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 recent development of a sensitive and specific test (Enzyme-linked immunosorbent assay) for Toxocara canis infection has made it possible to study the epidemiology of this parasite in man. Antibody to Toxocara was measured in veterinarians, kennel workers, nurses, laboratory technicians, and clerical personnel in ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.12.1193
更新日期:1977-12-01 00:00:00
abstract::A mail survey of 1,650 elderly consumers evaluated prescription drug leaflets for antihypertensives, tranquilizers, and arthritis medicines. Of those who said they received the leaflet, 95 per cent read it, 76 per cent kept it, and 56 per cent discussed it with another person. Respondents taking antihypertensive medic...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.2.157
更新日期:1984-02-01 00:00:00
abstract::Describing, evaluating, and conducting research on the questions raised by comparative effectiveness research and characterizing care delivery organizations of all kinds, from independent individual provider units to large integrated health systems, has become imperative. Recognizing this challenge, the Delivery Syste...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301926
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:This study reports on Canadian mammography rates between 1990, when mass screening programs were launched, and 1994/95. METHODS:Mammography rates from 2 national surveys were compared according to the presence of a provincial screening program. RESULTS:Mammography rates among women aged 50 to 69 years (the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.6.927
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVES:We examined the effectiveness of the Sources of Strength suicide prevention program in enhancing protective factors among peer leaders trained to conduct schoolwide messaging and among the full population of high school students. METHODS:Eighteen high schools--6 metropolitan and 12 rural--were randomly assi...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.2105/AJPH.2009.190025
更新日期:2010-09-01 00:00:00
abstract::In 2004, the US Preventive Services Task Force called for an end to scoliosis screening in US public schools. However, screening endures, although most nations have ended their screening programs. Why? Explanations range from America's unique fee-for-service health care system and its encouragement of high-cost medica...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2011.300531
更新日期:2012-04-01 00:00:00
abstract:OBJECTIVES:We assessed whether multiple psychosocial factors are additive in their relationship to sexual risk behavior and self-reported HIV status (i.e., can be characterized as a syndemic) among young transgender women and the relationship of indicators of social marginalization to psychosocial factors. METHODS:Par...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300433
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVES:We determined the sustainability of effects of a school-based intervention to improve health behaviors and cardiovascular risk factors among middle school children. METHODS:We administered a questionnaire and health screenings to 5 schools in Ann Arbor and 2 schools in Ypsilanti, Michigan. We assessed demog...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302835
更新日期:2015-12-01 00:00:00
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 focu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301681
更新日期:2014-06-01 00:00:00
abstract::Many people (40 per cent) receive each year some personal health service provided by local health departments. A substantial number of poor children (50 per cent) look to public agencies including health departments for all or part of their medical care. A number of departments including those represented in this stud...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.1_suppl.15
更新日期:1981-01-01 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::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:OBJECTIVES:We examined associations between residential exposure to BIXI (BIcycle-taXI)-a public bicycle share program implemented in Montreal, Quebec, in 2009, which increases accessibility to cycling by making available 5050 bicycles at 405 bicycle docking stations-and likelihood of cycling (BIXI and non-BIXI) in Mon...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300917
更新日期:2013-03-01 00:00:00
abstract::Eighteen children, ages 4 to 6 years, with known exposure to polybrominated biphenyls (PBB) in utero and/or through breast milk were administered developmental tests. These same children had exhibited low scores on a partial developmental assessment two years earlier. Current results were compared to normative test da...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.3.277
更新日期:1983-03-01 00:00:00
abstract:OBJECTIVES:We used a community-based research approach to test a culturally based breast cancer screening program among low-income Hmong women in central and southern California. METHODS:We designed a culturally informed educational program with measures at baseline and 1-year follow-up in 2 intervention cities and 1 ...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2008.143974
更新日期:2009-10-01 00:00:00
abstract::Bisexuals (N = 424) and lesbians (N = 1,921) were surveyed regarding their sources of gynecologic care, utilization patterns, openness with physicians, and assessment of quality of care. About 40 per cent of each group believed that physician knowledge about their sexual preference would hinder the quality of medical ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.9.1085
