Abstract:
:This analysis compares the rates of spontaneous abortion among women living in the vicinity of a lead smelter with those of women living in a town where blood lead levels were low. Data derive from the obstetric histories of both groups of women obtained while seeking prenatal care for a later pregnancy. A total of 639 women (304 exposed, 335 unexposed) had at least one previous pregnancy and lived at the same address since their first pregnancy. The geometric mean blood lead concentrations in the sample at the time of the interviews were 0.77 mumol/L in the exposed town and 0.25 mumol/L in the unexposed town. The rates of spontaneous abortions in first pregnancies were similar, with 16.4 percent of women in the exposed town and 14.0 percent in the unexposed town reporting loss. The adjusted odds ratio relating town of residence to spontaneous abortion was 1.1 (95% CI = 0.9, 1.4). This analysis represents the first systematic attempt to seek an association between environmental lead exposure and spontaneous abortion. As such, the failure to find a positive association strongly suggests that at the levels of exposure represented in our sample, such an association does not exist.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Murphy MJ,Graziano JH,Popovac D,Kline JK,Mehmeti A,Factor-Litvak P,Ahmedi G,Shrout P,Rajovic B,Nenezic DUdoi
10.2105/ajph.80.1.33subject
Has Abstract,Author List Incompletepub_date
1990-01-01 00:00:00pages
33-5issue
1eissn
0090-0036issn
1541-0048journal_volume
80pub_type
杂志文章abstract:OBJECTIVES:We sought to determine the extent to which early life conditions and adverse life events impact chewing ability in middle and later adulthood. METHODS:Secondary analyses were conducted based on data from waves 2 and 3 of the Survey of Health, Ageing, and Retirement in Europe (SHARE), collected in the years ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301918
更新日期:2014-05-01 00:00:00
abstract::Although the history of childhood lead poisoning started a century ago in the United States, the first French cases were identified in 1985. Instead of merely adopting knowledge accumulated for decades, the public health professionals and activists involved had to reestablish, against incredulity from medical authorit...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.94.11.1854
更新日期:2004-11-01 00:00:00
abstract::A case-control study, using data abstracted between 1983 and 1987 from a large perinatal registry, was conducted to explore the relationship between smoking and ectopic pregnancy. Women with ectopic pregnancy (n = 634) seen at University of Illinois Perinatal Network Hospitals were compared to women who were delivered...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.9.1239
更新日期:1989-09-01 00:00:00
abstract:OBJECTIVES:We examined whether Supplemental Nutrition Assistance Program (SNAP) participation changes associations between food insecurity, dietary quality, and weight among US adults. METHODS:We analyzed adult dietary intake data (n = 8333) from the 2003 to 2010 National Health and Nutrition Examination Survey. Bivar...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302580
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVES:To describe changes in infant mortality rates, including birthweight-specific rates and rates by age at death and cause. METHODS:We analyzed US linked birth/infant-death data for 1989-1991 and 1998-2000 for American Indians/Alaska Native (AIAN) and White singleton infants at > or =20 weeks' gestation born t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.053744
更新日期:2006-12-01 00:00:00
abstract::Despite the dissemination of principles of medical ethics in prisons, formulated and advocated by numerous international organizations, health care professionals in prisons all over the world continue to infringe these principles because of perceived or real dual loyalty to patients and prison authorities. Health car...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300374
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVES:We conducted case studies of 10 agencies that participated in early quality improvement efforts. METHODS:The agencies participated in a project conducted by the National Association of County and City Health Officials (2007-2008). Case study participants included health directors and quality improvement tea...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301413
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:We sought to determine whether US physicians' practice patterns in treating tobacco use at ambulatory visits improved over the past decade with the appearance of national clinical practice guidelines, new smoking cessation medications, and public reporting of physician performance in counseling smokers. MET...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2006.092577
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND:Brazil is the world's fifth largest and sixth most populous nation. Its economy is varied, with strong manufacturing, agriculture, mining, and service sectors. Therefore, a wide variety of workplace hazards confronts its work force. This paper describes Brazil's occupational safety and health regulatory sche...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.12.1619
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVES:To identify determinants of receipt of annual oral health examinations and self-rated oral health among diverse Asian American subgroups. METHODS:We used data from the Community Health Resources and Needs Assessment, a community-based survey of Asian American immigrant adults conducted in the New York City ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303661
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVES:This study assessed the prevalence and correlates of tobacco use among high school students in Buenos Aires, Argentina. METHODS:Anonymous, self-administered questionnaires were given to 3909 8th and 11th graders in a stratified random sample of 49 public and private schools. The instrument included items fr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.2.219
更新日期:2001-02-01 00:00:00
