Abstract:
OBJECTIVES:We estimated HCV incidence among individuals who repeatedly underwent anti-HCV testing. METHODS:We studied HCV-negative individuals who had at least 2 tests between April 1992 and September 2012 in British Columbia, Canada. We calculated incidence as the number of new infections per 100 person-years at risk. RESULTS:From 1992 to 2012, 323 598 individuals who persistently tested negative and 7490 HCV seroconverters contributed 1 774 262 person-years of observation time. Incidence rates ranged from 2.66 infections per 100 person-years (95% confidence interval [CI] = 2.07, 3.35) in 1993 to 0.25 infections per 100 person-years (95% CI = 0.21, 0.29) in 2011. Rates declined sharply in the 1990s and declined more gradually in the 2000s. Incidence declined with age; highest incidence rates were among those aged 15 to 24 years. Incidence among male repeat testers exceeded that of female repeat testers across all years, although the gap narrowed over time. CONCLUSIONS:Addictions treatment, harm reduction, prevention education, and novel initiatives to remove barriers in health infrastructure need to be intensified for those who inject drugs, particularly men and younger persons.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Kuo M,Janjua NZ,Burchell AN,Buxton JA,Krajden M,Gilbert Mdoi
10.2105/AJPH.2015.302591subject
Has Abstractpub_date
2015-08-01 00:00:00pages
1604-10issue
8eissn
0090-0036issn
1541-0048journal_volume
105pub_type
杂志文章abstract:OBJECTIVES:We examined the longitudinal effects of a Housing First program for homeless, mentally ill individuals' on those individuals' consumer choice, housing stability, substance use, treatment utilization, and psychiatric symptoms. METHODS:Two hundred twenty-five participants were randomly assigned to receive hou...
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.94.4.651
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVES:There has been relatively little research on the contributions of school context to developmental outcomes. This study examined relationships between students' sense of the school as a community and their involvement in problem behaviors. METHODS:Participants were an ethnically and socioeconomically diverse...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.12.1997
更新日期:1997-12-01 00:00:00
abstract::Electronic fetal monitoring (EFM) is an example of a medical technology that has been widely accepted since its introduction in the mid-1960s. However, review of the literature does not provide convincing evidence of EFM efficacy, and four recent, controlled, clinical trails show little if any benefit in terms of prev...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.9.931
更新日期:1979-09-01 00:00:00
abstract::Increasing costs of institutional care for the aged have occasioned a variety of government cost containment measures. People with senile dementia of the Alzheimer's type (SDAT) will be the principal group to suffer from cutbacks. SDAT patients are usually eligible for Intermediate Care Facilities (ICFs), rather than ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.12.1381
更新日期:1984-12-01 00:00:00
abstract::Successful implementation of the Affordable Care Act (ACA) depends on the capacity of local communities to mobilize for action. Yet the literature offers few systematic investigations of what communities are doing to ensure support for enrollment. In this empirical case study, we report implementation and outcomes of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302505
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVES:We estimated national and state-level potential medical care cost savings achievable through modest reductions in the prevalence of several diseases associated with the same lifestyle-related risk factors. METHODS:Using Medical Expenditure Panel Survey Household Component data (2003-2005), we estimated the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.182287
更新日期:2011-01-01 00:00:00
abstract::To assess the current extent of programs and policies to facilitate smoking cessation among employees, we queried 128 large employers in Massachusetts in mid-1978. Eighty-four (66 per cent) responded. Fifty-four (64 per cent) of the respondents had designated jobs or work areas in which smoking was prohibited usually ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.6.629
更新日期:1980-06-01 00:00:00
abstract:OBJECTIVES:We estimated the effectiveness of child restraints in preventing death during motor vehicle collisions among children 3 years or younger. METHODS:We conducted a matched cohort study using Fatality Analysis Reporting System data from 1996 to 2005. We estimated death risk ratios using conditional Poisson regr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.131128
更新日期:2009-02-01 00:00:00
abstract::The Texas Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) sought to engage the WIC staff and community in the implementation of relevant and effective client-centered nutrition education. The program was implemented in a 4-stage framework. The collaborative process of developing client-ce...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302512
更新日期:2015-04-01 00:00:00
abstract::Sarasota, Fla, used Crime Prevention Through Environmental Design (CPTED) principles to guide revitalization efforts in its crime-ridden North Trail area. A team of city planners, police officers, and architects examined land use and crime data and sought input from local businesses, residents, and community leaders. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.9.1442
更新日期:2003-09-01 00:00:00
abstract:OBJECTIVES:A longitudinal survey assessed the distribution of adult body weight among the Chinese population. METHODS:Data from the 1989 and 1991 China Health and Nutrition Survey were used to study changes in the proportions of adults aged 20-45 years who were classified as underweight, normal weight, overweight, and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.5.690
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVES:We examined self-reported health status, health behaviors, access to care, and use of preventive services of the US Hispanic adult population to identify language-associated disparities. METHODS:We analyzed 2003 to 2005 Behavioral Risk Factor Surveillance System data from 45 076 Hispanic adults in 23 states...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.119008
