Abstract:
OBJECTIVES:The purpose of this study was to determine whether women's sociodemographic characteristics are independently associated with cesarean delivery. METHODS:A retrospective review was conducted of hospital discharge data for singleton first births in California in 1991. RESULTS:After insurance and personal, community, medical, and hospital characteristics had been controlled, Blacks were 24% more likely to undergo cesarean delivery than Whites; only among low-birthweight and county hospital births were Blacks not at a significantly elevated risk. Among women who resided in substantially non-English-speaking communities, who delivered high-birthweight babies, or who gave birth at for-profit hospitals, cesarean delivery appeared to be more likely among non-Whites and was over 40% more likely among Blacks than among Whites. CONCLUSIONS:The findings cannot establish causation, but the significant racial/ethnic disparities in delivery mode, despite adjustment for social, economic, medical, and hospital factors, suggest inappropriate influences on clinical decision making that would not be addressed by changes in reimbursement. If practice variations among providers are involved, de facto racial differences in access to optimal care may be indicated. The role of provider and patient attitudes and expectations in the observed racial/ethnic differentials should also be explored.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Braveman P,Egerter S,Edmonston F,Verdon Mdoi
10.2105/ajph.85.5.625subject
Has Abstractpub_date
1995-05-01 00:00:00pages
625-30issue
5eissn
0090-0036issn
1541-0048journal_volume
85pub_type
杂志文章abstract::Washington State hospitals were queried about the fate of 507 infants born in 1978-79 for whom no linked death certificate existed. Only ten previously unregistered deaths were discovered, raising mortality for this group by 2.5 per cent. In addition, 13 previously unmatched death records were linked to birth records,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.7.740
更新日期:1982-07-01 00:00:00
abstract::Pandemic Influenza: Special Considerations for Pregnant Women was a meeting convened by the Centers for Disease Control and Prevention in 2008 to obtain input from experts and key partners regarding clinical management of pregnant women and related public health actions to be taken during a pandemic. Meeting goals wer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.152900
更新日期:2009-10-01 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::To develop a protocol for prevention of hepatitis B virus (HBV) transmission in Wisconsin prisons, we interviewed 619 male prisoners at incarceration to obtain information on hepatitis B risk factors. We defined previous infections by the presence of hepatitis B surface antigen (HBsAg), antibody to hepatitis B surface...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.10.1182
更新日期:1985-10-01 00:00:00
abstract::In 1981, outbreaks of itchy skin rashes were reported accompanying the heavy infestation of gypsy moths (GM) in the Northeastern United States. The rash problem was widespread and a considerable public annoyance. In the spring of 1982, during the period of greatest contact with the caterpillars, a telephone survey was...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.8.799
更新日期:1984-08-01 00:00:00
abstract::We measured the association between walking for exercise and the ratio of total cholesterol/HDL cholesterol in 3,621 adults. After controlling for age, gender, income, body fat, alcohol use, exercise other than walking, and cigarette smoking, adults in the high, moderate, and low duration walking categories were compa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.9.1111
更新日期:1990-09-01 00:00:00
abstract::Historically, quality assurance studies have received scant ethical attention. The advent of information systems capable of supporting research-grade continuous quality improvement projects demands that we clearly define how these projects differ from research and when they require external review. The ethical obligat...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.91.9.1512
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVES:This study determined the prevalence and factors associated with hepatitis B virus (HBV) infection among men who have sex with men. METHODS:At the baseline visit of an HIV study among men who have sex with men, we asked about HBV vaccination status and tested for HBV markers. RESULTS:Of 625 subjects, 48% h...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.10.1570
更新日期:2000-10-01 00:00:00
abstract::A six-year prospective study provides estimates of functional status (independent, dependent, nursing home resident, or deceased) according to age, gender, and previous functional status for Caucasian elders initially living in the community. Half the cohort had sustained independence for the six years; of those depen...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.3.266
更新日期:1984-03-01 00:00:00
abstract:OBJECTIVES:We describe trends in receipt of preventive dental care among Medicaid-enrolled children in Pennsylvania between 2005 and 2010, comparing the US children of immigrants with their co-ethnic peers in nonimmigrant families. METHODS:We analyzed Pennsylvania Medicaid claims, birth records, and census data for ch...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302157
更新日期:2014-12-01 00:00:00
abstract::The past quarter century has seen an explosion of concern about widening health inequities in the United States and worldwide. These inequities are central to the research mission in 2 arenas of public health: social epidemiology and community-engaged interventions. Yet only modest success has been achieved in elimina...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.140988
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVES:We calculated the racial/ethnic-specific percentages of gestational diabetes mellitus (GDM) attributable to overweight and obesity. METHODS:We analyzed 1 228 265 records of women aged 20 years or older with a live, singleton birth in California during 2007 to 2009. Using logistic regression, we estimated th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301469
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVES:We assessed the impact of a tobacco control initiative over 10 years on cessation and prevention. METHODS:We examined 2000-2009 Behavioral Risk Factor Surveillance System cases of a metropolitan statistical area (MSA) with systematic tobacco control efforts throughout the decade (El Paso, TX) and 2 comparis...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300346
更新日期:2012-05-01 00:00:00
