Abstract:
BACKGROUND:In the light of a possible link between stress and cancer promotion or progression, and of previously reported distress in residents near the Three Mile Island (TMI) nuclear power plant, we attempted to evaluate the impact of the March 1979 accident on community cancer rates. METHODS:Proximity of residence to the plant, which related to distress in previous studies, was taken as a possible indicator of accident stress; the postaccident pattern in cancer rates was examined in 69 "study tracts" within a 10-mile radius of TMI, in relation to residential proximity. RESULTS:A modest association was found between postaccident cancer rates and proximity (OR = 1.4; 95% CI = 1.3, 1.6). After adjusting for a gradient in cancer risk prior to the accident, the odds ratio contrasting those closest to the plant with those living farther out was 1.2 (95% CI = 1.0, 1.4). A postaccident increase in cancer rates near the Three Mile Island plant was notable in 1982, persisted for another year, and then declined. Radiation emissions, as modeled mathematically, did not account for the observed increase. CONCLUSION:Interpretation in terms of accident stress is limited by the lack of an individual measure of stress and by uncertainty about whether stress has a biological effect on cancer in humans. An alternative mechanism for the cancer increase near the plant is through changes in care-seeking and diagnostic practice arising from postaccident concern.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Hatch MC,Wallenstein S,Beyea J,Nieves JW,Susser Mdoi
10.2105/ajph.81.6.719subject
Has Abstractpub_date
1991-06-01 00:00:00pages
719-24issue
6eissn
0090-0036issn
1541-0048journal_volume
81pub_type
杂志文章abstract:BACKGROUND:The logistic regression model is being used with increasing frequency in all areas of public health research. In the calendar year 1989, over 30% of the articles published in the American Journal of Public Health employed some form of logistic regression modeling. In spite of this increase, there has been no...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.12.1630
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVES:This study examined hospital administrators' experiences with the National Practitioner Data Bank. METHODS:One hundred forty-nine rural hospital administrators completed questionnaires assessing their perceptions of the data bank. RESULTS:Nearly 90% of respondents rated the data bank as an important source...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.4.663
更新日期:1997-04-01 00:00:00
abstract::Certificates of 1,454 deaths occurring over 11 months were retrieved from the Civil Register in Valencia, Spain. Relevant medical information was systematically gathered from hospital records, questionnaires, and Coroner reports. We compared the underlying cause of death (UCD) from the original death certificate, and ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.10.1352
更新日期:1989-10-01 00:00:00
abstract::Along with the rest of Central and Eastern Europe, Croatia has begun to dismantle its long-standing socialist health care system and to replace it with a market-based approach. Marketization's advocates maintain that the market will bring efficiency and quality to the Croatian health care system. Nevertheless, data fr...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.88.8.1156
更新日期:1998-08-01 00:00:00
abstract::Social, political, and economic disruptions caused by natural and human-caused public health emergencies have catalyzed public health efforts to expand the scope of biosurveillance and increase the timeliness, quality, and comprehensiveness of disease detection, alerting, response, and prediction. Unfortunately, effor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.180489
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVES:The purpose of this study is to analyze the smoking changes that have occurred among pregnant Black teenagers in Missouri. The study also examines changes in Black teenage pregnancy outcomes in relation to smoking behavior changes. METHODS:This analysis used computerized data files from the 1978 to 1990 Mis...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.8.1121
更新日期:1993-08-01 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:OBJECTIVES:This research used food frequency data to investigate dietary patterns associated with fat intake. METHODS:Data from the 1987 National Health Interview Survey of 20,143 adults were used to determine correlations between fat (adjusted for kilocalories) and both nutrient and food group intakes. Median food an...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.3.359
更新日期:1994-03-01 00:00:00
abstract:OBJECTIVES:We assessed the distribution of immunization records among 3 health care delivery sectors and the impact of a regional immunization registry on "up to date" rates. METHODS:Immunization registry records in 2 regions were categorized as having originated in private practices, community health centers, or publ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.6.967
更新日期:2004-06-01 00:00:00
abstract::While Job Corps Centers vary in size, location, and administrative structure, they are subject to uniform requirements for health services, established by federal regulation and must make individual decisions about whether to furnish dental care on-site or by some alternative arrangement in the community. Analysis of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.12.1294
更新日期:1980-12-01 00:00:00
abstract:OBJECTIVES:We examined worksite health promotion programs, policies, and services to monitor the achievement of the Healthy People 2010 worksite-related goal of 75% of worksites offering a comprehensive worksite health promotion program. METHODS:We conducted a nationally representative, cross-sectional telephone surve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.100313
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVES:We estimated the prevalence and determinants of secondhand smoke (SHS) exposure among nonsmoking adolescents in 9 West African countries. METHODS:We conducted a pooled analysis with nationally representative 2006 to 2009 Global Youth Tobacco Survey data. We used descriptive statistics to determine the preva...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302661
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:National data are thought to underestimate pregnancy-related mortality in the United States. A multisource surveillance system for pregnancy-associated deaths in New Jersey offers an opportunity to identify the magnitude of and the trends in pregnancy-related mortality at the state level. METHODS:Data from ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.8.1085