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVES:This study investigated the psychological effects of paid employment and nonemployment, cross-sectionally and longitudinally, in 541 middle-aged women. METHODS:Women were seen for an extensive baseline evaluation and were reevaluated in an identical manner 3 years later. They were divided into four "synthet...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.2.202
更新日期:1994-02-01 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::A coalition of mine operators has used a variety of tactics to obstruct scientific inquiry and impede public health action designed to protect underground miners from diesel particulate matter. These workers are exposed to the highest level of diesel particulate matter compared with any other occupational group. This ...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2005.064410
更新日期:2006-02-01 00:00:00
abstract::We describe the impact of the Adolescent Health Project on sexually transmitted infection (STI) testing in Omaha, NE, during phase 1 (media campaigns) and phase 2 (free STI testing). To assess the impact of each phase on STI testing, we examined monthly data from January 2013 to April 2017 via interrupted time series ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304391
更新日期:2018-06-01 00:00:00
abstract::Cigarette smoking is the leading cause of preventable death in the United States. The health risks of smoking are well documented, as is the effectiveness of clinical and public health interventions to prevent and reduce smoking. However, many myths about smoking either encourage people to begin or continue smoking or...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2005.063073
更新日期:2005-09-01 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::In recent years, advocates for increasing access to medical and oral health care have argued for expanding the scope of practice of dentists and physicians. Although this idea may have merit, significant legal and other barriers stand in the way of allowing dentists to do more primary health care, physicians to do mor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302654
更新日期:2015-09-01 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::Today, our understanding of and approach to the exogenous causes of cancer are dominated by epidemiological practices that came into widespread use after World War II. This paper examines the forces, considerations, and controversies that shaped postwar risk factor epidemiology in the United States. It is argued that,...
journal_title:American journal of public health
pub_type: 传,历史文章,杂志文章
doi:10.2105/ajph.87.11.1824
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVES:We assessed the prevalence of antituberculosis drug resistance among children with tuberculosis (TB) in the Western Cape Province of South Africa. METHODS:Drug susceptibility testing for isoniazid and rifampin was prospectively done on all children with culture-confirmed TB at Tygerberg Children's Hospital,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.143271
更新日期:2009-08-01 00:00:00
abstract::A large portion of current epidemiologic research is based on methodologic individualism: the notion that the distribution of health and disease in populations can be explained exclusively in terms of the characteristics of individuals. The present paper discusses the need to include group- or macro-level variables in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.2.216
更新日期:1998-02-01 00:00:00
abstract::Occupational health problems have needlessly been produced at many worksites as a consequence of their not having been anticipated during design and construction. Pre-review may be an effective and efficient mechanism for preventive intervention in occupational health and safety. Legal and administrative precedents ar...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.2.157
更新日期:1980-02-01 00:00:00
abstract:OBJECTIVES:To evaluate how met need for accessibility and availability of primary care among nonelderly individuals in Georgia will be affected by the Patient Protection and Affordable Care Act (ACA) over the next 10 years. METHODS:We used a stock-and-flow model to predict the number of available visits from 2013 to 2...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303222
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:We describe common surgical and medical hospital admission rates for Maryland residents, exploring systematic effects of race and income. METHODS:The data comprise Maryland hospital discharges and population estimates for 1985 to 1987. Patient income is the race-specific median family income of residence zi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.11.1435
更新日期:1991-11-01 00:00:00
abstract::Increasing knowledge is an important goal of human immunodeficiency virus (HIV) prevention strategies, although increased knowledge may not be associated with increased preventive behaviors. This study examines the association of (1) objective and subjective acquired immunodeficiency syndrome (AIDS) knowledge, and (2)...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.10.1460
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVES:This study examined the association between exposure to chlorophenates and the risk of soft tissue sarcoma; non-Hodgkin's lymphoma; Hodgkin's disease; and cancers of the lung, nose, and nasopharynx. METHODS:A retrospective cohort study was conducted of 26487 workers employed for at least 1 year between 1950...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.1.71
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVES:This study characterized changes in sexual and reproductive behaviors from 1985 through 1995 among American females aged 15 to 19 years and related these changes to family factors. METHODS:Nationally representative sample survey data from the 1995 National Survey of Family Growth were analyzed with Weibull ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.9.1421
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVES:We estimated dementia incidence rates, life expectancies with and without dementia, and percentage of total life expectancy without dementia. METHODS:We studied 3605 members of Group Health (Seattle, WA) aged 65 years or older who did not have dementia at enrollment to the Adult Changes in Thought study bet...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301935
更新日期:2015-02-01 00:00:00