Abstract:
OBJECTIVES:We evaluated the impact of school-based health centers-which provide essential health care for students by aiming to eliminate many access barriers-on health care access disparities and conducted a cost-benefit analysis. METHODS:We employed a longitudinal quasi-experimental repeated-measures design. Primary data sources included the Ohio Medicaid claims, enrollment file with race/ethnicity, and survey reports from parents. We used hierarchical linear modeling to control unbalanced data because of student attrition. We assessed quarterly total Medicaid reimbursement costs for 5056 students in the SBHC and non-SBHC groups from 1997 to 2003. We calculated net social benefit to compare the cost of the SBHC programs with the value that SBHCs might save or create. RESULTS:With SBHCs, the gap of lower health care cost for African Americans was closed. The net social benefits of the SBHC program in 4 school districts were estimated as $1,352,087 over 3 years. We estimated that the SBHCs could have saved Medicaid about $35 per student per year. CONCLUSIONS:SBHCs are cost beneficial to both the Medicaid system and society, and may close health care disparity gaps.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Guo JJ,Wade TJ,Pan W,Keller KNdoi
10.2105/AJPH.2009.185181subject
Has Abstractpub_date
2010-09-01 00:00:00pages
1617-23issue
9eissn
0090-0036issn
1541-0048pii
AJPH.2009.185181journal_volume
100pub_type
杂志文章abstract::Understanding mental health issues faced by young homeless persons is instrumental to the development of successful targeted interventions. No systematic review of recent published literature on psychopathology in this group has been completed. We conducted a systematic review of published research examining the preva...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2013.301318
更新日期:2013-06-01 00:00:00
abstract::The demands of equity and efficiency require a program of universal health insurance in the United States through which all workers will be provided by their employers with health insurance for themselves and their dependents, unemployment will no longer result in the loss of health insurance protection, and federal s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.5.583
更新日期:1988-05-01 00:00:00
abstract:OBJECTIVES:In spite of over 30 years of periodic nationwide surveys, we have thus far only the most rudimentary estimates of the determinants of the health of Asian Americans and Pacific Islanders. This paper explores ways to improve the capability of the National Center for Health Statistics (NCHS) to collect national...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.12.1645
更新日期:1992-12-01 00:00:00
abstract::The mission of public health--improving the health of populations--is difficult to advance in public discourse because a language to express the values animating that mission has not been adequately developed. Following on the work of Robert Bellah, Dan Beauchamp, and others, we argue that the first "language" of Amer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.043844
更新日期:2005-04-01 00:00:00
abstract::We administered the Center for Epidemiological Studies Depression (CES-D) Scale to 547 San Francisco Latinos as part of a random digit dialing telephone survey to evaluate smoking behavior. Both men and women current smokers had the highest mean CES-D levels (9.7 and 14.3, respectively). Logistic regression analysis a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.12.1500
更新日期:1990-12-01 00:00:00
abstract:OBJECTIVES:To evaluate the Public Health Emergency Preparedness (PHEP) program's progress toward meeting public health preparedness capability standards in state, local, and territorial health departments. METHODS:All 62 PHEP awardees completed the Centers for Disease Control and Prevention's self-administered PHEP Im...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2017.304038
更新日期:2017-09-01 00:00:00
abstract::In northern Uganda, physical and structural violence (political repression, economic inequality, and gender-based discrimination) increase vulnerability to HIV infection. In settings of war, traditional HIV prevention that solely promotes risk avoidance and risk reduction and assumes the existence of personal choice i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.072777
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to evaluate the short-term effects of a low-intensity work-site heart disease risk reduction program using a matched pair design with work site as the unit of analysis. METHODS:Twenty-six heterogeneous work sites with between 125 and 750 employees were matched on key organizati...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.85.2.209
更新日期:1995-02-01 00:00:00
abstract:OBJECTIVES:This study examined the effect of birth cohort on incidence rates of hip fracture among women and men in the Framingham Study. METHODS:Age-specific incidence rates of first hip fracture were presented according to tertile of year of birth for 5209 participants of the Framingham Study, a population-based coh...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.5.858
更新日期:2002-05-01 00:00:00
abstract::In 1978, 345 persons were killed in the United States in jumps and falls from non-crashing motor vehicles: 64 per cent fell; 15 per cent jumped; and it was not known whether the other 21 per cent jumped or fell. Two hundred and one people had been traveling on the exterior of vehicles, especially truck beds, and almos...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.3.275
更新日期:1981-03-01 00:00:00
abstract::Washington State hospitals were queried about the fate of 507 infants born in 1978-79 for whom no linked death certificate existed. Only ten previously unregistered deaths were discovered, raising mortality for this group by 2.5 per cent. In addition, 13 previously unmatched death records were linked to birth records,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.7.740
更新日期:1982-07-01 00:00:00
abstract::In the North Karelia Youth Program five to 10 classroom sessions over two years taught skills to resist pressures to start smoking to 13 to 15 year old students. Compared to students from comparison schools, the treatment groups reported less smoking immediately after the intervention and in a four-year follow-up surv...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.1.78
更新日期:1990-01-01 00:00:00
abstract::Data from the Hispanic Health and Nutrition Examination Survey were used to examine the influence of acculturation on alcohol consumption among Puerto Rican, Cuban-American, and Mexican-American women in the United States. Acculturation was found to be positively related to frequency of consumption and probability of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.6.890
