Abstract:
OBJECTIVES:We assessed whether geographic information available at the time of asthma admission predicts time to reutilization (readmission or emergency department revisit). METHODS:For a prospective cohort of children hospitalized with asthma in 2008 and 2009 in Cincinnati, Ohio, we constructed a geographic social risk index from geocoded home addresses linked to census tract extreme poverty and high school graduation rates and median home values. We examined geographic risk associations with reutilization and caregiver report of hardship. RESULTS:Thirty-nine percent of patients reutilized within 12 months. Compared with those in the lowest geographic risk stratum, those at medium and high risk had 1.3 (95% confidence interval [CI] = 0.9, 1.9) and 1.8 (95% CI = 1.4, 2.4) the risk of reutilization, respectively. Caregivers of children at highest geographic risk were 5 times as likely to report more than 2 financial hardships (P < .001) and 3 times as likely to report psychological distress (P = .001). CONCLUSIONS:A geographic social risk index may help identify asthmatic children likely to return to the hospital. Targeting social risk assessments and interventions through geographic information may help to improve outcomes and reduce disparities.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Beck AF,Simmons JM,Huang B,Kahn RSdoi
10.2105/AJPH.2012.300806subject
Has Abstractpub_date
2012-12-01 00:00:00pages
2308-14issue
12eissn
0090-0036issn
1541-0048journal_volume
102pub_type
杂志文章abstract::The prevalence of antibody to LAV/HTLV-III among homosexual men attending a community clinic and a sexually transmitted disease clinic in Seattle, Washington in early 1985 was 42 per cent and 32 per cent, respectively. Seropositivity was apparently not related to age or number of sexual partners. The high prevalence o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.5.564
更新日期:1986-05-01 00:00:00
abstract:OBJECTIVES:We conducted a midpoint review of The California Endowment's Healthy Eating, Active Communities (HEAC) program, which works in 6 low-income California communities to prevent childhood obesity by changing children's environments. The HEAC program conducts interventions in 5 key childhood environments: schools...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.192781
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVES:This study examined the associations between prepregnancy weight and the risk of pregnancy complications and adverse outcomes among nulliparous women. METHODS:We conducted a population-based cohort study with 96,801 Washington State birth certificates from 1992 to 1996. Women were categorized by body mass i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.3.436
更新日期:2001-03-01 00:00:00
abstract::We evaluated the risks of brain cancer in relation to employment history in a case-control study of 312 cases and 1,248 cancer controls. Subjects were identified through the Missouri Cancer Registry for the period 1984 through 1988. Job classification was based on data routinely abstracted from hospital records. Eleva...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.2.169
更新日期:1990-02-01 00:00:00
abstract::After a decade-long resurgence, including a large cutaneous diphtheria outbreak in Washington State, the diphtheria incidence rate in the United States reached its lowest recorded level ever in 1980--two patients (0.01 case per million). Mortality paralleled the decline in incidence rate. Only 143 of the 3,141 US coun...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.12.1393
更新日期:1985-12-01 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:OBJECTIVES:The purpose of this study was to identify circumstances in which biochemical assessments of smoking produce systematically higher or lower estimates of smoking than self-reports. A secondary aim was to evaluate different statistical approaches to analyzing variation in validity estimates. METHODS:Literature...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/ajph.84.7.1086
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVES:We examined agreement of administrative data with self-reported race/ethnicity and identified correlates of agreement. METHODS:We used Veterans Affairs administrative data and VA 1999 Large Health survey race/ethnicity data. RESULTS:Relatively low rates of agreement (approximately 60%) between data sources...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.10.1734
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVES:This study investigated the efficacy of a social-influences tobacco prevention program conducted with adolescents living in a high tobacco production area. METHODS:Students in 10 experimental schools completed the tobacco prevention program and a booster intervention. Control students received health educat...
