Abstract:
:From 1978 to 1983, researchers at the University of North Carolina conducted a National Evaluation of Rural Primary Care Programs. Thirty years later, many of the programs they studied have closed, but the challenges of providing rural health care have persisted. I explored the histories of 4 surviving rural primary care programs and identified factors that contributed to their sustainability. These included physician advocates, innovative practices, organizational flexibility, and community integration. As rural health programs look ahead, identifying future generations of physician advocates is a crucial next step in developing the rural primary care workforce. It is also important for these programs to find ways to cope with high rates of staff turnover.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Wright DBdoi
10.2105/AJPH.2008.146050subject
Has Abstractpub_date
2009-09-01 00:00:00pages
1612-8issue
9eissn
0090-0036issn
1541-0048pii
AJPH.2008.146050journal_volume
99pub_type
杂志文章abstract::The authors review the available empirical evidence from population-based studies of the association between perceptions of racial/ethnic discrimination and health. This research indicates that discrimination is associated with multiple indicators of poorer physical and, especially, mental health status. However, the ...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.93.2.200
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVES:We examined the effects of market income inequality (income inequality before taxes and transfers) and income redistribution via taxes and transfers on inequality in longevity. METHODS:We used life tables to compute Gini coefficients of longevity inequality for all individuals and for individuals who surviv...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302849
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:We sought to assess whether breastfeeding-related hospital practices reported by mothers were associated with achievement of their intentions to exclusively breastfeed. METHODS:We used data from Listening to Mothers II, a nationally representative survey of 1573 mothers who had given birth in a hospital to ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.135236
更新日期:2009-05-01 00:00:00
abstract::Asymptomatic infection with either Entameba histolytica or Giardia lamblia was found in 61 per cent of the residents of a dormitory in an institution for the mentally retarded; two other dormitories had rates of 20 per cent and 22 per cent. Drug therapy was successfully undertaken in all three dormitories, and environ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.12.1279
更新日期:1979-12-01 00:00:00
abstract::Evaluation of the results of breast self-examination (BSE) is inconclusive. Studies which address the question of proper method of BSE find that most women do not know how to carry out the procedure correctly. Socio-demographic characteristics most consistently related to BSE practice are age and education. New resear...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.73.11.1324
更新日期:1983-11-01 00:00:00
abstract:OBJECTIVES:We compared faculty promotion rates by race/ethnicity across US academic medical centers. METHODS:We used the Association of American Medical College's 1983 through 2000 faculty roster data to estimate median institution-specific promotion rates for assistant professor to associate professor and for associa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300552
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVES:This study was undertaken to determine the prevalence of sexually transmitted diseases (STDs) in pregnant women in rural South Africa and to determine the value of using abnormal urogenital symptoms to identify infected women. METHODS:This was a cross-sectional study of 327 patients attending prenatal clini...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.8.1243
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVES:We developed a process through which community outreach workers, whose role is not typically that of a trained researcher, could actively participate in collection of qualitative evaluation data. METHODS:Outreach workers for a community-based intervention project received training in qualitative research me...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300263
更新日期:2011-12-01 00:00:00
abstract::Background. There is debate whether policies that reduce firearm suicides or homicides are offset by increases in non-firearm-related deaths.Objectives. To assess the extent to which changes in firearm homicides and suicides following implementation of various gun laws affect nonfirearm homicides and suicides.Search M...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/AJPH.2020.305808
更新日期:2020-10-01 00:00:00
abstract::We assessed the prevalence of smokeless tobacco use by 901 high school students in two Arkansas communities, and identified factors associated with initiation and maintenance. Results showed that 36.7 per cent of males and 2.2 per cent of females currently used smokeless tobacco. Modal responses indicated that if smok...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.2.190
更新日期:1986-02-01 00:00:00
abstract::Utilizing data from a field study of psychiatric disorder, the study examined sex differences in patterns of response to interviewers in contrasting status positions. The dependent variables in the analysis were mean scores on nosological scales measuring three dimensions of symptomotology identified in a factor analy...
