Abstract:
OBJECTIVES:We assessed the structure and functions of state health departments throughout the United States and compared our findings with those from a previous national assessment conducted in 1990. METHODS:In 2001, we sent a survey to the state health officers of all 50 states. The survey asked about the structure and functions of the state health agency. RESULTS:The survey was completed by state health officers from 47 states (a 94% response rate). More than half of the states responding had a freestanding state public health agency and a state board or council of health. Forty-four percent had a regional or district structure. Although some traditional public health functions have been curtailed, important new public health functions have emerged since 1990. CONCLUSIONS:Our current findings confirm core changes in the structure and functions of state public health systems over the past decade and emphasize the need for more research into these systems to maximize their organizational performance.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Beitsch LM,Brooks RG,Grigg M,Menachemi Ndoi
10.2105/AJPH.2004.053439subject
Has Abstractpub_date
2006-01-01 00:00:00pages
167-72issue
1eissn
0090-0036issn
1541-0048pii
AJPH.2004.053439journal_volume
96pub_type
杂志文章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::Electronic fetal monitoring (EFM) is an example of a medical technology that has been widely accepted since its introduction in the mid-1960s. However, review of the literature does not provide convincing evidence of EFM efficacy, and four recent, controlled, clinical trails show little if any benefit in terms of prev...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.9.931
更新日期:1979-09-01 00:00:00
abstract:OBJECTIVES:We assessed whether living in counties with Title X clinics and increased use of long-acting reversible contraception (LARC) in Colorado are associated with decreased risk of adverse birth outcomes. METHODS:We linked Title X clinic counties to the Colorado birth data set by using the mother's county of resi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302711
更新日期:2015-09-01 00:00:00
abstract::Data derived through log recordings of 89 nurse practitioners (NPs) in adult/family practice on 7,086 prescriptions issued during 890 clinical days were analyzed to describe prescribing practices of NPs who held prescriptive authority from the licensing regulatory boards of five western states. Results showed drug uti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.3.258
更新日期:1985-03-01 00:00:00
abstract::The long-term consequences of prior oral contraceptive use for bone mineral density were examined in 239 postmenopausal women, 35.1% of whom reported prior oral contraceptive use. Women who had used oral contraceptives for 6 or more years had significantly higher bone densities of the lumbar spine and femoral neck, bu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.1.100
更新日期:1993-01-01 00:00:00
abstract::An interview study of persons diagnosed with multiple myeloma between 1977 and 1981 and suitable control subjects was conducted to test the hypothesis that exposure to hair dyes increases the risk of multiple myeloma. Among women, there was little evidence that prior regular use of hair dyes (odds ratio [OR] = 1.0; 95...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.7.1142
更新日期:1994-07-01 00:00:00
abstract::In 1978, 345 persons were killed in the United States in jumps and falls from non-crashing motor vehicles: 64 per cent fell; 15 per cent jumped; and it was not known whether the other 21 per cent jumped or fell. Two hundred and one people had been traveling on the exterior of vehicles, especially truck beds, and almos...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.3.275
更新日期:1981-03-01 00:00:00
abstract:OBJECTIVES:We analyzed the impact of Connecticut legislation incentivizing voluntary school district-level elimination of unhealthy competitive foods on National School Lunch Program (NSLP) participation. METHODS:We analyzed data on free, reduced, and paid participation in the NSLP from 904 schools within 154 Connecti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301331
更新日期:2013-07-01 00:00:00
abstract:OBJECTIVES:We aimed to determine whether syringe exchange programs (SEPs) currently receive or anticipate pursuing federal funding and barriers to funding applications following the recent removal of the long-standing ban on using federal funds for SEPs. METHODS:We conducted a telephone-administered cross-sectional su...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300595
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVES:This study examined the relationship of sociodemographic factors and use of substances other than cocaine to cocaine use from 1987 to 1992 in a cohort of Black and White men and women 20 to 32 years of age. METHODS:Data were collected as part of the Coronary Artery Risk Development in Young Adults study. Se...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.86.12.1736
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVES:We developed a process through which community outreach workers, whose role is not typically that of a trained researcher, could actively participate in collection of qualitative evaluation data. METHODS:Outreach workers for a community-based intervention project received training in qualitative research me...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300263
更新日期:2011-12-01 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::Death certificate of children less than 8 years of age who were killed between 1979 and 1986 were linked to their Ohio birth certificates and compared with those of Ohio children born in 1983 (controls). Having an unmarried mother increased risk of homicide almost fivefold (odds ratio 4.87). Having a teenage mother, a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.8.1052
更新日期:1991-08-01 00:00:00
abstract:OBJECTIVES:Proposed increases in corporate average fuel economy standards would probably lead to lighter cars. Well-established relationships between occupant risk and car mass predict consequent additional casualties. However, if size, not mass, is the causative factor in these relationships, then decreasing car mass ...
