Abstract:
:This paper reports the home-facility and level of care changes, discharges, and deaths over a five-year period for 1,653 clients newly admitted in 1978 to a long-term care program in British Columbia, Canada. Five years after admission, of clients initially admitted to care at home (N = 1241), 34.3 per cent were still in the program (14.5 per cent unchanged; 6.7 per cent at home but at a higher level of care, and 11.7 per cent in facilities). Of the remainder, 38.9 per cent had died and 26.8 per cent had been discharged. Findings for those initially admitted to care in facilities (N = 412) are remarkably similar. After five years, 28.4 per cent of these clients were still in the program; 39.3 per cent had died. Moves from facility to home care were few (2.4 per cent). Despite their advanced age at admission (mean = 74.7, S.D. 14.6), one-third were still in the program five years later, some with status virtually unchanged.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Stark AJ,Gutman GMdoi
10.2105/ajph.76.11.1312subject
Has Abstractpub_date
1986-11-01 00:00:00pages
1312-6issue
11eissn
0090-0036issn
1541-0048journal_volume
76pub_type
杂志文章abstract::All locatable subjects (n = 94) for whom tuberculosis prevalence had been determined in an earlier study were tested with purified protein derivative (PPD) and control antigens, sputum sampling, and chest x-rays. Of the 46 who had been tuberculin negative (confirmed with control antigens) 3 years earlier, 2 had develo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.11.1836
更新日期:1994-11-01 00:00:00
abstract:OBJECTIVES:To compare methods for estimating low HIV incidence among persons who inject drugs. METHODS:We examined 4 methods in New York City, 2005 to 2014: (1) HIV seroconversions among repeat participants, (2) increase of HIV prevalence by additional years of injection among new injectors, (3) the New York State and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.303019
更新日期:2016-03-01 00:00:00
abstract::Objectives. To assess the health impact of Hurricane Irma and Hurricane Maria on St Thomas, US Virgin Islands.Methods. We collected data from interviews conducted 6 and 9 months after the hurricanes, a review of 597 randomly selected emergency department (ED) encounters, and administrative records from 10 716 ED visit...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305310
更新日期:2019-12-01 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 analysis describes trends in the prevalence of genital chlamydial infection in economically disadvantaged young women entering a national job training program. METHODS:We examined chlamydia test data for May 1990 through June 1997 for women aged 16 to 24 years who enrolled in the program. The significa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.8.1287
更新日期:2001-08-01 00:00:00
abstract::The soviet Union has experienced an increase in the incidence of coronary heart disease over the last 15 years sufficient to result in an overall deterioration in the health of adults. The distribution of coronary risk factors, and the secular trends in diet and cigarette consumption, provide a potential explanation f...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.5.431
更新日期:1982-05-01 00:00:00
abstract:OBJECTIVES:We analyzed how ease of geographic access to emergency departments (EDs), defined as driving time to the closest ED, changed between 2001 and 2005, and whether access deterioration was more likely to occur in vulnerable communities. METHODS:We classified communities on the basis of American Hospital Associa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.175828
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVES:Our community health center attempted to meet public health goals for encouraging exercise in adult patients vulnerable to obesity, diabetes, hypertension, and other chronic diseases by partnering with a local YMCA. METHODS:During routine office visits, providers referred individual patients to the YMCA at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300958
更新日期:2012-11-01 00:00:00
abstract::Today, our understanding of and approach to the exogenous causes of cancer are dominated by epidemiological practices that came into widespread use after World War II. This paper examines the forces, considerations, and controversies that shaped postwar risk factor epidemiology in the United States. It is argued that,...
