Abstract:
INTRODUCTION:Following the 2014 expansions of Medicaid and private health insurance through the Affordable Care Act, municipal sexually transmitted disease (STD) clinics-which have historically served predominantly uninsured patients-have been threatened with budget cuts nationwide. This study was conducted to evaluate the impact of the insurance expansions on the demand for STD clinic services. METHODS:The proportion of total incident sexually transmitted infections in Baltimore City that were diagnosed at STD clinics was compared between 2013 and 2014, and a multivariate analysis was conducted to determine factors associated with diagnosis at an STD clinic. Analyses were conducted in July 2015. RESULTS:There was no change in the overall proportion of sexually transmitted infection diagnoses made at STD clinics from 2013 to 2014 (relative rate, 1.03; 95% CI=0.95, 1.11). Hispanic ethnicity, black race, male sex, and age >24 years were associated with an increased likelihood of STD clinic utilization (p<0.0001). CONCLUSIONS:Despite the Affordable Care Act's insurance expansion measures, the demand for STD clinics remained stable. These safety net clinics serve patients likely to face barriers to accessing traditional health care and their preservation should remain a priority.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Mehtani NJ,Schumacher CM,Johnsen LE,Khaldun JS,Chaulk CP,Ghanem KG,Jennings JM,Page KRdoi
10.1016/j.amepre.2016.04.016subject
Has Abstractpub_date
2016-09-01 00:00:00pages
364-7issue
3eissn
0749-3797issn
1873-2607pii
S0749-3797(16)30123-4journal_volume
51pub_type
杂志文章abstract:INTRODUCTION:This study aims to quantify out-of-pocket spending associated with respiratory hospitalizations for conditions similar to those caused by coronavirus disease 2019 and to compare out-of-pocket spending differences among those enrolled in consumer-directed health plans and in traditional, low-deductible plan...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.05.008
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:A widely advocated strategy in public health is community-based health promotion. The aim of this study was to investigate the net effect of a cardiovascular disease prevention program (Hartslag Limburg) on cardiovascular risk factors after 5 years of intervention. DESIGN:Cohort study comparing 5-year mean ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.10.020
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:This article explores changes in the prevalence of youth Internet users reporting unwanted sexual solicitations between 2000 and 2005, as well as the risk factors related to reports of the most serious solicitations, aggressive solicitations, in which solicitors attempted or made offline contact with youth. ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2007.02.001
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:This study describes opportunistic smoking-cessation counseling and compares strategies used in general practice to experts' recommendations. METHODS:In this observational study we analysed 157 videotaped consultations with self-reported smokers, visiting 70 Australian general practitioners (GPs) who were r...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(97)00010-x
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Routine childhood immunization with pneumococcal conjugate vaccines (PCV7s) began in 2000 in the United States. Despite vaccine shortages, reductions in invasive pneumococcal disease occurred rapidly during 2000-2002. Age-appropriate PCV7 coverage was estimated and characteristics associated with undervaccin...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2007.09.028
更新日期:2008-01-01 00:00:00
abstract::This is one of six short papers that describe additional innovations that support the integration of public health into medical education. These were featured in the "Patients and Populations: Public Health in Medical Education" conference and describe innovative endeavors or curricular components not previously publi...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2011.05.023
更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION:Unmet social and economic needs are associated with poor health outcomes, but little is known about how these needs are predictive of future healthcare utilization. This study examined the association of social and economic needs identified during medical visits with future hospitalizations and emergency d...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.10.004
更新日期:2020-03-01 00:00:00
abstract:INTRODUCTION:To provide up-to-date substance use surveillance data among U.S. military veterans versus nonveterans, this study assesses current use of tobacco products, alcohol, marijuana, prescription pain relievers, tranquilizers, sedatives, stimulants, cocaine, heroin, methamphetamines, inhalants, and hallucinogens....
