Abstract:
:For both clinical and economic reasons, the increasing number of persons living with chronic conditions represents a public health issue of growing importance. Emphasizing patient responsibility, and acting in concert with the provider community, self-management represents a promising strategy for treating chronic conditions-moving beyond education to teaching individuals to actively identify challenges and solve problems associated with their illness. Self-management also shows potential as an effective paradigm across the prevention spectrum (primary, secondary, and tertiary) by establishing a pattern for health early in life and providing strategies for mitigating illness and managing it in later life. We suggest ways to advance research methods and practical applications of self-management as steps in its future development and implementation.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Grady PA,Gough LLdoi
10.2105/AJPH.2014.302041subject
Has Abstractpub_date
2014-08-01 00:00:00pages
e25-31issue
8eissn
0090-0036issn
1541-0048journal_volume
104pub_type
杂志文章,评审abstract:OBJECTIVES:We examined the probability of an obese person attaining normal body weight. METHODS:We drew a sample of individuals aged 20 years and older from the United Kingdom's Clinical Practice Research Datalink from 2004 to 2014. We analyzed data for 76,704 obese men and 99,791 obese women. We excluded participants...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302773
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:This study assessed the cost-effectiveness of cervix and breast cancer screening in a public hospital emergency room. METHODS:Age-eligible women with nonurgent conditions and without recent screening were offered screening by a nurse. A decision analysis compared the costs and outcomes of emergency room scr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.7.1182
更新日期:1997-07-01 00:00:00
abstract:OBJECTIVES:We examined the cessation of hormone replacement therapy (HRT) among British women, by educational level, social class, and cardiovascular risk factors, at the time of publicity about 2 clinical trials of HRT that were halted after adverse findings. METHODS:A total of 1387 women aged 57 years reported their...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.071332
更新日期:2006-07-01 00:00:00
abstract::Public health and private providers and facilities may shape the future of the US health system by engaging in new ways to deliver care to patients. "Accountable care" contracts allow private health care and public health providers and facilities to collaboratively serve defined populations. Accountable care framework...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302161
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:To investigate whether a newborn home visiting program for primiparous adolescent mothers (aged 16-20 years at childbirth) reduced recurrence of child maltreatment in child protective services (CPS) reports. METHODS:We conducted a randomized controlled trial of Healthy Families Massachusetts, a statewide ho...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.304957
更新日期:2019-05-01 00:00:00
abstract::We reviewed Florida pediatric gonococcal (GC) infection surveillance data collected between 1984 and 1988. The incidence rate was 11 per 100,000 per year for the age group 1 month through 9 years. Incidence rates were higher for females, other-than-Whites, and residents of rural counties than for males, Whites, and re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.426
更新日期:1992-03-01 00:00:00
abstract::The integration of public health practices with federal health care for American Indians and Alaska Natives (AI/ANs) largely derives from three major factors: the sovereign nature of AI/AN tribes, the sociocultural characteristics exhibited by the tribes, and that AI/ANs are distinct populations residing in defined ge...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2013.301767
更新日期:2014-06-01 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::Members of the Reorganized Church of Jesus Christ of Latter-Day Saints (RLDS) are dissuaded from the use of tobacco, alcohol, and hot drinks. A well-balanced diet is also stressed. This study compares the 1972-78 mortality experience of the Missouri RLDS with three other population groups. The findings show Missouri R...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.12.1350
更新日期:1981-12-01 00:00:00
abstract::Firearm violence remains an important problem, and a large body of evidence shows that guns used in crime follow generally predictable paths from manufacturer to criminal end user. Policy initiatives based on that evidence have been shown to be effective. A recently published study conducted by a leading policy organi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300238
更新日期:2011-09-01 00:00:00
abstract::For systematic reviews to have an impact on public health, they must report outcomes that are important for decision-making. Systematic reviews of public health interventions, however, have a range of potential end users, and identifying and prioritizing the most important and relevant outcomes represents a considerab...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.306061
更新日期:2021-01-21 00:00:00
abstract::Responses to a survey of 637 Iowa children under age six years from Aid to Families with Dependent Children (AFDC) households was conducted through telephone interviews with parents and compared to a second sample of children in 760 randomly sampled households. Utilization of health services for children in the AFDC s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.8.1000
更新日期:1986-08-01 00:00:00
abstract::This study was designed to evaluate the effectiveness of a large scale program to improve health care for high-risk adolescents. Seven clinics, funded to provide comprehensive primary care to adolescents, were compared to three non-funded clinics. The majority of the 2,788 adolescent patients sampled in these clinics ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.8.999
更新日期:1989-08-01 00:00:00
abstract::A questionnaire survey of the 127 US medical schools was undertaken to assess the present status of occupational health teaching as a follow-up to two prior similar studies. The present study revealed that 78 (68%) of the 115 responding schools specifically taught occupational health during the 1991/92 academic year, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.5.846
更新日期:1994-05-01 00:00:00
abstract::The environmental justice movement has stimulated community-driven research about the living and working conditions of people of color and low-income communities. We describe an epidemiological study designed to link research with community education and organizing for social justice. In eastern North Carolina, high-d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.110486
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVES:The Minnesota Heart Health Program is a 13-year research and demonstration project to reduce morbidity and mortality from coronary heart disease in whole communities. METHODS:Three pairs of communities were matched on size and type; each pair had one education site and one comparison site. After baseline su...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.9.1383
更新日期:1994-09-01 00:00:00
abstract::We interviewed 290 pregnant women randomly selected from public and private prenatal clinics, 80 per cent of whom were at least five months pregnant (ages 18-43, 42 per cent Latino, 22 per cent Black). Twenty-four women reported physical battering during this pregnancy (44 reported physical battering before the curren...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.10.1337
更新日期:1987-10-01 00:00:00
abstract:OBJECTIVES:Message tailoring, based on individual needs and circumstances, is commonly used to enhance face-to-face patient counseling. Only recently has individual tailoring become feasible for printed messages. This study sought to determine whether printed tailored recommendations addressing women's specific screeni...
