Abstract:
OBJECTIVES:We sought to determine how part-year and full-year gaps in health insurance coverage affected working-aged persons with chronic health care needs. METHODS:We conducted multivariate analyses of the 2002-2004 Medical Expenditure Panel Survey to compare access, utilization, and out-of-pocket spending burden among key groups of persons with chronic conditions and disabilities. The results are generalizable to the US community-dwelling population aged 18 to 64 years. RESULTS:Among 92 million adults with chronic conditions, 21% experienced at least 1 month uninsured during the average year (2002-2004). Among the 25 million persons reporting both chronic conditions and disabilities, 23% were uninsured during the average year. These gaps in coverage were associated with significantly higher levels of access problems, lower rates of ambulatory visits and prescription drug use, and higher levels of out-of-pocket spending. CONCLUSIONS:Implementation of health care reform must focus not only on the prevention of chronic conditions and the expansion of insurance coverage but also on the long-term stability of the coverage to be offered.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Gulley SP,Rasch EK,Chan Ldoi
10.2105/AJPH.2010.191569subject
Has Abstractpub_date
2011-02-01 00:00:00pages
368-75issue
2eissn
0090-0036issn
1541-0048pii
AJPH.2010.191569journal_volume
101pub_type
杂志文章abstract::We conducted a phone survey of 1,669 San Francisco Hispanics ages 15 to 64 years. The age-adjusted overall smoking prevalence was 25.4 per cent (95% CI = 23.3, 27.5) with more men (32.4 per cent) smoking than women (16.8 per cent). Age-adjusted smoking rates were higher among the less acculturated males (37.5 vs 26.7 ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.2.196
更新日期:1989-02-01 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::This study was designed to assess the effects of the North Carolina Improved Pregnancy Outcome (IPO) Project on use of prenatal care and incidence of low birthweight among its primarily Black registrants . Weighted least squares and stratified analysis procedures were used to scrutinize vital statistics data for subpo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.6.549
更新日期:1984-06-01 00:00:00
abstract::Secular changes in height and weight measurements were examined in five- to 14-year-olds from 1973 to 1984. The age-sex specific 85th percentile was used to classify persons as overweight (based on ponderal index; kg/m3). Secular increases in weight (2.5 kg), and ponderosity (0.5-0.7 kg/m3) were found. Gains in ponder...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.1.75
更新日期:1988-01-01 00:00:00
abstract::In a matched case-control study of an occupational cohort in East Tennessee, data from the death certificates of 608 cases and controls were abstracted and analyzed in order to investigate possible risk factors associated with the certification on the death certificate of an ill-defined cause of death. There was a ver...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.455
更新日期:1992-03-01 00:00:00
abstract::Marked diversity in policies and practices for discontinuation of the PKU diet in the U.S. was found in a nationwide survey. Seventy-two of the 78 identified clinical centers treating PKU provided data. No clinicians are currently considering diet discontinuation at ages earlier than their present policy or practice. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.5.498
更新日期:1980-05-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to identify behaviors associated with change in body mass index or with weight gain at the waist. METHODS:A cohort of 79236 White, non-Hispanic, healthy adults was questioned in 1982 and 1992 about diet and 10 physical activities. Estimates were made of the mean effects of stab...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.5.747
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVE:This study was undertaken to assess the completeness of vital statistics and case reports of acquired immunodeficiency syndrome (AIDS) in measuring human immunodeficiency virus (HIV)-related mortality in women 15 through 44 years of age. METHODS:We used vital records to determine the number of deaths attribu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.11.1500
更新日期:1992-11-01 00:00:00
abstract::To estimate the seroprevalence and investigate risk behaviors for HIV (human immunodeficiency virus) infection in intravenous drug users in Los Angeles County, a stratified, random sample of 790 clients, enrolled in either methadone maintenance or detoxification programs, were studied. Thirteen study participants (1.8...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.1.81
更新日期:1989-01-01 00:00:00
abstract::In December 2008, the National Institutes of Health (NIH) sponsored the first NIH Summit showcasing its investment and contribution to health disparities research and unveiling a framework for moving this important field forward. The Summit, titled "The Science of Eliminating Health Disparities," drew on extensive exp...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.191619
更新日期:2010-04-01 00:00:00
abstract::This paper uses monthly time-series data from 1968 through 1988 to test whether the observed increase in the incidence of low birthweight in New York City represents a reversal of the downward trend that existed prior to 1984. We find that the trend has shifted for both Whites and Blacks. We estimate that between July...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.682
更新日期:1990-06-01 00:00:00
abstract:OBJECTIVES:We sought to describe the extent and nature of contact with the health care system before suicide among veterans with substance use disorders (SUDs). METHODS:We examined all male Veterans Health Administration patients who died by suicide between October 1, 1999, and September 30, 2007, and who had a docume...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300392
更新日期:2012-03-01 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 investigated how persons from key populations at higher risk of HIV exposure interpreted the process and outcomes of the Step Study HIV-1 vaccine trial, which was terminated early, and implications for willingness to participate in and community support for HIV vaccine research. METHODS:We used qualitati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300208
