Abstract:
OBJECTIVES:We sought to evaluate outcomes of the Veterans Administration (VA) Afghan and Iraq Post-Deployment Screen for mental health symptoms. METHODS:Veterans Administration clinicians were encouraged to refer Iraq or Afghanistan veterans who screened positive for posttraumatic stress disorder, depression, or high-risk alcohol use to a VA mental health clinic. Multivariate methods were used to determine predictors of screening, the proportions who screened positive for particular mental health problems, and predictors of VA mental health clinic attendance. RESULTS:Among 750 Iraq and Afghanistan veterans who were referred to a VA medical center and 5 associated community clinics, 338 underwent postdeployment screening; 233 (69%) screened positive for mental health problems. Having been seen in primary care (adjusted odd ratio [AOR]=13.3; 95% confidence interval [CI]=8.31, 21.3) and at a VA community clinic (AOR=3.28; 95% CI=2.03, 5.28) predicted screening. African American veterans were less likely to have been screened than were White veterans (AOR=0.45; 95% CI=0.22, 0.91). Of 233 veterans who screened positive, 170 (73%) completed a mental health follow-up visit. CONCLUSIONS:A substantial proportion of veterans met screening criteria for co-occurring mental health problems, suggesting that the VA screens may help overcome a "don't ask, don't tell" climate that surrounds stigmatized mental illness. Based on data from 1 VA facility, VA postdeployment screening increases mental health clinic attendance among Iraq and Afghanistan veterans.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Seal KH,Bertenthal D,Maguen S,Gima K,Chu A,Marmar CRdoi
10.2105/AJPH.2007.115519subject
Has Abstractpub_date
2008-04-01 00:00:00pages
714-20issue
4eissn
0090-0036issn
1541-0048pii
AJPH.2007.115519journal_volume
98pub_type
杂志文章abstract:OBJECTIVES:We investigated the feasibility of combining an online chain recruitment method (respondent-driven detection) and participatory surveillance panels to collect previously undetected information on infectious diseases via social networks of participants. METHODS:In 2014, volunteers from 2 large panels in the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302717
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVE:We examined the prevalence of intimate partner violence (IPV) among recent (0-9 years) and nonrecent (>/= 10 years) immigrant women in Canada to determine whether differences in IPV were associated with length of stay in Canada. METHODS:We analyzed data from the 1999 General Social Survey, a national cross-s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.046409
更新日期:2006-04-01 00:00:00
abstract::Viva la Vida (Live Your Life) is a call to action for older Latinos to take charge of their diabetes and live life to the fullest. Lumetra, California's federally designated Medicare quality improvement organization, developed the Viva la Vida project to improve diabetes care among Latino Medicare beneficiaries in 4 S...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.106062
更新日期:2008-02-01 00:00:00
abstract::Objectives. We examined whether residence in neighborhoods with high levels of incarceration is associated with psychiatric morbidity among nonincarcerated community members. Methods. We linked zip code-linked information on neighborhood prison admissions rates to individual-level data on mental health from the Detroi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302184
更新日期:2015-01-01 00:00:00
abstract::Health officials often wish to sponsor nutrition and other health promotion programs but are hampered by lack of funding. One source of funding is suggested by the fact that 18 states and 1 major city levy special taxes on soft drinks, candy, chewing gum, or snack foods. The tax rates may be too small to affect sales,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.6.854
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVES:This study examined the relationships between wealth and income and selected racial and ethnic differences in health. METHODS:Cross-sectional data on a national sample of 9744 men and women aged 51 through 61 from the 1992 Health and Retirement Survey were analyzed to examine the association between socioec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.5.805
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to determine the prevalence and effect of domestic violence and childhood sexual abuse in women with HIV or at risk for HIV infection. METHODS:Participants with HIV or at risk for HIV infection enrolled in the Women's Interagency HIV Study. Childhood sexual abuse; all physical,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.4.560
更新日期:2000-04-01 00:00:00
abstract::Men entering gay bars in three small southern cities were administered questionnaires to assess AIDS (acquired immunodeficiency syndrome) risk knowledge, perceived norms concerning the social acceptability of AIDS risk precautions, and personal sexual behavior. Seventy-seven percent (N = 355) of male patrons completed...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.4.416
更新日期:1990-04-01 00:00:00
abstract:OBJECTIVES:We examined US health educators' likelihood of adopting genomic competencies--specific skills and knowledge in public health genomics--into health promotion and the factors influencing such likelihood. METHODS:We developed and tested a model to assess likelihood to adopt genomic competencies. Data from 1607...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.122663
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVES:We explored the relationship between social isolation and mortality in a nationally representative US sample and compared the predictive power of social isolation with that of traditional clinical risk factors. METHODS:We used data on 16,849 adults from the Third National Health and Nutrition Examination Su...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301261
更新日期:2013-11-01 00:00:00
abstract::Ischemic heart disease (IHD) mortality of Connecticut firemen and policemen is studied for the years 1960-78, using death certificate data. The mortality of these two occupations is expected to be greater than that of other workers. Standardized Mortality Odds Ratios for firemen and policemen are greater than 1.00. Al...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.9.1140
更新日期:1986-09-01 00:00:00
abstract::The United States' international ranking for infant mortality slipped from 19th in the 1980s to 27th in 1997. This slippage may be related to the segregation of priorities that occurred early in the 1990s, when national concern was diverted from infant mortality to minority health. To rekindle concern about infant mor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.4.552
