Abstract:
:We use systems thinking to develop a strategic framework for analyzing the tobacco problem and we suggest solutions. Humans are vulnerable to nicotine addiction, and the most marketable form of nicotine delivery is the most harmful. A tobacco use management system has evolved out of governments' attempts to regulate tobacco marketing and use and to support services that provide information about tobacco's harms and discourage its use. Our analysis identified 5 systemic problems that constrain progress toward the elimination of tobacco-related harm. We argue that this goal would be more readily achieved if the regulatory subsystem had dynamic power to regulate tobacco products and the tobacco industry as well as a responsive process for resourcing tobacco use control activities.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Borland R,Young D,Coghill K,Zhang JYdoi
10.2105/AJPH.2009.165910subject
Has Abstractpub_date
2010-07-01 00:00:00pages
1229-36issue
7eissn
0090-0036issn
1541-0048pii
AJPH.2009.165910journal_volume
100pub_type
杂志文章abstract:OBJECTIVES:To report on indicators of the National HIV/AIDS Strategy, we analyzed data collected through the national HIV surveillance system. METHODS:We analyzed data from adults and adolescents aged 13 years or older diagnosed with HIV in 13 US jurisdictions that have laboratory reporting of CD4+ T-lymphocyte (CD4) ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300859
更新日期:2013-01-01 00:00:00
abstract::Low income families were interviewed to determine factors related to the number of family food servings per week. A multiple regression model indicated that participation in WIC (supplemental food program for women, infants and children), household size, and number of different income sources were associated with more...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.11.1376
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVES:We reviewed literature on comparative social policy and life course research and compared associations between health and socioeconomic circumstances during an 11-year period in the United States and the United Kingdom. METHODS:We obtained data from the US Panel Study of Income Dynamics and the British Hous...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.092320
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVES:We combined a metabolic and an epidemiological model of obesity to estimate changes in calorie intake and physical activity necessary to achieve the Healthy People 2020 objective of reducing adult obesity prevalence from 33.9% to 30.5%. METHODS:We used the National Health and Nutrition Examination Survey (1...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301674
更新日期:2014-07-01 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:We examined the factors influencing delay in seeking abortion and the outcomes for women denied abortion care because of gestational age limits at abortion facilities. METHODS:We compared women who presented for abortion care who were under the facilities' gestational age limits and received an abortion (n ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301378
更新日期:2014-09-01 00:00:00
abstract::We have summarized the evolution of the Nurses' Health Study (NHS), a prospective cohort study of 121 700 married registered nurses launched in 1976; NHS II, which began in 1989 and enrolled 116 430 nurses; and NHS3, which began in 2010 and has ongoing enrollment. Over 40 years, these studies have generated long-term,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303338
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:We determined racial/ethnic differences in social support and exposure to violence and transphobia, and explored correlates of depression among male-to-female transgender women with a history of sex work (THSW). METHODS:A total of 573 THSW who worked or resided in San Francisco or Oakland, California, were ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.197285
更新日期:2011-10-01 00:00:00
abstract::Fifty-one infants born to women employed at two capacitor manufacturing facilities with a history of high exposure to polychlorinated biphenyls (PCBs) had a mean birthweight of 153 grams less than that of 337 infants born to women who had worked in low-exposure areas (90 per cent confidence interval, -286 to -20 g); m...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.10.1153
更新日期:1984-10-01 00:00:00
abstract::Epidemiologists, biostatisticians, and health physicists frequently serve as expert consultants to lawyers, courts, and administrators. One of the most common errors committed by experts is to equate, without qualification, the attributable fraction estimated from epidemiologic data to the probability of causation req...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.8.1166
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVES:This study determined the validity of self-reported data on selected health insurance characteristics. METHODS:We obtained telephone survey data on the presence of health insurance, source of insurance, length of time insured, and type of insurance (managed care or fee-for-service) from a random sample of 3...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.6.924
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVES:We estimated annual mortality, years of potential life lost, and associated economic costs attributable to regular cigar smoking among US adults aged 35 years or older. METHODS:We estimated cigar-attributable mortality for the United States in 2010 using the Centers for Disease Control and Prevention's Smok...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301991
更新日期:2014-09-01 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::This paper models the prevailing political attack on government as a heuristic, a judgmental strategy that simplifies complex phenomena by applying simple tests to a limited set of relevant data. The heuristic of market individualism offers three tools for analyzing the problems of governing: the supremacy of the free...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.10.1607
更新日期:1997-10-01 00:00:00
abstract:OBJECTIVES:We examined prereform patterns in insurance coverage, access to care, and preventive services use by race/ethnicity in adults targeted by the coverage expansions of the Patient Protection and Affordable Care Act (ACA). METHODS:We used pre-ACA household data from the Medical Expenditure Panel Survey to ident...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302892
更新日期:2015-11-01 00:00:00
abstract::Considering the poor socioeconomic status of the Spanish surnamed population in Texas, the Spanish surname neonatal mortality rate seems surprisingly low. During five of the last 10 years, the neonatal mortality rate for Texas Spanish surnamed population was actually lower than for Anglos. It is often suggested that t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.9.993
更新日期:1982-09-01 00:00:00
abstract:OBJECTIVE:This study reports the results of a behavior change intervention offered to women at high risk for human immunodeficiency virus (HIV) infection seen in an urban primary health care clinic. METHODS:Participants were 197 women randomly assigned to either an HIV/acquired immunodeficiency syndrome (AIDS) risk re...
