Abstract:
BACKGROUND:We describe common surgical and medical hospital admission rates for Maryland residents, exploring systematic effects of race and income. METHODS:The data comprise Maryland hospital discharges and population estimates for 1985 to 1987. Patient income is the race-specific median family income of residence zip code. Logistic regression is used to measure incidence by race, income, and residence for surgical and medical reasons for admission. RESULTS:Population rates for discretionary orthopedic, vascular, and laryngologic surgery tend to increase with community income levels. Coronary and carotid artery surgery rates are two to three times higher among Whites. The more discretionary the procedure, the lower is the relative incidence among Blacks. By contrast, admission rates for most medical reasons decline with increasing income levels and are elevated among Blacks. The affluent receive coronary artery procedures whereas the poor are hospitalized for coronary artery disease. CONCLUSIONS:Blacks and the poor appear to have higher illness burdens requiring hospital care. Discretionary surgeries have a White predominance and increase with income; medical admissions have a Black predominance and decline with income. Race and community income level are important factors in differential hospital utilization rates.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Gittelsohn AM,Halpern J,Sanchez RLdoi
10.2105/ajph.81.11.1435subject
Has Abstractpub_date
1991-11-01 00:00:00pages
1435-41issue
11eissn
0090-0036issn
1541-0048journal_volume
81pub_type
杂志文章abstract:OBJECTIVES:Cocaine use among youths as measured by several annual surveys was most popular from about 1979 to 1986, after which it declined. This study carefully examines the nature of the decline by focusing on microdata for youthful arrestees in Manhattan. METHODS:Multiple statistical analyses examine whether the de...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.8.1250
更新日期:1994-08-01 00:00:00
abstract:OBJECTIVES:This study sought to estimate rates of cervical cancer and Papanicolaou testing among Aboriginal and non-Aboriginal women in Manitoba, Canada. METHODS:Data were derived through linking of administrative databases. RESULTS:In comparison with non-Aboriginal women, Aboriginal women had 1.8 and 3.6 times the a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.9.1466
更新日期:2000-09-01 00:00:00
abstract:OBJECTIVES:To determine the association between multiple drug use and nonfatal overdose among young people (younger than 30 years) who inject drugs. METHODS:We completed a longitudinal study of 173 injection drug users younger than 30 years living in San Francisco, California, between April 2012 and February 2014. RE...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303084
更新日期:2016-05-01 00:00:00
abstract::The relationship between corneal arcus (arcus senilis) and mortality from coronary heart disease (CHD) and cardiovascular disease (CVD) is examined in a prospective study of White men (n = 3,930) and women non-hormone users (n = 2,139), ages 30-69, followed for an average of 8.4 years as part of the Lipid Research Cli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.10.1200
更新日期:1990-10-01 00:00:00
abstract::An analysis of morbidity was made in 11 kibbutzim (cooperative agricultural settlements), with a total population of 3,040, that had switched from nonwastewater to wastewater sprinkler irrigation or vice versa. Generally, partially treated stabilization pond effluent of poor microbial quality was used for irrigation. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.8.977
更新日期:1986-08-01 00:00:00
abstract::Few data are available on human immunodeficiency virus (HIV) infection and risk behaviors among lesbians and bisexual women. A total of 498 lesbians and bisexual women was sampled from public venues in San Francisco and Berkeley, Calif, during 1993. The overall HIV seroprevalence was 1.2%. Ten percent of participants ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.11.1549
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVES:To develop a smoking indicator that combines the popularity and duration of smoking and the quantity and quality of consumed cigarettes, factors that vary dramatically over time and across generations. METHODS:We used retrospective reports on smoking behavior and a time series of cigarette tar yields to sta...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303130
更新日期:2016-07-01 00:00:00
abstract::Selected mental health and social characteristics of 51 homeless persons drawn as a probability sample from missions are compared to those of 1,338 men aged 18-64 years living in households from the NIMH Epidemiologic Catchment Area survey conducted in Eastern Baltimore. Differences between the two groups were small w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.5.519
更新日期:1986-05-01 00:00:00
abstract:OBJECTIVES:We examined the joint associations of marital status and duration of cohabitation on self-reported intimate partner violence, substance use, and postpartum depression among childbearing women. METHODS:We analyzed data from the 2006-2007 Canadian Maternity Experiences Survey, a cross-sectional nationwide sam...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301116
更新日期:2013-02-01 00:00:00
abstract::Noneconomic factors can be critical to the outcome of an economic development program. Anyone with development experience will have no difficulty recalling instances where, despite good economic planning, failure to account for social, cultural, and/or health factors has resulted in program accomplishments which fell...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.61.9.1751
更新日期:1971-09-01 00:00:00
abstract::Objectives. To quantify the association between personal and family history of criminal justice system (CJS) involvement (PHJI and FHJI, respectively), health outcomes, and health-related behaviors.Methods. We examined 2017 New York City Community Health Survey data (n = 10 005) with multivariable logistic regression....
