Abstract:
OBJECTIVES:We analyzed cervical cancer incidence and mortality data in American Indian and Alaska Native (AI/AN) women compared with women of other races. METHODS:We improved identification of AI/AN race, cervical cancer incidence, and mortality data using Indian Health Service (IHS) patient records; our analyses focused on residents of IHS Contract Health Service Delivery Area (CHSDA) counties. Age-adjusted incidence and death rates were calculated for AI/AN and White women from 1999 to 2009. RESULTS:AI/AN women in CHSDA counties had a death rate from cervical cancer of 4.2, which was nearly twice the rate in White women (2.0; rate ratio [RR] = 2.11). AI/AN women also had higher incidence rates of cervical cancer compared with White women (11.0 vs 7.1; RR = 1.55) and were more often diagnosed with later-stage disease (RR = 1.84 for regional stage and RR = 1.74 for distant stage). Death rates decreased for AI/AN women from 1990 to 1993 (-25.8%/year) and remained stable thereafter. CONCLUSIONS:Although rates decreased over time, AI/AN women had disproportionately higher cervical cancer incidence and mortality. The persistently higher rates among AI/AN women compared with White women require continued improvements in identifying and treating cervical cancer and precancerous lesions.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Watson M,Benard V,Thomas C,Brayboy A,Paisano R,Becker Tdoi
10.2105/AJPH.2013.301681subject
Has Abstractpub_date
2014-06-01 00:00:00pages
S415-22eissn
0090-0036issn
1541-0048journal_volume
104 Suppl 3pub_type
杂志文章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::A case control study was conducted in North Carolina to explore the relation between individual exposure to sunlight and the risk of cataracts. One hundred thirteen cases and 161 controls aged 40-69 at diagnosis were studied. Sunlight exposure was inferred from interview data on residency and time spent in the sun, co...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.11.1459
更新日期:1988-11-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the association between child care arrangements and repeated ear infections in young children. METHODS:Data on 5818 children younger than 6 years of age were taken from the 1988 National Health Interview Survey of Child Health. RESULTS:Seventeen percent of the childr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.9.1321
更新日期:1993-09-01 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::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::Two generations of epidemiological studies of the true prevalence of mental disorders have been conducted since the turn of the century. The first and smaller in number took place prior to World War II and was characterized by the use of records and key informants to define "cases." The second, utilizing the greatly e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.11.1271
更新日期:1982-11-01 00:00:00
abstract:OBJECTIVES:To evaluate 3 single-item screening measures for limited health literacy in a community-based population of English and Spanish speakers. METHODS:We recruited 324 English and 314 Spanish speakers from a community research registry in Dallas, Texas, enrolled between 2009 and 2012. We used 3 screening measure...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303092
更新日期:2016-05-01 00:00:00
abstract::More than 100 years ago, public health began as an organized discipline, its purpose being to improve the health of populations rather than of individuals. Given its population-based focus, however, public health perennially faces dilemmas concerning the appropriate extent of its reach and whether its activities infri...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.11.1776
更新日期:2001-11-01 00:00:00
abstract::The history of consumer protection against household poisons presents a key case study of the uniquely American struggle to balance public health and safety with the interests of business. By the late 19th century, package designs, warning labels, and state statutes had formed an uneven patchwork of protective mechani...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2012.301066
更新日期:2013-05-01 00:00:00
abstract::Evaluation of the results of breast self-examination (BSE) is inconclusive. Studies which address the question of proper method of BSE find that most women do not know how to carry out the procedure correctly. Socio-demographic characteristics most consistently related to BSE practice are age and education. New resear...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.73.11.1324
更新日期:1983-11-01 00:00:00
abstract::A parasitic surveillance of farm workers of Puerto Rican background and their children revealed a high prevalence rate (35.5%) of parasites in this population. This high prevalence rate, however, was expected in view of the fact that other researchers have found a high degree of parasitosis in Puerto Rican populations...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.10.1103
更新日期:1980-10-01 00:00:00
abstract:OBJECTIVES:We determined differences in weight at age 18 years and at current age and weight change by sexual orientation within different racial/ethnic populations, stratifying by gender. METHODS:We used 2001-2007 data from the California Health Interview Survey, resulting in an unweighted sample of 120,274 individua...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301391
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:The effect of caffeine consumption on fertility was examined prospectively in 210 women. METHODS:Women reported on caffeinated beverage consumption and pregnancy status monthly. Odds ratios for becoming pregnant were calculated for both high and moderate vs low consumption. RESULTS:No significant associati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.2.270
更新日期:1998-02-01 00:00:00
abstract::Thanks to the Affordable Care Act, thousands of people living with HIV who have received Ryan White HIV/AIDS Program-funded care are now eligible for Medicaid or subsidized insurance. The protection against insurance discrimination on the basis of preexisting conditions is increasing health care access for many, but t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302442
