Abstract:
OBJECTIVES:We estimated the costs associated with reducing class sizes in kindergarten through grade 3 as well as the effects of small class sizes on selected outcomes such as quality-adjusted life-years and future earnings. METHODS:We used multiple data sets to predict changes in the outcomes assessed according to level of educational attainment. We then used a Markov model to estimate future costs and benefits incurred and quality-adjusted life-years gained per additional high school graduate produced over time. RESULTS:From a societal perspective (incorporating earnings and health outcomes), class-size reductions would generate a net cost savings of approximately $168,000 and a net gain of 1.7 quality-adjusted life-years for each high school graduate produced by small classes. When targeted to low-income students, the estimated savings would increase to $196,000 per additional graduate. From a governmental perspective (incorporating public expenditures and revenues), the results of reducing class sizes ranged from savings in costs to an additional cost of $15000 per quality-adjusted life-year gained. CONCLUSIONS:Reducing class sizes may be more cost-effective than most public health and medical interventions.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Muennig P,Woolf SHdoi
10.2105/AJPH.2006.105478subject
Has Abstractpub_date
2007-11-01 00:00:00pages
2020-7issue
11eissn
0090-0036issn
1541-0048pii
AJPH.2006.105478journal_volume
97pub_type
杂志文章abstract::Cash can never compensate people for a half century of exile and the destruction of a lifestyle and culture. ...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.91.9.1371
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVES:This study investigated douching and reduced fertility. METHODS:The monthly probability of conception for douchers and nondouchers was compared in a sample of 840 married, parous women in King County, Washington. Data on the number of months required to conceive were analyzed. RESULTS:In comparison with no...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.6.844
更新日期:1996-06-01 00:00:00
abstract::In 1985, a measles outbreak involved 14 students and non-student contacts in Michigan. Eight transmissions occurred at university medical facilities; five of these were likely airborne transmissions. Medical students and a medical resident were involved in the outbreak's propagation. Health care providers need to be i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.9.1222
更新日期:1987-09-01 00:00:00
abstract::More than 100 years ago, public health began as an organized discipline, its purpose being to improve the health of populations rather than of individuals. Given its population-based focus, however, public health perennially faces dilemmas concerning the appropriate extent of its reach and whether its activities infri...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.11.1776
更新日期:2001-11-01 00:00:00
abstract::Because of the importance of grassroots social movements, or "change from below," in the history of US reform, the relationship between social movements and demands for universal health care is a critical one. National health reform campaigns in the 20th century were initiated and run by elites more concerned with def...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.93.1.75
更新日期:2003-01-01 00:00:00
abstract::The Gay, Lesbian, Bisexual, and Transgender (GLBT) Health Access Project is a unique public-private collaboration working to eliminate barriers to health care for the GLBT community, foster development of comprehensive, culturally appropriate health promotion policies and health care services for GLBT people and their...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.6.895
更新日期:2001-06-01 00:00:00
abstract::This commentary argues that 100 years after the deadly Spanish flu, the public health emergency community's responses to much more limited pandemics and outbreaks demonstrate a critical shortage of personnel and resources. Rather than relying on nonpharmaceutical interventions, such as quarantine, the United States mu...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2018.304682
更新日期:2018-11-01 00:00:00
abstract::A 5-tier pyramid best describes the impact of different types of public health interventions and provides a framework to improve health. At the base of this pyramid, indicating interventions with the greatest potential impact, are efforts to address socioeconomic determinants of health. In ascending order are interven...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.185652
更新日期:2010-04-01 00:00:00
abstract::Seventy-eight inner city mothers of third and fourth grade children in three racial groups--white, black, and American Indian--known to need dental treatment for disease on permanent teeth, were interviewed at home by a trained community resident interviewer. Sixty-two per cent of the mothers were on public assistance...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.1.37
更新日期:1977-01-01 00:00:00
abstract::In the Whitehall Study, which followed 17,139 male civil servants over 33 years, the association between tall stature and coronary heart disease (CHD) mortality differed between employment grades. In men without CHD at study entry, the hazard ratio per 15-cm increase in height was 0.77 (95% confidence interval [CI]=0....