journal_title:American journal of public health
pub_type: 传,历史文章,杂志文章
doi:10.2105/ajph.87.11.1824
更新日期:1997-11-01 00:00:00
abstract::Water is essential in providing nutrients, but contaminated water contributes to poor population health. Water quality and availability can change in unstructured situations, such as war. To develop a practical strategy to address poor water quality resulting from intermittent wars in Iraq, I reviewed information from...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2012.301118
更新日期:2013-06-01 00:00:00
abstract::We interviewed 1038 HIV-positive inpatients in public hospitals in Miami, Florida, and Atlanta, Georgia, to examine patient factors associated with use of HIV care, use of antiretroviral therapy, and unprotected sexual intercourse. Multivariate analyses and multiple logistic regression models showed that use of crack ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.139931
更新日期:2009-06-01 00:00:00
abstract::Objectives. To examine exposure to psychological attempts to change a person's gender identity from transgender to cisgender (PACGI) among transgender people in the United States, lifetime and between the years 2010 and 2015, by US state.Methods. We obtained data from the 2015 US Transgender Survey, a cross-sectional ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305237
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVES:We estimated HCV incidence among individuals who repeatedly underwent anti-HCV testing. METHODS:We studied HCV-negative individuals who had at least 2 tests between April 1992 and September 2012 in British Columbia, Canada. We calculated incidence as the number of new infections per 100 person-years at risk...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302591
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVES:We compared Black West Indian immigrants' and US-born Blacks' sexual and drug-use risk behaviors and their beliefs related to using condoms and informing partners of sexually transmitted infections (STIs) to identify possible differences in risk. METHODS:We drew data from the baseline assessment of a clinic...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2006.106443
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of a community coalition to prevent severe injuries to children in Central Harlem, New York, NY. It was hypothesized that injury incidence rates would decline during the intervention (1989 through 1991) relative to preintervention years (1983 through 1988); that the dec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.4.580
更新日期:1994-04-01 00:00:00
abstract::The Environmental Protection Agency measures the success or failure of Superfund site remediation efforts against remedial action objectives (RAOs). RAOs are frequently based on environmental contaminant concentrations, but with lead exposure, blood lead levels from the population at risk are often used. Although chil...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300226
更新日期:2011-12-01 00:00:00
abstract::We present results from life history interviews with 60 young adults from southern Uganda. Using a novel qualitative case-control design, we compared newly HIV-positive cases with HIV-negative controls matched on age, gender, marital status, and place of residence. Relationship context was the most salient theme diffe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301670
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVES:We investigated preterm birth (PTB) in relation to maternal occupational exposure and whether effect measures were modified by Hispanic ethnicity and nativity in a population-based sample with high proportion of Hispanics. METHODS:We used a case-control study (n = 2543) nested within a cohort of 58,316 birt...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301457
更新日期:2014-02-01 00:00:00
abstract::Objectives. To determine the number of people who inject drugs (PWID) in Canada and the annual coverage of opioid agonist treatment (OAT) and needle-and-syringe provision for PWID.Methods. We estimated the number of PWID in 11 of 13 Canadian provinces and territories in 2011 by using indirect multiplier methods based ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305379
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:We examined associations between premigration political violence exposure and past-year intimate partner violence (IPV) perpetration among immigrant men attending community health centers in Boston. METHODS:A convenience sample of immigrant men (N = 379; aged 18-35 years), largely from the Caribbean and Cap...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.120634
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVES:I examined genetic influences on smoking among adolescents and differences in the heritability of smoking across states in the United States. METHODS:With data from the National Longitudinal Study of Adolescent Health (participants aged 12-21 years), I used a multilevel twin- and sibling-pair (N = 2060 pair...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.134932
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVES:We examined self-reported health status, health behaviors, access to care, and use of preventive services of the US Hispanic adult population to identify language-associated disparities. METHODS:We analyzed 2003 to 2005 Behavioral Risk Factor Surveillance System data from 45 076 Hispanic adults in 23 states...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.119008
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:This study examined the correlates of clinical gallbladder disease among US adults and whether serum ascorbic acid levels are associated with a decreased prevalence of gallbladder disease. METHODS:Cross-sectional analyses of data from the Second National Health and Nutrition Examination Survey were conducte...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.8.1208
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVES:We used 4 waves of prospective data to examine the association of smoking cessation with financial stress and material well-being. METHODS:Data (n = 5699 at baseline) came from 4 consecutive waves (2001-2005) of the Household Income and Labour Dynamics in Australia survey. We used mixed models to examine th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.103580
更新日期:2007-12-01 00:00:00
abstract::Occupational lead poisoning and environmental contamination were evaluated at a lead scrap smelter. Thirty of 37 employees (81 per cent) has blood lead levels of greater than or equal to 80 mug/100 ml, indicating unacceptable absorption, and 35 had free erythrocyte protoporphyrin (FEP) levels greater than 60mug/100ml ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.6.548
更新日期:1976-06-01 00:00:00
abstract:OBJECTIVES:We examined individual, friend or family, and community or tribe correlates of suicidality in a representative on-reserve sample of First Nations adolescents. METHODS:Data came from the 2002-2003 Manitoba First Nations Regional Longitudinal Health Survey of Youth. Interviews were conducted with adolescents ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300385
更新日期:2012-07-01 00:00:00
abstract::Factors related to preschool child receipt of vitamin A during the first year of a semi-annual vitamin A capsule delivery program were investigated in 229 villages in Aceh, Indonesia. Coverage was higher in villages which were more rural and less economically developed. Highest performance was achieved by village dist...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.7.847
更新日期:1989-07-01 00:00:00
abstract::The State-Wide Rural Well-Water Survey was conducted between April 1988 and June 1989. About 18% of Iowa's private, rural drinking-water wells contain nitrate above the recommended health advisory level (levels of NO3-N greater than 10 mg/L); 37% of the wells have levels greater than 3 mg/L, typically considered indic...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.2.270
更新日期:1993-02-01 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
abstract:OBJECTIVES:We examined whether Supplemental Nutrition Assistance Program (SNAP) participation changes associations between food insecurity, dietary quality, and weight among US adults. METHODS:We analyzed adult dietary intake data (n = 8333) from the 2003 to 2010 National Health and Nutrition Examination Survey. Bivar...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302580
更新日期:2015-07-01 00:00:00