Standardization of State Definitions for Neonatal Abstinence Syndrome Surveillance and the Opioid Crisis.

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 Health

authors

Chiang KV,Okoroh EM,Kasehagen LJ,Garcia-Saavedra LF,Ko JY

doi

10.2105/AJPH.2019.305170

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

1193-1197

issue

9

eissn

0090-0036

issn

1541-0048

journal_volume

109

pub_type

杂志文章,评审
  • Social inequalities in perinatal mortality in Belo Horizonte, Brazil: the role of hospital care.

    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

    authors: Lansky S,França E,Kawachi I

    更新日期:2007-05-01 00:00:00

  • Case-control study of lung cancer and truck driving in the Teamsters Union.

    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

    authors: Steenland NK,Silverman DT,Hornung RW

    更新日期:1990-06-01 00:00:00

  • Polysubstance Use Among US Women of Reproductive Age Who Use Opioids for Nonmedical Reasons.

    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

    authors: Jarlenski M,Barry CL,Gollust S,Graves AJ,Kennedy-Hendricks A,Kozhimannil K

    更新日期:2017-08-01 00:00:00

  • Why did black life expectancy decline from 1984 through 1989 in the United States?

    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

    authors: Kochanek KD,Maurer JD,Rosenberg HM

    更新日期:1994-06-01 00:00:00

  • Using peer ethnography to address health disparities among young urban Black and Latino men who have sex with men.

    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

    authors: Mutchler MG,McKay T,McDavitt B,Gordon KK

    更新日期:2013-05-01 00:00:00

  • Health care reform and social movements in the United States.

    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

    doi:10.2105/ajph.93.1.75

    authors: Hoffman B

    更新日期:2003-01-01 00:00:00

  • Health information privacy and health information technology in the US correctional setting.

    abstract::Electronic health records and electronic health information exchange are essential to improving quality of care, reducing medical errors and health disparities, and advancing the delivery of patient-centered medical care. In the US correctional setting, these goals are critical because of the high numbers of Americans...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2013.301845

    authors: Goldstein MM

    更新日期:2014-05-01 00:00:00

  • A joint urban planning and public health framework: contributions to health impact assessment.

    abstract::A joint urban planning and public health perspective is articulated here for use, in health impact assessment. Absent a blueprint for a coherent and supportive structure on which to test our thinking, we are bound to fall flat. Such a perspective is made necessary by the sheer number of people living in cities through...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.93.1.118

    authors: Northridge ME,Sclar E

    更新日期:2003-01-01 00:00:00

  • Race/ethnicity and the 2000 census: recommendations for African American and other black populations in the United States.

    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

    authors: Williams DR,Jackson JS

    更新日期:2000-11-01 00:00:00

  • Racial/ethnic discrimination and health: findings from community studies.

    abstract::The authors review the available empirical evidence from population-based studies of the association between perceptions of racial/ethnic discrimination and health. This research indicates that discrimination is associated with multiple indicators of poorer physical and, especially, mental health status. However, the ...

    journal_title:American journal of public health

    pub_type: 杂志文章,评审

    doi:10.2105/ajph.93.2.200

    authors: Williams DR,Neighbors HW,Jackson JS

    更新日期:2003-02-01 00:00:00

  • Opioid Crisis: No Easy Fix to Its Social and Economic Determinants.

    abstract::The accepted wisdom about the US overdose crisis singles out prescribing as the causative vector. Although drug supply is a key factor, we posit that the crisis is fundamentally fueled by economic and social upheaval, its etiology closely linked to the role of opioids as a refuge from physical and psychological trauma...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2017.304187

    authors: Dasgupta N,Beletsky L,Ciccarone D

    更新日期:2018-02-01 00:00:00

  • Bicycle guidelines and crash rates on cycle tracks in the United States.

    abstract:OBJECTIVES:We studied state-adopted bicycle guidelines to determine whether cycle tracks (physically separated, bicycle-exclusive paths adjacent to sidewalks) were recommended, whether they were built, and their crash rate. METHODS:We analyzed and compared US bicycle facility guidelines published between 1972 and 1999...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2012.301043

    authors: Lusk AC,Morency P,Miranda-Moreno LF,Willett WC,Dennerlein JT

    更新日期:2013-07-01 00:00:00

  • Public health implications of the microbial pesticide Bacillus thuringiensis: an epidemiological study, Oregon, 1985-86.

