Abstract：
:Many people (40 per cent) receive each year some personal health service provided by local health departments. A substantial number of poor children (50 per cent) look to public agencies including health departments for all or part of their medical care. A number of departments including those represented in this study come close to serving as the guarantor of basic medical care for entire constituent populations, reaching those people who are not reached by other provider systems. Health departments over the past decade have increased their involvement as providers of medical care, in part assisted by such federal initiatives as WIC, and Medicaid. Health departments have institutionalized many of the innovations generated by federal demonstration projects of the 1960s, and continue a tradition as centers of important innovation in styles and continuity of health care. The health departments studied are notable in many respects, not the least of which is their constructive relationship with private providers. Some health departments appear to function at high levels of effectiveness in a dual fashion alongside private provider systems. Other departments interact or accommodate with private providers in ways that appear beneficial to the populations they serve. It would appear that both public and private provider systems are essential, and that they need not compete; they can provide mutual reinforcement for achieving universal and equitable health services in the public interest.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Miller CA,Moos MK,Kotch JB,Brown ML,Brainard MPdoi
10.2105/ajph.71.1_suppl.15subject
Has Abstractpub_date
1981-01-01 00:00:00pages
15-29issue
1 Suppleissn
0090-0036issn
1541-0048journal_volume
71pub_type
杂志文章abstract：OBJECTIVES:In this study, we examine the impact of a school-based curriculum designed to reduce violence among urban sixth-grade students. METHODS:This study used a staggered implementation design in which sixth-graders in six middle schools were taught an 18-session violence-prevention curriculum during either the fa...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/ajph.87.6.979
更新日期：1997-06-01 00:00:00
abstract：OBJECTIVES:We examined associations among 3 dimensions of sexual orientation (identity, behavior, and attraction) and key health-related indicators commonly studied among sexual minority populations: depressive symptoms, perceived stress, smoking, binge drinking, and victimization. METHODS:We analyzed data from the Na...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/AJPH.2011.300262
更新日期：2012-06-01 00:00:00
abstract：:To assess the effect of chiropractic use on overall health care utilization patterns, the volume and pattern of ambulatory physician visits by elderly persons having contact with chiropractors are compared with those having contact with physicians only. This analysis is based on data representative of the Canadian Pro...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/ajph.73.5.553
更新日期：1983-05-01 00:00:00
abstract：:The science of eliminating health disparities is complex and dependent on demographic data. The Health Information Technology for Economic and Clinical Health Act (HITECH) encourages the adoption of electronic health records and requires basic demographic data collection; however, current data generated are insufficie...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/AJPH.2014.302384
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVES:We examined the relationship between intimate partner violence victimization among women in the general population and emergency department use. We sought to discern whether race/ethnicity moderates this relationship and to explore these relationships in race/ethnic-specific models. METHODS:We used data on ...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/AJPH.2006.091116
更新日期：2007-12-01 00:00:00
abstract：OBJECTIVES:The purpose of this study was to determine the prevalence of recovery from alcohol problems with and without treatment, including whether such recoveries involved abstinence or moderate drinking. METHODS:Data from two surveys of randomly selected adults in the general population were analyzed. Random-digit ...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/ajph.86.7.966
更新日期：1996-07-01 00:00:00
abstract：:Data from the Hispanic Health and Nutrition Examination Survey (HHANES) (1982 through 1984) and the National Health and Nutrition Examination Survey (NHANES) II (1976 through 1980) were used to examine reported physician-diagnosed asthma among 6-month-old through 11-year-old children. The highest prevalence of active ...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/ajph.83.4.580
更新日期：1993-04-01 00:00:00
abstract：OBJECTIVES:We identified courses of depressive symptoms in an epidemiological sample of emerging adults. METHODS:We used latent class growth modeling to identify trajectories of depressive symptoms measured by the 12-item Center for Epidemiological Studies Depression Scale (CES-D) during a 14-year follow-up of 2825 Ca...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/AJPH.2015.302817
更新日期：2015-11-01 00:00:00
abstract：:We sought to understand how the tobacco industry uses "youth smoking prevention" programs in Latin America. We analyzed tobacco industry documents, so-called "social reports," media reports, and material provided by Latin American public health advocates. Since the early 1990s, multinational tobacco companies have pro...
journal_title：American journal of public health
pub_type： 历史文章,杂志文章
doi：10.2105/AJPH.2006.094128
更新日期：2007-08-01 00:00:00
abstract：:Nauru is a small phosphate-rich independent island country situated in the Central Pacific. The population is Micronesian and was estimated to be 4,680 in mid-1981. An analysis of mortality data for the years 1976-81 indicates a high adult male mortality due to accidents, injuries, cardiovascular disease, and diabetes...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/ajph.75.2.149
更新日期：1985-02-01 00:00:00
abstract：OBJECTIVES:This article describes the implementation and impact of the first statewide condom social marketing intervention in the United States. METHODS:A statewide social marketing program made condoms freely available in 93 public health clinics, 39 community mental health centers, 29 substance abuse treatment site...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/ajph.89.2.204
更新日期：1999-02-01 00:00:00
abstract：:To determine the relationship between admission status and subsequent outcomes, 563 patients discharged during 1980 from 24 nursing homes were followed through 1982. Only 28 per cent of patients were discharged to their homes. Reconstructed life histories of 529 discharges for the two-year follow-up revealed only 38 p...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/ajph.75.7.758
更新日期：1985-07-01 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：:National rates of unintended births are a major public health concern. The availability of highly effective long-acting contraceptives has prompted some public officials to promote the coercive use of these methods to reduce such problems as intergenerational poverty and child abuse. Broad-brush public policies that r...
