Abstract:
OBJECTIVES:To examine the role of Department of Defense policies in identifying theater-sustained traumatic brain injuries (TBIs). METHODS:We conducted a retrospective study of 48 172 US military service members who sustained their first lifetime TBIs between 2001 and 2016 while deployed to Afghanistan or Iraq. We used multivariable negative binomial models to examine the changes in TBI incidence rates following the introduction of Department of Defense policies. RESULTS:Two Army policies encouraging TBI reporting were associated with an increase of 251% and 97% in TBIs identified following their implementation, respectively. Among airmen, the introduction of TBI-specific screening questions to the Post-Deployment Health Assessment was associated with a 78% increase in reported TBIs. The 2010 Department of Defense Directive Type Memorandum 09-033 was associated with another increase of 80% in the likelihood of being identified with a TBI among soldiers, a 51% increase among sailors, and a 124% increase among Marines. CONCLUSIONS:Department of Defense and service-specific policies introduced between 2006 and 2013 significantly increased the number of battlefield TBIs identified, successfully improving the longstanding problem of underreporting of TBIs.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Agimi Y,Regasa LE,Ivins B,Malik S,Helmick K,Marion Ddoi
10.2105/AJPH.2018.304347subject
Has Abstractpub_date
2018-05-01 00:00:00pages
683-688issue
5eissn
0090-0036issn
1541-0048journal_volume
108pub_type
杂志文章abstract::Research evidence indicates that 2 forms of racial discrimination-perceived interpersonal discrimination and racial/ethnic residential segregation (a form of institutional discrimination)-may influence children's health and disparities. Although research on these 2 forms of discrimination and health has primarily focu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300986
更新日期:2013-10-01 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
abstract::The head coaches and players of 103 secondary school football teams in Minnesota were asked to respond to mail questionnaires. Information about injury incidence and concomitant health care provision was elicited. Responses from 3,063 players (81 per cent) yielded a total injury rate of 78 injuries/100 players; 19/100...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.12.1370
更新日期:1983-12-01 00:00:00
abstract::Data from the Hispanic Health and Nutrition Examination Survey were used to examine the influence of acculturation on alcohol consumption among Puerto Rican, Cuban-American, and Mexican-American women in the United States. Acculturation was found to be positively related to frequency of consumption and probability of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.6.890
更新日期:1993-06-01 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:This study identified behavioral and psychosocial/interpersonal factors in young adolescence that are associated with handgun carrying in later adolescence. METHODS:A sample of 2200 high school students was surveyed at 9th grade and again at 12th grade. RESULTS:Multivariate logistic regression analyses ind...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.6.960
更新日期:1998-06-01 00:00:00
abstract::Comments on a paper of physicians' attitudes toward abortion are presented. The reasons for approval of abortion which show about 80% citing medical or psychiatric and only 60% citing social reasons or a woman's right to do with her body what she wants support the belief in the sexist attitudes of physicians. Disbel...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.9.905-a
更新日期:1976-09-01 00:00:00
abstract:OBJECTIVE:We examined circumstances surrounding swimming pool drownings among US residents aged 5 to 24 years to understand why Black males and other racial/ethnic groups have high drowning rates. METHODS:We obtained data about drowning deaths in the United States (1995-1998) from death certificates, medical examiner ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.057067
更新日期:2006-04-01 00:00:00
abstract::This psychiatric epidemiology study following the Mount St. Helens volcanic disaster revealed a significant morbidity for psychiatric disorders. The increased prevalence showed a dose response pattern in three population groups. The findings are reported as relative and attributable risk for the two exposed population...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.suppl.76
更新日期:1986-03-01 00:00:00
abstract:OBJECTIVES:We examined migration-related changes in smoking behavior in the transnational Mexican-origin population. METHODS:We combined epidemiological surveys from Mexico (Mexican National Comorbidity Survey) and the United States (Collaborative Psychiatric Epidemiology Surveys). We compared 4 groups with increasing...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300739
更新日期:2012-11-01 00:00:00
abstract::The past quarter century has seen an explosion of concern about widening health inequities in the United States and worldwide. These inequities are central to the research mission in 2 arenas of public health: social epidemiology and community-engaged interventions. Yet only modest success has been achieved in elimina...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.140988
更新日期:2011-05-01 00:00:00
abstract::Three hundred seventy-two (63%) of 590 enrollees in nine smoking cessation workshops held over a five-year period responded to a follow-up survey. Outcome data were collected retrospectively for six-month intervals from workshop to follow-up. Forty nine per cent of all enrollees graduated, and 56% of the respondents q...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.7.725
更新日期:1980-07-01 00:00:00
abstract:OBJECTIVES:This study was undertaken to determine the relative efficacy of home visitation with and without husband participation on the use of modern contraception in Ethiopia. METHODS:A randomized field trial of a family planning education intervention using home visitation with and without husband participation was...