    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

    authors: Green M,Heumann M,Sokolow R,Foster LR,Bryant R,Skeels M

    更新日期:1990-07-01 00:00:00

  • Longitudinal changes in blood lead level in children and their relationship to season, age, and exposure to paint or plaster.

    abstract::Children screened for lead poisoning in the Brownsville district of New York City in either summer or winter were followed with blood lead tests for approximately six months to one year from screening to measure longitudinal changes in blood lead level and to identify some determinants of the changes. Only minimal evi...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.69.4.348

    authors: McCusker J

    更新日期:1979-04-01 00:00:00

  • Outreach developmental services to children of patients in treatment for substance abuse.

    abstract:OBJECTIVES:This report describes a model for delivering developmental services to children of patients in treatment for substance abuse. METHODS:A multidisciplinary team provides developmental evaluations of children at a substance abuse treatment clinic. RESULTS:In 3 years of operation, 85% of 117 children completed...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.90.12.1930

    authors: Shulman LH,Shapira SR,Hirshfield S

    更新日期:2000-12-01 00:00:00

  • Child care arrangements and repeated ear infections in young children.

    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

    authors: Hardy AM,Fowler MG

    更新日期:1993-09-01 00:00:00

  • Suicidal ideation among sexual minority veterans: results from the 2005-2010 Massachusetts Behavioral Risk Factor Surveillance Survey.

    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

    authors: Blosnich JR,Bossarte RM,Silenzio VM

    更新日期:2012-03-01 00:00:00

  • Is it time to reassess the categorization of disease burdens in low-income countries?

    abstract::The classification of disease burdens is an important topic that receives little attention or debate. One common classification scheme, the broad cause grouping, is based on etiology and health transition theory and is mainly concerned with distinguishing communicable from noncommunicable diseases. This may be of limi...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.94.3.384

    authors: Setel PW,Saker L,Unwin NC,Hemed Y,Whiting DR,Kitange H

    更新日期:2004-03-01 00:00:00

  • State smoking prevalence estimates: a comparison of the Behavioral Risk Factor Surveillance System and current population surveys.

    abstract:OBJECTIVES:This study examined whether there are systematic differences between the Behavioral Risk Factor Surveillance System (BRFSS) and the Current Population Survey (CPS) for state cigarette smoking prevalence estimates. METHODS:BRFSS telephone survey estimates were compared with estimates from the US Census CPS t...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.87.10.1665

    authors: Arday DR,Tomar SL,Nelson DE,Merritt RK,Schooley MW,Mowery P

    更新日期:1997-10-01 00:00:00

  • Project FLAVOR: 1-Year Outcomes of a Multicultural, School-Based Smoking Prevention Curriculum for Adolescents.

    abstract::To evaluate a multicultural smoking prevention curriculum, 16 schools were randomized to receive the multicultural curriculum or a standard curriculum and program effects on 1-year smoking initiation among 1430 never smokers were assessed. Hispanic boys who received the multicultural curriculum were less likely to ini...

    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.94.2.263

    authors: Unger JB,Chou CP,Palmer PH,Ritt-Olson A,Gallaher P,Cen S,Lichtman K,Azen S,Johnson CA

    更新日期:2004-02-01 00:00:00

  • Draw the line/respect the line: a randomized trial of a middle school intervention to reduce sexual risk behaviors.

    abstract:OBJECTIVES:This study evaluated the long-term effectiveness of Draw the Line/Respect the Line, a theoretically based curriculum designed to reduce sexual risk behaviors among middle school adolescents. METHODS:The randomized controlled trial involved 19 schools in northern California. A cohort of 2829 sixth graders wa...

