Abstract:
OBJECTIVES:We estimated the number of deaths attributable to secondhand smoke (SHS), years of potential life lost (YPLL), and value of lost productivity for different US racial/ethnic groups in 2006. METHODS:We determined the number of SHS-related deaths among nonsmokers from 2 adult and 4 infant conditions using an epidemiological approach. We estimated adult SHS exposure using detectable serum cotinine. For each death, we determined the YPLL and the value of lost productivity. Results. SHS exposure resulted in more than 42 000 deaths: more than 41 000 adults and nearly 900 infants. Blacks accounted for 13% of all deaths but 24% to 36% of infant deaths. SHS-attributable deaths resulted in a loss of nearly 600 000 YPLL and $6.6 billion of lost productivity, or $158 000 per death. The value of lost productivity per death was highest among Blacks ($238 000) and Hispanics ($193 000). CONCLUSIONS:The economic toll of SHS exposure is substantial, with communities of color having the greatest losses. Interventions need to be designed to reduce the health and economic burden of smoking on smokers and nonsmokers alike and on particularly vulnerable groups.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Max W,Sung HY,Shi Ydoi
10.2105/AJPH.2012.300805subject
Has Abstractpub_date
2012-11-01 00:00:00pages
2173-80issue
11eissn
0090-0036issn
1541-0048journal_volume
102pub_type
杂志文章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:We obtained contextual information regarding documented barriers to HIV clinical trial participation among Black men who have sex with men (MSM), and explored current preventive HIV clinical trial attitudes, beliefs, and perceptions among Black MSM leaders in the United States. METHODS:We conducted 2 focus ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301653
更新日期:2014-04-01 00:00:00
abstract::This study examined trends in tobacco use in a random sample of 2 of the 20 top-grossing US films each year from 1960 through 1990 (62 films). The overall rate of tobacco use did not change. Films continue to portray smokers as successful, attractive White males. Smoking groups became larger, smoking alone declined, h...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.6.998
更新日期:1994-06-01 00:00:00
abstract::To avoid exploitation of host communities, many commentators argue that subjects must receive the best methods available worldwide. Others worry that this requirement may block important research intended to improve health care, especially in developing countries. To resolve this dilemma, we propose a framework for th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.6.923
更新日期:2004-06-01 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::Academic occupational health centers can support state-based occupational disease surveillance by playing a role in case identification and management, physician education, workplace investigation, and surveillance case criteria development. The existing centers can also serve as models for developing new clinics. As ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.suppl.58
更新日期:1989-12-01 00:00:00
abstract::We examined the roles of Doctors of Podiatric Medicine (DPMs) and orthopedic surgeons in the provision of foot surgery by analyzing the 1982 computerized claims of over 1.1 million federal employees, retirees, and family members. We found that DPMs provided over 60 per cent of all elective insured foot surgery. Withou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.8.987
更新日期:1987-08-01 00:00:00
abstract::The limiting effects of exemptions to the coverage of child restraint laws were estimated by determining the extent to which the laws would have applied to child motor vehicle occupants, ages 0-5 years, killed before the laws were passed (1976-80). The 50 state laws would have exempted about 39 per cent of child motor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.1.31
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND:Little population-based information is available on the use of chiropractic services. METHODS:We analyzed data from the RAND Health Insurance Experiment (HIE), a community-based study of the use of health services. Insurance claim forms for all fee-for-service patients who completed the study were examined ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.4.439
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the role of siblings in day care as a determinant of infants' risk of lower respiratory tract infections. METHODS:A total of 3238 children (86%) out of 3754 Oslo, Norway, newborns recruited in 1992/93 were followed for 1 year. RESULTS:In logistic regression analysis,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.10.1456
更新日期:1996-10-01 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:We explored whether excesses in influenza severity can be detected by combining respiratory syndromic hospital and mortality data with data on influenza-like illness (ILI) cases obtained from general practitioners. METHODS:To identify excesses in the severity of influenza infections in the population of the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.168245
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVES:We combined a metabolic and an epidemiological model of obesity to estimate changes in calorie intake and physical activity necessary to achieve the Healthy People 2020 objective of reducing adult obesity prevalence from 33.9% to 30.5%. METHODS:We used the National Health and Nutrition Examination Survey (1...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301674
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVES:We evaluated emergency department (ED)-based outreach for the State Children's Health Insurance Program (SCHIP). METHODS:We conducted a multicenter trial among uninsured children (< or = 18 years) who presented to 5 EDs in 2001 and 2002. On-site staff enrolled consecutive subjects for a control period follo...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2003.037242
