Abstract:
OBJECTIVES:We examined the associations of local public health system organization and local health department resources with county-level sexually transmitted disease (STD) incidence rates in large US health jurisdictions. METHODS:We linked annual county STD incidence data (2005-2008) to local health department director responses (n = 211) to the 2006 wave of the National Longitudinal Study of Local Public Health Systems, the 2005 national Local Health Department Profile Survey, and the Area Resource File. We used nested mixed effects regression models to assess the relative contribution of local public health system organization, local health department financial and resource factors, and sociodemographic factors known to be associated with STD incidence to county-level (n = 307) STD incidence. RESULTS:Jurisdictions with local governing boards had significantly lower county-level STD incidence. Local public health systems with comprehensive services where local health departments shoulder much of the effort had higher county-level STD rates than did conventional systems. CONCLUSIONS:More integration of system partners in local public health system activities, through governance and interorganizational arrangements, may reduce the incidence and burden of STDs.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Rodriguez HP,Chen J,Owusu-Edusei K,Suh A,Bekemeier Bdoi
10.2105/AJPH.2011.300497subject
Has Abstractpub_date
2012-09-01 00:00:00pages
1773-81issue
9eissn
0090-0036issn
1541-0048journal_volume
102pub_type
杂志文章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
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journal_title:American journal of public health
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journal_title:American journal of public health
pub_type: 杂志文章
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journal_title:American journal of public health
pub_type: 杂志文章
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journal_title:American journal of public health
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journal_title:American journal of public health
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更新日期:2011-11-01 00:00:00
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journal_title:American journal of public health
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更新日期:2017-08-01 00:00:00
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更新日期:2003-10-01 00:00:00
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更新日期:2010-08-01 00:00:00
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更新日期:2009-12-01 00:00:00
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更新日期:1986-09-01 00:00:00
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更新日期:1997-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:1981-04-01 00:00:00
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更新日期:2012-05-01 00:00:00