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. METHODS:We compared data from the National Ambulatory Medical Care Survey, an annual survey of a random sample of office visits to US physicians, between 1994-1996 and 2001-2003. RESULTS:Physicians identified patients' smoking status at 68% of visits in 2001-2003 versus 65% in 1994-1996 (adjusted odds ratio [AOR]=1.16; 95% confidence interval [CI]=1.04, 1.30). Physicians counseled about smoking at 20% of smokers' visits in 2001-2003 versus 22% in 1994-1996 (AOR=0.84; 95% CI=0.71, 0.99). In both time periods, smoking cessation medication use was low (<2% of smokers' visits) and visits with counseling for smoking were longer than those without such counseling (P<.005). CONCLUSIONS:In the past decade, there has been a small increase in physicians' rates of patients' smoking status identification and a small decrease in rates of counseling smokers. This lack of progress may reflect barriers in the US health care environment, including limited physician time to provide counseling.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Thorndike AN,Regan S,Rigotti NAdoi
10.2105/AJPH.2006.092577subject
Has Abstractpub_date
2007-10-01 00:00:00pages
1878-83issue
10eissn
0090-0036issn
1541-0048pii
AJPH.2006.092577journal_volume
97pub_type
杂志文章,随机对照试验abstract::An editorial in a previous issue of this journal falsely claims that the US government's efforts to reduce road fatalities are not based on science. It says that, as a result, the United States has fallen behind other countries in road death prevention. A large body of research and evaluation informed federal and stat...
journal_title:American journal of public health
pub_type: 评论,杂志文章
doi:10.2105/AJPH.2014.302352
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVES:This study evaluated the association of physical activity with serum lipoprotein(a) [La(a)] levels in individuals according to whether they had a family history of coronary heart disease (CHD). METHODS:Lp(a) levels in 332 healthy Spanish men aged 20 to 60 years were measured. Physical activity and family hi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.3.383
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVES:Whether or not spermicides can reduce the risk of human immunodeficiency virus (HIV) transmission remains an important question for the control of heterosexual HIV transmission. The authors provide estimates from a reanalysis of one of the few observational studies on the efficacy of condoms and spermicides,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.4.590
更新日期:1998-04-01 00:00:00
abstract:OBJECTIVES:This article reports findings from a peer-delivered intervention designed to increase use of breast and cervical cancer screening. METHODS:Twenty-six worksites were randomly assigned to the intervention or comparison group. The 16-month intervention consisted of group discussions, outreach, and educational ...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.2105/ajph.91.4.584
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVES:The association between the timing of discussions about condoms between mother and adolescent and adolescents' condom use during their first and subsequent sexual encounters was examined. METHODS:Sexually active adolescents reported whether and when they discussed condoms with their mother and answered ques...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.10.1542
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVES:This study characterized exposure-monitoring activities and findings under the Occupational Safety and Health Administration's (OSHA's) 1984 ethylene oxide (EtO) standard. METHODS:In-depth mail and telephone surveys were followed by on-site interviews at all EtO-using hospitals in Massachusetts (n = 92, 96%...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.7.1119
更新日期:1997-07-01 00:00:00
abstract:OBJECTIVES:This project investigated whether augmented prenatal care for high-risk African American women would improve pregnancy outcomes and patients' knowledge of risks, satisfaction with care, and behavior. METHODS:The women enrolled were African American, were eligible for Medicaid, had scored 10 or higher on a r...
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.91.1.105
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:We determined the number of state Medicaid programs adopting initiatives to support preventive dental services provision by nondental health care professionals, their perceived attributes, and implementation barriers. METHODS:We used Qualtrics to conduct a cross-sectional survey in 2008 of Medicaid dental p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301138
更新日期:2013-08-01 00:00:00
abstract::I applied the capture-recapture method to estimate the World Trade Center tower population at the time of the September 11, 2001, terrorist attacks. Available lists helped identify 8965 survivors and 2152 confirmed casualties. The capture-recapture model suggested that an additional 4435 survivors were present, puttin...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.124768
更新日期:2009-01-01 00:00:00
abstract::Assessments of the consequences of deinstitutionalization tend to focus primarily on observable changes in psychiatric services. Equally critical, and less often noted, are changes in the target population of deinstitutionalization that have accrued as the result of new service initiatives and changing loci of care. Y...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.4.382
更新日期:1984-04-01 00:00:00
abstract::This paper describes the employment experience of 266 individuals one year after traumatic injury severe enough to require hospitalization. Of those working full-time prior to their injury, 56 per cent were employed full-time at one year; an additional 5 per cent were working part-time. Those sustaining a severe head ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.3.329
更新日期:1987-03-01 00:00:00
abstract:OBJECTIVES:To describe, and provide a nomenclature and taxonomy for classifying, the economic sectors and functional assets that could be mobilized as partners in an intersectoral health system. METHODS:MAPSCorps (Meaningful, Active, Productive Science in Service to Community) employed local youths to conduct a census...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303302
更新日期:2016-10-01 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
