Abstract:
BACKGROUND:Unintentional poisoning deaths have been increasing dramatically over the past decade, and the majority of this increase has resulted from overdoses of specific prescription drugs. Despite this trend, there are limited existing data examining hospitalizations for poisonings, both unintentional and intentional, associated with prescription drugs. A better understanding of these hospitalizations may help identify high-risk populations in need of intervention to prevent subsequent mortality. PURPOSE:This article aims to describe the incidence and characteristics of hospitalizations resulting from poisoning by prescription opioids, sedatives, and tranquilizers in the U.S. from 1999 to 2006 and make comparisons to hospitalizations for all other poisonings during this time period. METHODS:Hospitalizations for poisonings were selected from the Nationwide Inpatient Sample (NIS), a stratified, representative sample of approximately 8 million hospitalizations each year, according to the principal discharge diagnosis. Intentionality of the poisoning was determined by external cause of injury codes. SAS callable SUDAAN software was used to calculate weighted estimates of poisoning hospitalizations by type and intentionality. Demographic and clinical characteristics of poisoning cohorts were compared. Data were analyzed in 2009. RESULTS:From 1999 to 2006, U.S. hospitalizations for poisoning by prescription opioids, sedatives, and tranquilizers increased a total of 65%. This increase was double the increase observed in hospitalizations for poisoning by other drugs and substances. The largest increase in the number of hospitalized cases over the 7-year period was seen for poisonings by benzodiazepines, whereas the largest percentage increase was observed for methadone (400%). In comparison to patients hospitalized for poisoning from other substances, those hospitalized for prescription opioids, sedatives, and tranquilizers were more likely to be women, aged >34 years, and to present to a rural or urban nonteaching hospital. CONCLUSIONS:Prescription opioids, sedatives, and tranquilizers are an increasing cause of hospitalization. The hospital admission provides an opportunity to better understand the contextual factors contributing to these cases, which may aid in the development of targeted prevention strategies.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Coben JH,Davis SM,Furbee PM,Sikora RD,Tillotson RD,Bossarte RMdoi
10.1016/j.amepre.2010.01.022subject
Has Abstractpub_date
2010-05-01 00:00:00pages
517-24issue
5eissn
0749-3797issn
1873-2607pii
S0749-3797(10)00099-1journal_volume
38pub_type
杂志文章abstract:INTRODUCTION:Sedentary behaviors (including sitting) may increase mortality risk independently of physical activity level. Little is known about how fidgeting behaviors might modify the association. METHODS:Data were from the United Kingdom (UK) Women's Cohort Study. In 1999-2002, a total of 12,778 women (aged 37-78 y...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.06.025
更新日期:2016-02-01 00:00:00
abstract::This study was undertaken to determine the beliefs of family physicians about the role of diet and cancer, as well as to determine how often family physicians assess dietary risks in patient encounters and recommend preventive dietary practices to reduce cancer risk. This study consisted of a survey of a national rand...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
abstract:BACKGROUND:Few studies have examined the underweight-morbidity relationship, and those that have were conducted in non-U.S. populations and limited in their evaluation of cardiovascular disease (CVD) risk factors. PURPOSE:To examine the associations among underweight (along with overweight and obese) and various CVD r...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.08.019
更新日期:2015-03-01 00:00:00
abstract:INTRODUCTION:Heated tobacco products, also referred to as heat-not-burn tobacco, are among the latest products introduced to the market by the tobacco industry. However, data on heated tobacco product awareness and use from population-based probability surveys are limited. This study examines heated tobacco product awa...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.11.011
更新日期:2021-01-28 00:00:00
abstract::Although the issue of whether sickle cell trait (SCT) is clinically benign or a significant health concern has not yet been resolved, the potential health risk to affected individuals is of vital importance and represents a tremendous challenge in protecting, promoting, and improving the health of the approximately 30...
