Abstract:
OBJECTIVES:We examined factors associated with completing, initiating, or intending to pursue voluntary national accreditation among local health departments (LHDs). METHODS:We examined National Association of County and City Health Officials 2010 and 2013 profile data in a pooled cross-sectional design with bivariate and multivariable regression analyses. We conducted individual multivariable models with interest in accreditation and likely to accredit as outcome variables, comparing changes between 2010 and 2013. RESULTS:LHDs with formal quality improvement programs are significantly more likely to have initiated or completed the accreditation process (odds ratio [OR] = 7.99; confidence interval [CI] = 1.79, 35.60), to be likely to accredit (OR = 2.41; CI = 1.65, 3.50), or to report an interest in accreditation (OR = 2.32; CI = 1.67, 3.20). Interest was lower among LHDs in 2013 than in 2010 (OR = 0.56; CI = 0.41, 0.77); however, there was no difference regarding being likely to accredit. LHDs with a high number of full-time equivalent employees were more likely to indicate being likely to accredit or interest in accreditation. CONCLUSIONS:Quality improvement may facilitate the accreditation process or be a proxy measure for an unmeasurable LHD attribute that predicts accreditation.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Yeager VA,Ferdinand AO,Beitsch LM,Menachemi Ndoi
10.2105/AJPH.2014.302503subject
Has Abstractpub_date
2015-08-01 00:00:00pages
1653-9issue
8eissn
0090-0036issn
1541-0048journal_volume
105pub_type
杂志文章abstract::We evaluated the prevalence and incidence of human immunodeficiency virus (HIV) infection in 3,837 inmates of a state prison system. Ninety-two (2.4 percent) were HIV-seropositive. The highest proportion of HIV-seropositive inmates was found among Blacks (5.4 percent), females, and those 30 years of age or older. HIV-...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.2.209
更新日期:1990-02-01 00:00:00
abstract:OBJECTIVES:We tested the efficacy of a combined pharmacologic and behavioral smoking cessation intervention among women in a state prison in the southern United States. METHODS:The study design was a randomized controlled trial with a 6-month waitlist control group. The intervention was a 10-week group intervention co...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2007.128207
更新日期:2008-10-01 00:00:00
abstract::This analysis compares the rates of spontaneous abortion among women living in the vicinity of a lead smelter with those of women living in a town where blood lead levels were low. Data derive from the obstetric histories of both groups of women obtained while seeking prenatal care for a later pregnancy. A total of 63...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.1.33
更新日期:1990-01-01 00:00:00
abstract::The classification of disease burdens is an important topic that receives little attention or debate. One common classification scheme, the broad cause grouping, is based on etiology and health transition theory and is mainly concerned with distinguishing communicable from noncommunicable diseases. This may be of limi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.3.384
更新日期:2004-03-01 00:00:00
abstract::Despite recognition of the importance of posttrial access to antiretroviral therapy (ART), the implementation process has not been studied. We examined whether the National Institutes of Health (NIH) guidance document was being implemented in NIH-funded ART trials conducted in developing countries between July 2005 an...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2008.157982
更新日期:2009-09-01 00:00:00
abstract::We investigated changes in community-based agencies following the implementation of the Medicare prospective payment system for hospitals utilizing DRGs (diagnosis-related groups). Data were collected in 1986 and 1987 from 771 community service providers. There were five major findings: 1) hospital discharge planners,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.7.840
更新日期:1990-07-01 00:00:00
abstract::An ever-present challenge for the oral health profession is to reduce the extent of oral disease among racial and ethnic minority populations. Adding to this complex dilemma is the linkage between oral health and systemic health. We describe enhanced cultural competency, in the context of individual cultural beliefs, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303721
更新日期:2017-05-01 00:00:00
abstract::This study examined the association between aerobic fitness and serum cholesterol and the effects of controlling for gender, body composition, abdominal fat, and dietary saturated fat in 262 children. The 1-mile run was used to estimate fitness. Skinfolds were used in assessing body fat. Fit children had lower total c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.12.1702
更新日期:1995-12-01 00:00:00
abstract:OBJECTIVES:We sought to determine how part-year and full-year gaps in health insurance coverage affected working-aged persons with chronic health care needs. METHODS:We conducted multivariate analyses of the 2002-2004 Medical Expenditure Panel Survey to compare access, utilization, and out-of-pocket spending burden am...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.191569
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:Prospectively gathered data were used to reexamine and to strengthen previously described observations about education and the risk of alcohol abuse and dependence. The hypothesis was that individuals who dropped out of high school and those who entered college but failed to get a college degree might be at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.6.830
更新日期:1993-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.3.404
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVES:We examined risk factors for injuries to nursing assistants from assaults by nursing home residents at both the individual and the organizational level. METHODS:We analyzed data from the 2004 National Nursing Assistant Survey that were linked to facility information from the 2004 National Nursing Home Surve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.185421