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::During the summer of 1987, a common source waterborne outbreak of leptospirosis occurred on the island of Kauai in the state of Hawaii. Eight leptospirosis cases were identified using the microscopic agglutination test. Methodologic weaknesses in this technique were responsible for the initial missed diagnosis on six ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.10.1310
更新日期:1991-10-01 00:00:00
abstract::Federal government policy in the United States lacks uniformity, as is indicated by the fact that the Dept. of Defense permits the performance of abortion for medical and mental health reasons, the Office of Economic Opportunity states that no project funds may be used for any surgical procedure intended to result in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.61.5.1038
更新日期:1971-05-01 00:00:00
abstract:OBJECTIVES:This study was undertaken to determine the prevalence of sexually transmitted diseases (STDs) in pregnant women in rural South Africa and to determine the value of using abnormal urogenital symptoms to identify infected women. METHODS:This was a cross-sectional study of 327 patients attending prenatal clini...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.8.1243
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVES:We surveyed young men on their experiences of police encounters and subsequent mental health. METHODS:Between September 2012 and March 2013, we conducted a population-based telephone survey of 1261 young men aged 18 to 26 years in New York City. Respondents reported how many times they were approached by Ne...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302046
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVES:We investigated the frequency with which alcohol advertisements appeared on Massachusetts Bay Transportation Authority (MBTA) transit lines in Boston, MA, and we calculated adult and youths' exposure to the ads. METHODS:We measured the nature and extent of alcohol advertisements on 4 Boston transit lines on...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.149906
更新日期:2009-11-01 00:00:00
abstract::Objectives. To examine exposure to psychological attempts to change a person's gender identity from transgender to cisgender (PACGI) among transgender people in the United States, lifetime and between the years 2010 and 2015, by US state.Methods. We obtained data from the 2015 US Transgender Survey, a cross-sectional ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305237
更新日期:2019-10-01 00:00:00
abstract:OBJECTIVES:We examined rates of uninsurance among workers in the US health care workforce by health care industry subtype and workforce category. METHODS:We used 2004 to 2006 National Health Interview Survey data to assess health insurance coverage rates. Multivariate logistic regression analyses were conducted to est...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.152413
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVES:We conducted an exploratory study to determine what organizational characteristics predict the provision of culturally competent services for American Indian and Alaska Native (AI/AN) veterans in Department of Veterans Affairs (VA) health facilities. METHODS:In 2011 to 2012, we adapted the Organizational Re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302140
更新日期:2014-09-01 00:00:00
abstract::The science of eliminating health disparities is complex and dependent on demographic data. The Health Information Technology for Economic and Clinical Health Act (HITECH) encourages the adoption of electronic health records and requires basic demographic data collection; however, current data generated are insufficie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302384
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVES:We tested the efficacy of a combined pharmacologic and behavioral smoking cessation intervention among women in a state prison in the southern United States. METHODS:The study design was a randomized controlled trial with a 6-month waitlist control group. The intervention was a 10-week group intervention co...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2007.128207
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVES:This analysis describes trends in the prevalence of genital chlamydial infection in economically disadvantaged young women entering a national job training program. METHODS:We examined chlamydia test data for May 1990 through June 1997 for women aged 16 to 24 years who enrolled in the program. The significa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.8.1287
更新日期:2001-08-01 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::This paper uses monthly time-series data from 1968 through 1988 to test whether the observed increase in the incidence of low birthweight in New York City represents a reversal of the downward trend that existed prior to 1984. We find that the trend has shifted for both Whites and Blacks. We estimate that between July...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.682
更新日期:1990-06-01 00:00:00
abstract:OBJECTIVES:We investigated basic measures used to assess collaboration between colocated providers and to gauge the extent to which health centers practice integrated care. METHODS:We used the Assessment of Behavioral Health Services survey and the 2010 Uniform Data System to explore the elements of integrated care fo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302710
更新日期:2015-10-01 00:00:00
abstract::Objectives. To explore whether and how the Affordable Care Act (ACA) affects the relationship between employment and health insurance coverage, health care utilization, and health outcomes among recently incarcerated men aged 18 to 64 years in the United States.Methods. With data from the National Survey on Drug Use a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305419
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:This study sought to determine primary sources of data for electronic birth certificates. METHODS:A survey was administered from 1997 through 1998 to maternity facilities in New Jersey requesting information about what primary information sources were used for 53 electronic birth certificate variables. Pote...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.5.814
更新日期:2001-05-01 00:00:00