Abstract:
OBJECTIVE:This study reports the results of a behavior change intervention offered to women at high risk for human immunodeficiency virus (HIV) infection seen in an urban primary health care clinic. METHODS:Participants were 197 women randomly assigned to either an HIV/acquired immunodeficiency syndrome (AIDS) risk reduction group or a comparison group. Women in the HIV/AIDS intervention group attended five group sessions focusing on risk education; skills training in condom use, sexual assertiveness, problem solving, and risk trigger self-management; and peer support for change efforts. Women in the comparison group attended sessions on health topics unrelated to AIDS. RESULTS:At the 3-month follow-up, women in the HIV/AIDS intervention group had increased in sexual communication and negotiation skills. Unprotected sexual intercourse had declined significantly and condom use had increased from 26% to 56% of all intercourse occasions. Women in the comparison group showed no change. CONCLUSIONS:Socially disadvantaged women can be assisted in reducing their risk of contracting HIV infection. Risk reduction behavior change interventions should be offered routinely in primary health care clinics serving low-income and high-risk patients.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Kelly JA,Murphy DA,Washington CD,Wilson TS,Koob JJ,Davis DR,Ledezma G,Davantes Bdoi
10.2105/ajph.84.12.1918subject
Has Abstractpub_date
1994-12-01 00:00:00pages
1918-22issue
12eissn
0090-0036issn
1541-0048journal_volume
84pub_type
临床试验,杂志文章,随机对照试验abstract::Cervix and breast cancer incidence in 1978-82 was computed for immigrant and United States-born Black women in Brooklyn, New York. Compared to the national SEER (Surveillance, Epidemiology and End Results) rates, US-born and Haitian women had high rates of invasive cervical cancer, while English-speaking Caribbean imm...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.722
更新日期:1990-06-01 00:00:00
abstract:OBJECTIVES:We characterized smokers who are likely to use electronic or "e-"cigarettes to quit smoking. METHODS:We obtained cross-sectional data in 2010-2012 from 1567 adult daily smokers in Hawaii using a paper-and-pencil survey. Analyses were conducted using logistic regression. RESULTS:Of the participants, 13% rep...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301453
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVES:This article describes a unifying conceptual framework for the public health system as a way to facilitate the measurement of public health system performance. METHODS:A conceptual framework for the public health system was developed on the basis of the work of Donabedian and a conceptual model previously d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.8.1235
更新日期:2001-08-01 00:00:00
abstract:OBJECTIVES:We sought to determine whether supplemental private insurance coverage among Medicare recipients alters patterns of health care or outcomes associated with acute myocardial infarction. METHODS:Medicare patients hospitalized after a myocardial infarction were identified from New York City hospitalization rec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.5.778
更新日期:2004-05-01 00:00:00
abstract::We have summarized the evolution of the Nurses' Health Study (NHS), a prospective cohort study of 121 700 married registered nurses launched in 1976; NHS II, which began in 1989 and enrolled 116 430 nurses; and NHS3, which began in 2010 and has ongoing enrollment. Over 40 years, these studies have generated long-term,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303338
更新日期:2016-09-01 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: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. To explore whether and how the Affordable Care Act (ACA) affects the relationship between employment and health insurance coverage, health care utilization, and health outcomes among recently incarcerated men aged 18 to 64 years in the United States.Methods. With data from the National Survey on Drug Use a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305419
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:We sought to ascertain the types of ethical challenges public health practitioners face in practice and to identify approaches used to resolve such challenges. METHODS:We conducted 45 semistructured interviews with public health practitioners across a range of occupations (e.g., health officers, medical dir...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.137588
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVES:To support efforts to improve urban population health, we created a City Health Dashboard with area-specific data on health status, determinants of health, and equity at city and subcity (census tract) levels. METHODS:We developed a Web-based resource that includes 37 metrics across 5 domains: social and ec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304903
更新日期:2019-04-01 00:00:00
abstract::The State-Wide Rural Well-Water Survey was conducted between April 1988 and June 1989. About 18% of Iowa's private, rural drinking-water wells contain nitrate above the recommended health advisory level (levels of NO3-N greater than 10 mg/L); 37% of the wells have levels greater than 3 mg/L, typically considered indic...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.2.270
更新日期:1993-02-01 00:00:00
abstract::I describe variations in the structure and in the practice of rural public health and how rural communities meet the challenges of current public health practice, including primary methods of service delivery and partnership development. I present examples of promising models for the creation of rural public health ca...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.10.1678
