Abstract:
OBJECTIVES:To determine the prevalence and patterns of polysubstance use among US reproductive-aged women who use opioids for nonmedical purposes. METHODS:We used the National Survey of Drug Use and Health (2005-2014) data on female respondents aged 18 to 44 years reporting nonmedical opioid use in the past 30 days (unweighted n = 4498). We categorized patterns of polysubstance use in the past 30 days, including cigarettes, binge drinking, and other legal and illicit substances and reported prevalence adjusted for age, race/ethnicity, and educational attainment. RESULTS:Of all women with nonmedical opioid use, 11% reported only opioid use. Polysubstance use was highest in non-Hispanic White women and women with lower educational attainment. The most frequently used other substances among women using opioids nonmedically were cigarettes (56.2% smoked > 5 cigarettes per day), binge drinking (49.7%), and marijuana (32.4%). Polysubstance use was similarly prevalent among pregnant women with nonmedical opioid use. CONCLUSIONS:Polysubstance use is highly prevalent among US reproductive-aged women reporting nonmedical opioid use. Public Health Implications. Interventions are needed that address concurrent use of multiple substances.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Jarlenski M,Barry CL,Gollust S,Graves AJ,Kennedy-Hendricks A,Kozhimannil Kdoi
10.2105/AJPH.2017.303825subject
Has Abstractpub_date
2017-08-01 00:00:00pages
1308-1310issue
8eissn
0090-0036issn
1541-0048journal_volume
107pub_type
杂志文章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::Electronic health records and electronic health information exchange are essential to improving quality of care, reducing medical errors and health disparities, and advancing the delivery of patient-centered medical care. In the US correctional setting, these goals are critical because of the high numbers of Americans...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301845
更新日期:2014-05-01 00:00:00
abstract::Adverse demonstrable health effects linked to the individual's smoking were shown to 2,689 American workers to motivate cessation during routine examinations to detect asbestosis. This intervention was evaluated six to 25 months later by a mailed questionnaire and by telephone to non-responders. Results were compared ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.11.1334
更新日期:1990-11-01 00:00:00
abstract::There is a high prevalence of oral disease in the Alaska Native population, much of which goes untreated, creating a large discrepancy between the level of their oral health and that of the general population. The causes of this discrepancy are multiple--a major cause being the lack of access to care, especially in re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.053546
更新日期:2005-05-01 00:00:00
abstract::This article examines the role of Black American nurses during the 1918-1919 influenza pandemic and the aftermath of World War I. The pandemic caused at least 50 million deaths worldwide and 675 000 in the United States. It occurred during a period of pervasive segregation and racial violence, in which Black Americans...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2019.305003
更新日期:2019-06-01 00:00:00
abstract::The design of a community's built environment influences the physical and mental health of its residents. Because few studies have investigated this relationship, the Centers for Disease Control and Prevention hosted a workshop in May 2002 to help develop a scientific research agenda on these issues. Workshop particip...
journal_title:American journal of public health
pub_type: 共识发展会议,杂志文章,评审
doi:10.2105/ajph.93.9.1500
更新日期:2003-09-01 00:00:00
abstract::Curricular change is essential for maintaining vibrant, timely, and relevant educational programming. However, major renewal of a long-standing curriculum at an established university presents many challenges for leaders, faculty, staff, and students. We present a case study of a dramatic curriculum renewal of one of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302470
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:Syphilis in the United States is focally distributed, with high incidence rates in the South and in metropolitan areas nationwide. In this study an ecological analysis, using the county as the unit of analysis, was performed to generate hypotheses about community-level determinants of syphilis rates. METHOD...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.12.1937
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVES:This study examined the effect of an active program of household lead paint hazard abatement, applied over 22 years, on childhood lead poisoning in Massachusetts. METHODS:A small areas analysis was used to compare screening blood lead levels of children in Worcester County, Mass (n = 27,590), with those in ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.11.1690
更新日期:1999-11-01 00:00:00
abstract::Objectives. We explored gender role strain (GRS) arising from conflict between homosexuality and cultural conceptions of masculinity among young Black men who have sex with men (MSM). Methods. We conducted a categorical analysis (a qualitative, 3-stage, iterative analysis) of data from studies conducted in 2001 to 200...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301866
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:We conducted an exploratory study to determine what organizational characteristics predict the provision of culturally competent services for American Indian and Alaska Native (AI/AN) veterans in Department of Veterans Affairs (VA) health facilities. METHODS:In 2011 to 2012, we adapted the Organizational Re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302140
更新日期:2014-09-01 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: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:OBJECTIVES:We assessed the impact of changes in dimensions of the psychosocial work environment on risk of depression in a longitudinal cohort of Canadian workers who were free of depression when work conditions were initially reported. METHODS:Using a sample (n = 3735) from the Canadian National Population Health Sur...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300376
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVES:We sought to identify people living with HIV/AIDS from Medicare and Medicaid claims data to estimate Medicaid costs for treating HIV/AIDS in California. We also examined how alternate methods of identifying the relevant sample affect estimates of per capita costs. METHODS:We analyzed data on Californians en...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302263