journal_title:American journal of preventive medicine
pub_type:
doi:10.1016/j.amepre.2011.09.012
更新日期:2011-12-01 00:00:00
abstract:INTRODUCTION:Greater distance to full-service supermarkets and low income may impair access to healthy diets and contribute to chronic kidney disease (CKD) and hypertension. The study aim was to determine relationships among residence in a "food desert," low income, CKD, and blood pressure. METHODS:Adults in the 2003-...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2015.07.017
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:From 1992 to 1999, an average of more than 18,000 unintentional home injury deaths occurred in the U.S. annually. PURPOSE:The objective of this study was to provide current prevalence estimates of fatal unintentional injury in the home. METHODS:Data from the 2000-2008 National Vital Statistics System were ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2012.10.022
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Childhood obesity is a major risk factor for adult obesity, and obese children tend to be taller than their normal-weight peers. PURPOSE:The aim of this study is to evaluate whether childhood height influences the probability that normal or overweight children become overweight young adults. METHODS:The st...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,多中心研究
doi:10.1016/j.amepre.2009.09.033
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Regular assessment of the size and composition of the U.S. public health workforce has been a challenge for decades. Previous enumeration efforts estimated 450,000 public health workers in governmental and voluntary agencies in 2000, and 326,602 governmental public health workers in 2012, although difference...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2014.07.018
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Alcohol-impaired driving caused 10,839 deaths in 2009. Alcohol-impaired driving fatalities as a percentage of all motor vehicle fatalities decreased from 1982 to 1999 but have remained stable since. Understanding characteristics of those who engage in this behavior is critical to achieving future reductions....
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2011.10.015
更新日期:2012-02-01 00:00:00
abstract::Abstract: Based on a review of the current literature and recommendations, the American College of Preventive Medicine presents a practice policy statement on screening for elevated blood lead levels in children. ...
journal_title:American journal of preventive medicine
pub_type: 指南,杂志文章,实务指引,评审
doi:10.1016/s0749-3797(00)00257-9
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:For the first time, in 2002, the Advisory Committee on Immunization Practices encouraged the vaccination of healthy children 6 to 23 months against influenza, whenever feasible. Participating inner-city health centers designed interventions to introduce influenza vaccination among this group of children. The...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.05.010
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:This study compares the efficacy of three types of reminders in promoting annual repeat mammography screening. DESIGN:RCT. SETTING AND PARTICIPANTS:Study recruitment occurred in 2004-2005. Participants were recruited through the North Carolina State Health Plan for Teachers and State Employees. All were ag...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.amepre.2009.01.032
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:According to the 2008 Physical Activity Guidelines for Americans, adults need to engage in at least 150 minutes/week of moderate-intensity activity or its equivalent (defined as aerobically active) to obtain substantial health benefits and more than 300 minutes/week (defined as highly active) to obtain more ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2010.06.006
更新日期:2010-10-01 00:00:00
abstract::To decrease adolescent morbidity and mortality and improve the quality of life, a violence-prevention consultation is offered to hospitalized victims of nondomestic violence. The context is a violence-prevention team approach to patient assessment, treatment, and follow-up. Psychoeducational counseling emphasizes the ...
