Abstract:
:The science of eliminating health disparities is complex and dependent on demographic data. The Health Information Technology for Economic and Clinical Health Act (HITECH) encourages the adoption of electronic health records and requires basic demographic data collection; however, current data generated are insufficient to address known health disparities in vulnerable populations, including individuals from diverse racial and ethnic backgrounds, with disabilities, and with diverse sexual identities. We conducted an administrative history of HITECH and identified gaps between the policy objective and required measure. We identified 20 opportunities for change and 5 changes, 2 of which required the collection of less data. Until health care demographic data collection requirements are consistent with public health requirements, the national goal of eliminating health disparities cannot be realized.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Douglas MD,Dawes DE,Holden KB,Mack Ddoi
10.2105/AJPH.2014.302384subject
Has Abstractpub_date
2015-07-01 00:00:00pages
S380-8eissn
0090-0036issn
1541-0048journal_volume
105 Suppl 3pub_type
杂志文章abstract::Training in environmental health in general, and pediatric environmental health in particular, is inadequate. The Agency for Toxic Substances and Disease Registry began to develop pediatric environmental health specialty units (PEHSUs) after noting the dearth of practitioners who could evaluate and manage children wit...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.154641
更新日期:2009-11-01 00:00:00
abstract::To assess the risk of hip fracture in Mexican Americans, the ethnicity of 80 women aged 50 years and over admitted with hip fractures to a Texas hospital was compared with that of age-matched women hospitalized for other reasons. The risk of fracture for Mexican Americans was only 35 per cent that of Whites (95% CI = ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.8.1020
更新日期:1986-08-01 00:00:00
abstract:OBJECTIVES:We systematically identified and evaluated the quality and comprehensiveness of online information related to weight loss that users were likely to access. METHODS:We evaluated the content quality, accessibility of the information, and author credentials for Web sites in 2012 that were identified from weigh...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302070
更新日期:2014-10-01 00:00:00
abstract::I applied the capture-recapture method to estimate the World Trade Center tower population at the time of the September 11, 2001, terrorist attacks. Available lists helped identify 8965 survivors and 2152 confirmed casualties. The capture-recapture model suggested that an additional 4435 survivors were present, puttin...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.124768
更新日期:2009-01-01 00:00:00
abstract::We studied variation in the year of onset of ischemic heart disease mortality decline among regions (n = 39) in the Netherlands. Using loglinear regression methods, a quadratic regression model was fitted to the observed numbers of male deaths in each region in the period 1950-84, controlling for changes in age-struct...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.12.1621
更新日期:1989-12-01 00:00:00
abstract::Mortality trends suggest that increases in Connecticut incidence for cutaneous melanoma (CM) equal or under estimate increases for the entire country. One-sixth of CM in Connecticut occurs under age 35. In the 1955 birth cohort, modeled incidence rates per 100,000 age-adjusted to the 1960 US population are 38.2 in mal...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.6.679
更新日期:1985-06-01 00:00:00
abstract::Rates of neonatal abstinence syndrome (NAS) have increased fivefold in the past decade. To address this expanding and complex issue, state public health agencies have addressed the opioid crisis affecting newborns in diverse ways, leading to a variety of methods to quantify the burden of NAS.In an effort to understand...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2019.305170
更新日期:2019-09-01 00:00:00
abstract::Cervix and breast cancer incidence in 1978-82 was computed for immigrant and United States-born Black women in Brooklyn, New York. Compared to the national SEER (Surveillance, Epidemiology and End Results) rates, US-born and Haitian women had high rates of invasive cervical cancer, while English-speaking Caribbean imm...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.722
更新日期:1990-06-01 00:00:00
abstract:OBJECTIVES:We examined the effect of worldwide oil price fluctuations on household fuel use and child respiratory health in Guatemala. METHODS:We regressed measures of household fuel use and child respiratory health on the average worldwide oil price and a rich set of covariates. We leveraged variation in oil prices o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300131
更新日期:2011-09-01 00:00:00
abstract::There have been changes within the judicial system that may be attributable to opinions on the admissibility of expert testimony that began with the Supreme Court's 1993 decision in Daubert v Merrell Dow Pharmaceuticals, Inc. After surveying Daubert and subsequent related Supreme Court opinions, I examine a number of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.044701
更新日期:2005-01-01 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::Affirmative action programs of all types are under attack legally and politically. Although medical schools have not been specifically targeted, their affirmative action programs, like others in higher education, are potentially in danger. This article examines the current legal status of affirmative action in medical...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.8.1256
更新日期:1999-08-01 00:00:00
abstract::We studied sexual orientation disparities in health outcomes among US adolescents by pooling multiple Youth Risk Behavior Survey (YRBS) data sets from 2005 and 2007 for 14 jurisdictions. Here we describe the methodology for pooling and analyzing these data sets. Sexual orientation-related items assessed sexual orienta...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301748
更新日期:2014-02-01 00:00:00
