Abstract:
OBJECTIVES:We examined the contribution of hospital type and quality of care to perinatal mortality rates in the city of Belo Horizonte, Brazil. METHODS:We used a cohort study of all births (40953) and perinatal deaths (826) in Belo Horizonte in1999. After adjusting for maternal education and birthweight, we compared mortality rates according to hospital category--defined by a hospital's relation to the national Universal Public Health System (SUS)--and quality of care. We used the Wigglesworth Classification to examine perinatal deaths. RESULTS:After we controlled for birthweight and maternal education, the highest perinatal death rates were observed in private and philanthropic SUS-contracted hospitals (relative to private, non-SUS-contracted hospitals). Hospital quality was also directly associated with perinatal death rates. Mortality rates were especially high for normal-birthweight babies born in private SUS-contracted hospitals. Intrapartum asphyxia was the leading cause of preventable death. CONCLUSIONS:In a class-segregated health care system, such as Brazil's, disparities in quality of care between SUS-contracted and non-SUS-contracted hospitals contribute to the unacceptably high rates of perinatal mortality.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Lansky S,França E,Kawachi Idoi
10.2105/AJPH.2005.075986subject
Has Abstractpub_date
2007-05-01 00:00:00pages
867-73issue
5eissn
0090-0036issn
1541-0048pii
AJPH.2005.075986journal_volume
97pub_type
杂志文章abstract::We used data from telephone interviews and mailed questionnaires to examine 12 aspects of family life among 93 families with infants considered at high risk for sudden infant death syndrome and on home apnea monitors and a matched comparison group with infants not requiring monitoring. Using logistic regression to con...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.5.719
更新日期:1992-05-01 00:00:00
abstract:OBJECTIVES:We examined whether healthy lifestyles are associated with absence of depressed mood. METHODS:A sample of 1169 adult participants in the Maastricht Aging Study provided baseline and 6-year follow-up data on smoking, alcohol use, physical exercise, body mass index, and mood. We examined associations between ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.053199
更新日期:2007-05-01 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
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.175091
更新日期:2010-12-01 00:00:00
abstract::A randomly selected sample of physicians in three large cities was asked to read one of four vignettes describing a patient. They then completed a set of objective attitude measures eliciting their reactions to the patient described in the vignette. The vignettes were identical except that the patient's illness was id...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.77.7.789
更新日期:1987-07-01 00:00:00
abstract:OBJECTIVES:A randomized controlled trial evaluated the impact of feedback and financial incentives on physician compliance with cancer screening guidelines for women 50 years of age and older in a Medicaid health maintenance organization (HMO). METHODS:Half of 52 primary care sites received the intervention, which inc...
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.88.11.1699
更新日期:1998-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304391
更新日期:2018-06-01 00:00:00
abstract::The Supplemental Nutrition Assistance Program (SNAP) is a highly effective program, vital to our nation's health and well-being. SNAP's entitlement funding structure allows it to provide benefits to anyone who meets the program's eligibility requirements, and this structure also enables SNAP to respond quickly when ne...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305325
更新日期:2019-12-01 00:00:00
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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
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087262
更新日期:2007-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.143651
更新日期:2010-01-01 00:00:00
abstract::The environmental justice movement has stimulated community-driven research about the living and working conditions of people of color and low-income communities. We describe an epidemiological study designed to link research with community education and organizing for social justice. In eastern North Carolina, high-d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.110486
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVES:We estimated dementia incidence rates, life expectancies with and without dementia, and percentage of total life expectancy without dementia. METHODS:We studied 3605 members of Group Health (Seattle, WA) aged 65 years or older who did not have dementia at enrollment to the Adult Changes in Thought study bet...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301935
更新日期:2015-02-01 00:00:00
abstract::We report on the firearms used in 235 suicides in Sacramento County, California, during 1983-85. Handguns were used in 69 per cent of firearm suicides--65 per cent for males, 88 per cent for females--and in all such deaths among women ages 35 and older. We tested the hypothesis that the choice of firearms by persons c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.7.824
更新日期:1988-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302503
更新日期:2015-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.5.461
更新日期:1976-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.8.1105
更新日期:1992-08-01 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
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2003.036715
更新日期:2005-02-01 00:00:00
abstract::The evolution of the emergency medical services system in the United States accelerated rapidly between 1960 and 1973 as a result of a number of medical, historical, and social forces. Current emergency medical services researchers, policy advocates, and administrators must acknowledge these forces and their limitatio...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2004.048793
更新日期:2006-03-01 00:00:00
abstract::The authors review the available empirical evidence from population-based studies of the association between perceptions of racial/ethnic discrimination and health. This research indicates that discrimination is associated with multiple indicators of poorer physical and, especially, mental health status. However, the ...
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pub_type: 杂志文章,评审
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abstract::Medical records of 236 Newark, New Jersey children hospitalized and chelated for lead poisoning in 1977 through 1980 were reviewed to determine whether or not any discernible progress had been made in eradicating the disease since 1972. Results show that the number of treated asymptomatic children, ages 1-6, began to ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.3.242
更新日期:1986-03-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.197285
更新日期:2011-10-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.6.961
更新日期:2002-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300988
更新日期:2013-05-01 00:00:00
abstract::The limiting effects of exemptions to the coverage of child restraint laws were estimated by determining the extent to which the laws would have applied to child motor vehicle occupants, ages 0-5 years, killed before the laws were passed (1976-80). The 50 state laws would have exempted about 39 per cent of child motor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.1.31
更新日期:1986-01-01 00:00:00
abstract::Two generations of epidemiological studies of the true prevalence of mental disorders have been conducted since the turn of the century. The first and smaller in number took place prior to World War II and was characterized by the use of records and key informants to define "cases." The second, utilizing the greatly e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.11.1271
更新日期:1982-11-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,meta分析
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更新日期:1994-07-01 00:00:00
abstract:OBJECTIVES:Policymakers, researchers, and citizens are beginning to recognize the need to limit minors' access to tobacco by restricting the sale of cigarettes through vending machines. One policy alternative that has been proposed by the tobacco industry is a requirement that vending machines be fitted with electronic...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.9.1217
更新日期:1992-09-01 00:00:00
abstract::Medicaid expansion, a key part of the Affordable Care Act, has been opposed by conservative politicians despite its fiscal and public health benefits. In response, some Republican-led states have expanded Medicaid with new reforms, including requirements for cost sharing and behavioral incentives, that promote conserv...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303192
更新日期:2016-07-01 00:00:00