Abstract:
:Rates of neonatal abstinence syndrome (NAS) have increased fivefold in the past decade. To address this expanding and complex issue, state public health agencies have addressed the opioid crisis affecting newborns in diverse ways, leading to a variety of methods to quantify the burden of NAS.In an effort to understand this variability, we summarized clinical case and surveillance definitions used across jurisdictions in the United States. We confirmed that the rapid progression of the nation's opioid crisis resulted in heterogeneous processes for identifying NAS. Current clinical case definitions use different combinations of clinician-observed signs of withdrawal and evidence of perinatal substance exposure. Similarly, there is discordance in diagnosis codes used in surveillance definitions. This variability makes it difficult to produce comparable estimates across jurisdictions, which are needed to effectively guide public health strategies and interventions.Although standardization is complicated, consistent NAS definitions would increase comparability of NAS estimates across the nation and would better guide prevention and treatment efforts for women and their infants.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Chiang KV,Okoroh EM,Kasehagen LJ,Garcia-Saavedra LF,Ko JYdoi
10.2105/AJPH.2019.305170subject
Has Abstractpub_date
2019-09-01 00:00:00pages
1193-1197issue
9eissn
0090-0036issn
1541-0048journal_volume
109pub_type
杂志文章,评审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::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:To determine the prevalence and patterns of polysubstance use among US reproductive-aged women who use opioids for nonmedical purposes. METHODS:We used the National Survey of Drug Use and Health (2005-2014) data on female respondents aged 18 to 44 years reporting nonmedical opioid use in the past 30 days (u...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303825
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVES:The objective of this study was to partition the change in US life expectancy into those major causes of death and age groups that contributed most to the decline in life expectancy for Black males and females and to the increase in life expectancy for White males and females in the period from 1984 through ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.6.938
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVES:We examined the effectiveness of peer ethnography to gain insider views on substance use and sex among a diverse range of high-risk substance-using Black and Latino young men who have sex with men. METHODS:We recruited 9 peer ethnographers aged 21 to 24 years from youth programs for the lesbian, gay, bisexu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300988
更新日期:2013-05-01 00:00:00
abstract::Because of the importance of grassroots social movements, or "change from below," in the history of US reform, the relationship between social movements and demands for universal health care is a critical one. National health reform campaigns in the 20th century were initiated and run by elites more concerned with def...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
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更新日期:2003-01-01 00:00:00
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doi:10.2105/AJPH.2013.301845
更新日期:2014-05-01 00:00:00
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pub_type: 杂志文章
doi:10.2105/ajph.93.1.118
更新日期:2003-01-01 00:00:00
abstract::This commentary considers the implications of the assessment of racial/ethnic status for monitoring the health of African Americans and other Black populations in the United States. It argues that because racial disparities in health and other social indicators persist undiminished, the continued assessment of race is...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.90.11.1728
更新日期:2000-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.93.2.200
更新日期:2003-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304187
更新日期:2018-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301043
更新日期:2013-07-01 00:00:00
abstract::Bacillus thuringiensis var. kurstaki (B.t.-k) is a microbial pesticide which has been widely used for over 30 years. Its safety for a human population living in sprayed areas has never been tested. Surveillance for human infections caused by B.t.-k among Lane County, Oregon residents was conducted during two seasons o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.7.848
更新日期:1990-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.4.348
更新日期:1979-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.12.1930
更新日期:2000-12-01 00:00:00
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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::Suicide is a public health problem disproportionately associated with some demographic characteristics (e.g., sexual orientation, veteran status). Analyses of the Massachusetts Behavioral Risk Factor Surveillance Survey data revealed that more lesbian, gay, and bisexual (i.e., sexual minority) veterans reported suicid...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300565
更新日期:2012-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.3.384
更新日期:2004-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.10.1665
更新日期:1997-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2004-02-01 00:00:00
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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.94.5.843
更新日期:2004-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.172965
更新日期:2010-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302012
更新日期:2014-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 历史文章,杂志文章
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更新日期:2012-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.176511
更新日期:2010-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:2013-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.11.1499
更新日期:1989-11-01 00:00:00
abstract:OBJECTIVES:To improve our understanding of climate variability and diarrheal disease at the community level and inform predictions for future climate change scenarios, we examined whether the El Niño climate pattern is associated with increased rates of diarrhea among Peruvian children. METHODS:We analyzed daily surve...
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pub_type: 杂志文章
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更新日期:2012-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:1995-05-01 00:00:00
abstract:OBJECTIVES:This study tested the hypothesis that tobacco industry campaign contributions influence state legislators' behavior. METHODS:Multivariate simultaneous equations regression was used to analyze data on tobacco industry campaign contributions to state legislators and legislators' tobacco control policy scores ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.6.918
更新日期:1998-06-01 00:00:00