Abstract:
OBJECTIVES:We compared admission rates, outcomes, and performance of the CURB-65 mortality prediction score of homeless patients and nonhomeless patients with community-acquired pneumonia (CAP). METHODS:We compared homeless (n = 172) and nonhomeless (n = 1897) patients presenting to a Salt Lake City, Utah, emergency department with CAP from 1996 to 2006. In the homeless cohort, we measured referral from and follow-up with the local homeless health care clinic and arrangement of medical housing. RESULTS:Homeless patients were younger (44 vs 59 years; P < .001) and had lower CURB-65 scores and higher hospitalization risk (severity-adjusted odds ratio = 1.89; 95% confidence interval = 1.33, 2.69) than did nonhomeless patients, with a similar length of stay, median inpatient cost, and median outpatient cost, even after severity adjustment. Of homeless patients, 22% were referred from the homeless health care clinic to the emergency department; 54% of outpatients and 51% of hospital patients were referred back to the clinic, and medical housing was arranged for 23%. CONCLUSIONS:A large cohort of homeless patients with CAP demonstrated higher hospitalization risk than but similar length of stay and costs as nonhomeless patients. The strong relationship between the hospital and homeless health care clinic may have contributed to this finding.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Jones B,Gundlapalli AV,Jones JP,Brown SM,Dean NCdoi
10.2105/AJPH.2013.301342subject
Has Abstractpub_date
2013-12-01 00:00:00pages
S289-93eissn
0090-0036issn
1541-0048journal_volume
103 Suppl 2pub_type
杂志文章abstract:OBJECTIVES:Many adolescent girls fail to meet national guidelines for physical activity, and the prevalence of obesity is increasing among this group. Our study examined the effects of a comprehensive school-based intervention on physical activity among high-school girls. METHODS:A group-randomized controlled field tr...
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.2004.045807
更新日期:2005-09-01 00:00:00
abstract::A case of rubella in a male obstetrics-gynecology house staff member exposed 170 staff members and 11 prenatal patients to the clinical disease. Of 163 staff members tested within one week of exposure, 132 (80 per cent) were not susceptibles. Repeat titres three weeks later on 28 susceptibles remained negative. Of the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.3.287
更新日期:1979-03-01 00:00:00
abstract:OBJECTIVES:We evaluated the impact of a safety training regulation, implemented by the US Department of Labor's Mine Safety and Health Administration (MSHA) in 1999, on injury rates at stone, sand, and gravel mining operations. METHODS:We applied a time-series design and analyses with quarterly counts of nonfatal inju...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.178301
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVES:We tested the efficacy of a combined pharmacologic and behavioral smoking cessation intervention among women in a state prison in the southern United States. METHODS:The study design was a randomized controlled trial with a 6-month waitlist control group. The intervention was a 10-week group intervention co...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2007.128207
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVES:This study assessed predictors of the onset of natural menopause in African American women. METHODS:We used mailed questionnaires to collect data at baseline in 1995 and during follow-up from Black Women's Health Study participants. Cox proportional hazards regression was used to assess potential predictors...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.2.299
更新日期:2003-02-01 00:00:00
abstract::My experiences as a mentor of young investigators, along with conversations with a diverse pool of mentees, led me to question the ability of conventional research methods, problem formulation, and instruments to address the unique challenges of studying racial and ethnic minorities. Training of new investigators shou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.135996
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:This study reports the results of a behavior change intervention offered to women at high risk for human immunodeficiency virus (HIV) infection seen in an urban primary health care clinic. METHODS:Participants were 197 women randomly assigned to either an HIV/acquired immunodeficiency syndrome (AIDS) risk re...
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.84.12.1918
更新日期:1994-12-01 00:00:00
abstract::From 1978 to 1983, researchers at the University of North Carolina conducted a National Evaluation of Rural Primary Care Programs. Thirty years later, many of the programs they studied have closed, but the challenges of providing rural health care have persisted. I explored the histories of 4 surviving rural primary c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.146050
更新日期:2009-09-01 00:00:00
abstract::Unanswered questions about racial and socioeconomic health disparities may be addressed using community-based participatory research and systems science. Community-based participatory research is an orientation to research that prioritizes developing capacity, improving trust, and translating knowledge to action. Syst...
journal_title:American journal of public health
pub_type: 信件
doi:10.2105/AJPH.2015.302944
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVES:This project investigated whether augmented prenatal care for high-risk African American women would improve pregnancy outcomes and patients' knowledge of risks, satisfaction with care, and behavior. METHODS:The women enrolled were African American, were eligible for Medicaid, had scored 10 or higher on a r...