更新日期:1992-08-01 00:00:00
abstract:BACKGROUND:In Oregon, adult foster care (AFC) homes, which are private residences where a live-in manager cares for one to five disabled residents, have been covered by Medicaid since 1981 and seem to offer a mainstream alternative to nursing homes. They house almost 6000 older people, two thirds of which pay privately...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.9.1113
更新日期:1991-09-01 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:OBJECTIVES:We examined socioeconomic inequalities in health among older adults in England and Brazil. METHODS:We analyzed nationally representative samples of residents aged 50 years and older in 2008 data from the Brazilian National Household Survey (n = 75,527) and the English Longitudinal Study of Ageing (n = 9589)...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300765
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVES:This report examines the impact of an economic embargo from 1991 to 1994 on health, well-being, and human rights in Haiti. METHODS:Data from surveillance systems for nutrition, reportable diseases, and hospital diagnoses were combined with survey data and interviews with affected women, governmental represe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.10.1499
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVES:This study examined how immunization-related beliefs, attitudes, and perceived control mediate up-to-date immunization among various sociodemographic groups. METHODS:Statewide estimates of immunization rates among children up to the age of 2 years were obtained via a multistage cluster sample. In-person int...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.12.1821
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVES:This study tested the hypothesis that tobacco industry campaign contributions influence state legislators' behavior. METHODS:Multivariate simultaneous equations regression was used to analyze data on tobacco industry campaign contributions to state legislators and legislators' tobacco control policy scores ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.6.918
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVES:We studied state-adopted bicycle guidelines to determine whether cycle tracks (physically separated, bicycle-exclusive paths adjacent to sidewalks) were recommended, whether they were built, and their crash rate. METHODS:We analyzed and compared US bicycle facility guidelines published between 1972 and 1999...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301043
更新日期:2013-07-01 00:00:00
abstract::Objectives. To report trends in sexual violence (SV) emergency department (ED) visits in the United States.Methods. We analyzed monthly changes in SV rates (per 100 000 ED visits) from January 2017 to December 2019 using Centers for Disease Control and Prevention's National Syndromic Surveillance Program data. We stra...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.306034
更新日期:2021-01-21 00:00:00
abstract::The AIDS Interfaith Council of Houston, sponsored by the Foundation for Interfaith Research and Ministry, recruits, trains, and coordinates volunteers for home-based care for adults and children with AIDS (acquired immunodeficiency syndrome). The program provides compassionate, non-judgmental care for the sick and res...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.8.970
更新日期:1990-08-01 00:00:00
abstract::This psychiatric epidemiology study following the Mount St. Helens volcanic disaster revealed a significant morbidity for psychiatric disorders. The increased prevalence showed a dose response pattern in three population groups. The findings are reported as relative and attributable risk for the two exposed population...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.suppl.76
更新日期:1986-03-01 00:00:00
abstract:OBJECTIVES:This study examined the relationship of sociodemographic factors and use of substances other than cocaine to cocaine use from 1987 to 1992 in a cohort of Black and White men and women 20 to 32 years of age. METHODS:Data were collected as part of the Coronary Artery Risk Development in Young Adults study. Se...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.86.12.1736
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVES:We evaluated the impact of a safety training regulation, implemented by the US Department of Labor's Mine Safety and Health Administration (MSHA) in 1999, on injury rates at stone, sand, and gravel mining operations. METHODS:We applied a time-series design and analyses with quarterly counts of nonfatal inju...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.178301
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Intravenous drug use has played a key role in the human immunodeficiency virus (HIV) epidemic. Standardized surveillance of HIV infection among intravenous drug users (IVDUs) is needed to determine HIV prevalence rates, to monitor changes in prevalence over time, and to describe behaviors associated with HIV...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.4.541
更新日期:1992-04-01 00:00:00
abstract::Results from a random sample survey of US Air Force personnel show that 4.6 per cent exhibit alcohol dependence, indicated by symptoms of withdrawal and impaired control over drinking. An additional 9.3 per cent can be identified as nondependent alcohol abusers, indicated by serious adverse effects of drinking (such a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.10.1125
更新日期:1981-10-01 00:00:00
abstract:OBJECTIVES:Whether or not spermicides can reduce the risk of human immunodeficiency virus (HIV) transmission remains an important question for the control of heterosexual HIV transmission. The authors provide estimates from a reanalysis of one of the few observational studies on the efficacy of condoms and spermicides,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.4.590
更新日期:1998-04-01 00:00:00
abstract:OBJECTIVES:We examined the effects of changes in Rhode Island's Lead Hazard Mitigation Law in 2005 on children's blood lead levels. METHODS:We used 2005 to 2009 data from Rhode Island's Lead Elimination Surveillance System; city tax assessor records in Central Falls, Pawtucket, Providence, and Woonsocket, Rhode Island...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301908
更新日期:2014-08-01 00:00:00
abstract::From 1983 to 1985, the New York City Department of Health investigated five workplace outbreaks of rubella. Approximately 40 per cent of the 265 cases were detected among women of child-bearing age (15-44 years). Data are reviewed from the 1983 Financial District outbreak to illustrate the continued susceptibility of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.6.725
更新日期:1987-06-01 00:00:00