Abstract:
:This paper examines the relative importance of various independent variables for predicting five separate measures of physician utilization in a rural community. The independent variables include socioeconomic, demographic, attitudinal, and health status factors. The results are comparable to those of national studies which find that health status is the primary determinant of utilization. Income, price measures, and travel time are notable for their relative unimportance in this rural area. This suggests that resources are more likely to be allocated on the basis of medical need within a given health care market than across a number of market areas.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Luft HS,Hershey JC,Morrell Jdoi
10.2105/ajph.66.9.865subject
Has Abstractpub_date
1976-09-01 00:00:00pages
865-71issue
9eissn
0090-0036issn
1541-0048journal_volume
66pub_type
杂志文章abstract::US national elections, which draw sizable numbers of older voters, take place during flu-shot season and represent an untapped opportunity for large-scale delivery of vaccinations. In 2012, Vote & Vax deployed a total of 1585 clinics in 48 states; Washington, DC; Guam; Puerto Rico; and the US Virgin Islands. Approxima...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302628
更新日期:2015-06-01 00:00:00
abstract::This study was designed to assess the effects of the North Carolina Improved Pregnancy Outcome (IPO) Project on use of prenatal care and incidence of low birthweight among its primarily Black registrants . Weighted least squares and stratified analysis procedures were used to scrutinize vital statistics data for subpo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.6.549
更新日期:1984-06-01 00:00:00
abstract::Social, political, and economic disruptions caused by natural and human-caused public health emergencies have catalyzed public health efforts to expand the scope of biosurveillance and increase the timeliness, quality, and comprehensiveness of disease detection, alerting, response, and prediction. Unfortunately, effor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.180489
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVES: To investigate the impact of Be the Exception, a newly developed program to delay onset of sexual behaviors, in a White, rural population. METHODS: A cluster randomized controlled trial in northwestern Indiana (14 schools, 1776 students, 2011-2015) compared an intervention (5 group sessions and multimedia ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303438
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:This study sought to describe patterns of initiation, persistence, and cessation in drug use in individuals from their late 20s to their mid-30s, within a broad perspective that spans 19 years from adolescence to adulthood. METHODS:A fourth wave of personal interviews was conducted at ages 34-35 with a coho...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.1.41
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVE:This study examined the prevalence and correlates of survival sex among runaway and homeless youths. METHODS:A nationally representative sample of shelter youths and a multicity sample of street youths were interviewed. RESULTS:Approximately 28% of street youths and 10% of shelter youths reported having par...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.9.1406
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVES:To assess the prevalence and factors associated with physical and nonphysical violence in a sample of general practitioners (GPs). METHODS:We used a cross-sectional design to collect data from December 2014 to March 2015 with a structured self-administered questionnaire from 1015 GPs in Hubei Province, Cent...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304519
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:Prospectively gathered data were used to reexamine and to strengthen previously described observations about education and the risk of alcohol abuse and dependence. The hypothesis was that individuals who dropped out of high school and those who entered college but failed to get a college degree might be at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.6.830
更新日期:1993-06-01 00:00:00
abstract:OBJECTIVES:California's Proposition 36 offers nonviolent drug offenders community-based treatment as an alternative to incarceration or probation without treatment. We examined how treatment capacity changed to accommodate Proposition 36 clients and whether displacement of other clients was an unintended consequence. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.069336
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:We conducted a midpoint review of The California Endowment's Healthy Eating, Active Communities (HEAC) program, which works in 6 low-income California communities to prevent childhood obesity by changing children's environments. The HEAC program conducts interventions in 5 key childhood environments: schools...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.192781
更新日期:2010-11-01 00:00:00
abstract::A nation-wide survey of Parent-Inclusive Pediatric Units identified innovations and restrictions in policies and practices. Questionnaires mailed to Directors of Nursing Service at 84 general hospitals which encourage parental "living-in" indicated that parents are provided with a place to sleep but infrequently are o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.9.847
更新日期:1978-09-01 00:00:00
abstract::With access to reproductive health care eroding, examination of prescribing of contraception, including emergency contraception (EC), is important. We examined whether working in a family practice affiliated with a religious institution changes the likelihood of a provider prescribing EC. Our survey asked about EC pre...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.061218
更新日期:2006-08-01 00:00:00
abstract::From mid-June through early August 1980, an outbreak of gastrointestinal illness in Red Lodge, Montana affected approximately 780 persons, as estimated from attack rates of 33 per cent and 15 per cent in urban and rural residents, respectively. Giardia lamblia was identified in stool specimens from 51 per cent of 47 p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.8.868
更新日期:1983-08-01 00:00:00
abstract::Objectives. We explored gender role strain (GRS) arising from conflict between homosexuality and cultural conceptions of masculinity among young Black men who have sex with men (MSM). Methods. We conducted a categorical analysis (a qualitative, 3-stage, iterative analysis) of data from studies conducted in 2001 to 200...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301866