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.91.1.105
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:We investigated whether state-sponsored antitobacco advertisements are associated with reduced adult smoking, and interactions between smoking-related advertising types. METHODS:We measured mean exposure to smoking-related advertisements with television ratings for the top-75 US media markets from 1999 to 2...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300443
更新日期:2012-04-01 00:00:00
abstract::From July 1987 to June 1988, 1030 pregnant women with hepatitis B were reported to a New York City surveillance program. Among 832 infants under follow-up, the coverage rates for combined hepatitis B immune globulin and vaccine doses 1, 2, and 3 were 84%, 77%, and 59%, respectively. Infants covered by Medicaid and uni...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.6.885
更新日期:1992-06-01 00:00:00
abstract::Public health asks of systems science, as it did of sociology 40 years ago, that it help us unravel the complexity of causal forces in our varied populations and the ecologically layered community and societal circumstances of public health practice. We seek a more evidence-based public health practice, but too much o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.066035
更新日期:2006-03-01 00:00:00
abstract::Because of the importance of grassroots social movements, or "change from below," in the history of US reform, the relationship between social movements and demands for universal health care is a critical one. National health reform campaigns in the 20th century were initiated and run by elites more concerned with def...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.93.1.75
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:To determine whether school or nonschool environments contribute more to childhood overweight, we compared children's gains in body mass index (BMI) when school is in session (during the kindergarten and first-grade school years) with their gains in BMI when school is out (during summer vacation). METHODS:T...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.080754
更新日期:2007-04-01 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::This study examined the prevalence and correlates of unprotected anal intercourse among 758 young African American men who have sex with men. A quarter of the sample reported unprotected anal intercourse in the past 3 months; nonsupportive peer norms and not carrying condoms predicted risky sexual behavior. Effective ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.7.1122
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVES:This study determined the validity of self-reported data on selected health insurance characteristics. METHODS:We obtained telephone survey data on the presence of health insurance, source of insurance, length of time insured, and type of insurance (managed care or fee-for-service) from a random sample of 3...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.6.924
更新日期:2000-06-01 00:00:00
abstract::In 1985, a measles outbreak involved 14 students and non-student contacts in Michigan. Eight transmissions occurred at university medical facilities; five of these were likely airborne transmissions. Medical students and a medical resident were involved in the outbreak's propagation. Health care providers need to be i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.9.1222
更新日期:1987-09-01 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:We examined local health department (LHD) preparedness capacities in the context of participation in accreditation and other performance improvement efforts. MetHODS: We analyzed preparedness in 8 domains among LHDs responding to a preparedness capacity instrument from 2010 through 2012. Study groups include...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302159
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:We examined how National Cancer Institute-funded Community Network Programs (CNPs) operationalized principles of community-based participatory research (CBPR). METHODS:We reviewed the literature and extant CBPR measurement tools. On the basis of that review, we developed a 27-item questionnaire for CNPs to ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300304
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVES:We examined which local health department (LHD)-level factors contributed to successful implementation of policy, systems, and environmental change strategies in Minnesota. METHODS:We used a retrospective mixed-methods design to evaluate the relationship between the Statewide Health Improvement Plan (SHIP) ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302419
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:This study was undertaken to assess the completeness of vital statistics and case reports of acquired immunodeficiency syndrome (AIDS) in measuring human immunodeficiency virus (HIV)-related mortality in women 15 through 44 years of age. METHODS:We used vital records to determine the number of deaths attribu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.11.1500
更新日期:1992-11-01 00:00:00
abstract::We reviewed evidence of the relationship between job strain and ambulatory blood pressure (ABP) in 29 studies (1985-2012). We conducted a quantitative meta-analysis on 22 cross-sectional studies of a single exposure to job strain. We systematically reviewed 1 case-control study, 3 studies of cumulative exposure to job...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析,评审
doi:10.2105/AJPH.2012.301153
更新日期:2013-03-01 00:00:00
abstract::An ever-present challenge for the oral health profession is to reduce the extent of oral disease among racial and ethnic minority populations. Adding to this complex dilemma is the linkage between oral health and systemic health. We describe enhanced cultural competency, in the context of individual cultural beliefs, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303721
更新日期:2017-05-01 00:00:00
abstract::We performed a cost-effectiveness analysis to evaluate whether patients with artificial joints should take penicillin, erythromycin, or no antibiotics before dental procedures. We modeled the risk of anaphylaxis from penicillin, the risks and consequences of an artificial joint infection, and the actual variable costs...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.6.739
更新日期:1989-06-01 00:00:00
abstract::Family allowances designed to promote maternal and child health and welfare could be self-defeating if they stimulated otherwise unwanted births, as often assumed. That assumption, with its public health and demographic implications, needs testing. An attempt to test it was made in Chile in 1969--1970 through intervie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.10.989
更新日期:1978-10-01 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:OBJECTIVES:This study sought to describe patterns of initiation, persistence, and cessation in drug use in individuals from their late 20s to their mid-30s, within a broad perspective that spans 19 years from adolescence to adulthood. METHODS:A fourth wave of personal interviews was conducted at ages 34-35 with a coho...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.1.41
更新日期:1995-01-01 00:00:00