Abstract:
OBJECTIVES:To describe disparities in HIV infection and syphilis among gay, bisexual, and other men who have sex with men (MSM) in US states through ratio-based measures and graphical depictions of disparities. METHODS:We used state-level surveillance data of reported HIV and syphilis cases in 2015 and 2016, and estimates of MSM population sizes to estimate HIV and syphilis prevalence by race/ethnicity and rate ratios (RRs) and to visually display patterns of disparity and prevalence among US states. RESULTS:State-specific rates of new HIV diagnoses were higher for Black than for White MSM (RR range = 2.35 [Rhode Island] to 10.12 [Wisconsin]) and for Hispanic than for White MSM (RR range = 1.50 [Tennessee] to 5.78 [Pennsylvania]). Rates of syphilis diagnoses were higher for Black than for White MSM in 42 of 44 states (state RR range = 0.89 [Hawaii] to 17.11 [Alaska]). Scatterplots of HIV diagnosis rates by race showed heterogeneity in epidemic scenarios, even in states with similar ratio-based disparity measures. CONCLUSIONS:There is a widely disparate impact of HIV and syphilis among Black and Hispanic MSM compared with White MSM. Between-state variation suggests that states should tailor and focus their prevention responses to best address state data.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Sullivan PS,Purcell DW,Grey JA,Bernstein KT,Gift TL,Wimbly TA,Hall E,Rosenberg ESdoi
10.2105/AJPH.2018.304762subject
Has Abstractpub_date
2018-11-01 00:00:00pages
S266-S273issue
S4eissn
0090-0036issn
1541-0048journal_volume
108pub_type
杂志文章abstract:OBJECTIVES:This study examined an outbreak of hepatitis A in eastern Sydney during 1991-1992. METHODS:Data were based on cases of hepatitis A in eastern Sydney residents reported from January 1991 to October 1992. RESULTS:Five hundred seventy cases of hepatitis A were reported. Of these, 515 (90%) occurred in male pa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.12.2039
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVES:We explored insurers' perceptions regarding barriers to reimbursement for oral rapid HIV testing and other preventive screenings during dental care. METHODS:We conducted semistructured interviews between April and October 2010 with a targeted sample of 13 dental insurance company executives and consultants,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301825
更新日期:2014-05-01 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::A six-year prospective study provides estimates of functional status (independent, dependent, nursing home resident, or deceased) according to age, gender, and previous functional status for Caucasian elders initially living in the community. Half the cohort had sustained independence for the six years; of those depen...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.3.266
更新日期:1984-03-01 00:00:00
abstract::This study is the first to provide complete information on prevalence rates by gender and geographic variation for each type of tobacco product used in the United States. Results indicate that, in nearly half of all states, total tobacco use in men exceeded 40% and, in four states, exceeded 50%. In women, only Nevada,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.103
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVES:To estimate national need for family planning services among men in the United States according to background characteristics, access to care, receipt of services, and contraception use. METHODS:We used weighted data from the 2006-2010 National Survey of Family Growth to estimate the percentage of men aged ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.303037
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVES:Policymakers, researchers, and citizens are beginning to recognize the need to limit minors' access to tobacco by restricting the sale of cigarettes through vending machines. One policy alternative that has been proposed by the tobacco industry is a requirement that vending machines be fitted with electronic...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.9.1217
更新日期:1992-09-01 00:00:00
abstract::We have summarized the evolution of the Nurses' Health Study (NHS), a prospective cohort study of 121 700 married registered nurses launched in 1976; NHS II, which began in 1989 and enrolled 116 430 nurses; and NHS3, which began in 2010 and has ongoing enrollment. Over 40 years, these studies have generated long-term,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303338
更新日期:2016-09-01 00:00:00
abstract::The evolution of the emergency medical services system in the United States accelerated rapidly between 1960 and 1973 as a result of a number of medical, historical, and social forces. Current emergency medical services researchers, policy advocates, and administrators must acknowledge these forces and their limitatio...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2004.048793
更新日期:2006-03-01 00:00:00
abstract::Public awareness of the risks of drinking during pregnancy was assessed in a Northwestern metropolitan county. Ninety per cent of respondents stated spontaneously that drinking might be harmful, and one-fourth of this group felt pregnant women should customarily abstain from alcohol. The balance of those who considere...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.3.312
更新日期:1981-03-01 00:00:00
abstract::Conventional methods for classifying patients with respect to utilization of health care resources are based almost exclusively on diagnostic criteria. We review a new severity of illness index which is generic to most medical and surgical conditions in a hospital, and which has been found to produce subgroups of pati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.1.25
更新日期:1983-01-01 00:00:00
abstract::The limiting effects of exemptions to the coverage of child restraint laws were estimated by determining the extent to which the laws would have applied to child motor vehicle occupants, ages 0-5 years, killed before the laws were passed (1976-80). The 50 state laws would have exempted about 39 per cent of child motor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.1.31
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND:Little population-based information is available on the use of chiropractic services. METHODS:We analyzed data from the RAND Health Insurance Experiment (HIE), a community-based study of the use of health services. Insurance claim forms for all fee-for-service patients who completed the study were examined ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.4.439
更新日期:1991-04-01 00:00:00
