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 were female (78 percent) and Black (71 percent). Each patient was initially interviewed at the time of a clinic visit and reinterviewed 12 months later; their medical records were systematically reviewed. As expected, the funded clinics detected and treated a wider range of medical and behavioral problems than the comparison clinics, a finding that was based on the self-reports of patients and confirmed by documentation in the medical records. However, improvements in life-style and in specific medical outcomes were not observed. To build on the limited success of this program, efforts are needed to encourage more males to receive care and to develop more specific interventions for patients in this age group.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Earls F,Robins LN,Stiffman AR,Powell Jdoi
10.2105/ajph.79.8.999subject
Has Abstractpub_date
1989-08-01 00:00:00pages
999-1005issue
8eissn
0090-0036issn
1541-0048journal_volume
79pub_type
杂志文章abstract:OBJECTIVES:To assess the prevalence and factors associated with physical and nonphysical violence in a sample of general practitioners (GPs). METHODS:We used a cross-sectional design to collect data from December 2014 to March 2015 with a structured self-administered questionnaire from 1015 GPs in Hubei Province, Cent...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304519
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:We studied whether 5 regulatory agency advisories concerning the possible increased risk of suicidal behavior during antidepressant therapy had an effect on antidepressant prescription trends in Ontario. METHODS:We conducted a population-based, time-series analysis of new monthly antidepressant prescription...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087262
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVES:We examined changes in service use in a Housing First (HF) pilot program for adults who were homeless with medical illnesses and high prior acute-care use relative to a similar comparison group. METHODS:We used a 1-year pre-post comparison group design. The 29 participants and 31 comparison group members we...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300867
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVES:We investigated sociodemographic disparities in alcohol environments and their relationship with adolescent drinking. METHODS:We geocoded and mapped alcohol license data with ArcMap to construct circular buffers centered at 14 595 households with children that participated in the California Health Interview...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.122077
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVES:We compared voluntary participation and comprehension of informed consent among individuals of African ancestry enrolled in similarly designed genetic studies of hypertension in the United States and Nigeria. METHODS:Survey questionnaires were used to evaluate factors associated with voluntariness (the numb...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.076232
更新日期:2006-11-01 00:00:00
abstract::Whether the traditional definition of small for gestational age (SGA) is an appropriate marker of risk for populations that have relatively lower birthweight is unclear. We determined proportions of White and Asian Indian SGA infants and those admitted to the special care nursery. Compared with White infants, Asian In...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165001
更新日期:2010-05-01 00:00:00
abstract:OBJECTIVES:We evaluated changing patterns of tobacco use following a period of forced tobacco abstinence in a US military cohort to determine rates of harm elimination (e.g., tobacco cessation), harm reduction (e.g., from smoking to smokeless tobacco use), and harm escalation (e.g., from smoking to dual use or from smo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.175091
更新日期:2010-12-01 00:00:00
abstract::We examined longitudinal changes in smoking behavior among older adults in three community cohorts of the Established Populations for Epidemiologic Studies of the Elderly. Smoking prevalence declined from 15% at baseline to 9% during 6 years of follow-up. Annual smoking cessation and relapse rates were 10% and less th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.9.1268
更新日期:1992-09-01 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::Systematic reviews have the potential to promote knowledge exchange between researchers and decision-makers. Review planning requires engagement with evidence users to ensure preparation of relevant reviews, and well-conducted reviews should provide accessible and reliable synthesis to support decision-making. Yet, sy...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301400
更新日期:2013-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.8.868
更新日期:1983-08-01 00:00:00
abstract::The Enhancing Care Initiative of Puerto Rico assessed services available to people living with HIV/AIDS in the western region of Puerto Rico. Participants were 212 people living with HIV/AIDS and 116 employees from 6 agencies providing HIV/AIDS services in the region. Two main findings were that depression symptoms we...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.071696
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to evaluate the short-term effects of a low-intensity work-site heart disease risk reduction program using a matched pair design with work site as the unit of analysis. METHODS:Twenty-six heterogeneous work sites with between 125 and 750 employees were matched on key organizati...