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVES:This study sought to estimate rates of cervical cancer and Papanicolaou testing among Aboriginal and non-Aboriginal women in Manitoba, Canada. METHODS:Data were derived through linking of administrative databases. RESULTS:In comparison with non-Aboriginal women, Aboriginal women had 1.8 and 3.6 times the a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.9.1466
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVES:We analyzed the impact of Connecticut legislation incentivizing voluntary school district-level elimination of unhealthy competitive foods on National School Lunch Program (NSLP) participation. METHODS:We analyzed data on free, reduced, and paid participation in the NSLP from 904 schools within 154 Connecti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301331
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVES:A randomized controlled trial evaluated the impact of feedback and financial incentives on physician compliance with cancer screening guidelines for women 50 years of age and older in a Medicaid health maintenance organization (HMO). METHODS:Half of 52 primary care sites received the intervention, which inc...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.2105/ajph.88.11.1699
更新日期:1998-11-01 00:00:00
abstract::Comments on a paper of physicians' attitudes toward abortion are presented. The reasons for approval of abortion which show about 80% citing medical or psychiatric and only 60% citing social reasons or a woman's right to do with her body what she wants support the belief in the sexist attitudes of physicians. Disbel...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.9.905-a
更新日期:1976-09-01 00:00:00
abstract::We conducted in-depth interviews in May to July 2012 to evaluate the effect of Alabama's 2011 omnibus immigration law on Latina immigrants and their US- and foreign-born children's access to and use of health services. The predominant effect of the law on access was a reduction in service availability. Affordability a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301560
更新日期:2014-03-01 00:00:00
abstract::Data from the southwestern United States sample of the Hispanic Health and Nutrition Examination Survey were employed to compare the patterns of alcohol use among Mexican American mothers and children in female-headed households with use patterns among mothers and children in couple-headed households. Single female he...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.suppl.36
更新日期:1990-12-01 00:00:00
abstract::We investigated links between police brutality and poor health outcomes among Blacks and identified five intersecting pathways: (1) fatal injuries that increase population-specific mortality rates; (2) adverse physiological responses that increase morbidity; (3) racist public reactions that cause stress; (4) arrests, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303691
更新日期:2017-05-01 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::The HIV/AIDS epidemic has exacted a devastating toll upon Black men who have sex with men (MSM) in the United States, and there is a tremendous need to escalate HIV-prevention efforts for this population. The social context in which Black MSM experience the impact of racism and heterosexism strongly affects their risk...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.143214
更新日期:2009-06-01 00:00:00
abstract::Several Latin American countries are implementing a suite of so-called "postneoliberal" social and political economic policies to counter neoliberal models that emerged in the 1980s. This article considers the influence of postneoliberalism on public health discourses, policies, institutions, and practices in Bolivia,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303470
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVES:We examined differences in quality of care among nursing homes in locales of varying degrees of rurality. METHODS:We classified locales into 4 classes according to rurality. We analyzed a 10% sample of nursing home admissions in the United States in 2000 (n=198613) to estimate survival models for 9 quality ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.10.1717
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVES:We sought to describe approaches to surveillance of fatal child maltreatment and to identify options for improving case ascertainment. METHODS:Three states--California, Michigan, and Rhode Island--used multiple data sources for surveillance. Potential cases were identified, operational definitions were appl...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087783
更新日期:2008-02-01 00:00:00
abstract::State government, university, and local health department (LHD) partners collaborated to build the geographic information system (GIS) capacity of 5 LHDs in North Carolina. Project elements included procuring hardware and software, conducting individualized and group training, developing data layers, guiding the proje...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.048785
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of a community coalition to prevent severe injuries to children in Central Harlem, New York, NY. It was hypothesized that injury incidence rates would decline during the intervention (1989 through 1991) relative to preintervention years (1983 through 1988); that the dec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.4.580
更新日期:1994-04-01 00:00:00
abstract::A Monthly Health Review was developed to monitor symptoms, illnesses and injuries among Air Traffic Controllers. Return rate of the mailed check-list exceeded 90 per cent. Diagnoses were generated from symptom clusters by computer algorithms. Telephone interview by physicians, laboratory analyses for serum pepsinogen ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.1.82
更新日期:1980-01-01 00:00:00
abstract::Women of lower socioeconomic status and women of color in the United States have higher rates of abortion than women of higher socioeconomic status and White women. Opponents of abortion use these statistics to argue that abortion providers are exploiting women of color and low socioeconomic status, and thus, regulati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301339
更新日期:2013-10-01 00:00:00