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.04.027
更新日期:2020-11-01 00:00:00
abstract:INTRODUCTION:Previous research has demonstrated an association between military sexual trauma and risk for suicide; however, risk for self-directed violence such as suicide attempt or nonsuicidal self-injury following military sexual trauma is understudied. This study examines the relationship between military sexual t...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.12.006
更新日期:2020-05-01 00:00:00
abstract:INTRODUCTION:This study uses a recent source of nationally representative data from in-person surveys to examine national estimates of e-cigarette use among adults and their relationship with demographic, socioeconomic, and health behavior measures. METHODS:Data were provided by the National Health Interview Survey, c...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2016.10.029
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Pentavalent rotavirus vaccine (RV5) was recommended for routine use in 2006 followed by monovalent rotavirus vaccine (RV1) in 2008. PURPOSE:To describe, among a U.S. sample of pediatricians (n=289 respondents) and family medicine physicians (n=243 respondents), (1) current practices regarding rotavirus vacc...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.10.001
更新日期:2013-01-01 00:00:00
abstract::Because of the availability of safe, accurate prenatal diagnosis for hemoglobinopathies, we wanted to know if pregnant women identified as carriers of a hemoglobinopathy by prenatal screening use this information to determine whether their fetus is at risk. Blood from all pregnant women served by a 40 percent sample o...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1987-11-01 00:00:00
abstract:BACKGROUND:Physical activity is associated with better health, but many individuals are insufficiently active. Modifying the built environment may be an approach capable of influencing population-wide levels of physical activity, but few data exist from longitudinal studies that can minimize bias from active people cho...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.06.007
更新日期:2009-10-01 00:00:00
abstract:INTRODUCTION:Electronic nicotine delivery system (ENDS) use has increased rapidly in the U.S. in recent years. The availability and use of ENDS raise new issues for public health practice and tobacco regulation, as it is unknown whether patterns of ENDS use enhance, deter, or have no impact on combustible tobacco produ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.09.013
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:This study assessed the extent to which 20 large jail systems have implemented national recommendations for tuberculosis (TB) prevention and control in correctional facilities. METHODS:Data were collected through questionnaires to jail medical directors and TB control directors, observation at the jails, an...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.10.018
更新日期:2006-02-01 00:00:00
abstract:INTRODUCTION:Lifestyle-related habits have a strong influence on morbidity and mortality worldwide. This study investigates the association between a multidimensional healthy lifestyle score and all-cause mortality risk, including in the score some less-studied lifestyle-related factors. METHODS:Participants (n=20,094...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.01.032
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Children with chronic conditions have an increased risk of complications from influenza and have low influenza vaccination rates. PURPOSE:To assess the feasibility and effectiveness of using a statewide immunization information system (IIS) for seasonal influenza vaccine reminders from local health departme...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2011.09.028
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Cardiovascular fitness has important implications for current and future health in children. PURPOSE:In this paper, criterion-referenced standards are developed for aerobic capacity (an indicator of cardiovascular fitness) based on receiver operating characteristic (ROC) curves. METHODS:The sample was draw...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2011.07.007
更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION:Although some view the ownership of firearms as a deterrent to crime, the relationship between population-level firearm ownership rates and violent criminal perpetration is unclear. The purpose of this study is to test the association between state-level firearm ownership and violent crime. METHODS:State-...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.02.008
更新日期:2015-08-01 00:00:00
abstract::As medical technology continues to expand and the cost of using all effective clinical services exceeds available resources, decisions about health care delivery may increasingly rely on assessing the cost-effectiveness of medical services. Cost-effectiveness is particularly relevant for decisions about how to impleme...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(01)00260-4
更新日期:2001-04-01 00:00:00
abstract:INTRODUCTION:There is an association between strength and health among adolescents, yet, what remains to be determined is sex-specific cut points for low strength in the detection of risk in this population. The purpose of this study was to determine thresholds of low grip strength in a large cohort (N=1,326) of adoles...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.09.019
更新日期:2016-05-01 00:00:00
abstract::This paper defines the appropriation and resource allocation structure of federal government programs that deliver vaccines to the public through state and local governments, with a special focus on the Centers for Disease Control and Prevention (CDC) Section 317 program. The paper places these programs in the context...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
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更新日期:2000-10-01 00:00:00
abstract:INTRODUCTION:Healthcare organizations are transitioning from fee-for-service, volume-based care toward value-based care and the Triple Aim. Physicians have critical roles as leaders and practitioners in this emerging field of population health management; however, the competencies required of these physicians are not w...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.06.016
更新日期:2021-02-01 00:00:00
abstract:INTRODUCTION:Safety-net sexually transmitted disease services can prevent transmission of sexually transmitted disease. This study assesses the availability of safety-net sexually transmitted disease clinical services across the U.S. METHODS:A 2018 survey of U.S. local health departments examined the availability of s...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.amepre.2019.11.010
更新日期:2020-04-01 00:00:00
abstract:INTRODUCTION:Chronic dental diseases are among the most prevalent chronic conditions in the U.S., despite being largely preventable. Individuals with mental illness experience multiple risk factors for poor oral health and need targeted intervention. This study investigated experiences of Kansas Medicaid enrollees with...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2018.05.013
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:Over the last few years an increasing number of studies investigating the association between the physical environment and physical activity have been published. Many reviews have also summarized this emerging body of research, and such review papers are frequently used by public health policymakers and rese...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2007.01.020
更新日期:2007-05-01 00:00:00
abstract::The Task Force on Community Preventive Services recommends the use of dram shop liability laws, on the basis of strong evidence of effectiveness in preventing and reducing alcohol-related harms. The Task Force found insufficient evidence to determine the effectiveness of overservice law enforcement initiatives as a me...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2011.05.024
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:Sexual violence is a serious and costly public health problem. Current research that systematically documents the broad range of economic costs of sexual violence is lacking. PURPOSE:To estimate the incidence and costs of sexual violence in Iowa in 2009. METHODS:Using data obtained from population surveys,...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.04.005
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:There is evidence from cross-sectional studies that posttraumatic stress disorder (PTSD) may be associated with obesity. The aim of this study was to examine prospective longitudinal associations between PTSD and obesity in a community sample. METHODS:A prospective, longitudinal, epidemiologic study with a ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2008.09.026
更新日期:2009-01-01 00:00:00
abstract::Identification and application of appropriate analytic methods are critical pieces of the foundation of science. Because of the increasingly complex issues federal agencies face and the increasing importance of addressing those issues with multi-disciplinary teams that offer knowledge and skills in many methods areas,...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(00)00174-4
更新日期:2000-07-01 00:00:00