Abstract:
OBJECTIVES:We quantified the relationship between gonorrheal infection rates in California and a measure of poverty status and investigated how this relationship and the spatial dispersion of cases varied among the 4 dominant racial/ethnic groups in the state. METHODS:We geocoded gonorrhea cases reported in California between 2004 and 2006, and estimated the poverty status of each case by using the percentage of residents living below poverty in the census tract of residence. We calculated infection rates for African American, Asian, Hispanic, and White cases in each of 4 poverty strata. We mapped cases to visualize the patterns of spatial dispersion associated with each race/ethnicity-poverty combination. RESULTS:There was a strong positive relationship between poverty and infection, but racial/ethnic disparities in infection, driven by a disproportionate level of gonorrhea among African Americans, eclipsed this differential. The degree of spatial aggregation varied substantially among groups and was especially pronounced for African Americans with gonorrhea in the highest poverty category. CONCLUSIONS:Prevention efforts should target low-income neighborhood "hot spots" to reach the largest numbers of cases, particularly among African Americans.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Springer YP,Samuel MC,Bolan Gdoi
10.2105/AJPH.2009.172965subject
Has Abstractpub_date
2010-06-01 00:00:00pages
1060-7issue
6eissn
0090-0036issn
1541-0048pii
AJPH.2009.172965journal_volume
100pub_type
杂志文章abstract:OBJECTIVES:We examined whether Supplemental Nutrition Assistance Program (SNAP) participation changes associations between food insecurity, dietary quality, and weight among US adults. METHODS:We analyzed adult dietary intake data (n = 8333) from the 2003 to 2010 National Health and Nutrition Examination Survey. Bivar...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302580
更新日期:2015-07-01 00:00:00
abstract::Iodine-131 was found to dominate the gamma spectra of dried sludge and concentration liquid effluent samples from a sewage treatment plant serving the area containing the Texas Medical Center in 1975. The concentration of Iodine-131 varied considerably on a time scale of weeks but was fairly stable in the course of a ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.1.47
更新日期:1981-01-01 00:00:00
abstract:OBJECTIVES:We sought to estimate the effects of recreational physical activity and back exercises on low back pain, related disability, and psychological distress among patients randomized to chiropractic or medical care in a managed care setting. METHODS:Low back pain patients (n=681) were randomized and followed for...
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.2004.052993
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:We examined local health department (LHD) preparedness capacities in the context of participation in accreditation and other performance improvement efforts. MetHODS: We analyzed preparedness in 8 domains among LHDs responding to a preparedness capacity instrument from 2010 through 2012. Study groups include...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302159
更新日期:2014-11-01 00:00:00
abstract::The soviet Union has experienced an increase in the incidence of coronary heart disease over the last 15 years sufficient to result in an overall deterioration in the health of adults. The distribution of coronary risk factors, and the secular trends in diet and cigarette consumption, provide a potential explanation f...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.5.431
更新日期:1982-05-01 00:00:00
abstract::Addiction is a complex brain disease with frequently overlapping expressions involving nicotine, alcohol, and other drugs. Yet current health care practices, public policies, and national treatment data too often exclude nicotine or address its use as completely separate from other forms of substance use and addiction...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301448
更新日期:2013-08-01 00:00:00
abstract::Information regarding all patient and staff exposures to varicella-zoster virus (VZV) was prospectively accumulated from 1/1/86 to 12/31/86 at North Carolina Memorial Hospital. During this period of time 37 sources of exposure to VZV were reported: 10 outside and 27 within the hospital. Index cases for nosocomial expo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.1.19
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVES:To examine the influence of undocumented immigration in the United States on 4 different metrics of drug and alcohol problems: drug arrests, drug overdose fatalities, driving under the influence (DUI) arrests, and DUI deaths. METHODS:We combined newly developed state-level estimates of the undocumented popu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303884
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:We assessed which of a broad range of determinants of health are most strongly associated with health-related quality of life (HRQL) among people with type 2 diabetes. METHODS:Our analysis included respondents from the Canadian Community Health Survey Cycle 1.1 (2000-2001) who were aged 18 years and older an...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.067728
更新日期:2006-09-01 00:00:00
abstract::Historically Black colleges and universities (HBCUs) continue to be overlooked as a resource to address health care workforce shortages and growing needs for a diverse health workforce, despite our commitment as a nation to health equity and eliminating health disparities. Health workforce graduation rates help illum...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300726
更新日期:2013-03-01 00:00:00
abstract::This commentary considers the implications of the assessment of racial/ethnic status for monitoring the health of African Americans and other Black populations in the United States. It argues that because racial disparities in health and other social indicators persist undiminished, the continued assessment of race is...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.90.11.1728
更新日期:2000-11-01 00:00:00
