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 counties reported noncutaneous diphtheria patients during 1971-81; most were located in the West. The highest attack rates were experienced by children less than 15 years old (0.8 case per million) and by American Indians (22.6 cases per million). Persons immunized with three or more doses of diphtheria toxoid had a lower death-to-case ratio (1.3 per cent) than totally unimmunized persons (13.4 per cent). The reasons for the dramatic decline in diphtheria incidence rates are unclear, although it has been postulated that the gene for producing diphtheria toxin may be lost from organisms in highly immunized populations. Significant proportions of the adult and elderly populations are susceptible to diphtheria. Continuation of primary immunization with increased emphasis on the routine use of tetanus and diphtheria toxoids (Td) boosters in adults should ensure that diphtheria will remain largely a scourge of the past.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Chen RT,Broome CV,Weinstein RA,Weaver R,Tsai TFdoi
10.2105/ajph.75.12.1393subject
Has Abstractpub_date
1985-12-01 00:00:00pages
1393-7issue
12eissn
0090-0036issn
1541-0048journal_volume
75pub_type
杂志文章abstract::This paper uses claims data from a universal health care system to describe physicians' hospitalization styles after adjusting for case-mix characteristics of their primary patients. Patients were uniquely assigned to that physician (general or family practitioners, internist, general surgeon, or obstetrician/gynecolo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.1.45
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVES:Reducing the widespread use of physical restraints in nursing homes is a primary goal of the federal nursing home reforms enacted as part of the Omnibus Budget Reconciliation Act of 1987. However, some nursing home operators assert that reducing restraint use could be prohibitively expensive, costing payors ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.3.342
更新日期:1993-03-01 00:00:00
abstract:BACKGROUND:Studies of adolescent smoking suggest that the causes of smoking initiation may differ for Blacks and Whites. METHODS:Correlates of smoking initiation were examined among 1,277 nonsmokers, ages 12-14, who completed questionnaires in their homes. The analyses examined relationships between smoking initiation...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.7.854
更新日期:1991-07-01 00:00:00
abstract:OBJECTIVES:This project investigated whether augmented prenatal care for high-risk African American women would improve pregnancy outcomes and patients' knowledge of risks, satisfaction with care, and behavior. METHODS:The women enrolled were African American, were eligible for Medicaid, had scored 10 or higher on a r...
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.91.1.105
更新日期:2001-01-01 00:00:00
abstract::This study provides the first estimated prevalence of implanted orthopedic fixation devices (e.g., pins or wires) among children in the United States, based on the Medical Device Implant Supplement to the 1988 National Health Interview Survey. The overall prevalence was 27 per 10,000 children younger than 18 years; pr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.7.1028
更新日期:1993-07-01 00:00:00
abstract::Cigarette smoking is the leading cause of preventable death in the United States. The health risks of smoking are well documented, as is the effectiveness of clinical and public health interventions to prevent and reduce smoking. However, many myths about smoking either encourage people to begin or continue smoking or...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2005.063073
更新日期:2005-09-01 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:OBJECTIVES:We examined which local health department (LHD)-level factors contributed to successful implementation of policy, systems, and environmental change strategies in Minnesota. METHODS:We used a retrospective mixed-methods design to evaluate the relationship between the Statewide Health Improvement Plan (SHIP) ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302419
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:Many adolescent girls fail to meet national guidelines for physical activity, and the prevalence of obesity is increasing among this group. Our study examined the effects of a comprehensive school-based intervention on physical activity among high-school girls. METHODS:A group-randomized controlled field tr...
