Abstract:
OBJECTIVES:We sought to assess the capacity of state public health agencies to address noncommunicable disease clusters (NCCs) and to develop recommendations to enhance agencies' NCC response capacity. METHODS:We conducted an inventory of state public health agency Web sites and administered a Web-based survey of state health agency personnel to examine NCC capacity with respect to responsibility and authority, scope, protocols, trends in NCC investigations, and desired assistance. RESULTS:Twenty-six of the state agency Web sites listed an NCC contact, and 12 mentioned a cluster response team. Thirty-seven states completed the Web-based survey, all addressed cancer clusters, and 30 also responded to other NCCs, such as multiple sclerosis, amyotrophic lateral sclerosis, and autism. CONCLUSIONS:NCCs are of key concern to communities, and all of the survey respondents indicated that citizen reports were an impetus for investigations; yet, state-level capacity to address NCCs was inconsistent and disjointed. State agency personnel were committed to responding to NCC inquiries but were hampered by lack of personnel, resources, and prescribed protocols, as well as inadequate interagency communication. We offer recommendations to address these challenges.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Juzych NS,Resnick B,Streeter R,Herbstman J,Zablotsky J,Fox M,Burke TAdoi
10.2105/AJPH.2006.096453subject
Has Abstractpub_date
2007-04-01 00:00:00pages
S163-9eissn
0090-0036issn
1541-0048pii
AJPH.2006.096453journal_volume
97 Suppl 1pub_type
杂志文章abstract:OBJECTIVES:We provide an updated meta-analysis on the effectiveness of Project D.A.R.E. in preventing alcohol, tobacco, and illicit drug use among school-aged youths. METHODS:We used meta-analytic techniques to create an overall effect size for D.A.R.E. outcome evaluations reported in scientific journals. RESULTS:The...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.6.1027
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVES:We sought to identify correlates of forced sex perpetration among men and victimization among women in Botswana and Swaziland. METHODS:We surveyed a 2-stage probability sample of 2074 adults from the 5 districts of Botswana with the highest HIV prevalence rates and all 4 regions of Swaziland. We used multiv...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300060
更新日期:2011-06-01 00:00:00
abstract::To evaluate a multicultural smoking prevention curriculum, 16 schools were randomized to receive the multicultural curriculum or a standard curriculum and program effects on 1-year smoking initiation among 1430 never smokers were assessed. Hispanic boys who received the multicultural curriculum were less likely to ini...
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.94.2.263
更新日期:2004-02-01 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::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::Compared with their heterosexual peers, sexual minority women (SMW; e.g., queer, bisexual, lesbian, pansexual) have an elevated risk for unintended pregnancy.A team of social science and clinical researchers qualitatively documented the multilevel pathways leading to this disparity, particularly the contexts of contra...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305211
更新日期:2019-12-01 00:00:00
abstract::We carried out a seroepidemiologic study to evaluate the transmission of hepatitis B virus (HBV) from students to staff in a day school for mentally retarded students. Of 505 students tested, 37 (7.3 per cent) had HBsAg; 74 per cent of HBsAg-positive sera tested were HBeAg-positive. Of 162 staff members tested, 21 (13...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.9.1183
更新日期:1987-09-01 00:00:00
abstract::We estimated the annual cost of bike and pedestrian trails in Lincoln, Neb, using construction and maintenance costs provided by the Department of Parks and Recreation of Nebraska. We obtained the number of users of 5 trails from a 1998 census report. The annual construction cost of each trail was calculated by using ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.4.549
更新日期:2004-04-01 00:00:00
abstract::Water is essential in providing nutrients, but contaminated water contributes to poor population health. Water quality and availability can change in unstructured situations, such as war. To develop a practical strategy to address poor water quality resulting from intermittent wars in Iraq, I reviewed information from...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2012.301118
更新日期:2013-06-01 00:00:00
abstract::Historical work on cancer has suggested that a range of political, social, and medical concerns stimulated the emergence of cancer as a public health problem in the early 20th century.I argue that anxiety about cervical cancer mortality was instrumental in establishing cancer as a major focus of concern for the Britis...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2004.046458
更新日期:2005-08-01 00:00:00
abstract::To measure test-retest reliability, 38 Veterans Administration clinic patients completed a modification of the Sarason Life Experience Survey (LES) twice within several weeks. Summary scores were found to be more reliable than scores on individual questions. Patients attending the Mental Hygiene Clinic responded less ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.7.723
更新日期:1984-07-01 00:00:00
abstract::The medical outcomes and demographic characteristics of all victims of fires identified by The Baltimore Fire Department during a 14-month period in Baltimore City were studied. Fifty-nine per cent of victims suffered minor injuries, 25 per cent required hospitalization and 16 per cent were fatalities. The majority of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.11.1077
更新日期:1977-11-01 00:00:00
abstract::The youngest and oldest drivers have the highest crash risk, but the problem lies predominantly in the youngest age groups because elderly drivers have low exposure. The elderly driver problem will increase gradually as their share of the population increases but will remain relatively small. The bulk of the problem w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.3.326
更新日期:1989-03-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to evaluate the short-term effects of a low-intensity work-site heart disease risk reduction program using a matched pair design with work site as the unit of analysis. METHODS:Twenty-six heterogeneous work sites with between 125 and 750 employees were matched on key organizati...