abstract:OBJECTIVES:We examined the prevalence of depressive, anxiety, and substance use disorders among Latinos residing in the United States. METHODS:We used data from the National Latino and Asian American Study, which included a nationally representative sample of Latinos. We calculated weighted prevalence rates of lifetim...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087205
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:We investigated whether state-sponsored antitobacco advertisements are associated with reduced adult smoking, and interactions between smoking-related advertising types. METHODS:We measured mean exposure to smoking-related advertisements with television ratings for the top-75 US media markets from 1999 to 2...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300443
更新日期:2012-04-01 00:00:00
abstract::The Occupational Safety and Health Act of 1970 (OSHAct) declared that every worker is entitled to safe and healthful working conditions, and that employers are responsible for work being free from all recognized hazards. Thirty-eight years after these assurances, however, it is difficult to find anyone who believes th...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2007.117382
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVES:We assessed whether asthma is associated with urban children's use of special education services. METHODS:We conducted a cross-sectional study in 24 randomly selected New York City public elementary schools using a parent-report questionnaire focusing on sociodemographic characteristics, special education e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.075887
更新日期:2006-09-01 00:00:00
abstract::We sought to understand how the tobacco industry uses "youth smoking prevention" programs in Latin America. We analyzed tobacco industry documents, so-called "social reports," media reports, and material provided by Latin American public health advocates. Since the early 1990s, multinational tobacco companies have pro...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2006.094128
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVES:We examined the impact of a maternal-child home visitation program on birth spacing for first-time Latina mothers, focusing on adolescents and women who identified as Mexican or Puerto Rican. METHODS:This was a retrospective cohort study. One thousand Latina women enrolled in the Pennsylvania Nurse-Family P...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301505
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVES:The common operation of fuel-powered resurfacing equipment in enclosed ice skating rinks has the potential for producing high concentrations of carbon monoxide and nitrogen dioxide. Exposures to these gaseous combustion products may adversely affect the health of those inside the rink. Little information is ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.3.429
更新日期:1994-03-01 00:00:00
abstract::From February through December 2012, we examined responses to health behavior questions integrated into the electronic medical record of primary care centers in the Bronx, New York in the context of New York City Community Health Survey data. We saw a higher proportion of unhealthy behaviors among patients than among ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302326
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:The authors examined Americans' opinions about financial and treatment competence of people with mental health problems, potential for harm to self or others, and the use of legal means to force treatment. METHODS:The 1996 General Social Survey provided interview data with a nationally representative sample...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.9.1339
更新日期:1999-09-01 00:00:00
abstract::To assess the risk of hip fracture in Mexican Americans, the ethnicity of 80 women aged 50 years and over admitted with hip fractures to a Texas hospital was compared with that of age-matched women hospitalized for other reasons. The risk of fracture for Mexican Americans was only 35 per cent that of Whites (95% CI = ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.8.1020
更新日期:1986-08-01 00:00:00
abstract::Suicide is a public health problem disproportionately associated with some demographic characteristics (e.g., sexual orientation, veteran status). Analyses of the Massachusetts Behavioral Risk Factor Surveillance Survey data revealed that more lesbian, gay, and bisexual (i.e., sexual minority) veterans reported suicid...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300565
更新日期:2012-03-01 00:00:00
abstract::Describing, evaluating, and conducting research on the questions raised by comparative effectiveness research and characterizing care delivery organizations of all kinds, from independent individual provider units to large integrated health systems, has become imperative. Recognizing this challenge, the Delivery Syste...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301926
更新日期:2015-04-01 00:00:00
abstract::We reviewed the outpatient medical records of 265 homeless children less than 5 years of age in New York City and compared them with children of similar low socioeconomic status (SES) attending the same pediatric clinic. The frequency of health problems among the homeless children, including delayed immunizations, ele...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.9.1232
更新日期:1988-09-01 00:00:00
abstract:OBJECTIVES:This study estimated the magnitude of health improvements resulting from a proposed living wage ordinance in San Francisco. METHODS:Published observational models of the relationship of income to health were applied to predict improvements in health outcomes associated with proposed wage increases in San Fr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.9.1398
更新日期:2001-09-01 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::Among all deaths to Connecticut residents (1990/91), 1260 were acceptable Spanish-surname matches (using father's surname for females), of which only 793 (62.9%) were identified as Hispanic origin on the death certificate. Certificates also identified 127 non-Spanish-surnamed Hispanics. With death rates for non-Hispan...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.7.998
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVES:To assess how US Public Health Emergency Preparedness (PHEP) awardees plan to respond to an influenza pandemic with vaccination. METHODS:The Centers for Disease Control and Prevention developed the Pandemic Influenza Readiness Assessment, an online survey sent to PHEP directors, to analyze, in part, the rea...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303952
更新日期:2017-09-01 00:00:00