abstract::The nutritional status of three and four year old children, as measured by height and head circumference, is related to cognitive performance in four rural Guatemalan villages. The relationships persist when social factors are taken into account. Families in two of the villages participate in a voluntary, high protein...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章
doi:10.2105/ajph.67.3.233
更新日期:1977-03-01 00:00:00
abstract:OBJECTIVES:National data are thought to underestimate pregnancy-related mortality in the United States. A multisource surveillance system for pregnancy-associated deaths in New Jersey offers an opportunity to identify the magnitude of and the trends in pregnancy-related mortality at the state level. METHODS:Data from ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.8.1085
更新日期:1992-08-01 00:00:00
abstract::Evaluations of 40 mass media programs/campaigns designed to influence cigarette smoking were reviewed. Information/motivation programs/campaigns generally produced changes in awareness, knowledge, and attitudes. Extensive national campaigns also produced meaningful behavioral change. Programs/campaigns designed to pro...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.77.2.153
更新日期:1987-02-01 00:00:00
abstract:OBJECTIVES:This analysis was conducted to determine whether atopic disorders were related to social class in a pediatric population of a former socialist country. METHODS:A cross-sectional study of 2471 schoolchildren was carried out in 1992 and 1993 in 3 towns in the former East Germany. Parents completed a standardi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.9.1319
更新日期:1998-09-01 00:00:00
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
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVES:We examined the effect of New York's HIV Reporting and Partner Notification law on HIV testing levels and on the HIV testing decisions of high-risk individuals. METHODS:In-person interviews were administered to 761 high-risk individuals to assess their knowledge, attitudes, and behaviors regarding HIV testi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.092742
更新日期:2008-04-01 00:00:00
abstract::Public health and private providers and facilities may shape the future of the US health system by engaging in new ways to deliver care to patients. "Accountable care" contracts allow private health care and public health providers and facilities to collaboratively serve defined populations. Accountable care framework...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302161
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:The incidence, type, severity, and costs of crash-related injuries requiring hospitalization or resulting in death were compared for helmeted and unhelmeted motorcyclists. METHODS:This was a retrospective cohort study of injured motorcyclists in Washington State in 1989. Motorcycle crash data were linked to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.1.41
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:We studied 5 members of the National Network Consortium on Tobacco Control in Priority Populations. These networks, which consist of governmental and nongovernmental organizations, targeted lesbian, gay, bisexual, and transgender persons; Asian Americans, Native Hawaiians, and Pacific Islanders; American Ind...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.184358
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVES:We sought to estimate the effects of recreational physical activity and back exercises on low back pain, related disability, and psychological distress among patients randomized to chiropractic or medical care in a managed care setting. METHODS:Low back pain patients (n=681) were randomized and followed for...
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.2004.052993
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:We evaluated the association of household-level stressors with depressive symptoms among low-wage nursing home employees. METHODS:Data were collected in 2006 and 2007 from 452 multiethnic primary and nonprimary wage earners in 4 facilities in Massachusetts. We used logistic regression to estimate the associ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300323
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:In the light of a possible link between stress and cancer promotion or progression, and of previously reported distress in residents near the Three Mile Island (TMI) nuclear power plant, we attempted to evaluate the impact of the March 1979 accident on community cancer rates. METHODS:Proximity of residence ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.719
更新日期:1991-06-01 00:00:00
abstract:OBJECTIVES:We examined the impact of a change in New York tax law on the numbers of untaxed cigarettes bootlegged from Native American reservations and resold in the South Bronx. METHODS:Discarded cigarette packs were systematically collected in 30 randomized South Bronx census tracks before and after the amended tax ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302340
更新日期:2015-04-01 00:00:00
abstract::The Centers for Disease Control (CDC) has proposed revising the AIDS surveillance definition to include any HIV-seropositive person with a CD4 cell count of less than 200 cells per microliter. Based on a study of persons receiving treatment for HIV infection, this new definition would lead to an estimated 50% increase...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.11.1531
更新日期:1992-11-01 00:00:00
abstract::State government, university, and local health department (LHD) partners collaborated to build the geographic information system (GIS) capacity of 5 LHDs in North Carolina. Project elements included procuring hardware and software, conducting individualized and group training, developing data layers, guiding the proje...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.048785
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVES:This study sought to estimate the risk of silicosis by cumulative exposure-years in a cohort of miners exposed to silica, as well as the lifetime risk of silicosis under the current Occupational Safety and Health Administration (OSHA) standard (0.09 mg/m3). METHODS:In a cohort study of 3330 gold miners who ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.10.1372
更新日期:1995-10-01 00:00:00
abstract::The association of life events and mental health impairment was studied in a community-based population of the elderly (n = 986). A crude estimate of the relative risk for mental health impairment given life events larger than or equal to 150 (as measured by the Schedule of Recent Events) was 2.14. A relative risk of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.11.1174
更新日期:1980-11-01 00:00:00