Abstract:
:Selected mental health and social characteristics of 51 homeless persons drawn as a probability sample from missions are compared to those of 1,338 men aged 18-64 years living in households from the NIMH Epidemiologic Catchment Area survey conducted in Eastern Baltimore. Differences between the two groups were small with respect to age, race, education, and military service but the differences in mental health status, utilization patterns, and social dysfunction were large. About one-third of the homeless scored high on the General Health Questionnaire which measures distress. A similar proportion had a current psychiatric disorder as ascertained by the Diagnostic Interview Schedule (DIS), with the homeless exhibiting higher prevalence rates in every DIS/DSM III diagnostic category compared to domiciled men. Homeless persons reported higher rates of hospitalization than household men for both mental (33 per cent vs 5 per cent) and physical (20 per cent vs 10 per cent) problems but a lower proportion received ambulatory care (41 per cent vs 50 per cent). Social dysfunction among the homeless was indicated by fewer social contacts and higher rates of arrests as adults than domiciled men (58 per cent vs 24 per cent), including multiple arrests (38 per cent vs 9 per cent) and felony convictions (16 per cent vs 5 per cent). Implications of these findings are discussed in terms of research and health policy.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Fischer PJ,Shapiro S,Breakey WR,Anthony JC,Kramer Mdoi
10.2105/ajph.76.5.519subject
Has Abstractpub_date
1986-05-01 00:00:00pages
519-24issue
5eissn
0090-0036issn
1541-0048journal_volume
76pub_type
杂志文章abstract::Rabies antibody titers ranged from 0-9.3 IU/mL in 117 human volunteers one year after intradermal vaccination with one or two doses of human diploid cell rabies vaccine (HDCV). At that time, each volunteer received one 0.1-mL booster dose of HDCV intradermally. All 117 volunteers showed good anamnestic responses, with...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.5.503
更新日期:1984-05-01 00:00:00
abstract:OBJECTIVES:This study assessed seroprevalence rates of HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) among individuals with severe mental illness. METHODS:Participants (n = 931) were patients undergoing inpatient or outpatient treatment in Connecticut, Maryland, New Hampshire, or North Carolina. RESULTS:T...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.91.1.31
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:National data are thought to underestimate pregnancy-related mortality in the United States. A multisource surveillance system for pregnancy-associated deaths in New Jersey offers an opportunity to identify the magnitude of and the trends in pregnancy-related mortality at the state level. METHODS:Data from ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.8.1085
更新日期:1992-08-01 00:00:00
abstract:OBJECTIVES:This study investigated the psychological effects of paid employment and nonemployment, cross-sectionally and longitudinally, in 541 middle-aged women. METHODS:Women were seen for an extensive baseline evaluation and were reevaluated in an identical manner 3 years later. They were divided into four "synthet...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.2.202
更新日期:1994-02-01 00:00:00
abstract::We assessed the prevalence of smokeless tobacco use by 901 high school students in two Arkansas communities, and identified factors associated with initiation and maintenance. Results showed that 36.7 per cent of males and 2.2 per cent of females currently used smokeless tobacco. Modal responses indicated that if smok...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.2.190
更新日期:1986-02-01 00:00:00
abstract:OBJECTIVES:We examined the marketing strategies for local vapor stores in a large metropolitan area in Oklahoma. METHODS:Vapor store owners or managers (n = 33) participated in individual interviews regarding marketing practices in 2014. We asked owners about their marketing strategies and the groups they targeted. We...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302610
更新日期:2015-06-01 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
abstract::Conventional methods for classifying patients with respect to utilization of health care resources are based almost exclusively on diagnostic criteria. We review a new severity of illness index which is generic to most medical and surgical conditions in a hospital, and which has been found to produce subgroups of pati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.1.25
更新日期:1983-01-01 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::To study the effects of a comprehensive, multifaceted intervention program to reduce fireworks-related injuries during the Italian New Year's holiday season, active surveillance was conducted in the 18 public emergency rooms of Naples, Italy, before and after implementation of the program. Preintervention data collect...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.1.84
更新日期:1996-01-01 00:00:00
abstract::Homeless children in New York City had an extremely high asthma prevalence-40%-in a cross-sectional study at 3 shelters (n=740) during 1998 to 1999. We used the same protocol to summarize subsequent data through December 2002. Asthma prevalence was 33% (n=1636); only 15% of the children previously diagnosed were takin...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.070482
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVES:We estimated dementia incidence rates, life expectancies with and without dementia, and percentage of total life expectancy without dementia. METHODS:We studied 3605 members of Group Health (Seattle, WA) aged 65 years or older who did not have dementia at enrollment to the Adult Changes in Thought study bet...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301935
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVES:We compared cycling injury risks of 14 route types and other route infrastructure features. METHODS:We recruited 690 city residents injured while cycling in Toronto or Vancouver, Canada. A case-crossover design compared route infrastructure at each injury site to that of a randomly selected control site fro...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300762
更新日期:2012-12-01 00:00:00
