Abstract:
:This paper examines the relationship between mortality and ruralness in the state of Georgia. In 1979, the rural Standardized Mortality Ratio (SMR) for deaths from all causes was significantly higher than expected when compared to statewide levels, while the urban SMR was significantly lower (p less than 0.01). Of the 13 leading causes of death, 9 had rural SMRs significantly higher than expected, while only homicide had a significantly greater urban SMR (p less than 0.01). Although much of the rural/urban difference in overall mortality is attributed to the fact that the rural population is older, figures adjusted for age and race still reveal that the rural death rate is significantly higher than the urban rate (p less than 0.01). Furthermore, there are several specific differences when analyzed by cause of death, age, and race that remain unexplained. Specific rural health problems include congenital anomalies, motor vehicle and other accidents, heart disease, and cerebrovascular disease. Specific urban health problems include homicides and cancer. In addition to metropolitan status, a second indicator of ruralness, county population size, was used to analyze the data and produced similar results. As county population size increases, the total mortality decreases.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Wright JS,Champagne F,Dever GE,Clark FCsubject
Has Abstractpub_date
1985-01-01 00:00:00pages
22-9issue
1eissn
0749-3797issn
1873-2607journal_volume
1pub_type
杂志文章abstract:INTRODUCTION:Obesity treatment is less successful for socioeconomically disadvantaged populations, particularly when delivered in primary care. Digital health strategies can extend the reach of clinical obesity treatments to care settings serving patients at highest risk. METHODS:Track was an effectiveness RCT of a 12...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2018.07.005
更新日期:2018-12-01 00:00:00
abstract:INTRODUCTION:Chronic disease is a barrier to delivery of preventive health care and health maintenance. However, health behaviors of adults and children with eczema, a chronic skin disorder, have not been examined. This study examined associations of eczema with vaccination, disease screening, health maintenance, and h...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.07.029
更新日期:2016-02-01 00:00:00
abstract::Evidence-based evaluations of clinical preventive services help define priorities for research in prevention as part of primary health care. In this article, we draw on our experiences with the U.S. Preventive Services Task Force (USPSTF) to outline some major areas where research is needed to define the appropriate u...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(97)00058-5
更新日期:1998-05-01 00:00:00
abstract:INTRODUCTION:Tobacco use remains a leading modifiable cause of cancer incidence and premature mortality in the U.S. and globally. Despite increasing life expectancy worldwide, less is known about the effects of cigarette smoking on older populations. This study sought to determine the effects of smoking on mortality in...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2016.09.036
更新日期:2017-03-01 00:00:00
abstract:INTRODUCTION:The purpose of this prospective study is to examine the role of emotional abuse in predicting youth smoking. METHODS:Data were drawn from the Longitudinal Studies of Child Abuse and Neglect. The sample was restricted to those who had an interview at age 12 years and at least one interview at ages 14, 16, ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.08.020
更新日期:2019-01-01 00:00:00
abstract:INTRODUCTION:In observational studies, the association between the Dietary Approaches to Stop Hypertension (DASH) diet and incident heart failure has been inconsistent. It was hypothesized that higher DASH diet concordance has a protective effect on heart failure in a multi-ethnic cohort. METHODS:The Multi-Ethnic Stud...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.11.022
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Alcohol-impaired driving caused 10,839 deaths in 2009. Alcohol-impaired driving fatalities as a percentage of all motor vehicle fatalities decreased from 1982 to 1999 but have remained stable since. Understanding characteristics of those who engage in this behavior is critical to achieving future reductions....
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2011.10.015
更新日期:2012-02-01 00:00:00
abstract:BACKGROUND:Arthritis is the leading cause of disability in the United States. Obesity is a risk factor for arthritis, but the relationship between arthritis and weight has not been well characterized at the population level in the United States. Previous research shows that physicians often fail to advise their obese p...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2004.03.007
更新日期:2004-07-01 00:00:00
abstract:INTRODUCTION:Social determinants of health are critical drivers of health status and cost, but are infrequently screened or addressed in primary care settings. Systematic approaches to identifying individuals with unmet social determinants needs could better support practice workflows and linkages of patients to servic...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1016/j.amepre.2018.11.009
更新日期:2019-04-01 00:00:00
abstract::A simple microcomputer system has been developed using off-the-shelf components. The system permits local access, in an acceptable time frame, to several years of New Jersey multiple cause of death data (approximately 70,000 records per calendar year). This report describes the system, including hardware, software, da...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract:BACKGROUND:If behavior-change services are to be offered routinely in primary care practices, providers must be appropriately compensated. Estimating what is spent by practices in providing such services is a critical component of establishing appropriate payment and was the objective of this study. METHODS:In-practic...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2008.08.007
更新日期:2008-11-01 00:00:00
abstract::The population of Rhode Island is aging more rapidly than that of most states and, therefore, can be used to illustrate the effects of aging on health systems, effects that may occur somewhat later or less extensively in most other states. Rhode Island population projections indicate a lull in aging between 1990 and 2...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1985-05-01 00:00:00
abstract:CONTEXT:The goal of the systematic review described in this summary was to determine the effectiveness of stand-alone mass media campaigns to increase physical activity at the population level. This systematic review is an update of a Community Guide systematic review and Community Preventive Services Task Force recomm...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2012.07.035
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:New recommendations about the use of hemoglobin A1c (HbA1c) for diagnosing diabetes have stimulated a debate about the optimal HbA1c cutoff to identify prediabetes for preventive intervention. PURPOSE:To assess the cost effectiveness associated with the alternative HbA1c cutoffs for identifying prediabetes....