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.83.11.1567
更新日期:1993-11-01 00:00:00
abstract:OBJECTIVES:We assessed background characteristics, health status, and prevalence rates of mental health disorders in 2 studies of homeless mothers conducted in Worcester, Mass, one in 1993 and the other in 2003. METHODS:We compared the women taking part in the 2 studies, which involved similar methodologies, on the ke...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.069310
更新日期:2006-08-01 00:00:00
abstract::This study was designed to evaluate the effectiveness of a large scale program to improve health care for high-risk adolescents. Seven clinics, funded to provide comprehensive primary care to adolescents, were compared to three non-funded clinics. The majority of the 2,788 adolescent patients sampled in these clinics ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.8.999
更新日期:1989-08-01 00:00:00
abstract::We determined the relative risk of alcohol-related motor vehicle accidents and fatalities after New Mexico lifted its ban on Sunday packaged alcohol sales. We extracted all alcohol-related crashes from New Mexico police reports for 3652 days between July 1, 1990, and June 30, 2000, and found a 29% increase in alcohol-...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.069153
更新日期:2006-11-01 00:00:00
abstract::Nuclear weapons pose a particularly destructive threat. Prevention of the proliferation and use of nuclear weapons is urgently important to public health. "Horizontal" proliferation refers to nation-states or nonstate entities that do not have, but are acquiring, nuclear weapons or developing the capability and materi...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2006.100602
更新日期:2007-09-01 00:00:00
abstract::A two-year study of the microbiological quality of drinking water in 27 randomly selected North Carolina migrant labor camps yielded total and fecal coliform prevalences of 44 percent and 26 percent, respectively in 1988 and similar but higher prevalences in 1989. Preoccupancy testing by county sanitarians had found v...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.762
更新日期:1991-06-01 00:00:00
abstract:OBJECTIVES:We analyzed cervical cancer incidence and mortality data in American Indian and Alaska Native (AI/AN) women compared with women of other races. METHODS:We improved identification of AI/AN race, cervical cancer incidence, and mortality data using Indian Health Service (IHS) patient records; our analyses focu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301681
更新日期:2014-06-01 00:00:00
abstract::We systematically reviewed randomized controlled trials of interventions to improve the health of people during imprisonment or in the year after release. We searched 14 biomedical and social science databases in 2014, and identified 95 studies. Most studies involved only men or a majority of men (70/83 studies in whi...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2014.302498
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:To determine whether school or nonschool environments contribute more to childhood overweight, we compared children's gains in body mass index (BMI) when school is in session (during the kindergarten and first-grade school years) with their gains in BMI when school is out (during summer vacation). METHODS:T...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.080754
更新日期:2007-04-01 00:00:00
abstract::In recent years, advocates for increasing access to medical and oral health care have argued for expanding the scope of practice of dentists and physicians. Although this idea may have merit, significant legal and other barriers stand in the way of allowing dentists to do more primary health care, physicians to do mor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302654
更新日期:2015-09-01 00:00:00
abstract::Sexual assault in the workplace and the related factors have not been well studied. Workers' compensation claims data were used to describe work-related sexual assaults in Washington State between 1980 and 1989. Sixty-three cases of work-related rape were identified during this study period. The occupations of the rap...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.4.640
更新日期:1994-04-01 00:00:00
abstract:OBJECTIVES:This analysis described Latino migrant farmworkers' work safety climate and its association with musculoskeletal discomfort, working while injured or ill, and depressive symptoms. METHODS:Data were from a cross-sectional survey of 300 farmworkers conducted in North Carolina in 2009. Generalized estimating e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300597
更新日期:2012-05-01 00:00:00
abstract::We report on the use of an instrument to measure exposure to stressors among 149 women presenting with their children for pediatric care at an urban primary care center. Overall, 38.3 percent of the women had significant levels of depressive symptoms; 71.4 percent of those in the "high stress" group had an adjusted pr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.9.1295
更新日期:1989-09-01 00:00:00
abstract::This commentary argues that 100 years after the deadly Spanish flu, the public health emergency community's responses to much more limited pandemics and outbreaks demonstrate a critical shortage of personnel and resources. Rather than relying on nonpharmaceutical interventions, such as quarantine, the United States mu...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2018.304682
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:We describe trends in occupational and nonoccupational injury among working-age adults in Ontario. METHODS:We conducted an observational study of adults aged 15 to 64 over the period 2004 through 2011, estimating the incidence of occupational and nonoccupational injury from emergency department (ED) records...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302223
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVES:We assessed whether it would be feasible to replace the standard measure of net worth with simpler measures of wealth in population-based studies examining associations between wealth and health. METHODS:We used data from the 2004 Survey of Consumer Finances (respondents aged 25-64 years) and the 2004 Healt...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.194175
更新日期:2011-05-01 00:00:00
abstract::The history of consumer protection against household poisons presents a key case study of the uniquely American struggle to balance public health and safety with the interests of business. By the late 19th century, package designs, warning labels, and state statutes had formed an uneven patchwork of protective mechani...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2012.301066
更新日期:2013-05-01 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