Abstract:
OBJECTIVES:We examined whether Medicaid beneficiaries are more likely to be diagnosed with late-stage cervical cancer than women not enrolled in Medicaid. METHODS:Using the California Cancer Registry-Medicaid linked file, we identified 4682 women diagnosed during 1996-1999 with invasive cervical cancer. Multivariate logistic regression was used to evaluate the association between late-stage diagnosis and prediagnosis Medicaid status. RESULTS:Late-stage disease was diagnosed in 51% of Medicaid and 42% of non-Medicaid women. Relative to women without Medicaid coverage, adjusted odds ratios for late-stage diagnosis were 2.8 times higher among women enrolled in Medicaid at the time of their diagnosis and 1.3 times higher among those intermittently enrolled before being diagnosed. Vietnamese women were less likely than White women to have advanced disease; the adjusted odds for women in other racial/ethnic groups did not differ from those among Whites. Women of low socioeconomic status and older women were at increased risk. CONCLUSIONS:Women intermittently enrolled in Medicaid or not enrolled until their diagnosis were at greatest risk of a late-stage diagnosis, suggesting that more outreach to at-risk women is needed to ensure access to screening services.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
O'Malley CD,Shema SJ,Clarke LS,Clarke CA,Perkins CIdoi
10.2105/AJPH.2005.072553subject
Has Abstractpub_date
2006-12-01 00:00:00pages
2179-85issue
12eissn
0090-0036issn
1541-0048pii
AJPH.2005.072553journal_volume
96pub_type
杂志文章abstract:OBJECTIVES:The effect of caffeine consumption on fertility was examined prospectively in 210 women. METHODS:Women reported on caffeinated beverage consumption and pregnancy status monthly. Odds ratios for becoming pregnant were calculated for both high and moderate vs low consumption. RESULTS:No significant associati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.2.270
更新日期:1998-02-01 00:00:00
abstract::Eight matched men's and women's intercollegiate varsity teams were studied prospectively for one academic year to determine the incidence of athletic injury and resulting disability. Sports in which both men and women participated in a comparable manner were chosen: basketball, fencing, gymnastics, swimming, tennis, i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.12.1459
更新日期:1990-12-01 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::Smoking histories and beliefs about smoking were obtained on 120 ex- and current smokers. Ex-smokers view smoking as a serious health problem, did not report having a physician recommend they stop, and feel personally susceptible to its adverse effects. Moderate smokers (0-10/day) also view smoking as serious, but do ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.11.1253
更新日期:1981-11-01 00:00:00
abstract::A program was designed and evaluated to determine the feasibility of implementing an incentive campaign to promote safety restraint use, primarily among children up to age 13. During a five-month period, community residents were eligible to win monthly prizes and a grand prize by buckling up all automobile occupants w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.3.304
更新日期:1989-03-01 00:00:00
abstract::The nutritional status of three and four year old children, as measured by height and head circumference, is related to cognitive performance in four rural Guatemalan villages. The relationships persist when social factors are taken into account. Families in two of the villages participate in a voluntary, high protein...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章
doi:10.2105/ajph.67.3.233
更新日期:1977-03-01 00:00:00
abstract:OBJECTIVES:This study assessed the effectiveness of a family planning intervention with and without husband's participation in reducing pregnancy and abortion rates in Shanghai, China. METHODS:In this 3-arm randomized trial among 1800 nonsterilized married women, educational interventions targeting both spouses and ta...
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.88.4.646
更新日期:1998-04-01 00:00:00
abstract::Objectives. To assess the validity of the immigrant health paradox among Arab Americans in California.Methods. We used data from the 2003 to 2017 California Health Interview Survey (n = 1425). We used survey-weighted χ2 and logistic regression analyses to compare Arabs by immigrant generation on socioeconomic indicato...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305308
更新日期:2019-12-01 00:00:00
abstract::We analyzed data from a survey of occupational factors and pregnancy outcome to examine the effects of cigarette, alcohol, and coffee consumption on pregnancy outcome. Clear and statistically significant associations were found between cigarette and alcohol consumption and spontaneous abortion. There was a weaker but ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.85
更新日期:1992-01-01 00:00:00
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-...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.115519
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVES:To determine the effectiveness of the COMmunity of Practice And Safety Support (COMPASS) Total Worker Health intervention for home care workers. METHODS:We randomized 16 clusters of workers (n = 149) to intervention or usual-practice control conditions. The 12-month intervention was scripted and peer-led, a...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2016.303327
更新日期:2016-10-01 00:00:00
abstract::For systematic reviews to have an impact on public health, they must report outcomes that are important for decision-making. Systematic reviews of public health interventions, however, have a range of potential end users, and identifying and prioritizing the most important and relevant outcomes represents a considerab...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.306061
更新日期:2021-01-21 00:00:00
abstract:OBJECTIVES:We sought to determine whether supplemental private insurance coverage among Medicare recipients alters patterns of health care or outcomes associated with acute myocardial infarction. METHODS:Medicare patients hospitalized after a myocardial infarction were identified from New York City hospitalization rec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.5.778
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVES:We examined prereform patterns in insurance coverage, access to care, and preventive services use by race/ethnicity in adults targeted by the coverage expansions of the Patient Protection and Affordable Care Act (ACA). METHODS:We used pre-ACA household data from the Medical Expenditure Panel Survey to ident...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302892