更新日期:2010-10-01 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 commentary considers the implications of the assessment of racial/ethnic status for monitoring the health of African Americans and other Black populations in the United States. It argues that because racial disparities in health and other social indicators persist undiminished, the continued assessment of race is...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.90.11.1728
更新日期:2000-11-01 00:00:00
abstract:OBJECTIVES:We analyzed the impact of Connecticut legislation incentivizing voluntary school district-level elimination of unhealthy competitive foods on National School Lunch Program (NSLP) participation. METHODS:We analyzed data on free, reduced, and paid participation in the NSLP from 904 schools within 154 Connecti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301331
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVES:We assessed the impact of a tobacco control initiative over 10 years on cessation and prevention. METHODS:We examined 2000-2009 Behavioral Risk Factor Surveillance System cases of a metropolitan statistical area (MSA) with systematic tobacco control efforts throughout the decade (El Paso, TX) and 2 comparis...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300346
更新日期:2012-05-01 00:00:00
abstract::To assess the association with birthweight of prenatal medical care, length of gestation, and other prenatal factors, birth certificate data were studied for babies born in 1978 to mothers who were residents of Alameda or Contra Costa counties, California. Using multiple regression data analytic techniques, adequate p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.9.1003
更新日期:1984-09-01 00:00:00
abstract::Understanding mental health issues faced by young homeless persons is instrumental to the development of successful targeted interventions. No systematic review of recent published literature on psychopathology in this group has been completed. We conducted a systematic review of published research examining the preva...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2013.301318
更新日期:2013-06-01 00:00:00
abstract::In public health evaluations, confounding bias in the estimate of the intervention effect will typically threaten the validity of the findings. It is a common misperception that the only way to avoid this bias is to measure detailed, high-quality data on potential confounders for every intervention participant, but th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303250
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVES:We examined the mechanisms by which living in a disadvantaged minority community influences smoking and illegal cigarette sale and purchasing behaviors after a large cigarette tax increase. METHODS:Data were collected from 14 focus groups (n=104) that were conducted during the spring of 2003 among Blacks ag...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.079921
更新日期:2007-08-01 00:00:00
abstract::Of the 47 states that participated in a 1983 survey of State Health Departments, 30 were found to have public health standards in place or started. Most states' standards emphasize the range of services to be provided, but substantial variations were found in how standards are formulated, adopted, and used by state an...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.6.649
更新日期:1985-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300094
更新日期:2011-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300888
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVES:We examined recent public-sector trends in childhood vaccine costs and estimated future costs. METHODS:We used public-sector price data to calculate vaccine purchase cost per child for children aged 0 to 6 years from 1975 to 2001. We fit a linear regression model to historical data and then used it to proje...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.12.1982
更新日期:2002-12-01 00:00:00
abstract::The Institute of Medicine (IOM) recently recommended that the National Institutes of Health (NIH) reevaluate its employment of "race," a concept lacking scientific or anthropological justification, in cancer surveillance and other population research. The IOM advised the NIH to use a different population classificatio...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.91.7.1049
更新日期:2001-07-01 00:00:00
abstract::In an effort to keep abreast of the changing needs of a more affluent society and to ensure better value for money, the British are reforming their National Health Service. They are promoting competition and entrepreneurship, and directing funding to follow a patient rather than flowing directly to institutions. Briti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.12.1566
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVES:This field study tested the feasibility and benefits of a program to promote 6 targeted parental behaviors to prevent obesity in children served by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). METHODS:Two WIC sites participated in a nonrandomized, controlled 1-year pros...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章
doi:10.2105/ajph.94.9.1490
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVES:To evaluate the impact of the partial repeal of Michigan's universal motorcycle helmet law on helmet use, fatalities, and head injuries. METHODS:We compared helmet use rates and motorcycle crash fatality risk for the 12 months before and after the April 13, 2012, repeal with a statewide police-reported cras...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303525
更新日期:2017-01-01 00:00:00
abstract::Objectives. To examine relationships among actionable drivers and facilitators of stigma and nurses' intentions to provide the standard of maternal care recommended by the Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) for incarcerated women.Methods. We conducted a Web-based survey of perinatal...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305408
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:This study assessed the economic burden of child abuse-related hospitalizations. METHODS:We compared inpatient stays coded with a diagnosis of child abuse or neglect with stays of other hospitalized children using the 1999 National Inpatient Sample of the Healthcare Costs and Utilization Project. RESULTS:C...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.4.586
更新日期:2004-04-01 00:00:00