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.2004.045807
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVES:This study identified adults' demographic and smoking behavior characteristics that are related to being asked to provide tobacco to a minor. METHODS:Telephone interviews were conducted with 6352 California adults. Predictors included age, sex, household income, and smoking status. RESULTS:Only 10.1% of Ca...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.10.1561
更新日期:1999-10-01 00:00:00
abstract::Approximately 90,000 inmates are admitted annually to the New York City jail system, many of whom require a high level of medical or mental health services. According to our analysis of deaths in custody from 2001 to 2009, crude death rates have dropped significantly despite the increasing age of the population. Falli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301042
更新日期:2013-04-01 00:00:00
abstract::Consumption and prices of tobacco products in Canada and the United States are compared over the period 1981 to 1989. In Canada, consumption has fallen from a higher level and at a faster rate than in the United States (3.52 kg/adult to 2.48 kg/adult vs 3.21 kg/adult to 2.48 kg/adult). With respect to cost, the real t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.7.902
更新日期:1991-07-01 00:00:00
abstract::Concern about suicide in US military and veteran populations has prompted efforts to identify more effective prevention measures. Recent expert panel reports have recommended public communications as one component of a comprehensive effort. Messaging about military and veteran suicide originates from many sources and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300905
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:We examined rates of uninsurance among workers in the US health care workforce by health care industry subtype and workforce category. METHODS:We used 2004 to 2006 National Health Interview Survey data to assess health insurance coverage rates. Multivariate logistic regression analyses were conducted to est...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.152413
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVES:We sought to examine the extent to which children in the child welfare system receive mental health care consistent with national standards. METHODS:We used data from 4 waves (3 years of follow-up) of the National Survey of Child and Adolescent Well-Being, the nation's first longitudinal study of children i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.151472
更新日期:2010-04-01 00:00:00
abstract::Three hundred ninety-eight patients treated in the emergency room for non-urgent complaints who stated that they had no regular source of primary medical care were referred to one of several medical care centers in the area. Overall, 34 per cent of such patients complied with the referral. Correlates of compliance wer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.1.57
更新日期:1983-01-01 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
abstract:OBJECTIVES:To describe disparities in HIV infection and syphilis among gay, bisexual, and other men who have sex with men (MSM) in US states through ratio-based measures and graphical depictions of disparities. METHODS:We used state-level surveillance data of reported HIV and syphilis cases in 2015 and 2016, and estim...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304762
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:This study sought to define, among sexually transmitted disease (STD) clinic attendees, (1) patterns of sex partner selection, (2) relative risks for gonococcal or chlamydial infection associated with each mixing pattern, and (3) selected links and potential and actual bridge populations. METHODS:Mixing mat...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.6.825
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to determine the prevalence and effect of domestic violence and childhood sexual abuse in women with HIV or at risk for HIV infection. METHODS:Participants with HIV or at risk for HIV infection enrolled in the Women's Interagency HIV Study. Childhood sexual abuse; all physical,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.4.560
更新日期:2000-04-01 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::This study examined the association between aerobic fitness and serum cholesterol and the effects of controlling for gender, body composition, abdominal fat, and dietary saturated fat in 262 children. The 1-mile run was used to estimate fitness. Skinfolds were used in assessing body fat. Fit children had lower total c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.12.1702
更新日期:1995-12-01 00:00:00
abstract:OBJECTIVES:We sought to describe approaches to surveillance of fatal child maltreatment and to identify options for improving case ascertainment. METHODS:Three states--California, Michigan, and Rhode Island--used multiple data sources for surveillance. Potential cases were identified, operational definitions were appl...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087783
更新日期:2008-02-01 00:00:00
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...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.85.9.1231
更新日期:1995-09-01 00:00:00
abstract::The World Health Organization's determination of the Ebola virus disease outbreak as a public health event of international concern prompted nonaffected countries to implement measures to prevent, detect, and manage the introduction of the virus in their territories. The outbreak provided an opportunity to assess the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302969
更新日期:2016-02-01 00:00:00
abstract::In an attempt to meet the need for increasing public knowledge about cancer, a system providing free information by telephone has been developed. The system is comprised of 36 pre-recorded taped lectures containing information about various aspects of cancer. Interested individuals call a toll-free number, indicate a ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.4.367
更新日期:1976-04-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effects of a major federal immunization continuing education course, delivered in both traditional classroom and satellite broadcast versions, on public health professionals' knowledge, agreement, self-efficacy, and adherence in practice to recommendations. METHODS:The study used a ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.8.1218
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVES:To examine the role of Department of Defense policies in identifying theater-sustained traumatic brain injuries (TBIs). METHODS:We conducted a retrospective study of 48 172 US military service members who sustained their first lifetime TBIs between 2001 and 2016 while deployed to Afghanistan or Iraq. We use...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304347
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVES:We investigated whether nonstandard work schedules by mothers were associated with adolescent overweight. METHODS:We conducted multiple regression analyses using a sample of mother-child pairs (n=2353) from the National Longitudinal Survey of Youth to examine the association between the number of years moth...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.123885
更新日期:2008-08-01 00:00:00
abstract::The completion of essential components of patient encounters by lay paramedics in a feminist clinic was compared to that of nurse practitioners in a student health gynecology clinic using explicit criteria for the gynecological annual examination and the examination for vulvo-vaginitis. According to evidence charted i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.8.853
更新日期:1981-08-01 00:00:00