abstract::As incorporated in Healthy People 2010 objectives, data and information systems and a skilled workforce are 2 of the critical components of the public health infrastructure. The National Library of Medicine (NLM) and the National Network of Libraries of Medicine (NN/LM) are important resources for improving Internet a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.11.1633
更新日期:1999-11-01 00:00:00
abstract::Seven cases of subacute central and peripheral neurologic dysfunction developed in 18 workers employed in the manufacture of reinforced plastic bathtubs. Cases were characterized by weight loss, dizziness, paresthesias, muscle weakness, incontinence, memory loss, and loss of peripheral, color, and night vision. Neurop...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.5.513
更新日期:1985-05-01 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::Public health often deals with inconvenient truths. These are best communicated and acted on when public health agencies are independent of the organizations or individuals for whom the truths are inconvenient. The importance of public health independence is exemplified by the lack of involvement of the Pennsylvania D...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301755
更新日期:2014-02-01 00:00:00
abstract::Roots of the epidemic of alcohol-related problems among many Native North Americans are sought in cultural responses to European arrival, the role of alcohol in frontier society, and colonial and postcolonial policies. Evidence from the historical record is considered within the framework of current social science. In...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.90.3.344
更新日期:2000-03-01 00:00:00
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
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVES:This study explored whether ethnic differences in the impact of advanced maternal age on the risk of Down syndrome might reflect differences in use of prenatal diagnostic technologies. METHODS:Maternal age-specific odds of Down syndrome and amniocentesis use were compared among African Americans, Mexican Am...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.11.1778
更新日期:2000-11-01 00:00:00
abstract::To determine whether differences exist in the performance of United States Medical Graduate (USMG) and Foreign Medical Graduate (FMG) House Staff physicians, inpatient hospital audits evaluating individual physician performance on patient histories and physical examinations were conducted in 14 Maryland and Pennsylvan...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.1.23
更新日期:1980-01-01 00:00:00
abstract::[This corrects the article DOI: 10.2105/AJPH.2018.304412.]. ...
journal_title:American journal of public health
pub_type: 已发布勘误
doi:10.2105/AJPH.2018.304412e
更新日期:2018-09-01 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:OBJECTIVES:We investigated the relationship between breastfeeding, asthma and atopy, and child body mass index (BMI). METHODS:From a prospective birth cohort (n = 2860) in Perth, Western Australia, 2195 children were followed up to age 6 years. Asthma was defined as doctor-diagnosed asthma and wheeze in the last year,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.9.1531
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVES:To examine how disparities in adult disability by educational attainment vary across US states. METHODS:We used the nationally representative data of more than 6 million adults aged 45 to 89 years in the 2010-2014 American Community Survey. We defined disability as difficulty with activities of daily living...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303768
更新日期:2017-07-01 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::We evaluated a community-based 12-week healthy lifestyle program in Moloka'i, HI, called Ke 'Ano Ola, which was developed to decrease chronic disease risk through health education emphasizing weight loss, exercise, and risk factor reduction. Program leaders' strong commitment and positive role modeling, along with soc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.176222
更新日期:2010-05-01 00:00:00
abstract::In 2010, the Brooklyn Active Transportation Community Planning Initiative launched in 2 New York City neighborhoods. Over a 2-year planning period, residents participated in surveys, school and community forums, neighborhood street assessments, and activation events-activities that highlighted the need for safer stree...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.303024
更新日期:2016-04-01 00:00:00
abstract::The effects of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on breast-feeding behavior have been sometimes found inadequate. The determinants of breast-feeding initiation and duration among WIC participants and nonparticipants were modeled by using retrospective cross-sectional dat...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.5.729
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVES:We examined HIV-infected parents' conversations about HIV prevention with their uninfected children, including what facilitated or hindered communication. METHODS:Parents with HIV/AIDS (n = 90) who had children aged 10 to 18 years were recruited for a mixed method study from 2009 to 2010. Interviews assesse...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301111
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVES:We assessed whether living in counties with Title X clinics and increased use of long-acting reversible contraception (LARC) in Colorado are associated with decreased risk of adverse birth outcomes. METHODS:We linked Title X clinic counties to the Colorado birth data set by using the mother's county of resi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302711
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:We examined individual, friend or family, and community or tribe correlates of suicidality in a representative on-reserve sample of First Nations adolescents. METHODS:Data came from the 2002-2003 Manitoba First Nations Regional Longitudinal Health Survey of Youth. Interviews were conducted with adolescents ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300385
更新日期:2012-07-01 00:00:00