abstract::We addressed the positive and negative factors that influence the health and wellness of urban Aboriginal youths in Canada and ways of restoring, promoting, and maintaining the health and wellness of this population. Fifty-three in-service professionals, care providers, and stakeholders participated in this study in w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302481
更新日期:2015-05-01 00:00:00
abstract::My experiences as a mentor of young investigators, along with conversations with a diverse pool of mentees, led me to question the ability of conventional research methods, problem formulation, and instruments to address the unique challenges of studying racial and ethnic minorities. Training of new investigators shou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.135996
更新日期:2009-04-01 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::In an effort to keep abreast of the changing needs of a more affluent society and to ensure better value for money, the British are reforming their National Health Service. They are promoting competition and entrepreneurship, and directing funding to follow a patient rather than flowing directly to institutions. Briti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.12.1566
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVES:This prospective study examined the effect of tobacco marketing on progression to established smoking. METHODS:Massachusetts adolescents (n = 529) who at baseline had smoked no more than 1 cigarette were reinterviewed by telephone in 1997. Analyses examined the effect of receptivity to tobacco marketing at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.3.407
更新日期:2000-03-01 00:00:00
abstract::Randomized controlled trials were conducted at two residential drug abuse treatment facilities to compare programs that differed in planned duration. One trial compared a 6-month and a 12-month therapeutic community program (n = 184), and the second compared a 3-month and a 6-month relapse prevention program (n = 444)...
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.85.10.1426
更新日期:1995-10-01 00:00:00
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 t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165910
更新日期:2010-07-01 00:00:00
abstract::During a mass diphtheria-tetanus immunization campaign in November 1975, more than 220,000 doses of diphtheria-tetanus toxoid, adult type were administered to adults throughout Alaska. In Anchorage, where more than 87,000 doses were given, a survey was conducted to determine the frequency of side effects. Postcard que...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.3.246
更新日期:1979-03-01 00:00:00
abstract:OBJECTIVES:This study sought to determine the accuracy of geocoding for public health databases. METHODS:A test file of 70 addresses, 50 of which involved errors, was generated, and the file was geocoded to the census tract and block group levels by 4 commercial geocoding firms. Also, the "real world" accuracy of the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.7.1114
更新日期:2001-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.9.1441
更新日期:2002-09-01 00:00:00
abstract::I describe variations in the structure and in the practice of rural public health and how rural communities meet the challenges of current public health practice, including primary methods of service delivery and partnership development. I present examples of promising models for the creation of rural public health ca...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.10.1678
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVES:We examined the influence of neighborhood environment on the weight status of adults 55 years and older. METHODS:We conducted a 2-level logistic regression analysis of data from the 2002 wave of the Health and Retirement Study. We included 8 neighborhood scales: economic advantage, economic disadvantage, ai...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.127712
更新日期:2008-11-01 00:00:00
abstract::Mammograms from a statewide screening program were subjected to a blind review by a panel of expert mammographers. Ninety-five percent (173/182) of original normal mammograms and 53% (164/311) of original abnormal mammograms were reread as normal. In comparison with the expert panel community radiologists were more li...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.6.837
更新日期:1995-06-01 00:00:00
abstract:OBJECTIVES:In this article the author describes public health advocacy and proposes a conceptual framework for understanding how it works. METHODS:The proposed framework incorporates the image of an assembly line. The public health advocacy assembly line produces changes in societal resource allocation that are necess...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.5.722
更新日期:2000-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302066
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVES:This study analyzed associations between income eligibility criteria under the State Children's Health Insurance Program (SCHIP) and state characteristics. METHODS:We used multivariate methods to explore relations between eligibility expansions under SCHIP and percentages of uninsured children from low-inco...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.9.1449
更新日期:2001-09-01 00:00:00
abstract::In the public health literature, it is generally assumed that the perception of "targeting" as positive or negative by the targeted audience depends on the product or message being promoted. Smoking prevalence rates are high among lesbian, gay, bisexual, and transgender (LGBT) individuals, but little is known about ho...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.118174
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVES:We determined factors associated with hearing aid acquisition in older adults. METHODS:We conducted a population-based, prospective study that used information from 3 examinations performed on study participants as part of the Epidemiology of Hearing Loss Study (1993-2005). We included participants (n = 718...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300078
更新日期:2011-08-01 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