Abstract:
OBJECTIVES:We evaluated the association of household-level stressors with depressive symptoms among low-wage nursing home employees. METHODS:Data were collected in 2006 and 2007 from 452 multiethnic primary and nonprimary wage earners in 4 facilities in Massachusetts. We used logistic regression to estimate the association of depressive symptoms with household financial strain, food insufficiency, and work-family spillover (preoccupation with work-related concerns while at home and vice versa). RESULTS:Depressive symptoms were significantly associated with household financial strain (odds ratio [OR] = 1.82; 95% confidence interval [CI] = 1.03, 3.21) and food insufficiency (OR = 2.10; 95% CI = 1.10, 4.18). Among primary earners, stratified analyses showed that food insufficiency was associated with depressive symptoms (OR = 3.60; 95% CI = 1.42, 9.11) but financial strain was not. Among nonprimary wage earners, depressive symptoms correlated with financial strain (OR = 3.65; 95% CI = 1.48, 9.01) and work-family spillover (OR = 3.22; 95% CI = 1.11, 9.35). CONCLUSIONS:Household financial strain, food insufficiency, and work-family spillover are pervasive problems for working populations, but associations vary by primary wage earner status. The prevalence of food insufficiency among full-time employees was striking and might have a detrimental influence on depressive symptoms and the health of working-class families.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Okechukwu CA,El Ayadi AM,Tamers SL,Sabbath EL,Berkman Ldoi
10.2105/AJPH.2011.300323subject
Has Abstractpub_date
2012-01-01 00:00:00pages
126-33issue
1eissn
0090-0036issn
1541-0048pii
AJPH.2011.300323journal_volume
102pub_type
杂志文章abstract:OBJECTIVES:This study examined the relationships between wealth and income and selected racial and ethnic differences in health. METHODS:Cross-sectional data on a national sample of 9744 men and women aged 51 through 61 from the 1992 Health and Retirement Survey were analyzed to examine the association between socioec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.5.805
更新日期:1997-05-01 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:OBJECTIVES:We compared prevalence rates and correlates of substance use among high school students in South Africa and the United States. METHODS:We used weighted data from 2 nationally representative surveys of high school students. We conducted bivariate and multivariate analyses and examined between-country differe...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2006.086330
更新日期:2007-10-01 00:00:00
abstract::The average number of visits to a physician made by a sample of 351 residents of homes insulated with urea formaldehyde foam insulation in Montreal in the one year period before exposure was 5.25, and in the year following 5.62, an increase of 7 per cent (odds ratio 1.07, 95% CI = 1.00, 1.15). The increase in visits i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.11.1489
更新日期:1988-11-01 00:00:00
abstract:OBJECTIVES:We analyzed outcomes from a study that examined social-contextual factors in cancer prevention interventions for working class, multiethnic populations. METHODS:Ten community health centers were randomized to intervention or to control. Patients who resided in low-income, multiethnic neighborhoods were elig...
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.2004.038695
更新日期:2005-07-01 00:00:00
abstract::A nine-year representative, longitudinal study of 1,598 urban elderly shows that two to eight times as many impaired or disabled are cared for in the community as in institutions. Younger age, male gender, better income, and living with others, especially children, favor continuing care in the home. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.9.1207
更新日期:1991-09-01 00:00:00
abstract:OBJECTIVES:We compared childbirth-related outcomes for Medicaid recipients who received prenatal education and childbirth support from trained doulas with outcomes from a national sample of similar women and estimated potential cost savings. METHODS:We calculated descriptive statistics for Medicaid-funded births natio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301201
更新日期:2013-04-01 00:00:00
abstract::Many assertions have been made about the competence of juries in dealing with expert evidence. I review the types of expert evidence that jurors hear and the impact of adversary legal procedure on the form and manner in which evidence is presented. Empirical research indicates that jurors understand the adversary proc...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2004.044677
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVES:To examine trends and socioeconomic disparities for preventable dental-related emergency department (ED) visits in Nevada. METHODS:We pooled retrospective data containing 66 267 ED visits involving dental conditions from Nevada hospital ED databases from 2009 to 2015. The dependent variable was nontraumatic...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304242
更新日期:2018-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300262
更新日期:2012-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302130
更新日期:2014-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.306034
更新日期:2021-01-21 00:00:00
abstract:OBJECTIVES:Data from the Tecumseh Community Health Study were used to estimate excess morbidity owing to influenza, and results were compared with estimates made previously using different methodology for an Institute of Medicine report. METHODS:Study participants from Tecumseh, Michigan, were classified as infected o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.12.1712
