Abstract:
OBJECTIVES:We analyzed outcomes from a study that examined social-contextual factors in cancer prevention interventions for working class, multiethnic populations. METHODS:Ten community health centers were randomized to intervention or to control. Patients who resided in low-income, multiethnic neighborhoods were eligible; the intervention targeted fruit and vegetable consumption, red meat consumption, multivitamin intake, and physical activity. Outcomes were measured at 8 months. RESULTS:The intervention led to significant increases in fruit and vegetable consumption and multivitamin intake and reductions in red meat consumption; no change was found in physical activity levels. The intervention effect was not changed when contextual variables that may function as confounders or effect modifiers (e.g., gender, education, race/ethnicity, respondent and parents' country of birth, and poverty status) were included in the analyses. CONCLUSIONS:The intervention led to significant improvements in health behaviors among a working class, multiethnic population, regardless of race/ ethnicity and socioeconomic status. Interventions that respond to the social context of working class individuals across racial/ethnic categories hold promise for improving cancer-related risk behaviors.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Emmons KM,Stoddard AM,Fletcher R,Gutheil C,Suarez EG,Lobb R,Weeks J,Bigby JAdoi
10.2105/AJPH.2004.038695subject
Has Abstractpub_date
2005-07-01 00:00:00pages
1200-5issue
7eissn
0090-0036issn
1541-0048pii
AJPH.2004.038695journal_volume
95pub_type
临床试验,杂志文章,多中心研究,随机对照试验abstract:OBJECTIVES:We determined rates of prenatal HIV testing and investigated barriers to testing. METHODS:We surveyed 1362 representative parturient women from 7 hospitals in 4 locations of the United States. RESULTS:Overall, 89.9% of women reported being offered HIV testing and 69.6% reported being tested. Proportions of...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.91.5.727
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVES:We examined local public health agencies' involvement in community illicit drug policy advocacy and provision related to youths to determine the extent to which public health agencies were involved in local drug policy activities and could potentially provide an infrastructure for policy alternatives. METHO...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.112524
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVES:We tested a series of self-help booklets designed to prevent postpartum smoking relapse. METHODS:We recruited 700 women in months 4 through 8 of pregnancy, who quit smoking for their pregnancy. We randomized the women to receive either (1) 10 Forever Free for Baby and Me (FFB) relapse prevention booklets, m...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2012.300653
更新日期:2012-11-01 00:00:00
abstract::This paper examines the relative importance of various independent variables for predicting five separate measures of physician utilization in a rural community. The independent variables include socioeconomic, demographic, attitudinal, and health status factors. The results are comparable to those of national studies...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.9.865
更新日期:1976-09-01 00:00:00
abstract::Accidental exposure to the blood of hepatitis B patients produced less fear than does accidental exposure today to the human immunodeficiency virus (HIV), even though both have an approximately equal overall risk of death (approximately 1%). Subjects responding to hypothetical insect-exposure and disease-exposure scen...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.4.584
更新日期:1992-04-01 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:OBJECTIVES:We sought to examine the extent to which children in the child welfare system receive mental health care consistent with national standards. METHODS:We used data from 4 waves (3 years of follow-up) of the National Survey of Child and Adolescent Well-Being, the nation's first longitudinal study of children i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.151472
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:To measure cost-effectiveness of an intervention to increase retrofitting of rollover protective structures (ROPS) on tractors. METHODS:Tractor overturns are the leading cause of farm fatalities. ROPS prevent these deaths. This study updates a 2011 cost-effectiveness assessment of a New York State intervent...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304644
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:We estimated annual mortality, years of potential life lost, and associated economic costs attributable to regular cigar smoking among US adults aged 35 years or older. METHODS:We estimated cigar-attributable mortality for the United States in 2010 using the Centers for Disease Control and Prevention's Smok...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301991
更新日期:2014-09-01 00:00:00
abstract::A sample of 149 (70 White, 79 Black) male intravenous drug users with steady female sexual partners was interviewed in 1987, in treatment and street settings, about sexual practices during the previous five years. Eighty-three percent had multiple partners, 15 percent reported male sexual contact, 38 percent reported ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.4.465
更新日期:1990-04-01 00:00:00
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:I studied the extent to which maternal deaths are underreported on death certificates. METHODS:We collected data on maternal deaths from death certificates, linkage of death certificates with birth and fetal death records, and review of medical examiner records. RESULTS:Thirty-eight percent of maternal dea...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.040063
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVES:We evaluated the effectiveness of the Community Relapse Prevention and Maintenance (CRPM) program, developed by Correctional Service Canada to better meet the needs of women offenders with drug problems. METHODS:Using survival analysis, we investigated the association between exposure and nonexposure to CRP...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300094
