Abstract:
:This study assessed the need for physician services among a group of institutionalized mentally retarded individuals in anticipation of their transfer to community residential facilities and subsequent management of their care by community-based physicians. The clients' personal physicians in the institution identified every chronic condition which required physician services, and recommended the kind of physician and frequency of visits for the management of each condition. Key informants reviewed these estimates and determined if there were sufficient physicians in their communities to provide this care. Thirty-two per cent of the conditions but only 8 per cent of the clients could be managed by a primary care physician. The most frequently required specialties were neurology, orthopedics, and ophthalmology. While primary care services and many of the necessary specialty services were available in the community to meet the needs of these individuals, several specialties essential to the medical care of this group were not available. These included orthopedics for the multiply-handicapped, neurology including behavioral neurology, and psychiatry. Deinstitutionalization policies which rely solely upon community physician services will lead to inadequate medical care in the community for some mentally retarded individuals. In these situations, alternative approaches to care must be developed.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Minihan PMdoi
10.2105/ajph.76.10.1202subject
Has Abstractpub_date
1986-10-01 00:00:00pages
1202-6issue
10eissn
0090-0036issn
1541-0048journal_volume
76pub_type
杂志文章abstract:OBJECTIVE:We examined circumstances surrounding swimming pool drownings among US residents aged 5 to 24 years to understand why Black males and other racial/ethnic groups have high drowning rates. METHODS:We obtained data about drowning deaths in the United States (1995-1998) from death certificates, medical examiner ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.057067
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the association between child care arrangements and repeated ear infections in young children. METHODS:Data on 5818 children younger than 6 years of age were taken from the 1988 National Health Interview Survey of Child Health. RESULTS:Seventeen percent of the childr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.9.1321
更新日期:1993-09-01 00:00:00
abstract::The Community Eligibility Provision (CEP) allows high-poverty schools participating in US Department of Agriculture meal programs to offer universal free breakfast and lunch. Authorized as part of the Healthy, Hunger-Free Kids Act of 2010, CEP became available to eligible schools nationwide in 2014.Emerging evidence s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305743
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVES:We assessed the effect of public health leadership training on the capacity of public health leaders to perform competencies derived from the list of "Ten Essential Public Health Services" presented in 1994 by the steering committee of the Public Health Functions Project. METHODS:Graduating scholars of the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.7.1245
更新日期:2004-07-01 00:00:00
abstract::Objectives. To determine the impact of city-level cannabis decriminalization and medical marijuana laws (MMLs) on fatal traffic crashes in US cities.Methods. Using a census of fatal traffic crashes from the 2010 to 2017 Fatality Analysis Reporting System, we examined MMLs and cannabis decriminalization on fatal crashe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305484
更新日期:2020-03-01 00:00:00
abstract::I describe variations in the structure and in the practice of rural public health and how rural communities meet the challenges of current public health practice, including primary methods of service delivery and partnership development. I present examples of promising models for the creation of rural public health ca...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.10.1678
更新日期:2004-10-01 00:00:00
abstract::Whether the traditional definition of small for gestational age (SGA) is an appropriate marker of risk for populations that have relatively lower birthweight is unclear. We determined proportions of White and Asian Indian SGA infants and those admitted to the special care nursery. Compared with White infants, Asian In...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165001
更新日期:2010-05-01 00:00:00
abstract::The past quarter century has seen an explosion of concern about widening health inequities in the United States and worldwide. These inequities are central to the research mission in 2 arenas of public health: social epidemiology and community-engaged interventions. Yet only modest success has been achieved in elimina...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.140988
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVES:This study was undertaken to examine popular press reports of the association between alcohol and breast cancer. METHODS:Articles from scientific journals and stories from newspapers and magazines published from January 1, 1985, to July 1, 1992, were retrieved from six on-line databases. Lay press stories w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.8_pt_1.1082
更新日期:1995-08-01 00:00:00