abstract::Over a 13-year period, 59 per cent of 28,561 smokers decreased the tar and nicotine (T/N) level in the cigarettes they smoked without changing the number of cigarettes smoked to any important extent. On the other hand, more than 54 per cent of the "less than one pack a day" smokers as compared to only 25 per cent of t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.12.1274
更新日期:1979-12-01 00:00:00
abstract::Adverse demonstrable health effects linked to the individual's smoking were shown to 2,689 American workers to motivate cessation during routine examinations to detect asbestosis. This intervention was evaluated six to 25 months later by a mailed questionnaire and by telephone to non-responders. Results were compared ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.11.1334
更新日期:1990-11-01 00:00:00
abstract::The AIDS Interfaith Council of Houston, sponsored by the Foundation for Interfaith Research and Ministry, recruits, trains, and coordinates volunteers for home-based care for adults and children with AIDS (acquired immunodeficiency syndrome). The program provides compassionate, non-judgmental care for the sick and res...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.8.970
更新日期:1990-08-01 00:00:00
abstract::We evaluated a community-based 12-week healthy lifestyle program in Moloka'i, HI, called Ke 'Ano Ola, which was developed to decrease chronic disease risk through health education emphasizing weight loss, exercise, and risk factor reduction. Program leaders' strong commitment and positive role modeling, along with soc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.176222
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:We examined the prevalence of intimate partner violence (IPV) among recent (0-9 years) and nonrecent (>/= 10 years) immigrant women in Canada to determine whether differences in IPV were associated with length of stay in Canada. METHODS:We analyzed data from the 1999 General Social Survey, a national cross-s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.046409
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVES:We examined changes in service use in a Housing First (HF) pilot program for adults who were homeless with medical illnesses and high prior acute-care use relative to a similar comparison group. METHODS:We used a 1-year pre-post comparison group design. The 29 participants and 31 comparison group members we...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300867
更新日期:2013-02-01 00:00:00
abstract::While Job Corps Centers vary in size, location, and administrative structure, they are subject to uniform requirements for health services, established by federal regulation and must make individual decisions about whether to furnish dental care on-site or by some alternative arrangement in the community. Analysis of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.12.1294
更新日期:1980-12-01 00:00:00
abstract:OBJECTIVES:We estimated the prevalence and determinants of secondhand smoke (SHS) exposure among nonsmoking adolescents in 9 West African countries. METHODS:We conducted a pooled analysis with nationally representative 2006 to 2009 Global Youth Tobacco Survey data. We used descriptive statistics to determine the preva...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302661
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:We compared pneumonia and influenza death rates among American Indian/Alaska Native (AI/AN) people with rates among Whites and examined geographic differences in pneumonia and influenza death rates for AI/AN persons. METHODS:We adjusted National Vital Statistics Surveillance mortality data for racial miscla...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301740
更新日期:2014-06-01 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:OBJECTIVES:Given the declining health status of the Russian population and the negative social impact of ongoing economic reforms, it is important to understand the nature and scope of Russia's innovations in health care financing. METHODS:Data on Russian health care and its financing were gathered from Russian newspa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract::We conducted a case-control study of lung cancer deaths in the Teamsters Union to compare the risk of different occupations within the teamsters, after controlling for smoking and other confounders. Occupations with no presumed exposure to diesel fumes were used as the nonexposed group. The study population consisted ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.670
更新日期:1990-06-01 00:00:00
abstract:OBJECTIVES:We evaluated the efficacy of skills training designed to increase female condom use among women. METHODS:We conducted a randomized controlled trial of 409 women, recruited from family planning clinics in northern California, who were randomly assigned to the experimental 4-session female condom skills train...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2007.113050
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVES:We sought to estimate the effects of recreational physical activity and back exercises on low back pain, related disability, and psychological distress among patients randomized to chiropractic or medical care in a managed care setting. METHODS:Low back pain patients (n=681) were randomized and followed for...
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.2004.052993
更新日期:2005-10-01 00:00:00
abstract::Objectives. To describe partnerships between US local health departments (LHDs) and community organizations and assess the relationship between the types of activities performed in these partnerships and LHD engagement in population-based activities to prevent mental health conditions.Methods. Data were derived from 4...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305646
更新日期:2020-07-01 00:00:00
abstract::We examined the association between telomere length and prenatal tobacco exposure (PTE) in 104 children aged 4 to 14 years. Salivary telomere length (STL) was determined from salivary DNA using quantitative polymerase chain reaction. Of the children, 18% had maternal reported PTE. Mean STL was significantly lower amon...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301208
更新日期:2013-10-01 00:00:00
abstract::The long-term consequences of prior oral contraceptive use for bone mineral density were examined in 239 postmenopausal women, 35.1% of whom reported prior oral contraceptive use. Women who had used oral contraceptives for 6 or more years had significantly higher bone densities of the lumbar spine and femoral neck, bu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.1.100
更新日期:1993-01-01 00:00:00