Abstract:
:In 2001, Maryland's court of appeals was asked to decide whether researchers at Johns Hopkins University had engaged in unethical research on children. During the 1990s, Johns Hopkins's Kennedy Krieger Institute had studied 108 African American children, aged 6 months to 6 years, to find an inexpensive and "practical" means to ameliorate lead poisoning. We have outlined the arguments in the case and the conundrum faced by public health researchers as they confront new threats to our health from environmental and industrial insults. We examined the case in light of contemporary public health ideology, which prioritizes harm reduction over the historical goals of prevention. As new synthetic toxins-such as bisphenyl A, polychlorinated biphenyls, other chlorinated hydrocarbons, tobacco, vinyl, and asbestos-are discovered to be biologically disruptive and disease producing at low levels, lead provides a window into the troubling dilemmas public health will have to confront in the future.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Rosner D,Markowitz Gdoi
10.2105/AJPH.2012.301004subject
Has Abstractpub_date
2012-11-01 00:00:00pages
e19-33issue
11eissn
0090-0036issn
1541-0048journal_volume
102pub_type
历史文章,杂志文章abstract:OBJECTIVES:The effect of caffeine consumption on fertility was examined prospectively in 210 women. METHODS:Women reported on caffeinated beverage consumption and pregnancy status monthly. Odds ratios for becoming pregnant were calculated for both high and moderate vs low consumption. RESULTS:No significant associati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.2.270
更新日期:1998-02-01 00:00:00
abstract::This paper reports the home-facility and level of care changes, discharges, and deaths over a five-year period for 1,653 clients newly admitted in 1978 to a long-term care program in British Columbia, Canada. Five years after admission, of clients initially admitted to care at home (N = 1241), 34.3 per cent were still...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.11.1312
更新日期:1986-11-01 00:00:00
abstract::We examined refusal rates for sensitive demographic questions to determine whether questions on sexual orientation are too sensitive for routine use on public health surveys. We compared the percentage of active refusals in New Mexico for a sexual orientation question and 6 other sensitive demographic questions. In 20...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.186270
更新日期:2010-12-01 00:00:00
abstract::The Centers for Disease Control (CDC) has proposed revising the AIDS surveillance definition to include any HIV-seropositive person with a CD4 cell count of less than 200 cells per microliter. Based on a study of persons receiving treatment for HIV infection, this new definition would lead to an estimated 50% increase...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.11.1531
更新日期:1992-11-01 00:00:00
abstract::A two-year study of the microbiological quality of drinking water in 27 randomly selected North Carolina migrant labor camps yielded total and fecal coliform prevalences of 44 percent and 26 percent, respectively in 1988 and similar but higher prevalences in 1989. Preoccupancy testing by county sanitarians had found v...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.762
更新日期:1991-06-01 00:00:00
abstract:OBJECTIVES:We examined whether the distinctive components of job control-decision authority, skill discretion, and predictability-were related to subsequent acute myocardial infarction (MI) events in a large population of initially heart disease-free industrial employees. METHODS:We prospectively examined the relation...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.122382
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVES:This study examined how immunization-related beliefs, attitudes, and perceived control mediate up-to-date immunization among various sociodemographic groups. METHODS:Statewide estimates of immunization rates among children up to the age of 2 years were obtained via a multistage cluster sample. In-person int...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.12.1821
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVES:The relationships between television beer advertising and drinking knowledge, beliefs, and intentions were investigated in a survey of schoolchildren. The research was guided by a theoretical model specifying that awareness of advertising, and not mere exposure, is necessary for it to have an effect on belie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.2.254
更新日期:1994-02-01 00:00:00
abstract::Pandemic Influenza: Special Considerations for Pregnant Women was a meeting convened by the Centers for Disease Control and Prevention in 2008 to obtain input from experts and key partners regarding clinical management of pregnant women and related public health actions to be taken during a pandemic. Meeting goals wer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.152900
更新日期:2009-10-01 00:00:00
abstract::Subsidized rural clinics and providers have long depended on the rural hospital for the care of some of their patients; the hospital has also been a source of revenue for these providers and programs. We studied a representative national sample of 116 subsidized rural clinics, focusing on the impact on rural clinic co...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.7.749
更新日期:1985-07-01 00:00:00
abstract:OBJECTIVES:We investigated the health profile of lesbian, gay, and bisexual (LGB) adults in North Carolina, the first state in the South to include a measure of sexual orientation identity in a probability-based statewide health survey. METHODS:Using data from 9876 respondents in the 2011 North Carolina Behavioral Ris...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301751
