Abstract:
BACKGROUND:Data indicating the extent to which evidence-based decision making (EBDM) is used in local health departments (LHDs) are limited. PURPOSE:This study aims to determine use of decision-making processes by New York State LHD leaders and upper-level staff and identify facilitators and barriers to the use of EBDM in LHDs. METHODS:The New York Public Health Practice-Based Research Network implemented a mixed-methods study in 31 LHDs. There were 20 individual interviews; five small-group interviews (two or three participants each); and two focus groups (eight participants each) conducted with people who had decision-making authority. Information was obtained about each person's background and position, decision-making responsibilities, how decisions are made within their LHD, knowledge and experience with EBDM, use of each step of the EBDM process, and barriers and facilitators to EBDM implementation. Data were collected from June to November 2010 and analyzed in 2011. RESULTS:Overall, participants supported EBDM and expressed a desire to increase their department's use of it. Although most people understood the concept, a relatively small number had substantial expertise and experience with its practice. Many indicated that they applied EBDM unevenly. Factors associated with use of EBDM included strong leadership; workforce capacity (number and skills); resources; funding and program mandates; political support; and access to data and program models suitable to community conditions. CONCLUSIONS:EBDM is used inconsistently in LHDs in New York. Despite knowledge and interest among LHD leadership, the LHD capacity, resources, appropriate programming, and other issues serve as impediments to EBDM and optimal implementation of evidence-based strategies.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Sosnowy CD,Weiss LJ,Maylahn CM,Pirani SJ,Katagiri NJdoi
10.1016/j.amepre.2013.08.004subject
Has Abstractpub_date
2013-12-01 00:00:00pages
763-8issue
6eissn
0749-3797issn
1873-2607pii
S0749-3797(13)00472-8journal_volume
45pub_type
杂志文章abstract:OBJECTIVES:To estimate the number of visits coded as general medical or gynecologic examinations (GMGEs) per 100 nonpregnant women aged > or = 18 years per year, to examine the content of the services provided during those examinations, to examine the degree of agreement between the patient's stated reason for visits a...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(01)00366-x
更新日期:2001-11-01 00:00:00
abstract:BACKGROUND:Four common factors--cigarette smoking, risky drinking of alcoholic beverages, physical inactivity, and overweight--contribute substantially to chronic disease prevalence. METHODS:We used data from the 2001 National Health Interview Survey to provide an up-to-date picture of multiple risk factor prevalence ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2004.04.017
更新日期:2004-08-01 00:00:00
abstract::Violence among youths is an important public health problem. Between 1985 and 1991, homicide rates among youths 15-19 years of age increased 154% and remain, today, at historically high levels. This paper reviews the major trends in homicide victimization and perpetration among youths over the last decade, the key ris...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(98)00009-9
更新日期:1998-05-01 00:00:00
abstract:BACKGROUND:From 1992 to 1999, an average of more than 18,000 unintentional home injury deaths occurred in the U.S. annually. PURPOSE:The objective of this study was to provide current prevalence estimates of fatal unintentional injury in the home. METHODS:Data from the 2000-2008 National Vital Statistics System were ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.10.022
更新日期:2013-03-01 00:00:00
abstract:INTRODUCTION:Social determinants of health are critical drivers of health status and cost, but are infrequently screened or addressed in primary care settings. Systematic approaches to identifying individuals with unmet social determinants needs could better support practice workflows and linkages of patients to servic...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章
doi:10.1016/j.amepre.2018.11.009
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Although consumption of sugar-sweetened beverages (SSBs) is associated with higher caloric intakes, the amount SSBs contribute to higher intakes has not been addressed. PURPOSE:To estimate the amount SSBs contribute to higher caloric intakes and determine how the diets of SSB consumers and nonconsumers diff...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.11.036
更新日期:2013-04-01 00:00:00
abstract::We surveyed a self-selected sample of dairy farm owners/residents to determine the feasibility of establishing a surveillance system that would identify health risks common to this type of farming activity. Data obtained included demographic characteristics of the farm families, number of milk cows, prevalence of sele...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1986-07-01 00:00:00
abstract:INTRODUCTION:Human papillomavirus vaccination is less prevalent among foreign-born than U.S.-born women and may lead to disparities in human papillomavirus-related cancers in the future. There is limited research on factors associated with vaccination uptake between these two groups. This study examined the association...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.08.017
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Given the health benefits of walking, there is interest in understanding how physical environments favor walking. Although GIS-derived measures of land-use mix, street connectivity, and residential density are commonly combined into indices to assess how conducive neighborhoods are to walking, field validati...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2013.01.033
更新日期:2013-06-01 00:00:00
abstract:INTRODUCTION:The rapid increase in electronic cigarette (e-cigarette) smoking among U.S. youth requires data regarding the age pattern of initiation risk for effective tobacco use prevention. METHODS:Data from the 2014 National Youth Tobacco Survey (N=20,680, aged 11-19 years, 50.6% male) were analyzed using survival ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.02.011
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Reported family medical history may be the most widely accessible genomics screen currently available. The worth of any population-screening tool may be measured by parameters such as sensitivity and specificity. There is some evidence and theory suggesting that family history of breast cancer may be more fr...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2006.05.002
更新日期:2006-09-01 00:00:00
abstract::Editor's Note: This article is a reprint of a previously published article. For citation purposes, please use the original publication details: Harris RP, Helfand M, Woolf SH, et al. Current methods of the U.S. Preventive Services Task Force: a review of the process. Am J Prev Med. 2001;20(3S):21-35. The U.S. Preventi...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.01.001
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:Since 2006-2007, education agencies (e.g., school districts) participating in U.S. federal meal programs are required to have wellness policies. To date, this is the only federal policy that addresses foods and beverages sold outside of school meals (in competitive venues). PURPOSE:To examine the extent to ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2013.03.015