更新日期:1985-09-01 00:00:00
abstract:OBJECTIVES:Between April and September of 2009 we evaluated the accuracy of the OraQuick HCV rapid antibody test and assessed its feasibility for use by community-based organizations (CBOs) serving populations at high risk for HCV in New York City. METHODS:We compared the results of screening by OraQuick (oral swab) a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300251
更新日期:2011-11-01 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:OBJECTIVES:The Centers for Disease Control and Prevention's HIV/AIDS Prevention Research Synthesis Team conducted a systematic review of US-based HIV behavioral intervention research literature from 2000 through 2004 to identify interventions demonstrating best evidence of efficacy for reducing HIV risk. METHODS:Stand...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2005.076182
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:We describe behavioral health diagnoses and community release patterns among adult male and female inmates in New Jersey prisons and assess their implications for correctional health care and community reentry. METHODS:We used clinical and classification data on a census of "special needs" inmates (those wi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.059733
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:We examined young adult smoking patterns and receptivity to cigarette advertising to assess vulnerability to tobacco marketing strategies. METHODS:We obtained data from a telephone survey of 12,072 Massachusetts adults. RESULTS:Smokers aged 18 to 30 years were more likely than older adults to smoke only oc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.2.326
更新日期:2004-02-01 00:00:00
abstract::Five years after the Three Mile Island nuclear accident, the mental health of women who had been pregnant and living within 10 miles of Three Mile Island at the time of the accident was similar to that of women from the same area who became pregnant after the accident. Ratings of the development of the two groups of c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.3.384
更新日期:1991-03-01 00:00:00
abstract:OBJECTIVES:This study characterized exposure-monitoring activities and findings under the Occupational Safety and Health Administration's (OSHA's) 1984 ethylene oxide (EtO) standard. METHODS:In-depth mail and telephone surveys were followed by on-site interviews at all EtO-using hospitals in Massachusetts (n = 92, 96%...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.7.1119
更新日期:1997-07-01 00:00:00
abstract::Few data are available on human immunodeficiency virus (HIV) infection and risk behaviors among lesbians and bisexual women. A total of 498 lesbians and bisexual women was sampled from public venues in San Francisco and Berkeley, Calif, during 1993. The overall HIV seroprevalence was 1.2%. Ten percent of participants ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.11.1549
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of a low-intensity dietary intervention in primary care practice in lowering dietary fat intake and raising dietary fiber intake. METHODS:A randomized controlled trial of 28 physician practices in six primary care clinics enrolled, by telephone, adult patients who had ...
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.87.4.610
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVES:National data are thought to underestimate pregnancy-related mortality in the United States. A multisource surveillance system for pregnancy-associated deaths in New Jersey offers an opportunity to identify the magnitude of and the trends in pregnancy-related mortality at the state level. METHODS:Data from ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.8.1085
更新日期:1992-08-01 00:00:00
abstract::Ischemic heart disease (IHD) mortality of Connecticut firemen and policemen is studied for the years 1960-78, using death certificate data. The mortality of these two occupations is expected to be greater than that of other workers. Standardized Mortality Odds Ratios for firemen and policemen are greater than 1.00. Al...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.9.1140
更新日期:1986-09-01 00:00:00
abstract::We prospectively identified 102 mechanically restrained hospital patients and determined their hospital course. The cohort was elderly, cognitively impaired with multiple chronic diseases. The in-hospital mortality was 21 percent. Nosocomial infection developed in 12 percent and new pressure sores in 22 percent. Prolo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.6.735
更新日期:1989-06-01 00:00:00
abstract::We estimated the extent to which time spent watching television is associated with obesity and super-obesity among 6,138 employed adult males. After adjustment for age, smoking status, length of work week, measured physical fitness, and reported weekly hours of exercise, people who viewed TV more than three hours/day ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.4.516
更新日期:1989-04-01 00:00:00
abstract::Understanding differential disease susceptibility requires new tools to quantify the cumulative effects of environmental stress. Evidence suggests that social, physical, and chemical stressors can influence disease through the accumulation of epigenetic modifications. Geographically stable epigenetic alterations could...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302130
更新日期:2014-10-01 00:00:00