更新日期:2004-10-01 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:In this study we examined the relationship between indicators of socioeconomic status (SES) and mortality for a representative sample of individuals. METHODS:The sample included 3734 individuals aged 45 and older interviewed in 1984 in the Panel Study of Income Dynamics. In the current study, mortality was ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.7.1151
更新日期:2002-07-01 00:00:00
abstract::Three hundred seventy-two (63%) of 590 enrollees in nine smoking cessation workshops held over a five-year period responded to a follow-up survey. Outcome data were collected retrospectively for six-month intervals from workshop to follow-up. Forty nine per cent of all enrollees graduated, and 56% of the respondents q...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.7.725
更新日期:1980-07-01 00:00:00
abstract:OBJECTIVES:Our community-academic partnership employed community-based participatory research to develop and pilot a simple, peer-led intervention to promote weight loss, which can prevent diabetes and eliminate racial/ethnic disparities in incident diabetes among overweight adults with prediabetes. METHODS:We recruit...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2009.170910
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:We examined HIV diagnosis rates and disease progression among men who have sex with men (MSM) according to race/ethnicity and age. METHODS:Using data obtained from the national HIV/AIDS surveillance system, we examined trends in HIV diagnosis rates for 2001 through 2004 using Poisson regression. We used a s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087551
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVES:To measure cost-effectiveness of an intervention to increase retrofitting of rollover protective structures (ROPS) on tractors. METHODS:Tractor overturns are the leading cause of farm fatalities. ROPS prevent these deaths. This study updates a 2011 cost-effectiveness assessment of a New York State intervent...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304644
更新日期:2018-11-01 00:00:00
abstract::A joint urban planning and public health perspective is articulated here for use, in health impact assessment. Absent a blueprint for a coherent and supportive structure on which to test our thinking, we are bound to fall flat. Such a perspective is made necessary by the sheer number of people living in cities through...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.1.118
更新日期:2003-01-01 00:00:00
abstract::From 1978 to 1983, researchers at the University of North Carolina conducted a National Evaluation of Rural Primary Care Programs. Thirty years later, many of the programs they studied have closed, but the challenges of providing rural health care have persisted. I explored the histories of 4 surviving rural primary c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.146050
更新日期:2009-09-01 00:00:00
abstract:OBJECTIVES:We conducted an exploratory study to determine what organizational characteristics predict the provision of culturally competent services for American Indian and Alaska Native (AI/AN) veterans in Department of Veterans Affairs (VA) health facilities. METHODS:In 2011 to 2012, we adapted the Organizational Re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302140
更新日期:2014-09-01 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::Two cross-sectional surveys were conducted in 1985 and 1986 to measure the prevalence of coronary heart disease (CHD) risk factors in Blacks and Whites. A home interview was followed by a survey center visit. Participation rates were 78 per cent and 90 per cent for the home interview and 65 per cent and 68 per cent fo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.12.1546
更新日期:1988-12-01 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
abstract:OBJECTIVES:We estimated annual mortality, years of potential life lost, and associated economic costs attributable to regular cigar smoking among US adults aged 35 years or older. METHODS:We estimated cigar-attributable mortality for the United States in 2010 using the Centers for Disease Control and Prevention's Smok...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301991
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:We examined whether Supplemental Nutrition Assistance Program (SNAP) participation changes associations between food insecurity, dietary quality, and weight among US adults. METHODS:We analyzed adult dietary intake data (n = 8333) from the 2003 to 2010 National Health and Nutrition Examination Survey. Bivar...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302580
更新日期:2015-07-01 00:00:00
abstract::More than 100 years ago, public health began as an organized discipline, its purpose being to improve the health of populations rather than of individuals. Given its population-based focus, however, public health perennially faces dilemmas concerning the appropriate extent of its reach and whether its activities infri...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.11.1776
更新日期:2001-11-01 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::Historical work on cancer has suggested that a range of political, social, and medical concerns stimulated the emergence of cancer as a public health problem in the early 20th century.I argue that anxiety about cervical cancer mortality was instrumental in establishing cancer as a major focus of concern for the Britis...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2004.046458
更新日期:2005-08-01 00:00:00
abstract::The demands of equity and efficiency require a program of universal health insurance in the United States through which all workers will be provided by their employers with health insurance for themselves and their dependents, unemployment will no longer result in the loss of health insurance protection, and federal s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.5.583
更新日期:1988-05-01 00:00:00