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, concentrated disadvantage, isolation, and hopelessness. Overreliance on opioid medications is emblematic of a health care system that incentivizes quick, simplistic answers to complex physical and mental health needs. In an analogous way, simplistic measures to cut access to opioids offer illusory solutions to this multidimensional societal challenge. We trace the crisis' trajectory through the intertwined use of opioid analgesics, heroin, and fentanyl analogs, and we urge engaging the structural determinants lens to address this formidable public health emergency. A broad focus on suffering should guide both patient- and community-level interventions.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Dasgupta N,Beletsky L,Ciccarone Ddoi
10.2105/AJPH.2017.304187subject
Has Abstractpub_date
2018-02-01 00:00:00pages
182-186issue
2eissn
0090-0036issn
1541-0048journal_volume
108pub_type
杂志文章abstract:OBJECTIVES:To estimate homicide rates of transgender US residents and relative risks (RRs) of homicide with respect to cisgender comparators intersected with age, gender, and race/ethnicity. METHODS:I estimated homicide rates for transgender residents and transfeminine, Black, Latin@, and young (aged 15-34 years) subp...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303878
更新日期:2017-09-01 00:00:00
abstract::To ascertain HCV testing practices among US prisons and jails, we conducted a survey study in 2012, consisting of medical directors of all US state prisons and 40 of the largest US jails, that demonstrated a minority of US prisons and jails conduct routine HCV testing. Routine voluntary HCV testing in correctional fac...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302071
更新日期:2015-01-01 00:00:00
abstract::A parasitic surveillance of farm workers of Puerto Rican background and their children revealed a high prevalence rate (35.5%) of parasites in this population. This high prevalence rate, however, was expected in view of the fact that other researchers have found a high degree of parasitosis in Puerto Rican populations...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.10.1103
更新日期:1980-10-01 00:00:00
abstract:OBJECTIVES:We sought to identify correlates of reported lifetime diagnoses of TB among injection drug users in the border city of Tijuana, Mexico. METHODS:Injection drug users in Tijuana were recruited into a prospective cohort study during 2006 and 2007. We used weighted multivariate logistic regression to identify c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.142166
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVES:To assess potential reductions in premature mortality that could have been achieved in 2008 to 2012 if the minimum wage had been $15 per hour in New York City. METHODS:Using the 2008 to 2012 American Community Survey, we performed simulations to assess how the proportion of low-income residents in each neig...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303188
更新日期:2016-06-01 00:00:00
abstract::The Model State Emergency Health Powers Act became a contentious document in more than 30 states in 2001 and 2002. Controversy has focused on recommendations by the authors of the Model Act that seemed to accord higher priority to collective action in emergencies than to protecting privacy and property. This situation...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.3.397
更新日期:2003-03-01 00:00:00
abstract::Dietary intakes of nutrients implicated in cardiovascular disease were studied in 143 Black females, age 9 years. Dietary recall interviews were conducted and data compared with recommendations of several authoritative groups. A majority of subjects reported intakes: exceeding recommendations for total fat, saturated ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.11.1323
更新日期:1985-11-01 00:00:00
abstract:OBJECTIVES:We describe a method to facilitate routine monitoring of socioeconomic health disparities in the United States. METHODS:We analyzed geocoded public health surveillance data including events from birth to death (c. 1990) linked to 1990 census tract (CT) poverty data for Massachusetts and Rhode Island. RESUL...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2003.032482
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVES:We evaluated a low-cost strategy for schools to improve the convenience and appeal of drinking water. METHODS:We conducted a group-randomized, controlled trial in 10 Boston, Massachusetts, schools in April through June 2013 to test a cafeteria-based intervention. Signage promoting water and disposable cups ...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2105/AJPH.2015.302645
更新日期:2015-09-01 00:00:00
abstract::An interview study of persons diagnosed with multiple myeloma between 1977 and 1981 and suitable control subjects was conducted to test the hypothesis that exposure to hair dyes increases the risk of multiple myeloma. Among women, there was little evidence that prior regular use of hair dyes (odds ratio [OR] = 1.0; 95...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.7.1142
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVES:We sought information about the cost-related underuse of medications-which medications are underused, by whom, and how often. METHODS:Chronically ill adults were asked to identify how often they underused prescription medication for 16 health conditions because of the cost. RESULTS:Eighteen percent of resp...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.10.1782
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVES:We examined low-birthweight (LBW) rates among participants in Colorado's Prenatal Plus program by prenatal risk factors (smoking, inadequate weight gain during pregnancy, and psychosocial problems) and the effect of successful resolution of these risks during pregnancy. METHODS:Data for 3569 Medicaid-eligib...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.047068
更新日期:2005-11-01 00:00:00
abstract::Data System. The National Health and Nutrition Examination Survey (NHANES), conducted by the National Center for Health Statistics, is a cross-sectional survey on the health and nutritional status of US adults and children. Data Collection/Processing. A complex, multistage probability design is used to select a sample...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303815
更新日期:2017-06-01 00:00:00
abstract::We estimated the annual cost of bike and pedestrian trails in Lincoln, Neb, using construction and maintenance costs provided by the Department of Parks and Recreation of Nebraska. We obtained the number of users of 5 trails from a 1998 census report. The annual construction cost of each trail was calculated by using ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.4.549