更新日期:1993-06-01 00:00:00
abstract::Recently in Russia, abortion rights have been attacked. For decades, Russian women could have an elective abortion up to week 12 of pregnancy; between 12 and 22 weeks, medical or social grounds were required for an abortion. In mid 2011, a group of Parliamentarians teamed up with Russian Orthodox Church activists and ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301329
更新日期:2013-11-01 00:00:00
abstract::Examining previously underused corporate documents, we revisit the story of the Asbestos Information Association/North America, an industry trade group that sought in the early 1970s to counteract the growing public attention to, and government regulation of, asbestos as a serious threat to workers and consumers. From...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.303023
更新日期:2016-05-01 00:00:00
abstract::We conducted a case-control study of lung cancer deaths in the Teamsters Union to compare the risk of different occupations within the teamsters, after controlling for smoking and other confounders. Occupations with no presumed exposure to diesel fumes were used as the nonexposed group. The study population consisted ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.670
更新日期:1990-06-01 00:00:00
abstract::Public health is usually enacted through public policies, necessitating that the public engage in debates that, ideally, are grounded in solid scientific findings. Mistrust in science, however, has compromised the possibility of deriving sound policy from such debates, partially owing to justified concerns regarding u...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302241
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVES:The median incidence rate of acquired immunodeficiency syndrome (AIDS) among prisoners is 7 times higher than for the general population. Yet high-risk sexual activity and drug use in US correctional facilities remain unexamined. This study explores inmate perceptions of high-risk behavior in New York state ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.9.1211
更新日期:1996-09-01 00:00:00
abstract:OBJECTIVES:To evaluate how met need for accessibility and availability of primary care among nonelderly individuals in Georgia will be affected by the Patient Protection and Affordable Care Act (ACA) over the next 10 years. METHODS:We used a stock-and-flow model to predict the number of available visits from 2013 to 2...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303222
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of a low-intensity dietary intervention in primary care practice in lowering dietary fat intake and raising dietary fiber intake. METHODS:A randomized controlled trial of 28 physician practices in six primary care clinics enrolled, by telephone, adult patients who had ...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.87.4.610
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVES:This article reports findings from a peer-delivered intervention designed to increase use of breast and cervical cancer screening. METHODS:Twenty-six worksites were randomly assigned to the intervention or comparison group. The 16-month intervention consisted of group discussions, outreach, and educational ...
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.91.4.584
更新日期:2001-04-01 00:00:00
abstract::We studied variation in the year of onset of ischemic heart disease mortality decline among regions (n = 39) in the Netherlands. Using loglinear regression methods, a quadratic regression model was fitted to the observed numbers of male deaths in each region in the period 1950-84, controlling for changes in age-struct...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.12.1621
更新日期:1989-12-01 00:00:00
abstract::We review the current status as well as the risks and benefits of a recently developed DNA test of risk for Alzheimer's disease: the apolipoprotein E genotype. While apolipoprotein E genotypes may indicate a degree of susceptibility, the gene is neither necessary nor sufficient to cause the disease; thus, many questio...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.85.9.1280
更新日期:1995-09-01 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::A two-week composite sample of prime time television programming from fall 1984 was analyzed for portrayals of alcohol and tobacco. Earlier studies note that smoking acts have progressively declined, suggesting smoking is no longer as frequent on prime time television. The current study notes higher levels of smoking....
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.6.698
更新日期:1986-06-01 00:00:00
abstract::Data available from recent national surveys on the cigarette consumption and purchasing practices of teenage smokers were used to generate state-specific estimates of the number of teenage smokers and cigarette sales to minors. In 1991, approximately 2.7 million teenage cigarette smokers consumed an average of 28.3 mi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.2.300
更新日期:1994-02-01 00:00:00
abstract:OBJECTIVES:We examined the potential relation of mental ability test scores at age 10 years with alcohol problems and alcohol intake at age 30 years. METHODS:We used data from a prospective observational study involving 8170 members of a birth cohort from Great Britain born in 1970. Data included mental ability scores...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.109488
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVES:We postulated the existence of a statin-iron nexus by which statins improve cardiovascular disease outcomes at least partially by countering proinflammatory effects of excess iron stores. METHODS:Using data from a clinical trial of iron (ferritin) reduction in advanced peripheral arterial disease, the Iron ...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2012.301163
更新日期:2013-04-01 00:00:00
abstract::Over the course of the 20th century, the United States became an urban nation: 80% of Americans now live in metropolitan areas. Supplying basic sanitary services-drinking water, sewers, and garbage removal-to these cities is a gargantuan task, yet most people have little understanding of urban infrastructure systems a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.12.1944
更新日期:2001-12-01 00:00:00
abstract::A case control study was conducted in North Carolina to explore the relation between individual exposure to sunlight and the risk of cataracts. One hundred thirteen cases and 161 controls aged 40-69 at diagnosis were studied. Sunlight exposure was inferred from interview data on residency and time spent in the sun, co...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.11.1459
更新日期:1988-11-01 00:00:00