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.01.003
更新日期:2012-04-01 00:00:00
abstract::Climate change could significantly affect vectorborne disease in humans. Temperature, precipitation, humidity, and other climatic factors are known to affect the reproduction, development, behavior, and population dynamics of the arthropod vectors of these diseases. Climate also can affect the development of pathogens...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2008.08.030
更新日期:2008-11-01 00:00:00
abstract:INTRODUCTION:Hookah smoking has recently become a common form of smoking, and its prevalence has increased worldwide. This study determined the prevalence and correlates of hookah awareness and perceived harmfulness among U.S. adults. METHODS:Weighted multivariable logistic regression analyses were performed on 6,711 ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2016.10.032
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Alarming secular declines in physical activity (PA) have been observed among youth over the last decade. A better understanding of the predictors of these declines is crucial to identifying those children most at risk and to developing interventions that target youth before the onset of decline. This report ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(02)00464-6
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:The translation and dissemination of prevention intervention evidence into practice is needed to address significant public health issues such as childhood obesity. Increased attention to and reporting of external validity information in research publications would allow for better understanding of generaliz...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2007.11.019
更新日期:2008-03-01 00:00:00
abstract::Between 1987 and 1997, the tobacco industry used the issue of cigarette excise tax increases to create a political partnership with the Coalition of Labor Union Women (CLUW), a group representing female trade unionists in the U.S. This paper documents how the industry created this relationship and the lessons tobacco-...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.05.011
更新日期:2009-08-01 00:00:00
abstract::The teaching of clinical epidemiology to second-year students at the Bowman Gray School of Medicine is carried out using journal articles to illustrate concepts. Because of the need for discussion, the instructors believed that the concepts of epidemiology might best be learned by, and that greater satisfaction with t...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1989-01-01 00:00:00
abstract::Behavioral counseling interventions can address significant causes of preventable morbidity and mortality. However, despite a growing evidence base for behavioral counseling interventions, there remain significant research gaps that limit translating the evidence into clinical practice. Using U.S. Preventive Services ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.06.007
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Few national data exist to assess primary care physicians' (PCPs') clinical practices with regard to childhood obesity. PURPOSE:To survey pediatricians and family practice physicians regarding their assessment, counseling, and management of diet, physical activity, and weight status among pediatric patients...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2011.03.016
更新日期:2011-07-01 00:00:00
abstract:INTRODUCTION:Current knowledge of Adverse Childhood Experiences (ACEs) relies on data predominantly collected from white, middle- / upper-middle-class participants and focuses on experiences within the home. Using a more socioeconomically and racially diverse urban population, Conventional and Expanded (community-level...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.02.001
更新日期:2015-09-01 00:00:00
abstract::Because of the availability of safe, accurate prenatal diagnosis for hemoglobinopathies, we wanted to know if pregnant women identified as carriers of a hemoglobinopathy by prenatal screening use this information to determine whether their fetus is at risk. Blood from all pregnant women served by a 40 percent sample o...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1987-11-01 00:00:00
abstract:BACKGROUND:Recent survey evidence indicates a decline in mammography use among older women. PURPOSE:The objective of this study was to detect sensitivity of self-reported mammography use and pose evidence-based suggestions to increase survey accuracy. METHODS:Using the 1991-2006 Medicare Current Beneficiary Survey, 1...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.07.007
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Low-density lipoprotein (LDL)-based guidelines are currently used to initiate and monitor cholesterol-lowering therapy. METHODS:Using stratified analyses, data from the Framingham Heart Study and the Coronary Primary Prevention Trial were evaluated to determine whether (1) cholesterol levels (total choleste...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0749-3797(03)00092-8
更新日期:2003-07-01 00:00:00
abstract:INTRODUCTION:The relationships among food access, foods consumed, and nutritional status and health in developing countries are not well understood. Between 2013 and 2018, differences in the rural food environment and access to food, nutritional status, and body size in the rural villages where the Pune Maternal Nutrit...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.10.017
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:This study compares the efficacy of three types of reminders in promoting annual repeat mammography screening. DESIGN:RCT. SETTING AND PARTICIPANTS:Study recruitment occurred in 2004-2005. Participants were recruited through the North Carolina State Health Plan for Teachers and State Employees. All were ag...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2009.01.032
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:Recognition of health disparities among underserved individuals, whose demographic, geographic, or economic characteristics impede access to health-related services, has led to calls for the development of medical school curricula that address care for the underserved, but reports of the development and eval...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2006.06.024
更新日期:2006-10-01 00:00:00
abstract:BACKGROUND:Few population-based studies have assessed the physical and mental health consequences of both psychological and physical intimate partner violence (IPV) among women or men victims. This study estimated IPV prevalence by type (physical, sexual, and psychological) and associated physical and mental health con...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(02)00514-7
更新日期:2002-11-01 00:00:00