abstract::An increased incidence of obvious live-birth neural tube defects (i.e., spina bifida cystica and encephalocele) occurred in Jamaica 11 to 18 months after Hurricane Gilbert. The conceptions of the affected babies coincided with a rise in megaloblastic change in sickle cell patients, suggesting a wide-spread drop in die...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.3.473
更新日期:1994-03-01 00:00:00
abstract::Using data from the Child Health Supplement to the 1981 National Health Interview Survey, illness and use of physician services are compared for children under 18 years old in three family income groups. The results indicate that although annual prevalence of many health problems does not differ greatly by income leve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.8.927
更新日期:1988-08-01 00:00:00
abstract::Occupational lead poisoning and environmental contamination were evaluated at a lead scrap smelter. Thirty of 37 employees (81 per cent) has blood lead levels of greater than or equal to 80 mug/100 ml, indicating unacceptable absorption, and 35 had free erythrocyte protoporphyrin (FEP) levels greater than 60mug/100ml ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.6.548
更新日期:1976-06-01 00:00:00
abstract:OBJECTIVES:We evaluated the effect of North American public bicycle share programs (PBSPs), which typically do not offer helmets with rentals, on the occurrence of bicycle-related head injuries. METHODS:We analyzed trauma center data for bicycle-related injuries from 5 cities with PBSPs and 5 comparison cities. We use...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302012
更新日期:2014-08-01 00:00:00
abstract::After a decade-long resurgence, including a large cutaneous diphtheria outbreak in Washington State, the diphtheria incidence rate in the United States reached its lowest recorded level ever in 1980--two patients (0.01 case per million). Mortality paralleled the decline in incidence rate. Only 143 of the 3,141 US coun...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.12.1393
更新日期:1985-12-01 00:00:00
abstract::In 1985, a measles outbreak involved 14 students and non-student contacts in Michigan. Eight transmissions occurred at university medical facilities; five of these were likely airborne transmissions. Medical students and a medical resident were involved in the outbreak's propagation. Health care providers need to be i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.9.1222
更新日期:1987-09-01 00:00:00
abstract::This study is the first to provide complete information on prevalence rates by gender and geographic variation for each type of tobacco product used in the United States. Results indicate that, in nearly half of all states, total tobacco use in men exceeded 40% and, in four states, exceeded 50%. In women, only Nevada,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.103
更新日期:1992-01-01 00:00:00
abstract::Current theoretical approaches to bioethics and public health ethics propose varied justifications as the basis for health care and public health, yet none captures a fundamental reality: people seek good health and the ability to pursue it. Existing models do not effectively address these twin goals. The approach I e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.143651
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVES:Much research has documented that youthful substance use typically follows a sequence starting with use of alcohol or tobacco or both and potentially proceeding to marijuana and then hard drug use. This study explicitly examined the probabilities of progression through each stage and their covariates. METHO...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.2.225
更新日期:2001-02-01 00:00:00
abstract::The University of Illinois at Chicago, School of Public Health, Doctor of Public Health degree is designed to build leadership skills and an ability to contribute to the evidence base of practice. The competency-based, distance-format, doctoral-level program for midcareer professionals features an action learning appr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302331
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:The effect of a community-based physical activity program in Pawtucket, RI, was evaluated relative to one in a comparison community. METHODS:Cross-sectional surveys of 7529 residents of Pawtucket, RI, and 7732 residents of the comparison city were conducted at 2-year intervals during 7 years of intervention...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.11.1741
更新日期:1999-11-01 00:00:00
abstract::An estimated 2,300,000 women in the United States underwent tubal sterilizations in 1970-1975. During this period the rate of tubal sterilizations per 1,000 women 15-44 years of age rose from 4.7 to 11.7. We studied the influence on sterilization trends of four demographic variables: age, region of residence, race, an...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.8.808
更新日期:1980-08-01 00:00:00
abstract::This paper assesses the risks and benefits associated with hysterectomy by comparing the age-adjusted health care usage patterns of all women receiving hysterectomy in the Province of Manitoba in 1974 during the two years before and the two years after surgery with those of women undergoing cholecystectomy, and with t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.1.39
更新日期:1984-01-01 00:00:00
abstract::Objectives. To quantify the number of people in the US who delay medical care annually because of lack of available transportation and to examine the differential prevalence of this barrier for adults across sociodemographic characteristics and patient populations.Methods. We used data from the National Health Intervi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305579
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effect of patients' socioeconomic status on use of coronary angiography, bypass grafting, and angioplasty across health insurance categories. METHODS:Multiple logistic regression was used to compute the odds of receiving each procedure among 206 233 ischemic heart disease patients r...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.7.1089
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVES:After conducting a media campaign focusing on the importance of oral and pharyngeal cancer (OPC) examinations, we assessed mechanisms of behavior change among individuals receiving an OPC examination for the first time. METHODS:We used data from 2 waves of telephone surveys of individuals residing in 36 rur...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302516
更新日期:2015-07-01 00:00:00
abstract::Between December 2009 and January 2010, we conducted a nationally representative telephone survey of US adults (n = 1001; completion rate = 52.9%) to explore perceptions of risks associated with peak petroleum. We asked respondents to assess the likelihood that oil prices would triple over the next 5 years and then to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300230
更新日期:2011-09-01 00:00:00