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVES:To examine the influence of undocumented immigration in the United States on 4 different metrics of drug and alcohol problems: drug arrests, drug overdose fatalities, driving under the influence (DUI) arrests, and DUI deaths. METHODS:We combined newly developed state-level estimates of the undocumented popu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303884
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVES:We describe trends in receipt of preventive dental care among Medicaid-enrolled children in Pennsylvania between 2005 and 2010, comparing the US children of immigrants with their co-ethnic peers in nonimmigrant families. METHODS:We analyzed Pennsylvania Medicaid claims, birth records, and census data for ch...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302157
更新日期:2014-12-01 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
abstract::A two-year study of the microbiological quality of drinking water in 27 randomly selected North Carolina migrant labor camps yielded total and fecal coliform prevalences of 44 percent and 26 percent, respectively in 1988 and similar but higher prevalences in 1989. Preoccupancy testing by county sanitarians had found v...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.762
更新日期:1991-06-01 00:00:00
abstract::Rates of neonatal abstinence syndrome (NAS) have increased fivefold in the past decade. To address this expanding and complex issue, state public health agencies have addressed the opioid crisis affecting newborns in diverse ways, leading to a variety of methods to quantify the burden of NAS.In an effort to understand...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2019.305170
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVES:We used a community-based research approach to test a culturally based breast cancer screening program among low-income Hmong women in central and southern California. METHODS:We designed a culturally informed educational program with measures at baseline and 1-year follow-up in 2 intervention cities and 1 ...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2008.143974
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVES:We examined the relationship between quality improvement (QI) maturity and accreditation attributes of US local health departments (LHDs), specifically those in Nebraska. METHODS:Using 2011 Nebraska LHD QI survey data, we conducted Spearman correlation analyses between QI maturity domains and accreditation ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302278
更新日期:2015-04-01 00:00:00
abstract::Surveys concerning the risk communication practices and needs of state health agencies were completed by agency commissioners and designated staff of 48 states and territories. These data indicate that agencies are expending more effort on responding to requests for information than on initiating dialogues with intere...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.4.489
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVES:This study was undertaken to examine popular press reports of the association between alcohol and breast cancer. METHODS:Articles from scientific journals and stories from newspapers and magazines published from January 1, 1985, to July 1, 1992, were retrieved from six on-line databases. Lay press stories w...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.8_pt_1.1082
更新日期:1995-08-01 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
abstract::This study provides the first estimated prevalence of implanted orthopedic fixation devices (e.g., pins or wires) among children in the United States, based on the Medical Device Implant Supplement to the 1988 National Health Interview Survey. The overall prevalence was 27 per 10,000 children younger than 18 years; pr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.7.1028
更新日期:1993-07-01 00:00:00
abstract:OBJECTIVES:In a large heterogeneous sample of adults with mental illnesses, we examined the 6-month prevalence and nature of community violence perpetration and victimization, as well as associations between these outcomes. METHODS:Baseline data were pooled from 5 studies of adults with mental illnesses from across th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301680
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVES:This study examined an outbreak of hepatitis A in eastern Sydney during 1991-1992. METHODS:Data were based on cases of hepatitis A in eastern Sydney residents reported from January 1991 to October 1992. RESULTS:Five hundred seventy cases of hepatitis A were reported. Of these, 515 (90%) occurred in male pa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.12.2039
更新日期:1997-12-01 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:OBJECTIVES:We evaluated a law enforcement initiative to screen respondents to domestic violence restraining orders for firearm ownership or possession and recover their firearms. METHODS:The initiative was implemented in San Mateo and Butte counties in California from 2007 through 2010. We used descriptive methods to ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301484
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVES:We describe a method to facilitate routine monitoring of socioeconomic health disparities in the United States. METHODS:We analyzed geocoded public health surveillance data including events from birth to death (c. 1990) linked to 1990 census tract (CT) poverty data for Massachusetts and Rhode Island. RESUL...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2003.032482
更新日期:2005-02-01 00:00:00
abstract::Consumption and prices of tobacco products in Canada and the United States are compared over the period 1981 to 1989. In Canada, consumption has fallen from a higher level and at a faster rate than in the United States (3.52 kg/adult to 2.48 kg/adult vs 3.21 kg/adult to 2.48 kg/adult). With respect to cost, the real t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.7.902
更新日期:1991-07-01 00:00:00