journal_title：American journal of public health
pub_type： 杂志文章,评审
doi：10.2105/ajph.86.6.787
更新日期：1996-06-01 00:00:00
abstract：OBJECTIVES:We explored the relationship between social isolation and mortality in a nationally representative US sample and compared the predictive power of social isolation with that of traditional clinical risk factors. METHODS:We used data on 16,849 adults from the Third National Health and Nutrition Examination Su...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/AJPH.2013.301261
更新日期：2013-11-01 00:00:00
abstract：:Objectives. To examine relationships among actionable drivers and facilitators of stigma and nurses' intentions to provide the standard of maternal care recommended by the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) for incarcerated women.Methods. We conducted a Web-based survey of perinatal...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/AJPH.2019.305408
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVES:Policymakers, researchers, and citizens are beginning to recognize the need to limit minors' access to tobacco by restricting the sale of cigarettes through vending machines. One policy alternative that has been proposed by the tobacco industry is a requirement that vending machines be fitted with electronic...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/ajph.82.9.1217
更新日期：1992-09-01 00:00:00
abstract：:In 2001, Maryland's court of appeals was asked to decide whether researchers at Johns Hopkins University had engaged in unethical research on children. During the 1990s, Johns Hopkins's Kennedy Krieger Institute had studied 108 African American children, aged 6 months to 6 years, to find an inexpensive and "practical"...
journal_title：American journal of public health
pub_type： 历史文章,杂志文章
doi：10.2105/AJPH.2012.301004
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVES:We explored an innovative strategy for targeted testing and disease management among immigrant communities at risk for tuberculosis. METHODS:Taxi drivers were recruited at an airport holding lot to undergo tuberculin skin testing (Mantoux). After receiving their test results in a location convenient for the...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/AJPH.2003.019620
更新日期：2005-01-01 00:00:00
abstract：OBJECTIVES:We examined the effectiveness of the Sources of Strength suicide prevention program in enhancing protective factors among peer leaders trained to conduct schoolwide messaging and among the full population of high school students. METHODS:Eighteen high schools--6 metropolitan and 12 rural--were randomly assi...
journal_title：American journal of public health
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.2105/AJPH.2009.190025
更新日期：2010-09-01 00:00:00
abstract：:Advances in genomics and neuroscience have ushered in unprecedented opportunities to increase our understanding of the biological underpinnings of mental disorders, yet there has been limited progress in translating knowledge on genetic risk factors to reduce the burden of these conditions in the population. We descri...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/AJPH.2019.304948
更新日期：2019-06-01 00:00:00
abstract：:Objectives. To quantify changes in US health care spending required to reach parity with high-resource nations by 2030 or 2040 and identify historical precedents for these changes.Methods. We analyzed multiple sources of historical and projected spending from 1970 through 2040. Parity was defined as the Organisation f...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/AJPH.2020.305793
更新日期：2020-12-01 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：OBJECTIVES:We examined the contribution of hospital type and quality of care to perinatal mortality rates in the city of Belo Horizonte, Brazil. METHODS:We used a cohort study of all births (40953) and perinatal deaths (826) in Belo Horizonte in1999. After adjusting for maternal education and birthweight, we compared ...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/AJPH.2005.075986
更新日期：2007-05-01 00:00:00
abstract：OBJECTIVES:We examined the pathways to smoking cessation between late adolescence and young adulthood. METHODS:We obtained data from a sample of urban African American and Puerto Rican young adults (N=242), mean age 19 years, who reported tobacco use and determined cessation rates between late adolescence and young ad...
journal_title：American journal of public health
pub_type： 杂志文章,多中心研究
doi：10.2105/AJPH.2006.101212
更新日期：2007-08-01 00:00:00
abstract：OBJECTIVES:The purpose of this study was to determine whether breast-feeding has a dose-related protective effect against illness and whether it confers special health benefits to poor infants. METHODS:The association between breast-feeding dose and illnesses in the first 6 months of life was analyzed with generalized...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/ajph.89.1.25
更新日期：1999-01-01 00:00:00
abstract：:To assess the risk of hip fracture in Mexican Americans, the ethnicity of 80 women aged 50 years and over admitted with hip fractures to a Texas hospital was compared with that of age-matched women hospitalized for other reasons. The risk of fracture for Mexican Americans was only 35 per cent that of Whites (95% CI = ...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/ajph.76.8.1020
更新日期：1986-08-01 00:00:00
abstract：OBJECTIVES:We determined whether and to what extent a woman's exposure to stressful life events prior to conception (PSLEs) was associated with preterm birth and whether maternal age modified this relationship. METHODS:We examined 9350 mothers and infants participating in the first wave of the Early Childhood Longitud...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/AJPH.2013.301688
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVES:We studied whether park size, number of features in the park, and distance to a park from participants' homes were related to a park being used for physical activity. METHODS:We collected observational data on 28 specific features from 33 parks. Adult residents in surrounding areas (n=380) completed 7-day p...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/AJPH.2007.129064
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVES:The effect of caffeine consumption on fertility was examined prospectively in 210 women. METHODS:Women reported on caffeinated beverage consumption and pregnancy status monthly. Odds ratios for becoming pregnant were calculated for both high and moderate vs low consumption. RESULTS:No significant associati...
journal_title：American journal of public health
pub_type： 杂志文章
doi：10.2105/ajph.88.2.270
更新日期：1998-02-01 00:00:00