更新日期:2015-06-01 00:00:00
abstract::Seven cases of subacute central and peripheral neurologic dysfunction developed in 18 workers employed in the manufacture of reinforced plastic bathtubs. Cases were characterized by weight loss, dizziness, paresthesias, muscle weakness, incontinence, memory loss, and loss of peripheral, color, and night vision. Neurop...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.5.513
更新日期:1985-05-01 00:00:00
abstract:OBJECTIVES:We analyzed how ease of geographic access to emergency departments (EDs), defined as driving time to the closest ED, changed between 2001 and 2005, and whether access deterioration was more likely to occur in vulnerable communities. METHODS:We classified communities on the basis of American Hospital Associa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.175828
更新日期:2010-08-01 00:00:00
abstract::The mission of public health--improving the health of populations--is difficult to advance in public discourse because a language to express the values animating that mission has not been adequately developed. Following on the work of Robert Bellah, Dan Beauchamp, and others, we argue that the first "language" of Amer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.043844
更新日期:2005-04-01 00:00:00
abstract::In data from the Texas Educational Agency and the Health Resources and Services Administration, we found fewer autism diagnoses in school districts with higher percentages of Hispanic children. Our results are consistent with previous reports of autism rates 2 to 3 times as high among non-Hispanic Whites as among Hisp...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.150565
更新日期:2010-02-01 00:00:00
abstract::Bacillus thuringiensis var. kurstaki (B.t.-k) is a microbial pesticide which has been widely used for over 30 years. Its safety for a human population living in sprayed areas has never been tested. Surveillance for human infections caused by B.t.-k among Lane County, Oregon residents was conducted during two seasons o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.7.848
更新日期:1990-07-01 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::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:This study was designed to provide an empirical description, based on a review of visit audiotapes, of primary care practice with chronic-disease patients. METHODS:We analyzed 439 interactions between adult patients with chronic disease and 49 physicians. We explored the content, frequency, intensity, and d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.7.979
更新日期:1993-07-01 00:00:00
abstract::Nondaily intermittent smokers (ITS) are common, but their cessation behavior remains elusive. We examined cessation of native-ITS (n = 2040), converted-ITS (n = 1808), and daily smokers (DS; n = 25 344). All ITS were more likely than were DS to make a quit attempt (native-ITS adjusted odds ratio [AOR] = 1.60, 95% conf...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300186
更新日期:2011-07-01 00:00:00
abstract::We examined the association between telomere length and prenatal tobacco exposure (PTE) in 104 children aged 4 to 14 years. Salivary telomere length (STL) was determined from salivary DNA using quantitative polymerase chain reaction. Of the children, 18% had maternal reported PTE. Mean STL was significantly lower amon...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301208
更新日期:2013-10-01 00:00:00
abstract::The clinical consequences of HCV infection are increasing because the population with the highest prevalence of the infection, persons born between 1945 and 1965, is aging. As a result, health care expenditures are expected to increase. Now that a cure for HCV infection is the norm, a public health approach is necessa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303718
更新日期:2017-06-01 00:00:00
abstract::Contact tracing was one of the core public health strategies implemented during the first months of the COVID-19 pandemic. In this essay, we describe the rapid establishment of a volunteer contact tracing program in New Haven, Connecticut. We describe successes of the program and challenges that were faced. Going forw...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305959
更新日期:2021-01-01 00:00:00
abstract::The degree to which national expert panel survey ratings of the appropriateness of hysterectomy differed from those of a random sample of practicing community gynecologists was determined. Community gynecologists rated hysterectomy as more appropriate on six of eight cervical dysplasia scenarios. Experts agreed among ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.8_pt_1.1125
更新日期:1995-08-01 00:00:00
abstract:OBJECTIVES:To estimate the prevalence and causes of functional paralysis in the United States. METHODS:We used the 2013 US Paralysis Prevalence & Health Disparities Survey to estimate the prevalence of paralysis, its causes, associated sociodemographic characteristics, and health effects among this population. RESULT...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303270
更新日期:2016-10-01 00:00:00
abstract::To study the effects of a comprehensive, multifaceted intervention program to reduce fireworks-related injuries during the Italian New Year's holiday season, active surveillance was conducted in the 18 public emergency rooms of Naples, Italy, before and after implementation of the program. Preintervention data collect...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.1.84
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:To investigate racial/ethnic and language differences in the effectiveness of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study among children aged 2 to 4 years enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). METHODS:We performed a mult...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304511
更新日期:2018-09-01 00:00:00