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305415
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVES:This study identified behavioral and psychosocial/interpersonal factors in young adolescence that are associated with handgun carrying in later adolescence. METHODS:A sample of 2200 high school students was surveyed at 9th grade and again at 12th grade. RESULTS:Multivariate logistic regression analyses ind...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.6.960
更新日期:1998-06-01 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:We sought to determine whether an elevated burden of chronic kidney disease is found among disadvantaged groups living in the United States, Australia, and Thailand. METHODS:We used data on participants 35 years or older for whom a valid serum creatinine measurement was available from studies in the United ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.116020
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVES:Suffering from waning demand, poor quality, and reform efforts enabling veterans to "vote with their feet" and leave, the Veterans Health Administration (VA) health care system transformed itself through a series of substantive changes. We examined the evolution of primary care changes underlying VA's transf...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2007.115709
更新日期:2007-12-01 00:00:00
abstract::The mission of public health--improving the health of populations--is difficult to advance in public discourse because a language to express the values animating that mission has not been adequately developed. Following on the work of Robert Bellah, Dan Beauchamp, and others, we argue that the first "language" of Amer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.043844
更新日期:2005-04-01 00:00:00
abstract::An ever-present challenge for the oral health profession is to reduce the extent of oral disease among racial and ethnic minority populations. Adding to this complex dilemma is the linkage between oral health and systemic health. We describe enhanced cultural competency, in the context of individual cultural beliefs, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303721
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVES:We used a community-based research approach to test a culturally based breast cancer screening program among low-income Hmong women in central and southern California. METHODS:We designed a culturally informed educational program with measures at baseline and 1-year follow-up in 2 intervention cities and 1 ...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2008.143974
更新日期:2009-10-01 00:00:00
abstract::Public awareness of the risks of drinking during pregnancy was assessed in a Northwestern metropolitan county. Ninety per cent of respondents stated spontaneously that drinking might be harmful, and one-fourth of this group felt pregnant women should customarily abstain from alcohol. The balance of those who considere...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.3.312
更新日期:1981-03-01 00:00:00
abstract:OBJECTIVES:To describe salient epidemiological characteristics of Zika virus outbreaks across the world and to examine the clinical presentations, complications, and atypical manifestations related to their occurrence in recent history. METHODS:We conducted a systematic review of the literature by searching through ME...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章,评审
doi:10.2105/AJPH.2016.303112
更新日期:2016-04-01 00:00:00
abstract::A mail survey of 1,650 elderly consumers evaluated prescription drug leaflets for antihypertensives, tranquilizers, and arthritis medicines. Of those who said they received the leaflet, 95 per cent read it, 76 per cent kept it, and 56 per cent discussed it with another person. Respondents taking antihypertensive medic...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.2.157
更新日期:1984-02-01 00:00:00
abstract::Use of the Freedom of Information Act can be potentially harmful to the security of research in progress. There is no protection from disclosure of information in grant applications; collected research data can be obtained and disclosed prematurely; and data supporting published research may be acquired and re-analyz...
journal_title:American journal of public health
pub_type: 社论
doi:10.2105/ajph.72.4.335
更新日期:1982-04-01 00:00:00
abstract:OBJECTIVES:We assessed the feasibility of collecting race/ethnicity data from patients using their own preferred racial/ethnic terms. METHODS:The 424 patients described their race/ethnicity using their own categories, and we compared their descriptions with their responses to the questions (1) "Do you consider yoursel...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.062620
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVES:We examined the associations of oral health literacy (OHL) with oral health status (OHS) and dental neglect (DN), and we explored whether self-efficacy mediated or modified these associations. METHODS:We used interview data collected from 1280 female clients of the Special Supplemental Nutrition Program for...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300291
更新日期:2012-05-01 00:00:00
abstract::Factors related to preschool child receipt of vitamin A during the first year of a semi-annual vitamin A capsule delivery program were investigated in 229 villages in Aceh, Indonesia. Coverage was higher in villages which were more rural and less economically developed. Highest performance was achieved by village dist...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.7.847
更新日期:1989-07-01 00:00:00
abstract:OBJECTIVES:We sought to quantify the potential health impact of selected medical and nonmedical policy changes within the United States. METHODS:Using data from the 1997-2000 National Health Interview Surveys (linked to mortality data through 2002) and the 1996-2002 Medical Expenditure Panel Surveys, we calculated age...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165019
更新日期:2010-09-01 00:00:00
abstract::During the early stages of an influenza pandemic, a pandemic vaccine likely will not be available. Therefore, interventions to mitigate pandemic influenza transmission in communities will be an important component of the response to a pandemic. Public-housing residents, single-parent families, and low-income populatio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165134
更新日期:2009-10-01 00:00:00
abstract::Cyclone Hudah struck the northeastern coast of Madagascar in the spring of 2000. Over a 5-month period, 11 700 relief kits consisting of bottles of water disinfectant and foldable jerry cans were distributed to the affected population. Five months after the cyclone, a survey was conducted in 12 villages to determine t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.10.1577
更新日期:2001-10-01 00:00:00
abstract::A nation-wide survey of Parent-Inclusive Pediatric Units identified innovations and restrictions in policies and practices. Questionnaires mailed to Directors of Nursing Service at 84 general hospitals which encourage parental "living-in" indicated that parents are provided with a place to sleep but infrequently are o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.9.847
更新日期:1978-09-01 00:00:00
abstract::The newborn screening program mandated by the New York State Public Health Law requires that every baby born in the state be tested for eight conditions including sickle cell anemia. Although sickle cell screening of newborns has been in operation since 1975, the follow-up program for case retrieval to obtain repeat b...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.3.249
更新日期:1983-03-01 00:00:00