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.88.12.1862
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVES:We examined the effectiveness of peer ethnography to gain insider views on substance use and sex among a diverse range of high-risk substance-using Black and Latino young men who have sex with men. METHODS:We recruited 9 peer ethnographers aged 21 to 24 years from youth programs for the lesbian, gay, bisexu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300988
更新日期:2013-05-01 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:OBJECTIVES:To identify payments that involved opioid products from the pharmaceutical industry to physicians. METHODS:We used the Open Payments program database from the Centers for Medicare and Medicaid Services to identify payments involving an opioid to physicians between August 2013 and December 2015. We used medi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303982
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVES:This study determined the prevalence and factors associated with hepatitis B virus (HBV) infection among men who have sex with men. METHODS:At the baseline visit of an HIV study among men who have sex with men, we asked about HBV vaccination status and tested for HBV markers. RESULTS:Of 625 subjects, 48% h...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.10.1570
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:This study described factors related to colorectal cancer stage at diagnosis. METHODS:Logistic regression analyses were used on data from the New York State Tumor Registry and US Census area-level social class indicators. RESULTS:After the effects of other predictors were controlled for, the odds of late-s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.12.1794
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVES:We determined rates of prenatal HIV testing and investigated barriers to testing. METHODS:We surveyed 1362 representative parturient women from 7 hospitals in 4 locations of the United States. RESULTS:Overall, 89.9% of women reported being offered HIV testing and 69.6% reported being tested. Proportions of...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.91.5.727
更新日期:2001-05-01 00:00:00
abstract::The globalization of public health is both real and relevant throughout the United States and to Americans traveling or residing abroad. US public policy responses are evolving, but a crisper and more comprehensive global perspective is needed. I suggest four timely US actions to address today's competing realities o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300644
更新日期:2012-06-01 00:00:00
abstract::US national elections, which draw sizable numbers of older voters, take place during flu-shot season and represent an untapped opportunity for large-scale delivery of vaccinations. In 2012, Vote & Vax deployed a total of 1585 clinics in 48 states; Washington, DC; Guam; Puerto Rico; and the US Virgin Islands. Approxima...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302628
更新日期:2015-06-01 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::The "rediscovery" of poverty, as echoed in concepts of social inequality, has contributed to the goal of eliminating racial/ethnic and social class disparities in the United States. This commentary focuses on what we know about the pressing health care needs and issues relevant to Latino children and families and how ...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.90.12.1827
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVES:To estimate homicide rates of transgender US residents and relative risks (RRs) of homicide with respect to cisgender comparators intersected with age, gender, and race/ethnicity. METHODS:I estimated homicide rates for transgender residents and transfeminine, Black, Latin@, and young (aged 15-34 years) subp...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303878
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:In the light of a possible link between stress and cancer promotion or progression, and of previously reported distress in residents near the Three Mile Island (TMI) nuclear power plant, we attempted to evaluate the impact of the March 1979 accident on community cancer rates. METHODS:Proximity of residence ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.719
更新日期:1991-06-01 00:00:00
abstract:OBJECTIVES:To describe the association between indicators of socioeconomic status (SES) and the prevalence of autism spectrum disorder (ASD) in the United States during the period 2002 to 2010, when overall ASD prevalence among children more than doubled, and to determine whether SES disparities account for ongoing rac...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304032
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVES:Research on child labor and its effect on health has been limited. We sought to determine the impact of child labor on children's health by correlating existing health indicators with the prevalence of child labor in selected developing countries. METHODS:We analyzed the relationship between child labor (de...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.066829
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVES:We aimed to determine whether syringe exchange programs (SEPs) currently receive or anticipate pursuing federal funding and barriers to funding applications following the recent removal of the long-standing ban on using federal funds for SEPs. METHODS:We conducted a telephone-administered cross-sectional su...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300595
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVES:This study sought to determine the accuracy of geocoding for public health databases. METHODS:A test file of 70 addresses, 50 of which involved errors, was generated, and the file was geocoded to the census tract and block group levels by 4 commercial geocoding firms. Also, the "real world" accuracy of the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.7.1114
更新日期:2001-07-01 00:00:00
abstract:OBJECTIVES:The common operation of fuel-powered resurfacing equipment in enclosed ice skating rinks has the potential for producing high concentrations of carbon monoxide and nitrogen dioxide. Exposures to these gaseous combustion products may adversely affect the health of those inside the rink. Little information is ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.3.429
更新日期:1994-03-01 00:00:00
abstract::Social work education plays a critical role in preparing social workers to lead efforts that improve health. Because of the dynamic health care landscape, schools of social work must educate students to facilitate health care system improvements, enhance population health, and reduce medical costs. We reviewed the exi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304054
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:In recent years, an increasing number of women have been entering the labor force. It is known that in men, employment is related to heart disease risk, but there are few studies examining this association among women. METHODS:The relation between employment status and heart disease risk factors including l...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.2.215
更新日期:1992-02-01 00:00:00
abstract:OBJECTIVES:This analysis described Latino migrant farmworkers' work safety climate and its association with musculoskeletal discomfort, working while injured or ill, and depressive symptoms. METHODS:Data were from a cross-sectional survey of 300 farmworkers conducted in North Carolina in 2009. Generalized estimating e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300597
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVES:Our community health center attempted to meet public health goals for encouraging exercise in adult patients vulnerable to obesity, diabetes, hypertension, and other chronic diseases by partnering with a local YMCA. METHODS:During routine office visits, providers referred individual patients to the YMCA at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300958
更新日期:2012-11-01 00:00:00