Abstract:
OBJECTIVES:We sought to determine whether severe psychological distress (SPD) and serious mental illnesses (SMIs) are associated with a specific set of chronic medical conditions (CMCs) and the association between SPD-SMIs and increasing levels of medical multimorbidity and complexity (i.e., from 1 to 3 or more CMCs). METHODS:We used data from 3 administrations (2008-2010) of the National Survey on Drug Use and Health collected from 110 455 adult participants. We used binary and ordinal logistic regressions adjusting for sociodemographics and substance abuse to examine the associations between SPD-SMIs and increasing levels of multimorbidity. RESULTS:SPD-SMI was associated with higher probabilities for many CMCs generally, but we found no specific pattern for any class of conditions for SPD-SMIs and multimorbidity. The association between SPD-SMIs and multimorbidity strengthened as the number of CMCs increased. CONCLUSIONS:The finding of no discernible risk pattern for any specific CMC grouping supports broad medical assessment strategies and closely coordinated primary and behavioral health care for those with SPD-SMIs, as called for in the Patient Protection and Affordable Care Act.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Swartz JA,Jantz Idoi
10.2105/AJPH.2014.302165subject
Has Abstractpub_date
2014-12-01 00:00:00pages
2350-8issue
12eissn
0090-0036issn
1541-0048journal_volume
104pub_type
杂志文章abstract::We determined the relative risk of alcohol-related motor vehicle accidents and fatalities after New Mexico lifted its ban on Sunday packaged alcohol sales. We extracted all alcohol-related crashes from New Mexico police reports for 3652 days between July 1, 1990, and June 30, 2000, and found a 29% increase in alcohol-...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.069153
更新日期:2006-11-01 00:00:00
abstract:OBJECTIVES:We examined associations between unfair treatment, attributions of unfair treatment to racial discrimination, and cumulative disease damage among African American women with systemic lupus erythematosus (SLE). METHODS:We used multivariable regression models to examine SLE damage among 578 African American w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302727
更新日期:2015-10-01 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:To examine the influence of undocumented immigration in the United States on 4 different metrics of drug and alcohol problems: drug arrests, drug overdose fatalities, driving under the influence (DUI) arrests, and DUI deaths. METHODS:We combined newly developed state-level estimates of the undocumented popu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303884
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVES:This study examined the relationships between wealth and income and selected racial and ethnic differences in health. METHODS:Cross-sectional data on a national sample of 9744 men and women aged 51 through 61 from the 1992 Health and Retirement Survey were analyzed to examine the association between socioec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.5.805
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVES:We assessed the independent effect of homeless and doubled-up episodes on physical and mental health, cognitive development, and health care use among children. METHODS:We used data from 4 waves of the Fragile Families and Child Wellbeing Study, involving a sample of 2631 low-income children in 20 large US ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300098
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Recent studies have shown considerable variation in body fatness among children and adolescents defined as obese by a percentile rank for skinfold thickness. METHODS:We examined the relationship between percent body fat and risk for elevated blood pressure, serum total cholesterol, and serum lipoprotein rat...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.358
更新日期:1992-03-01 00:00:00
abstract::From 1983 to 1985, the New York City Department of Health investigated five workplace outbreaks of rubella. Approximately 40 per cent of the 265 cases were detected among women of child-bearing age (15-44 years). Data are reviewed from the 1983 Financial District outbreak to illustrate the continued susceptibility of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.6.725
更新日期:1987-06-01 00:00:00
abstract::In a 30-year period, 1,137 adult residents of Rochester, Minnesota experienced 1235 Colles' fractures. Fracture incidence among women increased over sixfold between ages 35-39 and 60-64 and then leveled off. Male rates were lower in every age group and did not rise as dramatically. Fractures associated with moderate t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.6.605
更新日期:1982-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302835
更新日期:2015-12-01 00:00:00
abstract::The Centers for Disease Control (CDC) has proposed revising the AIDS surveillance definition to include any HIV-seropositive person with a CD4 cell count of less than 200 cells per microliter. Based on a study of persons receiving treatment for HIV infection, this new definition would lead to an estimated 50% increase...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.11.1531
更新日期:1992-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.3.258
更新日期:1985-03-01 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
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更新日期:2003-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
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更新日期:1995-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
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更新日期:2016-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.8.1218
更新日期:2000-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.134940
更新日期:2008-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.146894
更新日期:2009-10-01 00:00:00
abstract::Nutrient intakes were investigated for Blacks and Whites using data from the NHANES II survey (1976-80). Intake of energy, total fat, saturated fat, dietary cholesterol, P/S ratio, and per cent of calories derived from total and saturated fat are examined by sex and age, both in absolute terms and per unit of body wei...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.9.1150
更新日期:1988-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303438
更新日期:2016-09-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.176511
更新日期:2010-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.080754
更新日期:2007-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.85
更新日期:1992-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.11.1412
更新日期:1987-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 历史文章,杂志文章
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更新日期:2019-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300454
更新日期:2012-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.2.299
更新日期:2003-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.8.987
更新日期:1987-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.1.37
更新日期:1977-01-01 00:00:00
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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.84.12.1918
更新日期:1994-12-01 00:00:00