Abstract:
OBJECTIVE:We evaluated the cost-effectiveness of a package of roadway modifications in New York City funded under the Safe Routes to School (SRTS) program. METHODS:We used a Markov model to estimate long-term impacts of SRTS on injury reduction and the associated savings in medical costs, lifelong disability, and death. Model inputs included societal costs (in 2013 US dollars) and observed spatiotemporal changes in injury rates associated with New York City's implementation of SRTS relative to control intersections. Structural changes to roadways were assumed to last 50 years before further investment is required. Therefore, costs were discounted over 50 consecutive cohorts of modified roadway users under SRTS. RESULTS:SRTS was associated with an overall net societal benefit of $230 million and 2055 quality-adjusted life years gained in New York City. CONCLUSIONS:SRTS reduces injuries and saves money over the long run.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Muennig PA,Epstein M,Li G,DiMaggio Cdoi
10.2105/AJPH.2014.301868subject
Has Abstractpub_date
2014-07-01 00:00:00pages
1294-9issue
7eissn
0090-0036issn
1541-0048journal_volume
104pub_type
杂志文章abstract::A nation-wide survey of Parent-Inclusive Pediatric Units identified innovations and restrictions in policies and practices. Questionnaires mailed to Directors of Nursing Service at 84 general hospitals which encourage parental "living-in" indicated that parents are provided with a place to sleep but infrequently are o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.9.847
更新日期:1978-09-01 00:00:00
abstract:OBJECTIVES:We examined young adult smoking patterns and receptivity to cigarette advertising to assess vulnerability to tobacco marketing strategies. METHODS:We obtained data from a telephone survey of 12,072 Massachusetts adults. RESULTS:Smokers aged 18 to 30 years were more likely than older adults to smoke only oc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.2.326
更新日期:2004-02-01 00:00:00
abstract::In 1976 the Ministry of Health of Nicaragua began a low cost program to deliver simple health services in rural areas through trained traditional birth attendants or "parteras." After two years the program had prepared 768 parteras in a five-day training course. Parteras were equipped with a kit that included oral reh...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.5.514
更新日期:1981-05-01 00:00:00
abstract::Concern about suicide in US military and veteran populations has prompted efforts to identify more effective prevention measures. Recent expert panel reports have recommended public communications as one component of a comprehensive effort. Messaging about military and veteran suicide originates from many sources and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300905
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:This study examined the impact of French routine programs urging the combined measles-mumps-rubella immunization of 15-month-old children. METHODS:We applied a cohort analysis to surveillance data collected by general practitioners to estimate the cumulative incidence rate per 1000 unvaccinated children and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.1.79
更新日期:1999-01-01 00:00:00
abstract::Few data are available on human immunodeficiency virus (HIV) infection and risk behaviors among lesbians and bisexual women. A total of 498 lesbians and bisexual women was sampled from public venues in San Francisco and Berkeley, Calif, during 1993. The overall HIV seroprevalence was 1.2%. Ten percent of participants ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.11.1549
更新日期:1995-11-01 00:00:00
abstract::The United States faces a significant problem with access to oral health care, particularly for children. More than 50 countries have developed an alternative dental provider, a dental therapist, practicing in public, school-based programs, to address children's access to care. This delivery model has been demonstrate...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301251
更新日期:2013-09-01 00:00:00
abstract::Data from the 1981 Child Health Supplement to the National Health Interview Survey were used to examine relationships between family and child characteristics and regular use of seatbelts or child restraints. Only for a third of children less than seven years old was regular seatbelt use reported. They were more likel...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.12.1425
更新日期:1986-12-01 00:00:00
abstract:OBJECTIVES:We examined the associations of local public health system organization and local health department resources with county-level sexually transmitted disease (STD) incidence rates in large US health jurisdictions. METHODS:We linked annual county STD incidence data (2005-2008) to local health department direc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300497
更新日期:2012-09-01 00:00:00
abstract::Historically Black colleges and universities (HBCUs) continue to be overlooked as a resource to address health care workforce shortages and growing needs for a diverse health workforce, despite our commitment as a nation to health equity and eliminating health disparities. Health workforce graduation rates help illum...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300726
更新日期:2013-03-01 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:OBJECTIVES:Cocaine use among youths as measured by several annual surveys was most popular from about 1979 to 1986, after which it declined. This study carefully examines the nature of the decline by focusing on microdata for youthful arrestees in Manhattan. METHODS:Multiple statistical analyses examine whether the de...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.8.1250
更新日期:1994-08-01 00:00:00
abstract::During the summer of 1987, a common source waterborne outbreak of leptospirosis occurred on the island of Kauai in the state of Hawaii. Eight leptospirosis cases were identified using the microscopic agglutination test. Methodologic weaknesses in this technique were responsible for the initial missed diagnosis on six ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.10.1310
更新日期:1991-10-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of a low-intensity dietary intervention in primary care practice in lowering dietary fat intake and raising dietary fiber intake. METHODS:A randomized controlled trial of 28 physician practices in six primary care clinics enrolled, by telephone, adult patients who had ...
