role of siblings in day care as a determinant of infants' risk of lower respiratory tract infections. METHODS:A total of 3238 children (86%) out of 3754 Oslo, Norway, newborns recruited in 1992/93 were followed for 1 year. RESULTS:In logistic regression analysis,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.10.1456
更新日期:1996-10-01 00:00:00
abstract:OBJECTIVES:We assessed the feasibility of collecting race/ethnicity data from patients using their own preferred racial/ethnic terms. METHODS:The 424 patients described their race/ethnicity using their own categories, and we compared their descriptions with their responses to the questions (1) "Do you consider yoursel...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.062620
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVES:To investigate racial/ethnic and gender inequities in the compensation and benefits of US health care workers and assess the potential impact of a $15-per-hour minimum wage on their economic well-being. METHODS:Using the 2017 Annual Social and Economic Supplement to the Current Population Survey, we compare...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304801
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVES:To describe, and provide a nomenclature and taxonomy for classifying, the economic sectors and functional assets that could be mobilized as partners in an intersectoral health system. METHODS:MAPSCorps (Meaningful, Active, Productive Science in Service to Community) employed local youths to conduct a census...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303302
更新日期:2016-10-01 00:00:00
abstract::Men entering gay bars in three small southern cities were administered questionnaires to assess AIDS (acquired immunodeficiency syndrome) risk knowledge, perceived norms concerning the social acceptability of AIDS risk precautions, and personal sexual behavior. Seventy-seven percent (N = 355) of male patrons completed...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.4.416
更新日期:1990-04-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the association between child care arrangements and repeated ear infections in young children. METHODS:Data on 5818 children younger than 6 years of age were taken from the 1988 National Health Interview Survey of Child Health. RESULTS:Seventeen percent of the childr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.9.1321
更新日期:1993-09-01 00:00:00
abstract:OBJECTIVES:To examine maternal folic acid supplementation and plasma folate concentrations in the Boston Birth Cohort, a predominantly urban, low-income, minority population in Boston, Massachusetts. METHODS:This report includes 7612 mothers with singleton live births (3829 Black, 2023 Hispanic, 865 White, and 895 oth...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304355
更新日期:2018-06-01 00:00:00
abstract::The clinical consequences of HCV infection are increasing because the population with the highest prevalence of the infection, persons born between 1945 and 1965, is aging. As a result, health care expenditures are expected to increase. Now that a cure for HCV infection is the norm, a public health approach is necessa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303718
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVES:We examined changes in service use in a Housing First (HF) pilot program for adults who were homeless with medical illnesses and high prior acute-care use relative to a similar comparison group. METHODS:We used a 1-year pre-post comparison group design. The 29 participants and 31 comparison group members we...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300867
更新日期:2013-02-01 00:00:00
abstract::Sarasota, Fla, used Crime Prevention Through Environmental Design (CPTED) principles to guide revitalization efforts in its crime-ridden North Trail area. A team of city planners, police officers, and architects examined land use and crime data and sought input from local businesses, residents, and community leaders. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.9.1442
更新日期:2003-09-01 00:00:00
abstract::Programs and contraceptive use continuation rates were obtained for a rural Georgia family planning clinic. Program continuation is a measurement of maintenance of clinic attendance, while use continuation is related to actual use of effective contraceptives regardless of clinic activity status. Program continuation r...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.65.7.693
更新日期:1975-07-01 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:OBJECTIVES:To report on indicators of the National HIV/AIDS Strategy, we analyzed data collected through the national HIV surveillance system. METHODS:We analyzed data from adults and adolescents aged 13 years or older diagnosed with HIV in 13 US jurisdictions that have laboratory reporting of CD4+ T-lymphocyte (CD4) ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300859
更新日期:2013-01-01 00:00:00
abstract::State government, university, and local health department (LHD) partners collaborated to build the geographic information system (GIS) capacity of 5 LHDs in North Carolina. Project elements included procuring hardware and software, conducting individualized and group training, developing data layers, guiding the proje...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.048785
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVES:To evaluate how met need for accessibility and availability of primary care among nonelderly individuals in Georgia will be affected by the Patient Protection and Affordable Care Act (ACA) over the next 10 years. METHODS:We used a stock-and-flow model to predict the number of available visits from 2013 to 2...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303222
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVES:We determined racial/ethnic differences in social support and exposure to violence and transphobia, and explored correlates of depression among male-to-female transgender women with a history of sex work (THSW). METHODS:A total of 573 THSW who worked or resided in San Francisco or Oakland, California, were ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.197285
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVES:We estimated changes in children's insurance status (publicly insured, privately insured, or uninsured) and crowd-out rates during the 2007 to 2009 US recession in Ohio. METHODS:We conducted an estimate of insurance coverage from statewide, randomized telephone surveys in 2004, 2008, 2010, and 2012. We esti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302451
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVES:How do health care professionals assess the care of hospital patients near the end of life? Are physicians and nurses aware of and in agreement with national recommendations regarding patients' rights to forgo life-sustaining medical treatments and to receive adequate pain control? METHODS:We surveyed 687 p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.1.14
更新日期:1993-01-01 00:00:00
abstract::Data were collected from 141 women under age 18 attending an abortion clinic that did not require parental notification. Most of them informed their girl friend but not their parents of the plans for abortion. Younger minors and those who perceive their parents to hold positive attitudes toward abortion were more apt ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.3.283
更新日期:1982-03-01 00:00:00
abstract:OBJECTIVES:A randomized controlled trial evaluated the impact of feedback and financial incentives on physician compliance with cancer screening guidelines for women 50 years of age and older in a Medicaid health maintenance organization (HMO). METHODS:Half of 52 primary care sites received the intervention, which inc...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.2105/ajph.88.11.1699
更新日期:1998-11-01 00:00:00
abstract::The French health system combines universal coverage with a public-private mix of hospital and ambulatory care and a higher volume of service provision than in the United States. Although the system is far from perfect, its indicators of health status and consumer satisfaction are high; its expenditures, as a share of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.1.31
更新日期:2003-01-01 00:00:00
abstract::The accepted wisdom about the US overdose crisis singles out prescribing as the causative vector. Although drug supply is a key factor, we posit that the crisis is fundamentally fueled by economic and social upheaval, its etiology closely linked to the role of opioids as a refuge from physical and psychological trauma...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304187
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVES:We estimated the prevalence and determinants of secondhand smoke (SHS) exposure among nonsmoking adolescents in 9 West African countries. METHODS:We conducted a pooled analysis with nationally representative 2006 to 2009 Global Youth Tobacco Survey data. We used descriptive statistics to determine the preva...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302661
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:The predictive value of perceptions of smoking-related risks and benefits with regard to adolescent smoking initiation has not been adequately established. We used prospective, longitudinal data to directly test whether smoking-related perceptions predict smoking initiation among adolescents. METHODS:We adm...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.137679
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVES:This article reports findings from a peer-delivered intervention designed to increase use of breast and cervical cancer screening. METHODS:Twenty-six worksites were randomly assigned to the intervention or comparison group. The 16-month intervention consisted of group discussions, outreach, and educational ...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.2105/ajph.91.4.584
更新日期:2001-04-01 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::The Environmental Protection Agency measures the success or failure of Superfund site remediation efforts against remedial action objectives (RAOs). RAOs are frequently based on environmental contaminant concentrations, but with lead exposure, blood lead levels from the population at risk are often used. Although chil...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300226
更新日期:2011-12-01 00:00:00