更新日期:2004-04-01 00:00:00
abstract::A case-control study, using data abstracted between 1983 and 1987 from a large perinatal registry, was conducted to explore the relationship between smoking and ectopic pregnancy. Women with ectopic pregnancy (n = 634) seen at University of Illinois Perinatal Network Hospitals were compared to women who were delivered...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.9.1239
更新日期:1989-09-01 00:00:00
abstract::We calculated the long-term risks of death from smoking for individuals of various ages and smoking status in terms of the excess mortality contributed by smoking, over and above the baseline mortality from the same diseases caused by factors other than smoking using standard life table procedures. Since mortality dat...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.4.425
更新日期:1987-04-01 00:00:00
abstract:OBJECTIVES:This study examined a project designed to improve the health and wellness of employees of Brabantia, a Dutch manufacturer of household goods, by means of lifestyle changes and changes in working conditions. METHODS:The workers at one Brabantia site constituted the experimental group, and the workers from tw...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章
doi:10.2105/ajph.88.7.1037
更新日期:1998-07-01 00:00:00
abstract::An analysis of morbidity was made in 11 kibbutzim (cooperative agricultural settlements), with a total population of 3,040, that had switched from nonwastewater to wastewater sprinkler irrigation or vice versa. Generally, partially treated stabilization pond effluent of poor microbial quality was used for irrigation. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.8.977
更新日期:1986-08-01 00:00:00
abstract::A nation-wide survey of Parent-Inclusive Pediatric Units identified innovations and restrictions in policies and practices. Questionnaires mailed to Directors of Nursing Service at 84 general hospitals which encourage parental "living-in" indicated that parents are provided with a place to sleep but infrequently are o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.9.847
更新日期:1978-09-01 00:00:00
abstract::We prospectively identified 102 mechanically restrained hospital patients and determined their hospital course. The cohort was elderly, cognitively impaired with multiple chronic diseases. The in-hospital mortality was 21 percent. Nosocomial infection developed in 12 percent and new pressure sores in 22 percent. Prolo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.6.735
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVES:Between April and September of 2009 we evaluated the accuracy of the OraQuick HCV rapid antibody test and assessed its feasibility for use by community-based organizations (CBOs) serving populations at high risk for HCV in New York City. METHODS:We compared the results of screening by OraQuick (oral swab) a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300251
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVES:We estimated annual mortality, years of potential life lost, and associated economic costs attributable to regular cigar smoking among US adults aged 35 years or older. METHODS:We estimated cigar-attributable mortality for the United States in 2010 using the Centers for Disease Control and Prevention's Smok...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301991
更新日期:2014-09-01 00:00:00
abstract::This paper uses monthly time-series data from 1968 through 1988 to test whether the observed increase in the incidence of low birthweight in New York City represents a reversal of the downward trend that existed prior to 1984. We find that the trend has shifted for both Whites and Blacks. We estimate that between July...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.682
更新日期:1990-06-01 00:00:00
abstract::In Manitoba, Canada, a representative cohort of elderly individuals ages 65 to 84 (n = 3,573) were interviewed in 1971 and the survivors of this cohort were reinterviewed in 1983. This analysis assesses the determinants of successful aging--whether or not an individual will live to an advanced age, continue to functio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.1.63
更新日期:1991-01-01 00:00:00
abstract::Information regarding all patient and staff exposures to varicella-zoster virus (VZV) was prospectively accumulated from 1/1/86 to 12/31/86 at North Carolina Memorial Hospital. During this period of time 37 sources of exposure to VZV were reported: 10 outside and 27 within the hospital. Index cases for nosocomial expo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.1.19
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVES:To describe the association between indicators of socioeconomic status (SES) and the prevalence of autism spectrum disorder (ASD) in the United States during the period 2002 to 2010, when overall ASD prevalence among children more than doubled, and to determine whether SES disparities account for ongoing rac...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304032
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVES:We assessed whether New York City's gun-related homicide rates in the 1990s were associated with a range of social determinants of homicide rates. METHODS:We used cross-sectional time-series data for 74 New York City police precincts from 1990 through 1999, and we estimated Bayesian hierarchical models with...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.158238
更新日期:2010-06-01 00:00:00
abstract::The scientific literature from January 1970 to June 1979 was reviewed for articles reporting outcomes from out-of-hospital cardiac arrest treated by paramedic programs. Only articles appearing in refereed professional journals and reporting 25 or more attempted resuscitations were included. A total of 21 articles from...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.70.3.236
更新日期:1980-03-01 00:00:00
abstract::We developed a quality-of-life method for valuing changes in health status. Our model determines changes in health attributes for different illnesses and then estimates the dollar value of the corresponding welfare losses. We used our quality-of-life approach to estimate willingness to pay to avoid asthma, a headache,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.11.1553
更新日期:1992-11-01 00:00:00
abstract::A nationwide evaluation of 49 Veterans Administration drug dependence treatment programs was conducted using a sample of 1,655 patients. Their status with reference to seven treatment goals was assessed at admission and again 11 months later to determine change. The following changes were observed: a large decrease in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.1.39
更新日期:1978-01-01 00:00:00