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/2004.046219
更新日期:2005-04-01 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::This report describes the first four years of operation of the Extended MPH Degree Program of the University of Washington School of Public Health and Community Medicine and the features that might explain its initial success. The format of the curriculum is radically different from the traditional two-year program of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.11.1258
更新日期:1984-11-01 00:00:00
abstract:OBJECTIVES:We investigated attitudes toward provider-initiated HIV testing and counseling (PITC) in the suburbs of Harare, Zimbabwe, where late presentation after mother-to-child HIV transmission (MTCT) is a major cause of adolescent mortality. METHODS:Adolescents (10-18 years) attending 2 primary clinics were offered...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300250
更新日期:2011-12-01 00:00:00
abstract::In May 1983, an estimated 865 cases of epidemic gastrointestinal disease occurred in Greenville, Florida. Surveillance of pharmacy sales of antidiarrheal medicines suggested that the outbreak was confined to Greenville and its immediate vicinity. Surveys demonstrated that the gastrointestinal illness attack rates insi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.4.424
更新日期:1986-04-01 00:00:00
abstract::Using data from the Child Health Supplement to the 1981 National Health Interview Survey, illness and use of physician services are compared for children under 18 years old in three family income groups. The results indicate that although annual prevalence of many health problems does not differ greatly by income leve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.8.927
更新日期:1988-08-01 00:00:00
abstract::Although the public health impact of direct-to-consumer (DTC) pharmaceutical advertising remains a subject of great controversy, such promotion is typically understood as a recent phenomenon permitted only by changes in federal regulation of print and broadcast advertising over the past two decades. But today's omnipr...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2009.181255
更新日期:2010-05-01 00:00:00
abstract::Data from the Hispanic Health and Nutrition Examination Survey (HHANES) (1982 through 1984) and the National Health and Nutrition Examination Survey (NHANES) II (1976 through 1980) were used to examine reported physician-diagnosed asthma among 6-month-old through 11-year-old children. The highest prevalence of active ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.4.580
更新日期:1993-04-01 00:00:00
abstract:OBJECTIVES:We examined which local health department (LHD)-level factors contributed to successful implementation of policy, systems, and environmental change strategies in Minnesota. METHODS:We used a retrospective mixed-methods design to evaluate the relationship between the Statewide Health Improvement Plan (SHIP) ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302419
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Recent studies have shown considerable variation in body fatness among children and adolescents defined as obese by a percentile rank for skinfold thickness. METHODS:We examined the relationship between percent body fat and risk for elevated blood pressure, serum total cholesterol, and serum lipoprotein rat...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.358
更新日期:1992-03-01 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:OBJECTIVES:Message tailoring, based on individual needs and circumstances, is commonly used to enhance face-to-face patient counseling. Only recently has individual tailoring become feasible for printed messages. This study sought to determine whether printed tailored recommendations addressing women's specific screeni...
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.84.1.43
更新日期:1994-01-01 00:00:00
abstract::Falls and fall-induced injuries in older people are a major public health problem in modern societies with aging populations. Injury is the fifth leading cause of death in older adults, and most of these fatal injuries are related to falls. We have assessed the nationwide trends in fall-induced deaths of older people ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.047779
更新日期:2005-03-01 00:00:00
abstract::We investigated links between police brutality and poor health outcomes among Blacks and identified five intersecting pathways: (1) fatal injuries that increase population-specific mortality rates; (2) adverse physiological responses that increase morbidity; (3) racist public reactions that cause stress; (4) arrests, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303691
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVES:This paper explores the relationship of state hospital and general hospital psychiatric caseloads in a statewide system of care. METHODS:Probabilistic population estimation was applied to general hospital and state hospital data sets. RESULTS:General hospitals provide inpatient psychiatric services to more...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.3.448
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVES:To review the contribution of the Nurses' Health Studies (NHS and NHS II) in addressing hypotheses regarding risk factors for and consequences of obesity. METHODS:Narrative review of the publications of the NHS and NHS II between 1976 and 2016. RESULTS:Long-term NHS research has shown that weight gain and ...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2016.303326
更新日期:2016-09-01 00:00:00
abstract::Amont 338 women treated in Massachusetts with isoniazid (isonicotinic acid hydrazide = INH) for pulmonary tuberculosis, no excess cancer deaths occurred (8 observed vs 8.3 expected) after 23 years (12.9 mean) of follow-up. There was an excess of cancer deaths (54 vs 35.7) among 1,090 patients who did not receive INH, ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.9.987
更新日期:1980-09-01 00:00:00
abstract:OBJECTIVES:This analysis was conducted to determine whether atopic disorders were related to social class in a pediatric population of a former socialist country. METHODS:A cross-sectional study of 2471 schoolchildren was carried out in 1992 and 1993 in 3 towns in the former East Germany. Parents completed a standardi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.9.1319
更新日期:1998-09-01 00:00:00
abstract::In an attempt to meet the need for increasing public knowledge about cancer, a system providing free information by telephone has been developed. The system is comprised of 36 pre-recorded taped lectures containing information about various aspects of cancer. Interested individuals call a toll-free number, indicate a ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.4.367
更新日期:1976-04-01 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:The association between carbonated beverage consumption and bone mineral density was examined in a community-based cohort of older White women. METHODS:One thousand women 44 to 98 years of age had bone mineral density measured at four sites and provided medical and behavioral histories, including type and q...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.2.276
更新日期:1997-02-01 00:00:00