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVES:We determined rates of prenatal HIV testing and investigated barriers to testing. METHODS:We surveyed 1362 representative parturient women from 7 hospitals in 4 locations of the United States. RESULTS:Overall, 89.9% of women reported being offered HIV testing and 69.6% reported being tested. Proportions of...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.91.5.727
更新日期:2001-05-01 00:00:00
abstract::Given the public health importance of law modernization, we undertook a comparative analysis of policy efforts in 4 states (Alaska, South Carolina, Wisconsin, and Nebraska) that have considered public health law reform based on the Turning Point Model State Public Health Act. Through national legislative tracking and ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.140913
更新日期:2009-03-01 00:00:00
abstract::The religious distribution of Nassau County resident leukemia cases diagnosed between 1966 and 1974 was studied to see if the elevated incidence of the disease among Jews reported in the 1950s and early 1960s was persisting. The results showed, for both males and females, virtually no difference in attack rates betwee...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.11.1094
更新日期:1976-11-01 00:00:00
abstract::As successes mount in reducing commercial tobacco use, an alarming disparity has taken shape in Minnesota. Recent studies revealed that overall smoking rates have dropped to 14%, whereas American Indians' rates remain higher than 50%. With support from ClearWay Minnesota, the organization created from the state's toba...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303125
更新日期:2016-07-01 00:00:00
abstract::The long-term consequences of prior oral contraceptive use for bone mineral density were examined in 239 postmenopausal women, 35.1% of whom reported prior oral contraceptive use. Women who had used oral contraceptives for 6 or more years had significantly higher bone densities of the lumbar spine and femoral neck, bu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.1.100
更新日期:1993-01-01 00:00:00
abstract::Nutrient intakes were investigated for Blacks and Whites using data from the NHANES II survey (1976-80). Intake of energy, total fat, saturated fat, dietary cholesterol, P/S ratio, and per cent of calories derived from total and saturated fat are examined by sex and age, both in absolute terms and per unit of body wei...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.9.1150
更新日期:1988-09-01 00:00:00
abstract::To assess the association with birthweight of prenatal medical care, length of gestation, and other prenatal factors, birth certificate data were studied for babies born in 1978 to mothers who were residents of Alameda or Contra Costa counties, California. Using multiple regression data analytic techniques, adequate p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.9.1003
更新日期:1984-09-01 00:00:00
abstract:OBJECTIVES:We compared prevalence rates and correlates of substance use among high school students in South Africa and the United States. METHODS:We used weighted data from 2 nationally representative surveys of high school students. We conducted bivariate and multivariate analyses and examined between-country differe...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2006.086330
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVES:To examine the joint impact of states' Medicaid expansion and participation in Medicaid enrollment outreach at the take-up of other means-tested public programs (Women, Infants, and Children [WIC], Supplemental Nutrition Assistance Program [SNAP]). METHODS:Data were used from the American Community Survey, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304592
更新日期:2018-10-01 00:00:00
abstract::Research evidence indicates that 2 forms of racial discrimination-perceived interpersonal discrimination and racial/ethnic residential segregation (a form of institutional discrimination)-may influence children's health and disparities. Although research on these 2 forms of discrimination and health has primarily focu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300986
更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:There are no published population-based studies of occupational carpal tunnel syndrome (OCTS) using a strict case definition. Most studies are either industry specific or present patient self-report of symptoms. METHODS:We conducted a population-based incidence study of OCTS using the Washington State Worke...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.741
更新日期:1991-06-01 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::Researchers have a responsibility to cause no harm, but research has been a source of distress for indigenous people because of inappropriate methods and practices. The way researchers acquire knowledge in indigenous communities may be as critical for eliminating health disparities as the actual knowledge that is gain...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.093641
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:We identified courses of depressive symptoms in an epidemiological sample of emerging adults. METHODS:We used latent class growth modeling to identify trajectories of depressive symptoms measured by the 12-item Center for Epidemiological Studies Depression Scale (CES-D) during a 14-year follow-up of 2825 Ca...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302817
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:Prenatal care is commonly understood to have a beneficial impact on birthweight. This study describes socioeconomic differences in utilization of prenatal medical care and birthweight in a population with universal health insurance. METHODS:Measures of prenatal care utilization, incidence of pregnancy compl...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.9.1450
更新日期:1994-09-01 00:00:00
abstract:OBJECTIVES:We sought to examine relationships between sociodemographic indicators of risk and depression symptoms within the Black and White populations. METHODS:In a national probability sample, differences in sex, age, marital status, religion, social class, employment status, urbanicity, and region were evaluated a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.2.240
更新日期:1993-02-01 00:00:00
abstract::Four cohorts of urban women who delivered a child before reaching age 18 were followed for periods ranging from 6 to 12 years to determine use of abortion and sterilization. The two more recent cohorts had been served by comprehensive service programs. About 40 per cent of each of teh groups used abortion or steriliza...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.7.621
更新日期:1977-07-01 00:00:00
abstract:OBJECTIVES:It is widely believed that risk factors identified in previous epidemiologic studies accurately predict adolescent drug use. Comparative studies are needed to determine how risk factors vary in prevalence, distribution, sensitivity, and pattern across the major US ethnic/racial groups. METHODS:Baseline ques...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.2.185
更新日期:1993-02-01 00:00:00