Abstract:
:As one element of Baltimore's effort to combat its high rate of teenage pregnancy, the Baltimore City Health Department added the implantable contraceptive Norplant to the array of services offered at one of its school-based health centers in early 1993. The initial findings with the adolescents who received this contraceptive at the school were favorable, particularly regarding condom use, parental involvement, and patient acceptance of the contraceptive. This new policy garnered a significant amount of attention, both nationally and locally. It attempts to address problems that have complicated etiologies as well as diverse clinical, social, and ethical ramifications, all complicated by political realities. The Norplant experience offers useful lessons regarding controversial health initiatives that address problems facing public health practitioners today.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Beilenson PL,Miola ES,Farmer Mdoi
10.2105/ajph.85.3.309subject
Has Abstractpub_date
1995-03-01 00:00:00pages
309-11issue
3eissn
0090-0036issn
1541-0048journal_volume
85pub_type
杂志文章abstract::During a mass diphtheria-tetanus immunization campaign in November 1975, more than 220,000 doses of diphtheria-tetanus toxoid, adult type were administered to adults throughout Alaska. In Anchorage, where more than 87,000 doses were given, a survey was conducted to determine the frequency of side effects. Postcard que...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.3.246
更新日期:1979-03-01 00:00:00
abstract::A large portion of current epidemiologic research is based on methodologic individualism: the notion that the distribution of health and disease in populations can be explained exclusively in terms of the characteristics of individuals. The present paper discusses the need to include group- or macro-level variables in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.2.216
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVES:This study compared success in smoking cessation by sex, ethnic status, and birth cohort. METHODS:African and European American respondents to the 1996 Current Population Survey (tobacco supplement) and the 1987 National Health Interview Survey (cancer control and cancer epidemiology supplements) constitute...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.6.961
更新日期:2002-06-01 00:00:00
abstract::Since the 1915 launch of the first international eradication initiative targeting a human pathogen, much has been learned about the determinants of eradicability of an organism. The authors outline the first 4 eradication efforts, summarizing the lessons learned in terms of the 3 types of criteria for disease eradicat...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.90.10.1515
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:We determined the number of state Medicaid programs adopting initiatives to support preventive dental services provision by nondental health care professionals, their perceived attributes, and implementation barriers. METHODS:We used Qualtrics to conduct a cross-sectional survey in 2008 of Medicaid dental p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301138
更新日期:2013-08-01 00:00:00
abstract::Surveys concerning the risk communication practices and needs of state health agencies were completed by agency commissioners and designated staff of 48 states and territories. These data indicate that agencies are expending more effort on responding to requests for information than on initiating dialogues with intere...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.4.489
更新日期:1991-04-01 00:00:00
abstract::In 1999, a cluster of encephalitis cases was detected in New York City. The city applied larvicide to standing water and aerially sprayed pesticides to control adult mosquitoes. The causative agent was West Nile virus, a type of encephalitis that had never before been transmitted in the western hemisphere. This experi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.8.1218
更新日期:2002-08-01 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::Maternal mortality remains one of the most daunting public health problems in resource-poor settings, and reductions in maternal mortality have been identified as a prominent component of the United Nations Millennium Development Goals. The World Health Organization estimates that 515000 women die each year from pregn...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2003.036715
更新日期:2005-02-01 00:00:00
abstract::Evaluation of the results of breast self-examination (BSE) is inconclusive. Studies which address the question of proper method of BSE find that most women do not know how to carry out the procedure correctly. Socio-demographic characteristics most consistently related to BSE practice are age and education. New resear...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.73.11.1324
更新日期:1983-11-01 00:00:00
abstract::State-level income inequality has been found to have an effect on individual health outcomes, even when controlled for important individual-level variables such as income, education, age, and gender. The effect of income inequality on health may not be immediate and may, in fact, have a substantial lag time between ex...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.134940
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVES:To elucidate why the inverse association between education level and mortality risk (the gradient) has increased markedly among White women since the mid-1980s, we identified causes of death for which the gradient increased. METHODS:We used data from the 1986 to 2006 National Health Interview Survey Linked ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301128
更新日期:2013-03-01 00:00:00
abstract::This study examines the professional relationships between midwives and physicians providing obstetrical care in Washington State. Four hundred ninety-six randomly sampled family physicians and obstetrician-gynecologists and 211 certified nurse, licensed, and lay midwives were surveyed to learn more about midwife/phys...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.2.262
更新日期:1992-02-01 00:00:00
abstract::Objectives. To determine if and how state and local public health departments present information about climate change on their Web sites, their most public-facing platform.Methods. We collected data from every functioning state (n = 50), county (n = 2090), and city (n = 585) public health department Web site in the U...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305723