更新日期:2013-08-01 00:00:00
abstract:INTRODUCTION:Previously estimated effects of social distancing do not account for changes in individual behavior before the implementation of stay-at-home policies or model this behavior in relation to the burden of disease. This study aims to assess the asynchrony between individual behavior and government stay-at-hom...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.10.012
更新日期:2020-11-13 00:00:00
abstract:INTRODUCTION:In 2019, the National Youth Sports Strategy was released and called for regular analysis, interpretation, and dissemination of U.S. youth sports surveillance data. The purpose of this study is to provide the recent national estimates of U.S. youth aged 6-17 years who participate in sports and examine the d...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.05.011
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:Few investigations have examined whether associations between the apolipoprotein E genotype (apo E) and total cholesterol or LDL-C are modified or explained by other characteristics. The objective of this study was to explore effects of behavioral characteristics, physical growth, body composition, sexual ma...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2009.04.009
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Obese and overweight women who smoke are more likely to be concerned about weight gain following cessation, impacting ability to quit and relapse. PURPOSE:To determine differences in weight concerns for underweight, normal weight, overweight, and obese female smokers by race/ethnicity. METHODS:From March t...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.09.004
更新日期:2015-01-01 00:00:00
abstract:INTRODUCTION:Unmet social and economic needs are associated with poor health outcomes, but little is known about how these needs are predictive of future healthcare utilization. This study examined the association of social and economic needs identified during medical visits with future hospitalizations and emergency d...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.10.004
更新日期:2020-03-01 00:00:00
abstract::We conducted a meta-analytic study to measure the risk of uterine cervical cancer in former and current smokers. A literature search from 1966 to 1988 identified 139 MEDLINE citations. Of these, five studies reported appropriate and complete data for meta-analysis. A recent study conducted by the authors was also incl...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,meta分析
doi:
更新日期:1990-09-01 00:00:00
abstract:INTRODUCTION:Two issues remain elusive in weight management programs: significant, long-term weight-loss maintenance and widely accessible programs that produce significant weight loss for reasonable costs. The purpose of this study is to determine the long-term weight loss of participants who consecutively renew their...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.02.011
更新日期:2015-08-01 00:00:00
abstract::The concepts of dissemination can be applied to the international challenges of promoting physical activity. With the 2004 release of the World Health Organization Global Strategy for Diet and Physical Activity, risk factor reduction and noncommunicable disease control are of global health interest. A six-step framewo...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2006.06.026
更新日期:2006-10-01 00:00:00
abstract:INTRODUCTION:Adolescents' use of electronic cigarettes (e-cigarettes) and exposure to e-cigarette TV advertising have increased in recent years, despite questions about their safety. The current study tests whether exposure to e-cigarette TV advertisements influences intentions to use e-cigarettes in the future and rel...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2015.05.010
更新日期:2015-11-01 00:00:00
abstract::Local public health departments traditionally have been supported as providers of preventive care and, in some jurisdictions, as guarantors of other essential services to vulnerable populations that usual providers do not reach. In the 1980s, the responsibility for allocating federal grants for public health shifted t...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract:INTRODUCTION:Several authors have explored the effect of individual risk factors on vaccination inequity in Indian infants. This study explores the combined impact of >1 risk factor on the probability of full vaccination. METHODS:The proportion of fully vaccinated infants (aged 1-2 years) was calculated from the Natio...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.10.001
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Prior national surveys capture smoking behaviors of the aggregated U.S. Hispanic/Latino population, possibly obscuring subgroup variation. PURPOSE:To describe cigarette use among Hispanic/Latino adults across subgroups of age, gender, national background, SES, birthplace, and degree of acculturation to the ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.01.014
更新日期:2014-05-01 00:00:00
abstract:INTRODUCTION:Most Americans spend half their waking hours at work and consume food acquired there. The hypothesis was that the healthfulness of worksite food purchases was associated with employees' overall diet and health. METHODS:Participants were 602 hospital employees who regularly used worksite cafeterias and enr...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.02.020
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Perceptions of the environment and physical activity have been associated using survey methods, yet little is known about the validity of environmental surveys. In this study, perceptions of the environment at neighborhood and community levels were assessed (1) to determine validity by comparing respondent p...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(03)00021-7
更新日期:2003-05-01 00:00:00
abstract:INTRODUCTION:Electronic medical records represent a new source of longitudinal data on tobacco use. METHODS:Electronic medical records of the U.S. Department of Veterans Affairs were extracted to find patients' tobacco use status in 2009 and at another assessment 12-24 months later. Records from the year prior to the ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.01.009
更新日期:2017-07-01 00:00:00
abstract:INTRODUCTION:This study sought to determine the association between changes in state-level beer excise tax and firearm homicide rates among individuals aged 15-34years. METHODS:A time series analysis with synthetic controls was conducted for the years 2003-2015. Exposed states changed the beer excise tax during the st...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2019.01.009
更新日期:2019-05-01 00:00:00
abstract:INTRODUCTION:For chronic disease prevention and management, brief but valid dietary assessment tools are needed to determine risk, guide counseling, and monitor progress in a variety of settings. Starting The Conversation (STC) is an eight-item simplified food frequency instrument designed for use in primary care and h...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2010.10.009
更新日期:2011-01-01 00:00:00