Abstract:
OBJECTIVES:We combined a metabolic and an epidemiological model of obesity to estimate changes in calorie intake and physical activity necessary to achieve the Healthy People 2020 objective of reducing adult obesity prevalence from 33.9% to 30.5%. METHODS:We used the National Health and Nutrition Examination Survey (1999-2010) to construct and validate a microsimulation model of the US population aged 10 years and older, for 2010 to 2020. RESULTS:Obesity prevalence is expected to shift toward older adults, and disparities are expected to widen between White, higher-income groups and minority, lower-income groups if recent calorie consumption and expenditure trends continue into the future. Although a less than 10% reduction in daily calorie intake or increase in physical activity would in theory achieve the Healthy People 2020 objective, no single population-level intervention is likely to achieve the target alone, and individual weight-loss attempts are even more unlikely to achieve the target. CONCLUSIONS:Changes in calorie intake and physical activity portend rising inequalities in obesity prevalence. These changes require multiple simultaneous population interventions.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Basu S,Seligman H,Winkleby Mdoi
10.2105/AJPH.2013.301674subject
Has Abstractpub_date
2014-07-01 00:00:00pages
1209-16issue
7eissn
0090-0036issn
1541-0048journal_volume
104pub_type
杂志文章abstract::Five years after the Three Mile Island nuclear accident, the mental health of women who had been pregnant and living within 10 miles of Three Mile Island at the time of the accident was similar to that of women from the same area who became pregnant after the accident. Ratings of the development of the two groups of c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.3.384
更新日期:1991-03-01 00:00:00
abstract::Between December 2009 and January 2010, we conducted a nationally representative telephone survey of US adults (n = 1001; completion rate = 52.9%) to explore perceptions of risks associated with peak petroleum. We asked respondents to assess the likelihood that oil prices would triple over the next 5 years and then to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300230
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES:We assessed whether an intervention based on acceptance and commitment therapy (ACT) and mindfulness was successful in promoting positive mental health by enhancing psychological flexibility. METHODS:Participants were 93 adults with mild to moderate psychological distress. They were randomly assigned to the...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2010.196196
更新日期:2010-12-01 00:00:00
abstract::Childhood immunization constitutes one of the great success stories of American public health in the 20th century. This essay provides a historical examination of this topic through 4 particularly important examples: diphtheria, pertussis, polio, and measles. Each case study illustrates how new vaccines have posed uni...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.90.2.199
更新日期:2000-02-01 00:00:00
abstract:OBJECTIVES:We assessed the distribution of immunization records among 3 health care delivery sectors and the impact of a regional immunization registry on "up to date" rates. METHODS:Immunization registry records in 2 regions were categorized as having originated in private practices, community health centers, or publ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.6.967
更新日期:2004-06-01 00:00:00
abstract::The medical outcomes and demographic characteristics of all victims of fires identified by The Baltimore Fire Department during a 14-month period in Baltimore City were studied. Fifty-nine per cent of victims suffered minor injuries, 25 per cent required hospitalization and 16 per cent were fatalities. The majority of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.11.1077
更新日期:1977-11-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the relationship between syphilis and human immunodeficiency virus (HIV) infection in injection drug users. METHODS:A 6-year prospective study of 790 injection drug users receiving methadone maintenance treatment in the Bronx, NY, was conducted. RESULTS:Sixteen perce...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.8_pt_1.1112
更新日期:1996-08-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of a community coalition to prevent severe injuries to children in Central Harlem, New York, NY. It was hypothesized that injury incidence rates would decline during the intervention (1989 through 1991) relative to preintervention years (1983 through 1988); that the dec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.4.580
更新日期:1994-04-01 00:00:00
abstract::The expansion of United States for-profit hospital chains into the international arena is a new and important development. Experiences with contract management of middle eastern hospitals in the early 1970s gave the American firms impetus to pursue ownership of health facilities in other parts of the world. US compani...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.10.1280
更新日期:1987-10-01 00:00:00
abstract:OBJECTIVE:The child labor laws are intended to protect young workers from the most dangerous jobs. However, children who work on their parents' farms are exempt from these laws. We evaluated the potential for preventing the occurrence of farm injuries among children by changing the US Federal Child Labor Laws, Hazardou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.078923
更新日期:2007-02-01 00:00:00
abstract::Death certificate of children less than 8 years of age who were killed between 1979 and 1986 were linked to their Ohio birth certificates and compared with those of Ohio children born in 1983 (controls). Having an unmarried mother increased risk of homicide almost fivefold (odds ratio 4.87). Having a teenage mother, a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.8.1052
更新日期:1991-08-01 00:00:00
abstract:OBJECTIVES:To update previous examinations of racial/ethnic disparities in the use of lethal force by US police. METHODS:I examined online national vital statistics data for deaths assigned an underlying cause of "legal intervention" (International Classification of Diseases, 10th Revision, external-cause-of-injury co...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303575
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVES:We examined the joint associations of marital status and duration of cohabitation on self-reported intimate partner violence, substance use, and postpartum depression among childbearing women. METHODS:We analyzed data from the 2006-2007 Canadian Maternity Experiences Survey, a cross-sectional nationwide sam...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301116