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.84.12.1918
更新日期:1994-12-01 00:00:00
abstract:OBJECTIVES:We assessed whether it would be feasible to replace the standard measure of net worth with simpler measures of wealth in population-based studies examining associations between wealth and health. METHODS:We used data from the 2004 Survey of Consumer Finances (respondents aged 25-64 years) and the 2004 Healt...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.194175
更新日期:2011-05-01 00:00:00
abstract::In suicidal behavior emergency room admissions of 13- to 17-year olds at the Brockton Hospital (Massachusetts), females predominated over males by almost two to one. For subclassification of life-threatening behaviors, frequency was about the same for males and females, but for suicide attempts and suicide gestures, f...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.1.90
更新日期:1985-01-01 00:00:00
abstract::A joint urban planning and public health perspective is articulated here for use, in health impact assessment. Absent a blueprint for a coherent and supportive structure on which to test our thinking, we are bound to fall flat. Such a perspective is made necessary by the sheer number of people living in cities through...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.1.118
更新日期:2003-01-01 00:00:00
abstract::The unusual resistance of the "unconventional viruses" to inactivation by the commonly used disinfectants has led to a high degree of apprehension regarding patients with any form of dementia. The rapid adaptation of a newly acquired isolate of the agent of Creutzfeldt-Jakob Disease (CJD) to mice made possible this la...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.6.661
更新日期:1983-06-01 00:00:00
abstract:OBJECTIVES:We identified factors associated with inpatient hospitalizations among a population-based cohort of homeless adults in Toronto, Ontario. METHODS:We recruited participants from shelters and meal programs. We then linked them to administrative databases to capture hospital admissions during the study (2005-20...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301646
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:We assessed the quality of hospital care for women who underwent a hysterectomy to compare Medicaid-covered women with privately insured women and minority women with White women. METHODS:We evaluated medical decisions, inpatient care, quality of inpatient care, and outcomes. RESULTS:Quality of hospital car...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.8.1399
更新日期:2004-08-01 00:00:00
abstract::Objectives. We explored gender role strain (GRS) arising from conflict between homosexuality and cultural conceptions of masculinity among young Black men who have sex with men (MSM). Methods. We conducted a categorical analysis (a qualitative, 3-stage, iterative analysis) of data from studies conducted in 2001 to 200...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301866
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:We investigated environmental lead pollution and its impact on children's blood lead levels (BLLs) in a rural area of China. METHODS:In 2007, we studied 379 children younger than 15 years living in 7 villages near lead mines and processing plants, along with a control group of 61 children from another villa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.193656
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess changes in health insurance and food assistance enrollment following passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. METHODS:Extant data sources were used to calculate changes in Temporary Assistance for Needy Families (TANF), M...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.9.1441
更新日期:2002-09-01 00:00:00
abstract::In Washington County, Maryland, ownership of cats and/or dogs was compared among 48 residents who committed suicide in the years 1975-83 and 96 living controls matched to the suicides by race, sex, and date of birth. Another comparison used as controls persons of same race, sex, and age who died of causes other than s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.10.1223
更新日期:1985-10-01 00:00:00
abstract::This paper examines the relative importance of various independent variables for predicting five separate measures of physician utilization in a rural community. The independent variables include socioeconomic, demographic, attitudinal, and health status factors. The results are comparable to those of national studies...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.9.865
更新日期:1976-09-01 00:00:00
abstract:OBJECTIVES:We examined whether the distinctive components of job control-decision authority, skill discretion, and predictability-were related to subsequent acute myocardial infarction (MI) events in a large population of initially heart disease-free industrial employees. METHODS:We prospectively examined the relation...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.122382
更新日期:2008-12-01 00:00:00
abstract::One of the more controversial American public health issues is fluoridation of municipal water supplies. Opponents occasionally succeed in halting fluoridation through local referenda, but the courts usually uphold fluoridation laws. In 1982, however, an Illinois trial judge ruled that a state law authorizing fluori...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.8.888
更新日期:1985-08-01 00:00:00