Abstract:
OBJECTIVES:Data from the Western Collaborative Group Study were used to determine the extent to which the inverse association between socioeconomic status (SES) and mortality can be explained by risk factors for major causes of mortality. METHODS:The relation of education and income to subsequent mortality was studied in 3154 employed, middle-aged men over 22 years of follow-up. RESULTS:Over the follow-up period, 584 (18.5%) men died, 214 (6.8%) from coronary heart disease and 70 (2.2%) from lung cancer. A significant inverse association with systolic blood pressure, serum cholesterol, and smoking was found only for education. For education, adjustment for risk factors reduced the relative risk for coronary heart disease mortality from 1.80 (95% confidence interval = 1.33, 2.44) to 1.54 (1.13, 2.09), for lung cancer mortality from 1.60 (0.95, 2.70) to 1.38 (0.81, 2.34), and for all-cause mortality from 1.49 (1.09, 1.13) to 1.33 (1.12, 1.60). For income, adjustment for risk factors did not change relative risk for mortality from coronary heart disease (1.27 [0.97, 1.66]) and all causes (1.21 [1.03, 1.43]), but it did increase the relative risk for lung cancer mortality from 1.68 (1.05, 2.68) to 1.83 (1.13, 2.96). CONCLUSIONS:In middle-aged, employed men, the association between SES and mortality is partially but not completely accounted for by major risk factors for mortality.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Bucher HC,Ragland DRdoi
10.2105/ajph.85.9.1231subject
Has Abstractpub_date
1995-09-01 00:00:00pages
1231-6issue
9eissn
0090-0036issn
1541-0048journal_volume
85pub_type
杂志文章,多中心研究abstract::My experiences as a mentor of young investigators, along with conversations with a diverse pool of mentees, led me to question the ability of conventional research methods, problem formulation, and instruments to address the unique challenges of studying racial and ethnic minorities. Training of new investigators shou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.135996
更新日期:2009-04-01 00:00:00
abstract::Recent changes in policymaking, such as the passage of the Patient Protection and Affordable Care Act, have ushered in a new era in community health partnerships. To investigate characteristics of effective collaboration between hospitals, their parent systems, and the public health community, with the support of majo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302938
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:We sought to quantify the effect of good smoking hygiene on infant risk of respiratory tract infection in the first 12 months of life. METHODS:A cohort of 4486 infants in Tasmania, Australia, was followed from birth to 12 months of age for hospitalization with respiratory infection. Case ascertainment was 9...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.3.482
更新日期:2003-03-01 00:00:00
abstract::Using claims data from 443 employee groups in North Carolina, this study examines the acute care hospital utilization rates of hospital employees and their dependents and compares them to employee groups in non-hospital settings. Results show that hospital employee groups account for 28 per cent more hospital days tha...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.9.1021
更新日期:1981-09-01 00:00:00
abstract::We describe the behavioral characteristics and sexually transmitted disease (STD) prevalence of Chinese men who have sex with men (MSM) (n = 41) from a national probability sample of men (n = 1861). Most MSM were partnered with females (97%) and had a low rate of consistent condom use (7%). More MSM than heterosexual ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.150037
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVES:To investigate racial/ethnic and language differences in the effectiveness of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study among children aged 2 to 4 years enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). METHODS:We performed a mult...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304511
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:To determine the effectiveness of the COMmunity of Practice And Safety Support (COMPASS) Total Worker Health intervention for home care workers. METHODS:We randomized 16 clusters of workers (n = 149) to intervention or usual-practice control conditions. The 12-month intervention was scripted and peer-led, a...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2016.303327
更新日期:2016-10-01 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::Suicide is a public health problem disproportionately associated with some demographic characteristics (e.g., sexual orientation, veteran status). Analyses of the Massachusetts Behavioral Risk Factor Surveillance Survey data revealed that more lesbian, gay, and bisexual (i.e., sexual minority) veterans reported suicid...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300565
更新日期:2012-03-01 00:00:00
abstract::There is a high prevalence of oral disease in the Alaska Native population, much of which goes untreated, creating a large discrepancy between the level of their oral health and that of the general population. The causes of this discrepancy are multiple--a major cause being the lack of access to care, especially in re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.053546
更新日期:2005-05-01 00:00:00
abstract::Dietary intakes of nutrients implicated in cardiovascular disease were studied in 143 Black females, age 9 years. Dietary recall interviews were conducted and data compared with recommendations of several authoritative groups. A majority of subjects reported intakes: exceeding recommendations for total fat, saturated ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.11.1323
更新日期:1985-11-01 00:00:00
abstract::Despite recognition of the importance of posttrial access to antiretroviral therapy (ART), the implementation process has not been studied. We examined whether the National Institutes of Health (NIH) guidance document was being implemented in NIH-funded ART trials conducted in developing countries between July 2005 an...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2008.157982
更新日期:2009-09-01 00:00:00
abstract::Objectives. To examine exposure to psychological attempts to change a person's gender identity from transgender to cisgender (PACGI) among transgender people in the United States, lifetime and between the years 2010 and 2015, by US state.Methods. We obtained data from the 2015 US Transgender Survey, a cross-sectional ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305237
更新日期:2019-10-01 00:00:00