    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

    authors: Coyle KK,Kirby DB,Marín BV,Gómez CA,Gregorich SE

    更新日期:2004-05-01 00:00:00

  • Socioeconomic gradients in sexually transmitted diseases: a geographic information system-based analysis of poverty, race/ethnicity, and gonorrhea rates in California, 2004-2006.

    abstract:OBJECTIVES:We quantified the relationship between gonorrheal infection rates in California and a measure of poverty status and investigated how this relationship and the spatial dispersion of cases varied among the 4 dominant racial/ethnic groups in the state. METHODS:We geocoded gonorrhea cases reported in California...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2009.172965

    authors: Springer YP,Samuel MC,Bolan G

    更新日期:2010-06-01 00:00:00

  • Public bicycle share programs and head injuries.

    abstract:OBJECTIVES:We evaluated the effect of North American public bicycle share programs (PBSPs), which typically do not offer helmets with rentals, on the occurrence of bicycle-related head injuries. METHODS:We analyzed trauma center data for bicycle-related injuries from 5 cities with PBSPs and 5 comparison cities. We use...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.302012

    authors: Graves JM,Pless B,Moore L,Nathens AB,Hunte G,Rivara FP

    更新日期:2014-08-01 00:00:00

  • NAVIGATING the future through the past: the enduring historical legacy of federal children's health programs in the United States.

    abstract::The United States excels at treating the most complex medical conditions, but our low-ranking health statistics (relative to other countries) do not match our high-end health care spending. One way to understand this paradox is to examine the history of federal children's health programs. In the 1800s, children's heal...

    journal_title:American journal of public health

    pub_type: 历史文章,杂志文章

    doi:10.2105/AJPH.2012.300714

    authors: Brosco JP

    更新日期:2012-10-01 00:00:00

  • The Boston Safe Shops model: an integrated approach to community environmental and occupational health.

    abstract::Small, immigrant-owned businesses, such as auto repair shops and nail salons, often face barriers to environmental and occupational health compliance and may be a source of neighborhood pollution complaints. The Boston Public Health Commission established the Safe Shops Project to improve safety and environmental prac...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2009.176511

    authors: Roelofs C,Shoemaker P,Skogstrom T,Acevedo P,Kendrick J,Nguyen N

    更新日期:2010-04-01 00:00:00

  • Disparities in abortion rates: a public health approach.

    abstract::Women of lower socioeconomic status and women of color in the United States have higher rates of abortion than women of higher socioeconomic status and White women. Opponents of abortion use these statistics to argue that abortion providers are exploiting women of color and low socioeconomic status, and thus, regulati...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2013.301339

    authors: Dehlendorf C,Harris LH,Weitz TA

    更新日期:2013-10-01 00:00:00

  • Breast cancer screening by mammography: utilization and associated factors.

    abstract::The status of mammography screening experience and factors related to utilization were examined in six towns serviced by physician staffs at five hospitals. Data were collected via random digit dial telephone interview of a probability sample of 1184 women, aged 45-75 years. The results showed that 55% of the women re...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.79.11.1499

    authors: Zapka JG,Stoddard AM,Costanza ME,Greene HL

    更新日期:1989-11-01 00:00:00

  • Effects of the 1997-1998 El Niño episode on community rates of diarrhea.

    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...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2011.300573

    authors: Bennett A,Epstein LD,Gilman RH,Cama V,Bern C,Cabrera L,Lescano AG,Patz J,Carcamo C,Sterling CR,Checkley W

    更新日期:2012-07-01 00:00:00

  • Does WIC participation improve breast-feeding practices?

    abstract::The effects of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on breast-feeding behavior have been sometimes found inadequate. The determinants of breast-feeding initiation and duration among WIC participants and nonparticipants were modeled by using retrospective cross-sectional dat...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.85.5.729

    authors: Schwartz JB,Popkin BM,Tognetti J,Zohoori N

    更新日期:1995-05-01 00:00:00

  • Are tobacco industry campaign contributions influencing state legislative behavior?

    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

    authors: Monardi F,Glantz SA

    更新日期:1998-06-01 00:00:00