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.85.2.209
更新日期:1995-02-01 00:00:00
abstract::Advances in genomics and neuroscience have ushered in unprecedented opportunities to increase our understanding of the biological underpinnings of mental disorders, yet there has been limited progress in translating knowledge on genetic risk factors to reduce the burden of these conditions in the population. We descri...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.304948
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVES:To assess the relationship between health care system and economic factors and early childhood caries (ECC) data availability and prevalence. METHODS:We estimated ECC data for 193 United Nations countries from studies published between 2007 and 2017. We obtained other variables from the World Health Organiz...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304466
更新日期:2018-08-01 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::As one element of Baltimore's effort to combat its high rate of teenage pregnancy, the Baltimore City Health Department added the implantable contraceptive Norplant to the array of services offered at one of its school-based health centers in early 1993. The initial findings with the adolescents who received this cont...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.3.309
更新日期:1995-03-01 00:00:00
abstract::Intensification of polio eradication efforts worldwide raises concerns about costs and benefits for poor countries. A major argument for global funding is the high benefit-cost ratio of eradication; however, financial benefits are greatest for rich countries. By contrast, the greatest costs are borne by poor countries...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.6.922
更新日期:1997-06-01 00:00:00
abstract::A representative sample of women living in metropolitan Los Angeles were asked what they heard and what they believed about mammography and whether they would obtain a mammogram if their doctor advised it. Forty percent of these women said they had not heard of mammography even after the procedure was described. Few o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.11.1172
更新日期:1979-11-01 00:00:00
abstract::The expansion of United States for-profit hospital chains into the international arena is a new and important development. Experiences with contract management of middle eastern hospitals in the early 1970s gave the American firms impetus to pursue ownership of health facilities in other parts of the world. US compani...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.10.1280
更新日期:1987-10-01 00:00:00
abstract:OBJECTIVES:We used a community-based research approach to test a culturally based breast cancer screening program among low-income Hmong women in central and southern California. METHODS:We designed a culturally informed educational program with measures at baseline and 1-year follow-up in 2 intervention cities and 1 ...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2008.143974
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVES:To examine the impact of the Affordable Care Act's (ACA's) 2010 parental insurance coverage extension to young adults aged 19 to 25 years on health insurance coverage and access to care, including racial/ethnic disparities. METHODS:We pooled data from the Behavioral Risk Factor Surveillance System for the p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304276
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVES:We describe behavioral health diagnoses and community release patterns among adult male and female inmates in New Jersey prisons and assess their implications for correctional health care and community reentry. METHODS:We used clinical and classification data on a census of "special needs" inmates (those wi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.059733
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:We obtained contextual information regarding documented barriers to HIV clinical trial participation among Black men who have sex with men (MSM), and explored current preventive HIV clinical trial attitudes, beliefs, and perceptions among Black MSM leaders in the United States. METHODS:We conducted 2 focus ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301653
更新日期:2014-04-01 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:We investigated the health profile of lesbian, gay, and bisexual (LGB) adults in North Carolina, the first state in the South to include a measure of sexual orientation identity in a probability-based statewide health survey. METHODS:Using data from 9876 respondents in the 2011 North Carolina Behavioral Ris...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301751
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVES:To detect decreases in anogenital warts (AGW) among sex and age groups likely to be affected by human papillomavirus vaccination. METHODS:We estimated annual AGW prevalence during 2006 to 2014 using health care claims among US private health insurance enrollees aged 15 to 39 years. We derived AGW diagnoses ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304119
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to examine prospectively the association between reported use of vitamin supplements and risk of cataract and cataract extraction. METHODS:The study population consisted of 17,744 participants in the Physicians' Health Study, a randomized trial of aspirin therapy and beta-carot...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.5.788
更新日期:1994-05-01 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: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