abstract::Seventy-eight inner city mothers of third and fourth grade children in three racial groups--white, black, and American Indian--known to need dental treatment for disease on permanent teeth, were interviewed at home by a trained community resident interviewer. Sixty-two per cent of the mothers were on public assistance...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.1.37
更新日期:1977-01-01 00:00:00
abstract::Estimates from the National Study of the Incidence and Severity of Child Abuse and Neglect suggest that hospitals recognized over 77,000 cases of child abuse between May 3, 1979, and April 30, 1980. Compared to other agencies in the sample, hospitals identified children who were younger, Black, lived in urban areas, a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.1.56
更新日期:1985-01-01 00:00:00
abstract::Academic occupational health centers can support state-based occupational disease surveillance by playing a role in case identification and management, physician education, workplace investigation, and surveillance case criteria development. The existing centers can also serve as models for developing new clinics. As ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.suppl.58
更新日期:1989-12-01 00:00:00
abstract:OBJECTIVES:We tested a structural model of relations among self-reported childhood maltreatment, alcohol and other drug abuse and dependence symptoms, and sexual risk behavior in a sample of adolescents receiving outpatient treatment of substance use problems. METHODS:Structured interviews were administered to an ethn...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300628
更新日期:2012-05-01 00:00:00
abstract::Because of the importance of grassroots social movements, or "change from below," in the history of US reform, the relationship between social movements and demands for universal health care is a critical one. National health reform campaigns in the 20th century were initiated and run by elites more concerned with def...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.93.1.75
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:This paper explores the relationship of state hospital and general hospital psychiatric caseloads in a statewide system of care. METHODS:Probabilistic population estimation was applied to general hospital and state hospital data sets. RESULTS:General hospitals provide inpatient psychiatric services to more...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.3.448
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVES:The aims of this study were to (1) describe AIDS-related knowledge, perceptions, and risky behaviors of impoverished African-American and high- and low-acculturated Latina women; (2) delineate relationships involving high-risk behaviors; and (3) determine whether risky behaviors differ by race and levels of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.1.65
更新日期:1993-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.12.1821
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVES:The reported prevalence of occupational allergy to natural rubber latex is 8% to 17%, and that of latex-induced occupational asthma is 2.5% to 6%. Conversion of medical facilities to "latex-safe" can reduce employee sensitization, impairment, and disability. The purpose of this study was to determine the cos...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.7.1024
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVES:We examined the effectiveness of community-level HIV prevention programming for men who have sex with men. METHODS:We used multilevel methods to examine unprotected intercourse by bisexual men (n = 1016) with male and female partners in geographic regions with and without HIV prevention programming. RESULT...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.7.1181
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVES:We determined racial/ethnic differences in social support and exposure to violence and transphobia, and explored correlates of depression among male-to-female transgender women with a history of sex work (THSW). METHODS:A total of 573 THSW who worked or resided in San Francisco or Oakland, California, were ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.197285
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVES:We estimated annual mortality, years of potential life lost, and associated economic costs attributable to regular cigar smoking among US adults aged 35 years or older. METHODS:We estimated cigar-attributable mortality for the United States in 2010 using the Centers for Disease Control and Prevention's Smok...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301991
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:Data from the Western Collaborative Group Study were used to determine the extent to which the inverse association between socioeconomic status (SES) and mortality can be explained by risk factors for major causes of mortality. METHODS:The relation of education and income to subsequent mortality was studied...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.85.9.1231
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVES:This article describes the implementation and impact of the first statewide condom social marketing intervention in the United States. METHODS:A statewide social marketing program made condoms freely available in 93 public health clinics, 39 community mental health centers, 29 substance abuse treatment site...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.2.204
更新日期:1999-02-01 00:00:00
abstract:OBJECTIVES:We examined the relationship between quality improvement (QI) maturity and accreditation attributes of US local health departments (LHDs), specifically those in Nebraska. METHODS:Using 2011 Nebraska LHD QI survey data, we conducted Spearman correlation analyses between QI maturity domains and accreditation ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302278
更新日期:2015-04-01 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:OBJECTIVES:We characterized smokers who are likely to use electronic or "e-"cigarettes to quit smoking. METHODS:We obtained cross-sectional data in 2010-2012 from 1567 adult daily smokers in Hawaii using a paper-and-pencil survey. Analyses were conducted using logistic regression. RESULTS:Of the participants, 13% rep...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301453
更新日期:2013-09-01 00:00:00