更新日期:1993-12-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to identify circumstances in which biochemical assessments of smoking produce systematically higher or lower estimates of smoking than self-reports. A secondary aim was to evaluate different statistical approaches to analyzing variation in validity estimates. METHODS:Literature...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/ajph.84.7.1086
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVES:We examined interconnections among runaway and homeless youths (RHYs) and how aggregated network structure position was associated with HIV risk in this population. METHODS:We collected individual and social network data from 136 RHYs. On the basis of these data, we generated a sociomatrix, accomplished net...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300295
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:This study examined the relationship between atrial fibrillation and (1) stroke and (2) all-cause mortality. METHODS:All eligible Medicare patients older than 65 years of age hospitalized in 1985 were followed up for 4 years. Kaplan-Meier and Cox proportional hazards models were used for assessment of risk ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.3.395
更新日期:1998-03-01 00:00:00
abstract::The prevalence of antibody to LAV/HTLV-III among homosexual men attending a community clinic and a sexually transmitted disease clinic in Seattle, Washington in early 1985 was 42 per cent and 32 per cent, respectively. Seropositivity was apparently not related to age or number of sexual partners. The high prevalence o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.5.564
更新日期:1986-05-01 00:00:00
abstract::We examined initiation patterns among different birth cohorts of people who used prescription opioids and heroin because of historical differences in drug use availability. We examined data from a community-based study of persons who inject drugs (n = 483) in California and a general population survey from the Nationa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302972
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVES:We examined the effect of New York's HIV Reporting and Partner Notification law on HIV testing levels and on the HIV testing decisions of high-risk individuals. METHODS:In-person interviews were administered to 761 high-risk individuals to assess their knowledge, attitudes, and behaviors regarding HIV testi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.092742
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVES:To estimate national need for family planning services among men in the United States according to background characteristics, access to care, receipt of services, and contraception use. METHODS:We used weighted data from the 2006-2010 National Survey of Family Growth to estimate the percentage of men aged ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.303037
更新日期:2016-04-01 00:00:00
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pub_type: 历史文章,杂志文章
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更新日期:2006-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.054494
更新日期:2005-11-01 00:00:00
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journal_title:American journal of public health
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doi:10.2105/ajph.74.4.336
更新日期:1984-04-01 00:00:00
abstract::The completion of essential components of patient encounters by lay paramedics in a feminist clinic was compared to that of nurse practitioners in a student health gynecology clinic using explicit criteria for the gynecological annual examination and the examination for vulvo-vaginitis. According to evidence charted i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.8.853
更新日期:1981-08-01 00:00:00
abstract::Data derived through log recordings of 89 nurse practitioners (NPs) in adult/family practice on 7,086 prescriptions issued during 890 clinical days were analyzed to describe prescribing practices of NPs who held prescriptive authority from the licensing regulatory boards of five western states. Results showed drug uti...
journal_title:American journal of public health
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更新日期:1985-03-01 00:00:00
abstract:OBJECTIVES:This study examined the effect of an active program of household lead paint hazard abatement, applied over 22 years, on childhood lead poisoning in Massachusetts. METHODS:A small areas analysis was used to compare screening blood lead levels of children in Worcester County, Mass (n = 27,590), with those in ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.11.1690
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVES:This study describes the costs and outcomes of community-based tuberculin screening programs conducted between 1987 and 1991 in Montreal, Quebec, Canada. METHODS:Follow-up information was abstracted from hospital records of all reactors detected in tuberculin screening of students in grades 6 and 10, of fir...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.6.786
更新日期:1995-06-01 00:00:00
abstract::A cohort study was done to determine the direct impact of hip fracture on mortality in older people. Survival was compared between 211 hip fracture patients from a defined area and 201 non-hip fracture control subjects randomly selected from the same area. The mortality rate 1 year after hip fracture was 21.7%; 1-year...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.4.557
更新日期:1996-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300622
更新日期:2012-06-01 00:00:00
abstract::State-level income inequality has been found to have an effect on individual health outcomes, even when controlled for important individual-level variables such as income, education, age, and gender. The effect of income inequality on health may not be immediate and may, in fact, have a substantial lag time between ex...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.134940
更新日期:2008-12-01 00:00:00