Abstract:
:Although researchers acknowledge that health disparities have multiple determinants, most recommendations for reducing inequities focus on a single approach. We suggest integrating 2 approaches for reducing disparities: improving access to primary care and updating and more vigorously enforcing consumer and environmental protection laws. This strategy could reduce the main causes of disparities, such as chronic diseases and injuries; win public and policymaker support; and provide a cost-effective start for achieving equity. Most of the scientific knowledge needed to implement this strategy exists, thus years of additional research would not be needed. Developing targeted regulatory and health care policies to reduce deaths from chronic diseases and injuries would be a major step forward in eliminating health disparities in the United States.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Freudenberg N,Olden Kdoi
10.2105/AJPH.2009.166389subject
Has Abstractpub_date
2010-04-01 00:00:00pages
S25-30eissn
0090-0036issn
1541-0048pii
AJPH.2009.166389journal_volume
100 Suppl 1pub_type
杂志文章abstract::We examined the ability of MedisGroups, a severity measure based on clinical data abstracted from the medical record, to predict mortality 30 days following admission. MedisGroups measures severity both on admission and approximately one week into the hospital stay. The data base was a random sample of 20,985 admissio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.1.74
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to identify circumstances in which biochemical assessments of smoking produce systematically higher or lower estimates of smoking than self-reports. A secondary aim was to evaluate different statistical approaches to analyzing variation in validity estimates. METHODS:Literature...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/ajph.84.7.1086
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVES:We evaluated the association of household-level stressors with depressive symptoms among low-wage nursing home employees. METHODS:Data were collected in 2006 and 2007 from 452 multiethnic primary and nonprimary wage earners in 4 facilities in Massachusetts. We used logistic regression to estimate the associ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300323
更新日期:2012-01-01 00:00:00
abstract::This study examines the professional relationships between midwives and physicians providing obstetrical care in Washington State. Four hundred ninety-six randomly sampled family physicians and obstetrician-gynecologists and 211 certified nurse, licensed, and lay midwives were surveyed to learn more about midwife/phys...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.2.262
更新日期:1992-02-01 00:00:00
abstract:OBJECTIVE:This study examined the relationship between enrollment in the Special Supplemental Nutrition Program for women, Infants, and Children (WIC) and delivery of small-for-gestational-age infants. METHODS:WIC records were linked with birth certificates for 1992 full-term births; 41,234 WIC records and 18,34 non-W...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.9.1374
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVES:We tested a series of self-help booklets designed to prevent postpartum smoking relapse. METHODS:We recruited 700 women in months 4 through 8 of pregnancy, who quit smoking for their pregnancy. We randomized the women to receive either (1) 10 Forever Free for Baby and Me (FFB) relapse prevention booklets, m...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2012.300653
更新日期:2012-11-01 00:00:00
abstract::Rabies antibody titers ranged from 0-9.3 IU/mL in 117 human volunteers one year after intradermal vaccination with one or two doses of human diploid cell rabies vaccine (HDCV). At that time, each volunteer received one 0.1-mL booster dose of HDCV intradermally. All 117 volunteers showed good anamnestic responses, with...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.5.503
更新日期:1984-05-01 00:00:00
abstract:OBJECTIVES:This report documents the effect of not having had a Papanicolaou (Pap) test on survival with uterine cervical squamous carcinoma. METHODS:Data were derived from Charity Hospital of Louisiana at New Orleans Tumor Registry reports for 1984-1987 and 1996. RESULTS:During the 5 study years, 101 of 213 women (4...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.4.620
更新日期:2000-04-01 00:00:00
abstract::Objectives. To explore whether and how the Affordable Care Act (ACA) affects the relationship between employment and health insurance coverage, health care utilization, and health outcomes among recently incarcerated men aged 18 to 64 years in the United States.Methods. With data from the National Survey on Drug Use a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305419
更新日期:2020-01-01 00:00:00
abstract::We investigated enforcement of mental health benefits provided by California Medicaid's Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program. Enforcement, compelled by a consumer-driven lawsuit, resulted in an almost 4-fold funding increase over a 5-year period. We evaluated the impact of enforcement on ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.094771
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVES:This analysis describes trends in the prevalence of genital chlamydial infection in economically disadvantaged young women entering a national job training program. METHODS:We examined chlamydia test data for May 1990 through June 1997 for women aged 16 to 24 years who enrolled in the program. The significa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.8.1287
更新日期:2001-08-01 00:00:00
abstract::Family allowances designed to promote maternal and child health and welfare could be self-defeating if they stimulated otherwise unwanted births, as often assumed. That assumption, with its public health and demographic implications, needs testing. An attempt to test it was made in Chile in 1969--1970 through intervie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.10.989
更新日期:1978-10-01 00:00:00
