Abstract:
OBJECTIVES:To estimate the risk of exposure to fentanyl among syringe exchange program (SEP) participants in New York City. METHODS:We recruited a convenience sample from 11 SEPs in New York City between March and June 2017. Consenting participants (n = 434) received a labeled syringe for their next injection. We tested collected syringes with gas chromatography-mass spectrometry and liquid chromatography-quadrupole-time-of-flight mass spectrometry. Fentanyl or fentanyl analogs detected in quantities greater than 10% of the residue mass were reported. RESULTS:The final analysis included 271 syringes; 46 (17.0%) contained fentanyl or a fentanyl analog. Fentanyl was the most frequently identified fentanyl compound, identified in 36 (13.3%) syringes. Furanylfentanyl was detected in 10 (3.7%) syringes, and 4-fluoroisobutyryl fentanyl was detected in 5 (1.8%) syringes. CONCLUSIONS:The risk of exposure to fentanyl in syringes used by SEP participants was significantly lower significantly lower than the amount of fentanyls identified among overdose decedents in New York City. Further research is needed to understand how people who use drugs have adapted to fentanyl in the drug market. Understanding the risk of exposure to fentanyls is critical to development of targeted public health messaging.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Blachman-Forshay J,Nolan ML,McAteer JM,Paone Ddoi
10.2105/AJPH.2018.304694subject
Has Abstractpub_date
2018-12-01 00:00:00pages
1666-1668issue
12eissn
0090-0036issn
1541-0048journal_volume
108pub_type
杂志文章abstract:OBJECTIVES:To evaluate how met need for accessibility and availability of primary care among nonelderly individuals in Georgia will be affected by the Patient Protection and Affordable Care Act (ACA) over the next 10 years. METHODS:We used a stock-and-flow model to predict the number of available visits from 2013 to 2...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303222
更新日期:2016-08-01 00:00:00
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
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVES:We compared faculty promotion rates by race/ethnicity across US academic medical centers. METHODS:We used the Association of American Medical College's 1983 through 2000 faculty roster data to estimate median institution-specific promotion rates for assistant professor to associate professor and for associa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300552
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVES:This study developed national estimates of the burden of selected infectious diseases among correctional inmates and releases during 1997. METHODS:Data from surveys, surveillance, and other reports were synthesized to develop these estimates. RESULTS:During 1997, 20% to 26% of all people living with HIV in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.11.1789
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVES:This study examined the impact of French routine programs urging the combined measles-mumps-rubella immunization of 15-month-old children. METHODS:We applied a cohort analysis to surveillance data collected by general practitioners to estimate the cumulative incidence rate per 1000 unvaccinated children and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.1.79
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVES:This study characterized changes in sexual and reproductive behaviors from 1985 through 1995 among American females aged 15 to 19 years and related these changes to family factors. METHODS:Nationally representative sample survey data from the 1995 National Survey of Family Growth were analyzed with Weibull ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.9.1421
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVES:We investigated ethnic disparities in obtaining medical care among the 4 major ethnic groups (Blacks, Whites, Coloreds [i.e., those of mixed race], and Asians) in post-apartheid South Africa. METHODS:Data for the study came from the 2002 Afrobarometer: Round II Survey of South Africa. Bivariate and multivar...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.127829
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVES:We assessed whether local health departments (LHDs) were conducting obesity prevention programs and diabetes screening programs, and we examined associations between LHD characteristics and whether they conducted these programs. METHODS:We used the 2005 National Profile of Local Health Departments to conduc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.168831
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVES:A randomized controlled trial evaluated the impact of feedback and financial incentives on physician compliance with cancer screening guidelines for women 50 years of age and older in a Medicaid health maintenance organization (HMO). METHODS:Half of 52 primary care sites received the intervention, which inc...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.2105/ajph.88.11.1699
更新日期:1998-11-01 00:00:00
abstract::Of 10,524 homeless veterans assessed in a 43-site VA program, 50 percent served during the Vietnam War era, compared to only 29 percent of all veterans in the general population. This reflects the greater risk of homelessness among men aged 30-44 rather than the impact of Vietnam Era service. The proportion of homeles...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.5.643
更新日期:1991-05-01 00:00:00
abstract:OBJECTIVES:To evaluate the effectiveness of an evidence-based, parent-centered intervention, Familias Unidas, delivered by nonresearch personnel, in preventing substance use (alcohol, illicit drugs) and sex without a condom among Hispanic adolescents. METHODS:A randomized controlled trial (n = 746) evaluated the effec...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2017.303653
更新日期:2017-04-01 00:00:00
abstract::Cervix and breast cancer incidence in 1978-82 was computed for immigrant and United States-born Black women in Brooklyn, New York. Compared to the national SEER (Surveillance, Epidemiology and End Results) rates, US-born and Haitian women had high rates of invasive cervical cancer, while English-speaking Caribbean imm...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.722
更新日期:1990-06-01 00:00:00
abstract:OBJECTIVES:Suffering from waning demand, poor quality, and reform efforts enabling veterans to "vote with their feet" and leave, the Veterans Health Administration (VA) health care system transformed itself through a series of substantive changes. We examined the evolution of primary care changes underlying VA's transf...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2007.115709