更新日期:2015-11-01 00:00:00
abstract::Public health asks of systems science, as it did of sociology 40 years ago, that it help us unravel the complexity of causal forces in our varied populations and the ecologically layered community and societal circumstances of public health practice. We seek a more evidence-based public health practice, but too much o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.066035
更新日期:2006-03-01 00:00:00
abstract::We identified factors associated with death at home for 28,828 hospice and non-hospice cancer patients in 13 counties of western Washington State. Hospice participation was found to be the variable most strongly associated with death at home. Admission to hospice appears to override the tendency for certain subgroups ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.11.1549
更新日期:1989-11-01 00:00:00
abstract:OBJECTIVES:Under an ecodevelopmental framework, we examined lifetime segmented assimilation trajectories (diverging assimilation pathways influenced by prior life conditions) and related them to quality-of-life indicators in a diverse sample of 258 men in the Phoenix, AZ, metropolitan area. METHODS:We used a growth mi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.167999
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:Because opinion leaders hold positions from which they may influence tobacco control efforts, this study examined their support for tobacco control policies and their involvement in tobacco control activities. METHODS:A telephone survey was administered to 712 California opinion leaders who were randomly se...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.8.1283
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVES:We assessed whether multiple psychosocial factors are additive in their relationship to sexual risk behavior and self-reported HIV status (i.e., can be characterized as a syndemic) among young transgender women and the relationship of indicators of social marginalization to psychosocial factors. METHODS:Par...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300433
更新日期:2012-09-01 00:00:00
abstract::This analysis compares the rates of spontaneous abortion among women living in the vicinity of a lead smelter with those of women living in a town where blood lead levels were low. Data derive from the obstetric histories of both groups of women obtained while seeking prenatal care for a later pregnancy. A total of 63...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.1.33
更新日期:1990-01-01 00:00:00
abstract::Nuclear weapons pose a particularly destructive threat. Prevention of the proliferation and use of nuclear weapons is urgently important to public health. "Horizontal" proliferation refers to nation-states or nonstate entities that do not have, but are acquiring, nuclear weapons or developing the capability and materi...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2006.100602
更新日期:2007-09-01 00:00:00
abstract::Using an ethnographic approach, the authors explored the awareness among women in southern Africa of the HIV epidemic and the methods they might use to protect themselves from the virus. The research, conducted from 1992 through 1999, focused specifically on heterosexual transmission in 5 sites that were selected to r...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.90.7.1042
更新日期:2000-07-01 00:00:00
abstract::This article examines the role of Black American nurses during the 1918-1919 influenza pandemic and the aftermath of World War I. The pandemic caused at least 50 million deaths worldwide and 675 000 in the United States. It occurred during a period of pervasive segregation and racial violence, in which Black Americans...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2019.305003
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVES:We examined the effects of changes in Rhode Island's Lead Hazard Mitigation Law in 2005 on children's blood lead levels. METHODS:We used 2005 to 2009 data from Rhode Island's Lead Elimination Surveillance System; city tax assessor records in Central Falls, Pawtucket, Providence, and Woonsocket, Rhode Island...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301908
更新日期:2014-08-01 00:00:00
abstract::The evolution of international health has typically been assessed from the standpoint of central institutions (international health organizations, foundations, and development agencies) or of one-way diffusion and influence from developed to developing countries. To deepen understanding of how the international health...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2004.038778
更新日期:2005-09-01 00:00:00
abstract::State-level income inequality has been found to have an effect on individual health outcomes, even when controlled for important individual-level variables such as income, education, age, and gender. The effect of income inequality on health may not be immediate and may, in fact, have a substantial lag time between ex...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.134940
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVES:There has been relatively little research on the contributions of school context to developmental outcomes. This study examined relationships between students' sense of the school as a community and their involvement in problem behaviors. METHODS:Participants were an ethnically and socioeconomically diverse...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.12.1997
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVES:We sought to identify people living with HIV/AIDS from Medicare and Medicaid claims data to estimate Medicaid costs for treating HIV/AIDS in California. We also examined how alternate methods of identifying the relevant sample affect estimates of per capita costs. METHODS:We analyzed data on Californians en...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302263
更新日期:2015-03-01 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:OBJECTIVES:We combined a metabolic and an epidemiological model of obesity to estimate changes in calorie intake and physical activity necessary to achieve the Healthy People 2020 objective of reducing adult obesity prevalence from 33.9% to 30.5%. METHODS:We used the National Health and Nutrition Examination Survey (1...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301674
更新日期:2014-07-01 00:00:00