更新日期:2020-08-01 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::The term "rural" suggests many things to many people, such as agricultural landscapes, isolation, small towns, and low population density.However, defining "rural" for health policy and research purposes requires researchers and policy analysts to specify which aspects of rurality are most relevant to the topic at han...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.042432
更新日期:2005-07-01 00:00:00
abstract::Epidemiologists have expressed concern about constraints upon the conduct of epidemiological research imposed by Institutional Review Boards (IRBs), attorneys, and both institutional and individual health services providers. The epidemiologists assert that these constraints, not necessarily required by law or sound po...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.10.1155
更新日期:1982-10-01 00:00:00
abstract::A case of rubella in a male obstetrics-gynecology house staff member exposed 170 staff members and 11 prenatal patients to the clinical disease. Of 163 staff members tested within one week of exposure, 132 (80 per cent) were not susceptibles. Repeat titres three weeks later on 28 susceptibles remained negative. Of the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.3.287
更新日期:1979-03-01 00:00:00
abstract::Entrenched poor health and health inequity are important public health problems. Conventionally, solutions to such problems originate from the health care sector, a conception reinforced by the dominant biomedical imagination of health. By contrast, attention to the social determinants of health has recently been give...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.154856
更新日期:2009-11-01 00:00:00
abstract::The religious distribution of Nassau County resident leukemia cases diagnosed between 1966 and 1974 was studied to see if the elevated incidence of the disease among Jews reported in the 1950s and early 1960s was persisting. The results showed, for both males and females, virtually no difference in attack rates betwee...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.11.1094
更新日期:1976-11-01 00:00:00
abstract:OBJECTIVES:We surveyed young men on their experiences of police encounters and subsequent mental health. METHODS:Between September 2012 and March 2013, we conducted a population-based telephone survey of 1261 young men aged 18 to 26 years in New York City. Respondents reported how many times they were approached by Ne...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302046
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVES:This report describes a model for delivering developmental services to children of patients in treatment for substance abuse. METHODS:A multidisciplinary team provides developmental evaluations of children at a substance abuse treatment clinic. RESULTS:In 3 years of operation, 85% of 117 children completed...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.12.1930
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVES:This study sought to estimate the risk of silicosis by cumulative exposure-years in a cohort of miners exposed to silica, as well as the lifetime risk of silicosis under the current Occupational Safety and Health Administration (OSHA) standard (0.09 mg/m3). METHODS:In a cohort study of 3330 gold miners who ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.10.1372
更新日期:1995-10-01 00:00:00
abstract::Decentralized health service delivery responsive to the needs of local populations implies allocating program funds to regions on the basis of predetermined criteria that can facilitate effective planning and budgeting. In 1974, the Manitoba Continuing Care Program attempted to develop a formula for regional allocatio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.1.77
更新日期:1980-01-01 00:00:00
abstract:OBJECTIVES:We sought to document the sequence and timing of milestones in the process of smoking cessation by prospectively studied cessation milestones among novice adolescent smokers. METHODS:Participants, aged 12 to 13 years in 1999 (n = 1293), completed self-report questionnaires every 3 months during the school y...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.128629
更新日期:2009-03-01 00:00:00
abstract::Salt intake of 978 subjects when compared to 1954 data demonstrated a trend toward the decreased use of table salt. When hypertensives in treatment were excluded, persons reporting low salt use had higher mean systolic and diastolic blood pressures than those reporting high salt use. These findings were the reverse of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.4.405
更新日期:1985-04-01 00:00:00
abstract::Most health research with American Indian and Alaska Native (AI/AN) people has focused on tribal communities on reservation lands. Few studies have been conducted with AI/AN people living in urban settings despite their documented health disparities compared with other urban populations. There are unique consideration...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302027
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:We tested a series of self-help booklets designed to prevent postpartum smoking relapse. METHODS:We recruited 700 women in months 4 through 8 of pregnancy, who quit smoking for their pregnancy. We randomized the women to receive either (1) 10 Forever Free for Baby and Me (FFB) relapse prevention booklets, m...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2012.300653
更新日期:2012-11-01 00:00:00
abstract::Because of the importance of grassroots social movements, or "change from below," in the history of US reform, the relationship between social movements and demands for universal health care is a critical one. National health reform campaigns in the 20th century were initiated and run by elites more concerned with def...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.93.1.75
更新日期:2003-01-01 00:00:00
abstract::Children screened for lead poisoning in the Brownsville district of New York City in either summer or winter were followed with blood lead tests for approximately six months to one year from screening to measure longitudinal changes in blood lead level and to identify some determinants of the changes. Only minimal evi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.4.348
更新日期:1979-04-01 00:00:00