abstract::This analysis compares the rates of spontaneous abortion among women living in the vicinity of a lead smelter with those of women living in a town where blood lead levels were low. Data derive from the obstetric histories of both groups of women obtained while seeking prenatal care for a later pregnancy. A total of 63...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.1.33
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVES:An association of smoking with depression and anxiety has been documented in adult smokers. This study examines this association in a representative group of teenage smokers. METHODS:A two-stage cluster sample of secondary school students in Victoria, Australia, were surveyed by using a computerized questio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.2.225
更新日期:1996-02-01 00:00:00
abstract::We identified factors associated with death at home for 28,828 hospice and non-hospice cancer patients in 13 counties of western Washington State. Hospice participation was found to be the variable most strongly associated with death at home. Admission to hospice appears to override the tendency for certain subgroups ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.11.1549
更新日期:1989-11-01 00:00:00
abstract:OBJECTIVES:We measured symptom and influenza prevalence, and the effectiveness of symptom and temperature screening for identifying influenza, in arriving international airline travelers. METHODS:This cross-sectional study collected data from travelers to Christchurch International Airport, New Zealand, in winter 2008...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300761r
更新日期:2015-10-01 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. 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:This work was undertaken to determine whether there are any chronic neurological sequelae to acute organophosphate pesticide poisoning. METHODS:California surveillance data were used in a study of neurological function among 128 men poisoned by organophosphate pesticides in California from 1982 to 1990 and ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.5.731
更新日期:1994-05-01 00:00:00
abstract:OBJECTIVES:We assessed differences in HIV prevalence and sexual risk behavior among men who have sex with men (MSM) between 1997 and 2002 in San Francisco. METHODS:We used 2 population-based random-digit-dial telephone surveys of MSM households in San Francisco in 1997 (n=915) and 2002 (n=879). RESULTS:Estimated HIV ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.062851
更新日期:2007-09-01 00:00:00
abstract::The globalization of public health is both real and relevant throughout the United States and to Americans traveling or residing abroad. US public policy responses are evolving, but a crisper and more comprehensive global perspective is needed. I suggest four timely US actions to address today's competing realities o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300644
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVES:This study described factors related to colorectal cancer stage at diagnosis. METHODS:Logistic regression analyses were used on data from the New York State Tumor Registry and US Census area-level social class indicators. RESULTS:After the effects of other predictors were controlled for, the odds of late-s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.12.1794
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVES:This study examined trends in health insurance coverage for health care workers and their children between 1988 and 1998. METHODS:We analyzed data from the annual March supplements of the Current Population Survey (CPS), a Census Bureau survey that collects information about health insurance from a national...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.3.404
更新日期:2002-03-01 00:00:00
abstract::This study is the first to provide complete information on prevalence rates by gender and geographic variation for each type of tobacco product used in the United States. Results indicate that, in nearly half of all states, total tobacco use in men exceeded 40% and, in four states, exceeded 50%. In women, only Nevada,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.103
更新日期:1992-01-01 00:00:00
abstract::The history of consumer protection against household poisons presents a key case study of the uniquely American struggle to balance public health and safety with the interests of business. By the late 19th century, package designs, warning labels, and state statutes had formed an uneven patchwork of protective mechani...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2012.301066
更新日期:2013-05-01 00:00:00
abstract::Concern about suicide in US military and veteran populations has prompted efforts to identify more effective prevention measures. Recent expert panel reports have recommended public communications as one component of a comprehensive effort. Messaging about military and veteran suicide originates from many sources and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300905
更新日期:2013-01-01 00:00:00
abstract::To estimate the seroprevalence and investigate risk behaviors for HIV (human immunodeficiency virus) infection in intravenous drug users in Los Angeles County, a stratified, random sample of 790 clients, enrolled in either methadone maintenance or detoxification programs, were studied. Thirteen study participants (1.8...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.1.81
更新日期:1989-01-01 00:00:00
abstract::Academic occupational health centers can support state-based occupational disease surveillance by playing a role in case identification and management, physician education, workplace investigation, and surveillance case criteria development. The existing centers can also serve as models for developing new clinics. As ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.suppl.58
更新日期:1989-12-01 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::Federal government policy in the United States lacks uniformity, as is indicated by the fact that the Dept. of Defense permits the performance of abortion for medical and mental health reasons, the Office of Economic Opportunity states that no project funds may be used for any surgical procedure intended to result in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.61.5.1038
更新日期:1971-05-01 00:00:00