更新日期:2011-09-01 00:00:00
abstract::This paper examines artificial reproduction (AR) within a broad comparative perspective and with specific reference to Czechoslovak law, medicine, and demography. It proceeds form an analysis of the social context that gives rise to technologies of AR to a review of the two principal technologies, artificial inseminat...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.79.1.57
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVES:This study assessed the exposure of adolescent girls to cigar images in women's magazines from 1992 to 1998. METHODS:Data were obtained from the 5 women's magazines with the highest readership of adolescent girls. RESULTS:We found a significant upward trend in cigar images portrayed in women's magazines an...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.2.286
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVES:This study compared success in smoking cessation by sex, ethnic status, and birth cohort. METHODS:African and European American respondents to the 1996 Current Population Survey (tobacco supplement) and the 1987 National Health Interview Survey (cancer control and cancer epidemiology supplements) constitute...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.6.961
更新日期:2002-06-01 00:00:00
abstract::A deeper understanding of how structure and environment shape the sexual and reproductive health vulnerabilities of youths across a range of outcomes has implications for the development of successful policies and programs. We have discussed some of the key structural and environmental factors that influence the sexua...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2015.302740
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVES:We sought to determine the prevalence of and risk factors associated with Mycoplasma genitalium infection in a nationally representative sample of young adults in the United States. METHODS:Urine specimens from 1714 women and 1218 men who participated in Wave III of the National Longitudinal Study of Adoles...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.074062
更新日期:2007-06-01 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:This field study tested the feasibility and benefits of a program to promote 6 targeted parental behaviors to prevent obesity in children served by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). METHODS:Two WIC sites participated in a nonrandomized, controlled 1-year pros...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章
doi:10.2105/ajph.94.9.1490
更新日期:2004-09-01 00:00:00
abstract::The degree to which national expert panel survey ratings of the appropriateness of hysterectomy differed from those of a random sample of practicing community gynecologists was determined. Community gynecologists rated hysterectomy as more appropriate on six of eight cervical dysplasia scenarios. Experts agreed among ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.8_pt_1.1125
更新日期:1995-08-01 00:00:00
abstract::Postabortion care providers who breach patient confidentiality endanger women's health and violate ethics. A 1998 abortion ban in El Salvador likely spurred an increase in the number of women investigated, because many women were reported to legal authorities by health care providers. Having analyzed safeguards of con...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.071720
更新日期:2006-11-01 00:00:00
abstract::The Environmental Protection Agency measures the success or failure of Superfund site remediation efforts against remedial action objectives (RAOs). RAOs are frequently based on environmental contaminant concentrations, but with lead exposure, blood lead levels from the population at risk are often used. Although chil...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300226
更新日期:2011-12-01 00:00:00
abstract::The medical outcomes and demographic characteristics of all victims of fires identified by The Baltimore Fire Department during a 14-month period in Baltimore City were studied. Fifty-nine per cent of victims suffered minor injuries, 25 per cent required hospitalization and 16 per cent were fatalities. The majority of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.11.1077
更新日期:1977-11-01 00:00:00
abstract:BACKGROUND:Recent recommendations for Americans aged 2 and older call for a reduction in the average saturated fat intake to less than 10% of calories. METHODS:Using 24-hour dietary recalls collected from mothers of 4- to 7-year-old urban Latino children, we identified foods and dietary behavior patterns that distingu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.6.810
更新日期:1992-06-01 00:00:00
abstract::We prospectively identified 102 mechanically restrained hospital patients and determined their hospital course. The cohort was elderly, cognitively impaired with multiple chronic diseases. The in-hospital mortality was 21 percent. Nosocomial infection developed in 12 percent and new pressure sores in 22 percent. Prolo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.6.735
更新日期:1989-06-01 00:00:00
abstract::Objectives. To determine the impact of city-level cannabis decriminalization and medical marijuana laws (MMLs) on fatal traffic crashes in US cities.Methods. Using a census of fatal traffic crashes from the 2010 to 2017 Fatality Analysis Reporting System, we examined MMLs and cannabis decriminalization on fatal crashe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305484
更新日期:2020-03-01 00:00:00
abstract::We performed a cross-sectional survey of high-socioeconomic status (SES) African American men and their health to examine the relationship between John Henryism (the strong behavioral predisposition to directly confront barriers to upward social mobility) and self-reported physical health status. We found a positive a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.5.737
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVE:We examined circumstances surrounding swimming pool drownings among US residents aged 5 to 24 years to understand why Black males and other racial/ethnic groups have high drowning rates. METHODS:We obtained data about drowning deaths in the United States (1995-1998) from death certificates, medical examiner ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.057067
更新日期:2006-04-01 00:00:00