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.69.5.485
更新日期:1979-05-01 00:00:00
abstract::We assessed the proportion and characteristics of patients who do not regularly visit general health care providers but do visit dentists and whose unaddressed systemic health conditions could therefore be identified by their dentist. Of the 26.0% of children and 24.1% of adults that did not access general outpatient ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300420
更新日期:2012-02-01 00:00:00
abstract::Objectives. To examine exposure to psychological attempts to change a person's gender identity from transgender to cisgender (PACGI) among transgender people in the United States, lifetime and between the years 2010 and 2015, by US state.Methods. We obtained data from the 2015 US Transgender Survey, a cross-sectional ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305237
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVES:The study examined the unique and combined contributions of race/ethnicity, income, and family structure to adolescent cigarette smoking, alcohol use, involvement with violence, suicidal thoughts or attempts, and sexual intercourse. METHODS:Analyses were based on the National Longitudinal Study of Adolescen...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.12.1879
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVES: To determine if the Teen Outreach Program (TOP), a youth development and service learning program, can reduce sexual risk-taking behaviors compared with a business as usual or benign counterfactual. METHODS: We synthesized results of 5 independent studies conducted in 5 geographically and ethnically divers...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303307
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:To estimate national need for family planning services among men in the United States according to background characteristics, access to care, receipt of services, and contraception use. METHODS:We used weighted data from the 2006-2010 National Survey of Family Growth to estimate the percentage of men aged ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.303037
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVES:We sought to identify people living with HIV/AIDS from Medicare and Medicaid claims data to estimate Medicaid costs for treating HIV/AIDS in California. We also examined how alternate methods of identifying the relevant sample affect estimates of per capita costs. METHODS:We analyzed data on Californians en...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302263
更新日期:2015-03-01 00:00:00
abstract::We performed a systematic review of literature on violence and related health concerns among asylum seekers in high-income host countries. We extracted data from 23 peer-reviewed studies. Prevalence of torture, variably defined, was above 30% across all studies. Torture history in clinic populations correlated with h...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2012.301136
更新日期:2013-03-01 00:00:00
abstract::We interviewed 1038 HIV-positive inpatients in public hospitals in Miami, Florida, and Atlanta, Georgia, to examine patient factors associated with use of HIV care, use of antiretroviral therapy, and unprotected sexual intercourse. Multivariate analyses and multiple logistic regression models showed that use of crack ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.139931
更新日期:2009-06-01 00:00:00
abstract::Cotinine was measured in the serum of nearly all 5,115 18-30 year old, Black and White, men and women participating in the Coronary Artery Risk Development in (Young) Adults Study, 30 percent of whom reported current cigarette smoking. Ninety-five percent of the reported smokers had serum cotinine levels indicative of...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.80.9.1053
更新日期:1990-09-01 00:00:00
abstract::In 2001, Maryland's court of appeals was asked to decide whether researchers at Johns Hopkins University had engaged in unethical research on children. During the 1990s, Johns Hopkins's Kennedy Krieger Institute had studied 108 African American children, aged 6 months to 6 years, to find an inexpensive and "practical"...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2012.301004
更新日期:2012-11-01 00:00:00
abstract::The results of 2 large field studies on the impact of the polio eradication initiative on health systems and 3 supplementary reports were presented at a December 1999 meeting convened by the World Health Organization. All of these studies concluded that positive synergies exist between polio eradication and health sys...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.1.19
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:This study determined the effect of provider (nurse or teacher) and training method (workshop or self-preparation) on outcomes of a social influences smoking prevention program. METHODS:One hundred elementary schools were stratified by school risk score (high risk = high smoking rate among senior students) ...
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.89.12.1827
更新日期:1999-12-01 00:00:00
abstract:UNLABELLED:This study examined (1) the relationship between income inequality and mortality among all counties in the contiguous United States to ascertain whether the relationships found for states and metropolitan areas extend to smaller geographic units and (2) the influence of minority racial concentration on the i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.1.99
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:We sought to determine the role of neighborhood poverty and racial composition on race disparities in diabetes prevalence. METHODS:We used data from the 1999-2004 National Health and Nutrition Examination Survey and 2000 US Census to estimate the impact of individual race and poverty and neighborhood racial...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301420
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:We sought to determine whether US physicians' practice patterns in treating tobacco use at ambulatory visits improved over the past decade with the appearance of national clinical practice guidelines, new smoking cessation medications, and public reporting of physician performance in counseling smokers. MET...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2006.092577
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVES:We tested the efficacy of a combined pharmacologic and behavioral smoking cessation intervention among women in a state prison in the southern United States. METHODS:The study design was a randomized controlled trial with a 6-month waitlist control group. The intervention was a 10-week group intervention co...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2007.128207
更新日期:2008-10-01 00:00:00
abstract::The Patient Protection and Affordable Care Act mandates that there be no out-of-pocket cost for Food and Drug Administration-approved contraceptive methods. Among 987 privately insured reproductive aged Pennsylvania women, fewer than 5% were aware that their insurance covered tubal sterilization, and only 11% were awa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302829
更新日期:2015-11-01 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:The objective of this study was to partition the change in US life expectancy into those major causes of death and age groups that contributed most to the decline in life expectancy for Black males and females and to the increase in life expectancy for White males and females in the period from 1984 through ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.6.938
更新日期:1994-06-01 00:00:00