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.84.1.43
更新日期:1994-01-01 00:00:00
abstract::We analyzed the variation in the risk of AIDS in US Blacks, Hispanics, and other racial/ethnic groups relative to that in Whites (non-Hispanic) by geographic area and mode of acquiring HIV infection, based on data reported between June 1, 1981 and January 18, 1988 to the Centers for Disease Control and 1980 US census ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.12.1539
更新日期:1988-12-01 00:00:00
abstract::This psychiatric epidemiology study following the Mount St. Helens volcanic disaster revealed a significant morbidity for psychiatric disorders. The increased prevalence showed a dose response pattern in three population groups. The findings are reported as relative and attributable risk for the two exposed population...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.suppl.76
更新日期:1986-03-01 00:00:00
abstract:OBJECTIVES:We examined HIV-infected parents' conversations about HIV prevention with their uninfected children, including what facilitated or hindered communication. METHODS:Parents with HIV/AIDS (n = 90) who had children aged 10 to 18 years were recruited for a mixed method study from 2009 to 2010. Interviews assesse...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301111
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVES:We investigated whether eating behaviors were concordant among diverse sets of social ties. METHODS:We analyzed the socioeconomic and demographic distribution of eating among 3418 members of the Framingham Heart Study observed from 1991 to 2001. We used a data-classification procedure to simplify choices in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300282
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVES:This study examined trends in health insurance coverage for health care workers and their children between 1988 and 1998. METHODS:We analyzed data from the annual March supplements of the Current Population Survey (CPS), a Census Bureau survey that collects information about health insurance from a national...
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::State government, university, and local health department (LHD) partners collaborated to build the geographic information system (GIS) capacity of 5 LHDs in North Carolina. Project elements included procuring hardware and software, conducting individualized and group training, developing data layers, guiding the proje...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.048785
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to evaluate the short-term effects of a low-intensity work-site heart disease risk reduction program using a matched pair design with work site as the unit of analysis. METHODS:Twenty-six heterogeneous work sites with between 125 and 750 employees were matched on key organizati...
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.85.2.209
更新日期:1995-02-01 00:00:00
abstract::Surveys concerning the risk communication practices and needs of state health agencies were completed by agency commissioners and designated staff of 48 states and territories. These data indicate that agencies are expending more effort on responding to requests for information than on initiating dialogues with intere...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.4.489
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVES:To determine the impact of the 2007-2009 economic crisis on tuberculosis (TB) trends among California residents. METHODS:We analyzed available data from 4 different population-representative data sets. We used time charts, trend lines, and change-point detection tests during 2000 to 2016 to describe TB tren...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304816
更新日期:2019-02-01 00:00:00
abstract::In Washington County, Maryland, ownership of cats and/or dogs was compared among 48 residents who committed suicide in the years 1975-83 and 96 living controls matched to the suicides by race, sex, and date of birth. Another comparison used as controls persons of same race, sex, and age who died of causes other than s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.10.1223
更新日期:1985-10-01 00:00:00
abstract:OBJECTIVES:This study investigated the efficacy of a social-influences tobacco prevention program conducted with adolescents living in a high tobacco production area. METHODS:Students in 10 experimental schools completed the tobacco prevention program and a booster intervention. Control students received health educat...
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.88.12.1862
更新日期:1998-12-01 00:00:00
abstract::A two-year study of the microbiological quality of drinking water in 27 randomly selected North Carolina migrant labor camps yielded total and fecal coliform prevalences of 44 percent and 26 percent, respectively in 1988 and similar but higher prevalences in 1989. Preoccupancy testing by county sanitarians had found v...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.762
更新日期:1991-06-01 00:00:00