Abstract:
OBJECTIVES:Prenatal care is commonly understood to have a beneficial impact on birthweight. This study describes socioeconomic differences in utilization of prenatal medical care and birthweight in a population with universal health insurance. METHODS:Measures of prenatal care utilization, incidence of pregnancy complications, and birthweight were obtained from physician reimbursement claims and hospital separation abstracts for 12,646 pregnant women. Maternal socioeconomic status was derived from small-area census data. RESULTS:Infants born to women in the poorest income quintile had lower birthweights than infants born to wealthier women. Much of the difference was associated with a higher prevalence of complications, smoking, unmarried status, and inadequate prenatal care among low-income women. The difference in birthweight between adequate and less than adequate care groups was small, and the benefit associated with prenatal care was no greater among women with pregnancy complications. CONCLUSIONS:The lower utilization of prenatal care by poorer women accounted for a small proportion of the difference in birthweight. Socioeconomic differences in birthweight are primarily attributable to factors not directly influenced by early prenatal medical care.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Mustard CA,Roos NPdoi
10.2105/ajph.84.9.1450subject
Has Abstractpub_date
1994-09-01 00:00:00pages
1450-7issue
9eissn
0090-0036issn
1541-0048journal_volume
84pub_type
杂志文章abstract::Data from the Hispanic Health and Nutrition Examination Survey (HHANES) (1982 through 1984) and the National Health and Nutrition Examination Survey (NHANES) II (1976 through 1980) were used to examine reported physician-diagnosed asthma among 6-month-old through 11-year-old children. The highest prevalence of active ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.4.580
更新日期:1993-04-01 00:00:00
abstract::Unprotected sexual intercourse remains a primary mode of HIV transmission in the United States. We found that receipt of services to reduce HIV transmission-risk behaviors was low among 3787 HIV-infected individuals and that men who have sex with men were especially unlikely to receive these services even though they ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.124933
更新日期:2008-06-01 00:00:00
abstract::The World Health Organization's determination of the Ebola virus disease outbreak as a public health event of international concern prompted nonaffected countries to implement measures to prevent, detect, and manage the introduction of the virus in their territories. The outbreak provided an opportunity to assess the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302969
更新日期:2016-02-01 00:00:00
abstract::The HIV/AIDS epidemic has exacted a devastating toll upon Black men who have sex with men (MSM) in the United States, and there is a tremendous need to escalate HIV-prevention efforts for this population. The social context in which Black MSM experience the impact of racism and heterosexism strongly affects their risk...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.143214
更新日期:2009-06-01 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::Describing, evaluating, and conducting research on the questions raised by comparative effectiveness research and characterizing care delivery organizations of all kinds, from independent individual provider units to large integrated health systems, has become imperative. Recognizing this challenge, the Delivery Syste...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301926
更新日期:2015-04-01 00:00:00
abstract::The integration of public health practices with federal health care for American Indians and Alaska Natives (AI/ANs) largely derives from three major factors: the sovereign nature of AI/AN tribes, the sociocultural characteristics exhibited by the tribes, and that AI/ANs are distinct populations residing in defined ge...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
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更新日期:2014-06-01 00:00:00
abstract::Holding that workers exposed to toxic substances in the workplace have a right to know about the extent to which they may have been put at risk, Bayer describes the history of the political controversy over whether the National Institute of Occupational Safety and Health (NIOSH) ought to provide individual notificatio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.11.1352
更新日期:1986-11-01 00:00:00
abstract::Objectives. To compare the flood impacts experienced by Harris County, Texas, hospitals with Federal Emergency Management Agency (FEMA) flood hazard areas and Hurricane Harvey's inundation boundary.Methods. One year following Hurricane Harvey, we created a novel data set of Hurricane Harvey's flood impacts in Harris C...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305520
更新日期:2020-04-01 00:00:00
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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:To assess the relationship between health care system and economic factors and early childhood caries (ECC) data availability and prevalence. METHODS:We estimated ECC data for 193 United Nations countries from studies published between 2007 and 2017. We obtained other variables from the World Health Organiz...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304466
更新日期:2018-08-01 00:00:00
abstract::Seven cases of subacute central and peripheral neurologic dysfunction developed in 18 workers employed in the manufacture of reinforced plastic bathtubs. Cases were characterized by weight loss, dizziness, paresthesias, muscle weakness, incontinence, memory loss, and loss of peripheral, color, and night vision. Neurop...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.5.513
更新日期:1985-05-01 00:00:00
abstract::To measure test-retest reliability, 38 Veterans Administration clinic patients completed a modification of the Sarason Life Experience Survey (LES) twice within several weeks. Summary scores were found to be more reliable than scores on individual questions. Patients attending the Mental Hygiene Clinic responded less ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.7.723
更新日期:1984-07-01 00:00:00
abstract:OBJECTIVES:This study examined the relationship of functional health literacy to self-reported health and use of health services. METHODS:Patients presenting to two large, urban public hospitals in Atlanta, Ga, and Torrance, Calif, were administered a health literacy test about their overall health and use of health c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.6.1027
更新日期:1997-06-01 00:00:00
abstract:OBJECTIVES:Interpreting associations between lead exposure and child behavior problems is difficult because studies have not controlled for sociodemographic confounders or have used shed teeth to mark exposure. This study explored associations between blood lead and preschool behavior. METHODS:Children from a smelter ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.3.481
更新日期:1998-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300958
更新日期:2012-11-01 00:00:00
abstract::Increasing knowledge is an important goal of human immunodeficiency virus (HIV) prevention strategies, although increased knowledge may not be associated with increased preventive behaviors. This study examines the association of (1) objective and subjective acquired immunodeficiency syndrome (AIDS) knowledge, and (2)...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.10.1460
更新日期:1993-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302892
更新日期:2015-11-01 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:OBJECTIVES:We evaluated the role of poverty in racial/ethnic disparities in HIV prevalence across levels of urbanization. METHODS:Using national HIV surveillance data from the year 2009, we constructed negative binomial models, stratified by urbanization, with an outcome of race-specific, county-level HIV prevalence r...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301997
更新日期:2014-07-01 00:00:00
abstract::The long-term consequences of prior oral contraceptive use for bone mineral density were examined in 239 postmenopausal women, 35.1% of whom reported prior oral contraceptive use. Women who had used oral contraceptives for 6 or more years had significantly higher bone densities of the lumbar spine and femoral neck, bu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.1.100
更新日期:1993-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:1999-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301457
更新日期:2014-02-01 00:00:00
abstract::Interorganizational linkages have assumed more import for mental health service systems during the past three decades because of increased levels of complexity in service delivery patterns. This analysis examines these linkages from a relational perspective, with network of patient referral patterns as the basic unit....
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.7.755
更新日期:1986-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 历史文章,杂志文章
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更新日期:2017-09-01 00:00:00
abstract:OBJECTIVES:We sought to examine trends in hepatitis B virus (HBV) vaccination among high-risk adults and assess the potential effect vaccinated adolescents have on these trends as they age. METHODS:We used data from the National Health Interview Survey 2000, 2002, and 2004 to examine trends in HBV vaccination among hi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.116046
更新日期:2008-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.2.300
更新日期:1994-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.7.1144
更新日期:2003-07-01 00:00:00
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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::In the Whitehall Study, which followed 17,139 male civil servants over 33 years, the association between tall stature and coronary heart disease (CHD) mortality differed between employment grades. In men without CHD at study entry, the hazard ratio per 15-cm increase in height was 0.77 (95% confidence interval [CI]=0....
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/2004.046219
更新日期:2005-04-01 00:00:00