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:We examined whether healthy lifestyles are associated with absence of depressed mood. METHODS:A sample of 1169 adult participants in the Maastricht Aging Study provided baseline and 6-year follow-up data on smoking, alcohol use, physical exercise, body mass index, and mood. We examined associations between ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.053199
更新日期:2007-05-01 00:00:00
abstract::A review of live births, spontaneous fetal deaths, and induced abortions in residents of Upstate New York ages 12--17 shows that pregnancy rates increased during the period 1971 through 1974. This increase was attributable to pregnancies ending in induced abortion while live births remained relatively stable. White te...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.8.753
更新日期:1978-08-01 00:00:00
abstract::Data were employed from confirmed measles case reports and an immunization survey to estimate the apparent effectiveness of measles vaccine in Los Angeles County in 1976. We evaluated the age-specific proportions of our case load arising from persons erroneously thought to possess immunity. Thirty five per cent of our...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.10.1055
更新日期:1979-10-01 00:00:00
abstract::The areal approach utilized in mortality analysis for cities in the past is argued to be fruitful for suburban mortality analysis as well. Through factor analysis of four Census Tract indicators, weighted scores were computed and socioeconomic groups were constructed for each central city and each suburban area for th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.4.342
更新日期:1978-04-01 00:00:00
abstract:OBJECTIVES:In a large heterogeneous sample of adults with mental illnesses, we examined the 6-month prevalence and nature of community violence perpetration and victimization, as well as associations between these outcomes. METHODS:Baseline data were pooled from 5 studies of adults with mental illnesses from across th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301680
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Recent recommendations for Americans aged 2 and older call for a reduction in the average saturated fat intake to less than 10% of calories. METHODS:Using 24-hour dietary recalls collected from mothers of 4- to 7-year-old urban Latino children, we identified foods and dietary behavior patterns that distingu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.6.810
更新日期:1992-06-01 00:00:00
abstract::Blood pressure levels were investigated in a population of diabetic persons who were diagnosed at 30 years of age or older and who received their primary medical care in an 11-county area in Southern Wisconsin. Prevalence of hypertension in these 5,104 persons was compared with prevalence figures from the Health and N...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.4.336
更新日期:1984-04-01 00:00:00
abstract::In Washington County, Maryland, ownership of cats and/or dogs was compared among 48 residents who committed suicide in the years 1975-83 and 96 living controls matched to the suicides by race, sex, and date of birth. Another comparison used as controls persons of same race, sex, and age who died of causes other than s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.10.1223
更新日期:1985-10-01 00:00:00
abstract::Research suggests that greater ethnic density correlates with worse health among African Americans but better health among Hispanic Americans. These conflicting patterns may arise from Hispanic American samples being older than African American samples. We found that among 2367 Mexican American and 2790 African Americ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300787
更新日期:2012-12-01 00:00:00
abstract::An analysis of morbidity was made in 11 kibbutzim (cooperative agricultural settlements), with a total population of 3,040, that had switched from nonwastewater to wastewater sprinkler irrigation or vice versa. Generally, partially treated stabilization pond effluent of poor microbial quality was used for irrigation. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.8.977
更新日期:1986-08-01 00:00:00
abstract:OBJECTIVES:Data from the Tecumseh Community Health Study were used to estimate excess morbidity owing to influenza, and results were compared with estimates made previously using different methodology for an Institute of Medicine report. METHODS:Study participants from Tecumseh, Michigan, were classified as infected o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.12.1712
更新日期:1993-12-01 00:00:00
abstract:BACKGROUND:In recent years, an increasing number of women have been entering the labor force. It is known that in men, employment is related to heart disease risk, but there are few studies examining this association among women. METHODS:The relation between employment status and heart disease risk factors including l...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.2.215
更新日期:1992-02-01 00:00:00
abstract::Public health, like politics, is the art of the possible. To maximize effectiveness, public health officers in any jurisdiction should (1) get good data and ensure timely and effective dissemination; (2) prioritize and tackle more difficult initiatives first; (3) find, fight, and win winnable battles in areas where pr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303204
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Intravenous drug use has played a key role in the human immunodeficiency virus (HIV) epidemic. Standardized surveillance of HIV infection among intravenous drug users (IVDUs) is needed to determine HIV prevalence rates, to monitor changes in prevalence over time, and to describe behaviors associated with HIV...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.4.541
更新日期:1992-04-01 00:00:00
abstract:OBJECTIVES:This study examined the effect of an active program of household lead paint hazard abatement, applied over 22 years, on childhood lead poisoning in Massachusetts. METHODS:A small areas analysis was used to compare screening blood lead levels of children in Worcester County, Mass (n = 27,590), with those in ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.11.1690
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVES: To test the efficacy of Reducing the Risk (RTR) and Love Notes (LN) on reducing risky sexual behavior among youths yet to experience or cause a pregnancy. METHODS: The four dependent variables were ever had sex, condom use, birth control use, and number of sexual partners at 3- and 6-month follow-up in a 3...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303429
更新日期:2016-09-01 00:00:00