更新日期:2015-03-01 00:00:00
abstract::This paper examines the relative importance of various independent variables for predicting five separate measures of physician utilization in a rural community. The independent variables include socioeconomic, demographic, attitudinal, and health status factors. The results are comparable to those of national studies...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.9.865
更新日期:1976-09-01 00:00:00
abstract::Although researchers acknowledge that health disparities have multiple determinants, most recommendations for reducing inequities focus on a single approach. We suggest integrating 2 approaches for reducing disparities: improving access to primary care and updating and more vigorously enforcing consumer and environmen...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.166389
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:To inform a prevention strategy, this study determined the prevalence of and attitudes toward smoking among Chinese secondary school students. METHODS:Self-completion questionnaires were administered to 13- to 18-year-olds attending school in Zhejiang Province, eastern China. RESULTS:Of the 6674 respondent...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.10.1653
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Studies have indicated that cigarette smokers have more occupational accidents and injuries and use more sick time and health benefits than nonsmokers, thereby producing sizeable costs for employers. However, they usually have not controlled for other possible sources of these costs. We analyzed occupational...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.29
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVES:To report on indicators of the National HIV/AIDS Strategy, we analyzed data collected through the national HIV surveillance system. METHODS:We analyzed data from adults and adolescents aged 13 years or older diagnosed with HIV in 13 US jurisdictions that have laboratory reporting of CD4+ T-lymphocyte (CD4) ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300859
更新日期:2013-01-01 00:00:00
abstract::A joint urban planning and public health perspective is articulated here for use, in health impact assessment. Absent a blueprint for a coherent and supportive structure on which to test our thinking, we are bound to fall flat. Such a perspective is made necessary by the sheer number of people living in cities through...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.1.118
更新日期:2003-01-01 00:00:00
abstract::Two generations of epidemiological studies of the true prevalence of mental disorders have been conducted since the turn of the century. The first and smaller in number took place prior to World War II and was characterized by the use of records and key informants to define "cases." The second, utilizing the greatly e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.11.1271
更新日期:1982-11-01 00:00:00
abstract::Nondaily intermittent smokers (ITS) are common, but their cessation behavior remains elusive. We examined cessation of native-ITS (n = 2040), converted-ITS (n = 1808), and daily smokers (DS; n = 25 344). All ITS were more likely than were DS to make a quit attempt (native-ITS adjusted odds ratio [AOR] = 1.60, 95% conf...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300186
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVES:We estimated the costs associated with reducing class sizes in kindergarten through grade 3 as well as the effects of small class sizes on selected outcomes such as quality-adjusted life-years and future earnings. METHODS:We used multiple data sets to predict changes in the outcomes assessed according to le...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.105478
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVES:To develop a smoking indicator that combines the popularity and duration of smoking and the quantity and quality of consumed cigarettes, factors that vary dramatically over time and across generations. METHODS:We used retrospective reports on smoking behavior and a time series of cigarette tar yields to sta...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303130
更新日期:2016-07-01 00:00:00
abstract::Mercury is a growing environmental threat that can cause serious health problems and birth defects. Household thermometers are high-risk sources of mercury because most people lack the knowledge to properly dispose of one when it is broken. The Boston Public Health Commission's Environmental Health Office, with local ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.12.1997
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effects of a major federal immunization continuing education course, delivered in both traditional classroom and satellite broadcast versions, on public health professionals' knowledge, agreement, self-efficacy, and adherence in practice to recommendations. METHODS:The study used a ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.8.1218
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND:Recent studies have shown considerable variation in body fatness among children and adolescents defined as obese by a percentile rank for skinfold thickness. METHODS:We examined the relationship between percent body fat and risk for elevated blood pressure, serum total cholesterol, and serum lipoprotein rat...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.358
更新日期:1992-03-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to determine the prevalence of recovery from alcohol problems with and without treatment, including whether such recoveries involved abstinence or moderate drinking. METHODS:Data from two surveys of randomly selected adults in the general population were analyzed. Random-digit ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.7.966
更新日期:1996-07-01 00:00:00
abstract::Several epidemiologists have published papers in major medical journals in which they compare incidence rates and prevalence and use these comparisons to support conclusions regarding questions of major public health importance. Although these papers have been criticized in published correspondence, we believe that co...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.79.9.1301
更新日期:1989-09-01 00:00:00