更新日期:2007-12-01 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::In 2010, the Brooklyn Active Transportation Community Planning Initiative launched in 2 New York City neighborhoods. Over a 2-year planning period, residents participated in surveys, school and community forums, neighborhood street assessments, and activation events-activities that highlighted the need for safer stree...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.303024
更新日期:2016-04-01 00:00:00
abstract::We identified factors associated with death at home for 28,828 hospice and non-hospice cancer patients in 13 counties of western Washington State. Hospice participation was found to be the variable most strongly associated with death at home. Admission to hospice appears to override the tendency for certain subgroups ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.11.1549
更新日期:1989-11-01 00:00:00
abstract:OBJECTIVES:The purpose of the study was to determine whether the obstetrical judgment of viability makes a difference to fetal and neonatal survival of extremely low birthweight infants (500-749 g). METHODS:We assessed the effect of the antenatal judgment of viability in a group of 66 infants born weighing from 500 to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.3.362
更新日期:1995-03-01 00:00:00
abstract::We carried out a seroepidemiologic study to evaluate the transmission of hepatitis B virus (HBV) from students to staff in a day school for mentally retarded students. Of 505 students tested, 37 (7.3 per cent) had HBsAg; 74 per cent of HBsAg-positive sera tested were HBeAg-positive. Of 162 staff members tested, 21 (13...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.9.1183
更新日期:1987-09-01 00:00:00
abstract:OBJECTIVES:We evaluated the impact of a safety training regulation, implemented by the US Department of Labor's Mine Safety and Health Administration (MSHA) in 1999, on injury rates at stone, sand, and gravel mining operations. METHODS:We applied a time-series design and analyses with quarterly counts of nonfatal inju...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.178301
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVES:We assessed the costs, risks, and benefits of possible future major policy decisions on vaccination, surveillance, response plans, and containment following global eradication of wild polioviruses. METHODS:We developed a decision analytic model to estimate the incremental cost-effectiveness ratios and net b...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.122192
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVES:In this study we examined the relationship between indicators of socioeconomic status (SES) and mortality for a representative sample of individuals. METHODS:The sample included 3734 individuals aged 45 and older interviewed in 1984 in the Panel Study of Income Dynamics. In the current study, mortality was ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.7.1151
更新日期:2002-07-01 00:00:00
abstract::Historically Black colleges and universities (HBCUs) continue to be overlooked as a resource to address health care workforce shortages and growing needs for a diverse health workforce, despite our commitment as a nation to health equity and eliminating health disparities. Health workforce graduation rates help illum...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300726
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:This study sought to determine whether nutrient-rich whole grains reduce mortality risk. METHODS:The study included 38,740 Iowa women, aged 55 to 69 years. A food frequency questionnaire was used to obtain data on grain intake. RESULTS:Median whole grain intake quintiles ranged from a median of 0.2 to more...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.3.322
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVES:We examined the associations between depressive symptoms and sexual identity and behavior among women with or at risk for HIV. METHODS:We analyzed longitudinal data from 1811 participants in the Women's Interagency HIV Study (WIHS) from 1994 to 2013 in Brooklyn and the Bronx, New York; Chicago, Illinois; Wa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302259
更新日期:2014-12-01 00:00:00
abstract::Cape Town, South Africa experienced an upsurge in the level of political violence from May to July of 1986. To determine the impact of the political violence on health and health services, selected routinely available information was analyzed, a community survey was conducted of 1,540 randomly selected households in h...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.7.772
更新日期:1988-07-01 00:00:00
abstract:OBJECTIVES:We estimated changes in children's insurance status (publicly insured, privately insured, or uninsured) and crowd-out rates during the 2007 to 2009 US recession in Ohio. METHODS:We conducted an estimate of insurance coverage from statewide, randomized telephone surveys in 2004, 2008, 2010, and 2012. We esti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302451
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVES:We examined correlates of condomless anal intercourse with nonmain sexual partners among African American men who have sex with men (MSM). METHODS:We recruited social networks composed of 445 Black MSM from 2012 to 2014 in Milwaukee, Wisconsin; Cleveland, Ohio; and Miami Beach, Florida. Participants reporte...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302945
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:We examined interconnections among runaway and homeless youths (RHYs) and how aggregated network structure position was associated with HIV risk in this population. METHODS:We collected individual and social network data from 136 RHYs. On the basis of these data, we generated a sociomatrix, accomplished net...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300295
更新日期:2012-01-01 00:00:00
abstract::Objectives. To examine emerging adults' experiences of food insecurity in relation to measures of diet quality, food literacy, home food availability, and health behaviors.Methods. We used EAT 2010-2018 (Eating and Activity over Time) study data on 1568 participants who completed surveys as adolescents in 2009 to 2010...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305783
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVES:We examined the role of body mass index (BMI) and other factors in driver deaths within 30 days after motor vehicle crashes. METHODS:We collected data for 22 107 drivers aged 16 years and older who were involved in motor vehicle crashes from the Crashworthiness Data System of the National Automotive Samplin...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.058156
更新日期:2006-04-01 00:00:00