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 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::The areal approach utilized in mortality analysis for cities in the past is argued to be fruitful for suburban mortality analysis as well. Through factor analysis of four Census Tract indicators, weighted scores were computed and socioeconomic groups were constructed for each central city and each suburban area for th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.4.342
更新日期:1978-04-01 00:00:00
abstract:OBJECTIVES:This study assessed the contribution of age and other risk factors to racial disparities in rates of moderately low birthweight (MLBW; 1500-2499 g) and very low birthweight (VLBW; <1500 g). METHODS:Logistic regression models were developed to determine the effects on MLBW and VLBW of maternal age, race, and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.11.1815
更新日期:2001-11-01 00:00:00
abstract:OBJECTIVES:We sought to describe the extent and nature of contact with the health care system before suicide among veterans with substance use disorders (SUDs). METHODS:We examined all male Veterans Health Administration patients who died by suicide between October 1, 1999, and September 30, 2007, and who had a docume...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300392
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVES:We assessed attitudes and opinions of members of newborn blood screening (NBS) advisory committees regarding the storage and secondary research use of residual specimens from NBS. METHODS:We conducted focus groups in 2008 and 2009 with NBS advisory committees (4 focus groups; n = 39 participants) in the Mou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.200485
更新日期:2011-11-01 00:00:00
abstract::Sarasota, Fla, used Crime Prevention Through Environmental Design (CPTED) principles to guide revitalization efforts in its crime-ridden North Trail area. A team of city planners, police officers, and architects examined land use and crime data and sought input from local businesses, residents, and community leaders. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.9.1442
更新日期:2003-09-01 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::Just before and 4 months after initiation of a condom giveaway program, a questionnaire regarding sexual behavior and condom acquisition was administered to 103 men attending an outpatient drug abuse treatment clinic. Jars filled with a variety of condoms were placed in every clinic room. Condom taking varied as a fun...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.11.1536
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVES:To investigate whether a newborn home visiting program for primiparous adolescent mothers (aged 16-20 years at childbirth) reduced recurrence of child maltreatment in child protective services (CPS) reports. METHODS:We conducted a randomized controlled trial of Healthy Families Massachusetts, a statewide ho...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.304957
更新日期:2019-05-01 00:00:00
abstract::A random sample of employees was surveyed 20 months after a non-smoking policy was implemented at the New England Telephone Company in 1986. Overall, 21 percent of respondents who were smoking at the time they heard about the policy had quit smoking; 42 percent of quitters said they stopped smoking because of the poli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.2.202
更新日期:1991-02-01 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::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::The mission of public health--improving the health of populations--is difficult to advance in public discourse because a language to express the values animating that mission has not been adequately developed. Following on the work of Robert Bellah, Dan Beauchamp, and others, we argue that the first "language" of Amer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.043844
更新日期:2005-04-01 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: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::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:OBJECTIVES:We tested the efficacy of a combined pharmacologic and behavioral smoking cessation intervention among women in a state prison in the southern United States. METHODS:The study design was a randomized controlled trial with a 6-month waitlist control group. The intervention was a 10-week group intervention co...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2007.128207
更新日期:2008-10-01 00:00:00
abstract::The degree to which national expert panel survey ratings of the appropriateness of hysterectomy differed from those of a random sample of practicing community gynecologists was determined. Community gynecologists rated hysterectomy as more appropriate on six of eight cervical dysplasia scenarios. Experts agreed among ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.8_pt_1.1125
更新日期:1995-08-01 00:00:00
abstract:OBJECTIVES:To describe the cesarean rates in different child policy periods and assess the medical necessity of cesareans during the 2-child policy period. METHODS:We collected hospital-level aggregate data on 93 745 deliveries and individual-level data on 27 977 deliveries from 6 hospitals in the Hubei and Gansu prov...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304868
更新日期:2019-03-01 00:00:00
abstract::Systematic reviews are generating valuable scientific knowledge about the impact of public health laws, but this knowledge is not readily accessible to policy makers. We identified 65 systematic reviews of studies on the effectiveness of 52 public health laws: 27 of those laws were found effective, 23 had insufficient...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.130278
更新日期:2009-01-01 00:00:00