Admission decisions and outcomes of community-acquired pneumonia in the homeless population: a review of 172 patients in an urban setting.

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 Health

authors

Jones B,Gundlapalli AV,Jones JP,Brown SM,Dean NC

doi

10.2105/AJPH.2013.301342

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

S289-93

eissn

0090-0036

issn

1541-0048

journal_volume

103 Suppl 2

pub_type

杂志文章
  • Promotion of physical activity among high-school girls: a randomized controlled trial.

    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

    authors: Pate RR,Ward DS,Saunders RP,Felton G,Dishman RK,Dowda M

    更新日期:2005-09-01 00:00:00

  • The New York rubella incident: a case for changing hospital policy regarding rubella testing and immunization.

    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

    authors: McLaughlin MC,Gold LH

    更新日期:1979-03-01 00:00:00

  • An impact evaluation of a federal mine safety training regulation on injury rates among US stone, sand, and gravel mine workers: an interrupted time-series analysis.

    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

    authors: Monforton C,Windsor R

    更新日期:2010-07-01 00:00:00

  • Smoking cessation intervention for female prisoners: addressing an urgent public health need.

    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

    authors: Cropsey K,Eldridge G,Weaver M,Villalobos G,Stitzer M,Best A

    更新日期:2008-10-01 00:00:00

  • Onset of natural menopause in African American women.

    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

    authors: Palmer JR,Rosenberg L,Wise LA,Horton NJ,Adams-Campbell LL

    更新日期:2003-02-01 00:00:00

  • Training for research in mental health and HIV/AIDS among racial and ethnic minority populations: meeting the needs of new investigators.

    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

    authors: Alegría M

    更新日期:2009-04-01 00:00:00

  • The effects of HIV/AIDS intervention groups for high-risk women in urban clinics.

    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

    authors: Kelly JA,Murphy DA,Washington CD,Wilson TS,Koob JJ,Davis DR,Ledezma G,Davantes B

    更新日期:1994-12-01 00:00:00

  • Care in the country: a historical case study of long-term sustainability in 4 rural health centers.

    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

    authors: Wright DB

    更新日期:2009-09-01 00:00:00

  • Integrating Systems Science and Community-Based Participatory Research to Achieve Health Equity.

    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

    authors: Frerichs L,Lich KH,Dave G,Corbie-Smith G

    更新日期:2016-02-01 00:00:00

  • A randomized trial of augmented prenatal care for multiple-risk, Medicaid-eligible African American women.

    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

    authors: Klerman LV,Ramey SL,Goldenberg RL,Marbury S,Hou J,Cliver SP

    更新日期:2001-01-01 00:00:00

  • The effects of smoking-related television advertising on smoking and intentions to quit among adults in the United States: 1999-2007.

    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

    authors: Emery S,Kim Y,Choi YK,Szczypka G,Wakefield M,Chaloupka FJ

    更新日期:2012-04-01 00:00:00

  • A neonatal hepatitis B surveillance and vaccination program: New York City, 1987 to 1988.

    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

    authors: Henning KJ,Pollack DM,Friedman SM

    更新日期:1992-06-01 00:00:00

  • Public health asks of systems science: to advance our evidence-based practice, can you help us get more practice-based evidence?

    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

    authors: Green LW

    更新日期:2006-03-01 00:00:00

  • Health care reform and social movements in the United States.

    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

    authors: Hoffman B

    更新日期:2003-01-01 00:00:00

  • The effect of school on overweight in childhood: gain in body mass index during the school year and during summer vacation.

    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

    authors: von Hippel PT,Powell B,Downey DB,Rowland NJ

    更新日期:2007-04-01 00:00:00

  • Racial/ethnic and age disparities in HIV prevalence and disease progression among men who have sex with men in the United States.

    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

    authors: Hall HI,Byers RH,Ling Q,Espinoza L

    更新日期:2007-06-01 00:00:00

  • Predictors of risky sexual behavior among young African American men who have sex with men.

    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

    authors: Hart T,Peterson JL,Community Intervention Trial for Youth Study Team.

    更新日期:2004-07-01 00:00:00

  • What people really know about their health insurance: a comparison of information obtained from individuals and their insurers.

    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

    authors: Nelson DE,Thompson BL,Davenport NJ,Penaloza LJ

    更新日期:2000-06-01 00:00:00

  • A measles outbreak at university medical settings involving health care providers.

    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

    authors: Sienko DG,Friedman C,McGee HB,Allen MJ,Simonsen WF,Wentworth BB,Shope TC,Orenstein WA

    更新日期:1987-09-01 00:00:00

  • A framework for public health action: the health impact pyramid.

    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

    authors: Frieden TR

    更新日期:2010-04-01 00:00:00

  • Declining trends in local health department preparedness capacities.

    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

    authors: Davis MV,Bevc CA,Schenck AP

    更新日期:2014-11-01 00:00:00

  • Operationalization of community-based participatory research principles: assessment of the national cancer institute's community network programs.

    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

    authors: Braun KL,Nguyen TT,Tanjasiri SP,Campbell J,Heiney SP,Brandt HM,Smith SA,Blumenthal DS,Hargreaves M,Coe K,Ma GX,Kenerson D,Patel K,Tsark J,Hébert JR

    更新日期:2012-06-01 00:00:00

  • Local health department factors associated with performance in the successful implementation of community-based strategies: a mixed-methods approach.

    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

    authors: Gyllstrom E,Gearin K,Frauendienst R,Myhre J,Larson M,Riley W

    更新日期:2015-04-01 00:00:00

  • The reporting of HIV/AIDS deaths in women.

    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

    authors: Buehler JW,Hanson DL,Chu SY

    更新日期:1992-11-01 00:00:00

  • Job strain and ambulatory blood pressure: a meta-analysis and systematic review.

    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

    authors: Landsbergis PA,Dobson M,Koutsouras G,Schnall P

    更新日期:2013-03-01 00:00:00

  • Addressing Oral Health Disparities Via Educational Foci on Cultural Competence.

    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

    authors: Behar-Horenstein LS,Warren RC,Dodd VJ,Catalanotto FA

    更新日期:2017-05-01 00:00:00

  • Cost-effectiveness of antibiotic prophylaxis for dental procedures in patients with artificial joints.

    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

    authors: Tsevat J,Durand-Zaleski I,Pauker SG

    更新日期:1989-06-01 00:00:00

  • Family allowance and family planning in Chile.

    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

    authors: Plank SJ

    更新日期:1978-10-01 00:00:00

  • The teaching of occupational health in US medical schools: little improvement in 9 years.

    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

    authors: Burstein JM,Levy BS

    更新日期:1994-05-01 00:00:00

  • The natural history of drug use from adolescence to the mid-thirties in a general population sample.

    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

    authors: Chen K,Kandel DB

    更新日期:1995-01-01 00:00:00