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.85.2.209
更新日期:1995-02-01 00:00:00
abstract:OBJECTIVES:The predictive value of perceptions of smoking-related risks and benefits with regard to adolescent smoking initiation has not been adequately established. We used prospective, longitudinal data to directly test whether smoking-related perceptions predict smoking initiation among adolescents. METHODS:We adm...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.137679
更新日期:2009-03-01 00:00:00
abstract::The completion of essential components of patient encounters by lay paramedics in a feminist clinic was compared to that of nurse practitioners in a student health gynecology clinic using explicit criteria for the gynecological annual examination and the examination for vulvo-vaginitis. According to evidence charted i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.8.853
更新日期:1981-08-01 00:00:00
abstract:OBJECTIVES:This prospective study examined the effect of tobacco marketing on progression to established smoking. METHODS:Massachusetts adolescents (n = 529) who at baseline had smoked no more than 1 cigarette were reinterviewed by telephone in 1997. Analyses examined the effect of receptivity to tobacco marketing at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.3.407
更新日期:2000-03-01 00:00:00
abstract::We use systems thinking to develop a strategic framework for analyzing the tobacco problem and we suggest solutions. Humans are vulnerable to nicotine addiction, and the most marketable form of nicotine delivery is the most harmful. A tobacco use management system has evolved out of governments' attempts to regulate t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165910
更新日期:2010-07-01 00:00:00
abstract::Data from the southwestern United States sample of the Hispanic Health and Nutrition Examination Survey were employed to compare the patterns of alcohol use among Mexican American mothers and children in female-headed households with use patterns among mothers and children in couple-headed households. Single female he...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.suppl.36
更新日期:1990-12-01 00:00:00
abstract::In a 30-year period, 1,137 adult residents of Rochester, Minnesota experienced 1235 Colles' fractures. Fracture incidence among women increased over sixfold between ages 35-39 and 60-64 and then leveled off. Male rates were lower in every age group and did not rise as dramatically. Fractures associated with moderate t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.6.605
更新日期:1982-06-01 00:00:00
abstract:OBJECTIVES:To investigate racial/ethnic and language differences in the effectiveness of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) study among children aged 2 to 4 years enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). METHODS:We performed a mult...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304511
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:We used participatory design methods to develop and test guidebooks about health care choices intended for 600 000 English-, Spanish-, and Chinese-speaking seniors and people with disabilities receiving Medicaid in California. METHODS:Design and testing processes were conducted with consumers and profession...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.155648
更新日期:2009-12-01 00:00:00
abstract::The relationship of physical activity to the development of definite coronary heart disease was examined separately in middle-aged (45-64 years) and elderly men (65-69 years) participating in the Honolulu Heart Program. After 12 years of follow-up, results indicate that increased levels of physical activity reported a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.6.683
更新日期:1988-06-01 00:00:00
abstract:OBJECTIVES:Data from the Tecumseh Community Health Study were used to estimate excess morbidity owing to influenza, and results were compared with estimates made previously using different methodology for an Institute of Medicine report. METHODS:Study participants from Tecumseh, Michigan, were classified as infected o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.12.1712
更新日期:1993-12-01 00:00:00
abstract::Subsidized rural clinics and providers have long depended on the rural hospital for the care of some of their patients; the hospital has also been a source of revenue for these providers and programs. We studied a representative national sample of 116 subsidized rural clinics, focusing on the impact on rural clinic co...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.7.749
更新日期:1985-07-01 00:00:00
abstract:OBJECTIVES:We used improved data on American Indian and Alaska Native (AI/AN) ancestry to provide an updated and comprehensive description of cancer mortality and incidence among AI/AN populations from 1990 to 2009. METHODS:We linked the National Death Index and central cancer registry records independently to the Ind...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301673
更新日期:2014-06-01 00:00:00
abstract::In Manitoba, Canada, a representative cohort of elderly individuals ages 65 to 84 (n = 3,573) were interviewed in 1971 and the survivors of this cohort were reinterviewed in 1983. This analysis assesses the determinants of successful aging--whether or not an individual will live to an advanced age, continue to functio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.1.63
更新日期:1991-01-01 00:00:00
abstract::To understand the social distribution of environmental hazards, methods to assess cumulative effects and their health implications are needed. We developed a cumulative environmental hazard index integrating environmental data on pollution sites, air quality, and pesticide use; a social vulnerability index to measure ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300466
更新日期:2012-05-01 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:OBJECTIVES:We assessed the impact of a tobacco control initiative over 10 years on cessation and prevention. METHODS:We examined 2000-2009 Behavioral Risk Factor Surveillance System cases of a metropolitan statistical area (MSA) with systematic tobacco control efforts throughout the decade (El Paso, TX) and 2 comparis...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300346
更新日期:2012-05-01 00:00:00