journal_title:American journal of preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1996-09-01 00:00:00
abstract:INTRODUCTION:Sexual violence, particularly in the context of drinking, is prevalent on college campuses. This study tested a brief intervention to prevent sexual violence among students receiving care from college health centers. STUDY DESIGN:This study was a two-arm, unblinded cluster RCT. SETTING/PARTICIPANTS:On 28...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.02.007
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Health care provider encouragement for particular preventive behaviors is associated with patient adherence, but it is unclear whether a provider's overall prevention approach influences whether patients engage in recommended preventive measures. We examined whether older women who perceived that their healt...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(00)00184-7
更新日期:2000-08-01 00:00:00
abstract::A questionnaire was sent in 1988 to all sites conducting mammographic studies registered with the radiologic licensing division of the West Virginia State Department of Health Laboratory Services to determine the number of women served and the costs of the procedures. The number of sites, 61, appears excessive in view...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract:INTRODUCTION:Human papillomavirus vaccination is less prevalent among foreign-born than U.S.-born women and may lead to disparities in human papillomavirus-related cancers in the future. There is limited research on factors associated with vaccination uptake between these two groups. This study examined the association...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.08.017
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Few population-based studies have assessed the physical and mental health consequences of both psychological and physical intimate partner violence (IPV) among women or men victims. This study estimated IPV prevalence by type (physical, sexual, and psychological) and associated physical and mental health con...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/s0749-3797(02)00514-7
更新日期:2002-11-01 00:00:00
abstract:INTRODUCTION:Healthcare organizations are transitioning from fee-for-service, volume-based care toward value-based care and the Triple Aim. Physicians have critical roles as leaders and practitioners in this emerging field of population health management; however, the competencies required of these physicians are not w...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2020.06.016
更新日期:2021-02-01 00:00:00
abstract:CONTEXT:Physical activity has various health benefits. Active transport can contribute to total physical activity and thus affect body weight because of increased energy expenditure. This review summarizes published evidence on associations of active transport, general physical activity, and body weight in adults. EVI...
journal_title:American journal of preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.amepre.2012.01.030
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Cancer survivors are more vulnerable to future cancers than individuals without cancer. As such, it is important to understand whether survivors are engaging in cancer screenings. METHODS:The screening practices reported in response to the 2000 Health Interview Survey of 2151 individuals with cancer were ex...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.01.005
更新日期:2005-05-01 00:00:00
abstract::The Epidemiologic Surveillance Project (ESP) is a computer-based surveillance system for the rapid transmission and analysis of national morbidity data. These data are transmitted weekly by state health department computers to the Centers for Disease Control (CDC), using a commercial electronic mail facility (MINET). ...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract::I screened 312 women, 18-45 years of age, presenting for routine gynecologic examination or prenatal care in a multiphysician primary care practice for Chlamydia trachomatis and Neisseria gonorrhoeae. I evaluated age, pregnancy, payment status, and presence of clinical cervicitis or gonorrhea as possible predictors of...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract:OBJECTIVE:Recently, end-of-life (EOL) issues have captured the attention of the public health community. This study reports a project to help state health departments better understand their potential role in addressing EOL issues and develop initial priorities for EOL activities. METHODS:The project involved two stud...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.08.014
更新日期:2005-12-01 00:00:00
abstract::This paper describes the effectiveness of an incentive-based approach to screening for hypertension by comparing it to two more typical on-site screenings. In the "bounty system," adolescents were trained and certified in blood pressure assessment to enable them to conduct door-to-door blood pressure screenings. The y...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:
更新日期:1986-09-01 00:00:00
abstract:BACKGROUND:Faxed referrals from healthcare providers may provide a sustainable, low-cost mechanism for enrolling tobacco users in statewide quitlines, but few studies have evaluated implementation in real-world settings. This study evaluated the reach rates, enrollment rates, and participant characteristics of faxed re...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2008.12.004
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Obesity is recognized as a risk factor for multiple chronic diseases. Yet, it is unclear whether obesity is also associated with an increased risk of nonfatal unintentional injury. METHODS:A population-based survey was conducted among adults aged > or = 18 years from January 1999 through October 2000. The r...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2005.03.013
更新日期:2005-07-01 00:00:00
abstract:INTRODUCTION:Sugar-sweetened beverages (SSBs) are a major contributor to children's added sugar consumption. This study examines whether children's SSB and water intakes are associated with diet quality and total energy intake. METHODS:Using data on children aged 2-18 years from the 2009-2014 National Health and Nutri...
journal_title:American journal of preventive medicine
pub_type: 杂志文章
doi:10.1016/j.amepre.2017.11.005
更新日期:2018-03-01 00:00:00