更新日期:2013-02-01 00:00:00
abstract::This study is the first to provide complete information on prevalence rates by gender and geographic variation for each type of tobacco product used in the United States. Results indicate that, in nearly half of all states, total tobacco use in men exceeded 40% and, in four states, exceeded 50%. In women, only Nevada,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.103
更新日期:1992-01-01 00:00:00
abstract::In 2010, the Brooklyn Active Transportation Community Planning Initiative launched in 2 New York City neighborhoods. Over a 2-year planning period, residents participated in surveys, school and community forums, neighborhood street assessments, and activation events-activities that highlighted the need for safer stree...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.303024
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVES:This study assessed the prevalence and correlates of tobacco use among high school students in Buenos Aires, Argentina. METHODS:Anonymous, self-administered questionnaires were given to 3909 8th and 11th graders in a stratified random sample of 49 public and private schools. The instrument included items fr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.2.219
更新日期:2001-02-01 00:00:00
abstract::We prospectively identified 102 mechanically restrained hospital patients and determined their hospital course. The cohort was elderly, cognitively impaired with multiple chronic diseases. The in-hospital mortality was 21 percent. Nosocomial infection developed in 12 percent and new pressure sores in 22 percent. Prolo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.6.735
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVES:To determine the effectiveness of the COMmunity of Practice And Safety Support (COMPASS) Total Worker Health intervention for home care workers. METHODS:We randomized 16 clusters of workers (n = 149) to intervention or usual-practice control conditions. The 12-month intervention was scripted and peer-led, a...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2016.303327
更新日期:2016-10-01 00:00:00
abstract::A random sample of 2266 women aged 50 to 69 years was used to investigate factors that predict attendance at a free Australian mammographic screening program. The most important predictor was receipt of a personal invitation letter. A letter that included an appointment time increased attendance 132-fold initially and...
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.84.10.1655
更新日期:1994-10-01 00:00:00
abstract:OBJECTIVES:This study examined the relationship of functional health literacy to self-reported health and use of health services. METHODS:Patients presenting to two large, urban public hospitals in Atlanta, Ga, and Torrance, Calif, were administered a health literacy test about their overall health and use of health c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.6.1027
更新日期:1997-06-01 00:00:00
abstract:OBJECTIVES:We investigated sociodemographic disparities in alcohol environments and their relationship with adolescent drinking. METHODS:We geocoded and mapped alcohol license data with ArcMap to construct circular buffers centered at 14 595 households with children that participated in the California Health Interview...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.122077
更新日期:2009-02-01 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::Conceptually, the only element that all Latin American countries share is not language, race, or culture, but political: the presence of United States foreign policy as pronounced in the Monroe Doctrine in 1823. The political relation between the US and Latin America has colored US domestic policy toward its populatio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.1.61
更新日期:1987-01-01 00:00:00
abstract::Oral health needs are urgent in rural states. Creative, broad-based, and collaborative solutions can alleviate these needs. "Health commons" sites are enhanced, community-based, primary care safety net practices that include medical, behavioral, social, public, and oral health services. Successful intervention require...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.98.supplement_1.s89
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:There are no published population-based studies of occupational carpal tunnel syndrome (OCTS) using a strict case definition. Most studies are either industry specific or present patient self-report of symptoms. METHODS:We conducted a population-based incidence study of OCTS using the Washington State Worke...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.741
更新日期:1991-06-01 00:00:00
abstract::This study estimated the risk of very-low-birthweight delivery among Black and White women with selected treatable antepartum medical conditions. A logistic regression model was applied to a retrospective, population-based data set identified by computerized, linked birth certificate and maternal hospital discharge re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.9.1495
更新日期:1994-09-01 00:00:00
abstract:OBJECTIVES:We used data from a nationally representative sample to examine the associations among 3 dimensions of sexual orientation (identity, attraction, and behavior), lifetime and past-year mood and anxiety disorders, and sex. METHODS:We analyzed data from wave 2 of the National Epidemiologic Survey on Alcohol and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.152942
更新日期:2010-03-01 00:00:00
abstract:OBJECTIVES:We examined HIV diagnosis rates and disease progression among men who have sex with men (MSM) according to race/ethnicity and age. METHODS:Using data obtained from the national HIV/AIDS surveillance system, we examined trends in HIV diagnosis rates for 2001 through 2004 using Poisson regression. We used a s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087551
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVES:To examine the joint impact of states' Medicaid expansion and participation in Medicaid enrollment outreach at the take-up of other means-tested public programs (Women, Infants, and Children [WIC], Supplemental Nutrition Assistance Program [SNAP]). METHODS:Data were used from the American Community Survey, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304592
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVES:We examined the relationship between burden of providing care to non-ill children and grandchildren and incidence of coronary heart disease (CHD) among women. METHODS:A prospective cohort study was conducted as part of the Nurses' Health Study among 54,412 women aged 46 to 71 years who were registered nurse...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.11.1939
更新日期:2003-11-01 00:00:00