abstract::Ischemic heart disease (IHD) mortality of Connecticut firemen and policemen is studied for the years 1960-78, using death certificate data. The mortality of these two occupations is expected to be greater than that of other workers. Standardized Mortality Odds Ratios for firemen and policemen are greater than 1.00. Al...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.9.1140
更新日期:1986-09-01 00:00:00
abstract::Health officials often wish to sponsor nutrition and other health promotion programs but are hampered by lack of funding. One source of funding is suggested by the fact that 18 states and 1 major city levy special taxes on soft drinks, candy, chewing gum, or snack foods. The tax rates may be too small to affect sales,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.6.854
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVES:We examined worksite health promotion programs, policies, and services to monitor the achievement of the Healthy People 2010 worksite-related goal of 75% of worksites offering a comprehensive worksite health promotion program. METHODS:We conducted a nationally representative, cross-sectional telephone surve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.100313
更新日期:2008-08-01 00:00:00
abstract::We prospectively identified 102 mechanically restrained hospital patients and determined their hospital course. The cohort was elderly, cognitively impaired with multiple chronic diseases. The in-hospital mortality was 21 percent. Nosocomial infection developed in 12 percent and new pressure sores in 22 percent. Prolo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.6.735
更新日期:1989-06-01 00:00:00
abstract::Bisexuals (N = 424) and lesbians (N = 1,921) were surveyed regarding their sources of gynecologic care, utilization patterns, openness with physicians, and assessment of quality of care. About 40 per cent of each group believed that physician knowledge about their sexual preference would hinder the quality of medical ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.9.1085
更新日期:1985-09-01 00:00:00
abstract::The unusual resistance of the "unconventional viruses" to inactivation by the commonly used disinfectants has led to a high degree of apprehension regarding patients with any form of dementia. The rapid adaptation of a newly acquired isolate of the agent of Creutzfeldt-Jakob Disease (CJD) to mice made possible this la...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.6.661
更新日期:1983-06-01 00:00:00
abstract::The Environmental Protection Agency measures the success or failure of Superfund site remediation efforts against remedial action objectives (RAOs). RAOs are frequently based on environmental contaminant concentrations, but with lead exposure, blood lead levels from the population at risk are often used. Although chil...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300226
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVES:We modeled triple trajectories of tobacco, alcohol, and marijuana use from adolescence to adulthood as predictors of antisocial personality disorder (ASPD) and generalized anxiety disorder (GAD). METHODS:We assessed urban African American and Puerto Rican participants (n = 816) in the Harlem Longitudinal De...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301880
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVES:This study tested the hypothesis that tobacco industry campaign contributions influence state legislators' behavior. METHODS:Multivariate simultaneous equations regression was used to analyze data on tobacco industry campaign contributions to state legislators and legislators' tobacco control policy scores ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.6.918
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVES:We determined rates of prenatal HIV testing and investigated barriers to testing. METHODS:We surveyed 1362 representative parturient women from 7 hospitals in 4 locations of the United States. RESULTS:Overall, 89.9% of women reported being offered HIV testing and 69.6% reported being tested. Proportions of...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.91.5.727
更新日期:2001-05-01 00:00:00
abstract::To assess the effectiveness of physician prescribed exercise, health education, and patient self-monitoring, 124 firefighters were medically screened and randomly allocated to a control and two treatment groups. Physiologic and reporting methods were employed to assess adherence to regular exercise at three months and...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.69.6.591
更新日期:1979-06-01 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 evaluated the impact of a mailed, tailored intervention on skin cancer prevention and skin self-examination behaviors of adults at moderate and high risk for skin cancer. METHODS:Adults at moderate and high risk for skin cancer were recruited in primary health care settings in Honolulu, HI, and Long Isla...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2008.155705
更新日期:2010-04-01 00:00:00
abstract::To ascertain HCV testing practices among US prisons and jails, we conducted a survey study in 2012, consisting of medical directors of all US state prisons and 40 of the largest US jails, that demonstrated a minority of US prisons and jails conduct routine HCV testing. Routine voluntary HCV testing in correctional fac...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302071
更新日期:2015-01-01 00:00:00
abstract::An analysis was performed of direct maternal mortality over 22 years (1950 through 1971) in the state of Michigan. The overall direct maternal mortality rate fell from 5.0/10,000 live births in 1950 to 1.5 in 1971. The rate among nonwhites was more than four times greater than among whites and the difference in relati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.9.821
更新日期:1977-09-01 00:00:00
abstract:OBJECTIVES:Between April and September of 2009 we evaluated the accuracy of the OraQuick HCV rapid antibody test and assessed its feasibility for use by community-based organizations (CBOs) serving populations at high risk for HCV in New York City. METHODS:We compared the results of screening by OraQuick (oral swab) a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300251
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the relationship between syphilis and human immunodeficiency virus (HIV) infection in injection drug users. METHODS:A 6-year prospective study of 790 injection drug users receiving methadone maintenance treatment in the Bronx, NY, was conducted. RESULTS:Sixteen perce...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.8_pt_1.1112
更新日期:1996-08-01 00:00:00