更新日期:2014-06-01 00:00:00
abstract::We describe a community-based pilot study to boost HIV testing in a minority community through social network recruitment and a noninvasive HIV testing methodology. Over an 11-month period, the number of test takers at the intervention site increased by 71.7%, and the proportions of test takers with risk factors simil...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.1.29
更新日期:2004-01-01 00:00:00
abstract::Objectives. To evaluate the effect of the voluntary safety standard for liquid laundry packets on the rate of injury involving children younger than 5 years in the United States.Methods. Semiannual national estimates of child injuries involving liquid laundry packets treated in US hospital emergency departments were d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305650
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVES:We estimated human papillomavirus (HPV) vaccine series completion and examined predictors of completion among adolescents and young adults in a large family planning network. METHODS:Our retrospective cohort study of vaccine completion within 12 months and time to completion used electronic health record da...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302834
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVES:We estimated the effects of high incarceration rates on rates of sexually transmitted infections and teenage pregnancies. METHODS:We calculated correlations between rates of incarceration in state prisons and county jails and rates of sexually transmitted infections and teenage pregnancies for each of the 1...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.081760
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVES:In this study we examined the relationship between indicators of socioeconomic status (SES) and mortality for a representative sample of individuals. METHODS:The sample included 3734 individuals aged 45 and older interviewed in 1984 in the Panel Study of Income Dynamics. In the current study, mortality was ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.7.1151
更新日期:2002-07-01 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::We reviewed Florida pediatric gonococcal (GC) infection surveillance data collected between 1984 and 1988. The incidence rate was 11 per 100,000 per year for the age group 1 month through 9 years. Incidence rates were higher for females, other-than-Whites, and residents of rural counties than for males, Whites, and re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.426
更新日期:1992-03-01 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::Public awareness of the risks of drinking during pregnancy was assessed in a Northwestern metropolitan county. Ninety per cent of respondents stated spontaneously that drinking might be harmful, and one-fourth of this group felt pregnant women should customarily abstain from alcohol. The balance of those who considere...
journal_title:American journal of public health
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更新日期:1981-03-01 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
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.12.1630
更新日期:1991-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.12.1374
更新日期:1984-12-01 00:00:00
abstract::Historically, the importance of public health has often been recognized during or as a result of major tragedy. The attacks that occurred in the United States in 2001 are no exception. These events have raised awareness of our vulnerability and the need for emergency preparedness, the need for a flexible and sustainab...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.8.1226
更新日期:2003-08-01 00:00:00
abstract::In 1974 and 1975, a selective tuberculosis screening program was conducted in a small mining community in Ottawa County, Oklahoma. Former miners, 50 years of age and over, who had abnormal chest radiographs consistent with silicosis or inactive tuberculosis and positive tuberculin skin tests, were offered isoniazid pr...
journal_title:American journal of public health
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doi:10.2105/ajph.72.12.1404
更新日期:1982-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,评审
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更新日期:2012-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.076232
更新日期:2006-11-01 00:00:00
abstract:OBJECTIVES:We examined the relationship between 4 low-risk behaviors-never smoked, healthy diet, adequate physical activity, and moderate alcohol consumption-and mortality in a representative sample of people in the United States. METHODS:We used data from 16958 participants aged 17 years and older in the National Hea...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300167
更新日期:2011-10-01 00:00:00
abstract::We review the current status as well as the risks and benefits of a recently developed DNA test of risk for Alzheimer's disease: the apolipoprotein E genotype. While apolipoprotein E genotypes may indicate a degree of susceptibility, the gene is neither necessary nor sufficient to cause the disease; thus, many questio...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.85.9.1280
更新日期:1995-09-01 00:00:00
abstract::Sexual and reproductive health remains the contentious concept it was at the 1994 United Nations International Conference on Population and Development (ICPD), held in Cairo, Egypt. In light of the recent 15-year review of ICPD, we suggest several areas where advocates, practitioners, and researchers can inform future...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.177873
更新日期:2010-03-01 00:00:00