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.87.4.610
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVES:This study examined how immunization-related beliefs, attitudes, and perceived control mediate up-to-date immunization among various sociodemographic groups. METHODS:Statewide estimates of immunization rates among children up to the age of 2 years were obtained via a multistage cluster sample. In-person int...
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::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::Four cohorts of urban women who delivered a child before reaching age 18 were followed for periods ranging from 6 to 12 years to determine use of abortion and sterilization. The two more recent cohorts had been served by comprehensive service programs. About 40 per cent of each of teh groups used abortion or steriliza...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.7.621
更新日期:1977-07-01 00:00:00
abstract:BACKGROUND:Recent recommendations for Americans aged 2 and older call for a reduction in the average saturated fat intake to less than 10% of calories. METHODS:Using 24-hour dietary recalls collected from mothers of 4- to 7-year-old urban Latino children, we identified foods and dietary behavior patterns that distingu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.6.810
更新日期:1992-06-01 00:00:00
abstract::The United States excels at treating the most complex medical conditions, but our low-ranking health statistics (relative to other countries) do not match our high-end health care spending. One way to understand this paradox is to examine the history of federal children's health programs. In the 1800s, children's heal...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2012.300714
更新日期:2012-10-01 00:00:00
abstract::Several Latin American countries are implementing a suite of so-called "postneoliberal" social and political economic policies to counter neoliberal models that emerged in the 1980s. This article considers the influence of postneoliberalism on public health discourses, policies, institutions, and practices in Bolivia,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303470
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVES:To assess how US Public Health Emergency Preparedness (PHEP) awardees plan to respond to an influenza pandemic with vaccination. METHODS:The Centers for Disease Control and Prevention developed the Pandemic Influenza Readiness Assessment, an online survey sent to PHEP directors, to analyze, in part, the rea...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303952
更新日期:2017-09-01 00:00:00
abstract::Recent changes in policymaking, such as the passage of the Patient Protection and Affordable Care Act, have ushered in a new era in community health partnerships. To investigate characteristics of effective collaboration between hospitals, their parent systems, and the public health community, with the support of majo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302938
更新日期:2016-01-01 00:00:00
abstract::Amont 338 women treated in Massachusetts with isoniazid (isonicotinic acid hydrazide = INH) for pulmonary tuberculosis, no excess cancer deaths occurred (8 observed vs 8.3 expected) after 23 years (12.9 mean) of follow-up. There was an excess of cancer deaths (54 vs 35.7) among 1,090 patients who did not receive INH, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.9.987
更新日期:1980-09-01 00:00:00
abstract::A 5-tier pyramid best describes the impact of different types of public health interventions and provides a framework to improve health. At the base of this pyramid, indicating interventions with the greatest potential impact, are efforts to address socioeconomic determinants of health. In ascending order are interven...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.185652
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:This analysis describes trends in the prevalence of genital chlamydial infection in economically disadvantaged young women entering a national job training program. METHODS:We examined chlamydia test data for May 1990 through June 1997 for women aged 16 to 24 years who enrolled in the program. The significa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.8.1287
更新日期:2001-08-01 00:00:00
abstract::We present results from life history interviews with 60 young adults from southern Uganda. Using a novel qualitative case-control design, we compared newly HIV-positive cases with HIV-negative controls matched on age, gender, marital status, and place of residence. Relationship context was the most salient theme diffe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301670
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVES:We sought to determine the prevalence of and risk factors associated with Mycoplasma genitalium infection in a nationally representative sample of young adults in the United States. METHODS:Urine specimens from 1714 women and 1218 men who participated in Wave III of the National Longitudinal Study of Adoles...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.074062
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVES:We sought to identify individual and contextual predictors of adolescent smoking initiation and progression to daily smoking by race/ethnicity. METHODS:We used data from the National Longitudinal Study of Adolescent Health to estimate the effects of individual (adolescent, family, peer) and contextual (scho...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.1.128
更新日期:2004-01-01 00:00:00
abstract::We evaluated the risks of brain cancer in relation to employment history in a case-control study of 312 cases and 1,248 cancer controls. Subjects were identified through the Missouri Cancer Registry for the period 1984 through 1988. Job classification was based on data routinely abstracted from hospital records. Eleva...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.2.169
更新日期:1990-02-01 00:00:00
abstract:OBJECTIVES:We evaluated relationships among physical and psychological indicators and oral health-related quality of life (OHRQOL) in youths with cleft. METHODS:We recruited youths aged 7 to 18 years with cleft palate (n = 282) or cleft lip and palate (n = 918) and their caregivers into a 5-year observational investig...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301686
更新日期:2014-05-01 00:00:00