Abstract:
OBJECTIVES:We evaluated emergency department (ED)-based outreach for the State Children's Health Insurance Program (SCHIP). METHODS:We conducted a multicenter trial among uninsured children (< or = 18 years) who presented to 5 EDs in 2001 and 2002. On-site staff enrolled consecutive subjects for a control period followed by an intervention period during which staff handed out SCHIP applications to the uninsured. The primary outcome was state-level confirmation of insured status at 90 days. RESULTS:We followed 223 subjects (108 control, 115 intervention) by both phone interview and state records. Compared to control subjects, those receiving a SCHIP application were more likely to have state health insurance at 90 days (42% vs 28%; P<.05; odds ratio [OR]=3.8; 95% confidence interval [CI]=1.7, 8.6). Although the intervention effect was prominent among 118 African Americans (50% insured after intervention vs 31% of controls, P<.05), lack of family enrollment in other public assistance programs was the primary predictor of intervention success (OR=3.7; 95% CI=1.6, 8.4). CONCLUSIONS:Handing out insurance applications in the ED can be an effective SCHIP enrollment strategy, particularly among minority children without connections to the social welfare system. Adopted nationwide, this simple strategy could initiate insurance coverage for more than a quarter million additional children each year.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Gordon JA,Emond JA,Camargo CA Jrdoi
10.2105/AJPH.2003.037242subject
Has Abstractpub_date
2005-02-01 00:00:00pages
250-3issue
2eissn
0090-0036issn
1541-0048pii
95/2/250journal_volume
95pub_type
杂志文章,多中心研究abstract::Increasing numbers of tuberculosis control programs compile information about the number, location, bacteriologic status, and chemotherapy status of tuberculosis patients within their jurisdiction. Reports from these programs show that during the 1970s the prevalence of patients requiring supervision decreased three t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.4.344
更新日期:1984-04-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of a low-intensity dietary intervention in primary care practice in lowering dietary fat intake and raising dietary fiber intake. METHODS:A randomized controlled trial of 28 physician practices in six primary care clinics enrolled, by telephone, adult patients who had ...
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.87.4.610
更新日期:1997-04-01 00:00:00
abstract::Epidemiologists have expressed concern about constraints upon the conduct of epidemiological research imposed by Institutional Review Boards (IRBs), attorneys, and both institutional and individual health services providers. The epidemiologists assert that these constraints, not necessarily required by law or sound po...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.10.1155
更新日期:1982-10-01 00:00:00
abstract:OBJECTIVES:We examined HIV diagnosis rates and disease progression among men who have sex with men (MSM) according to race/ethnicity and age. METHODS:Using data obtained from the national HIV/AIDS surveillance system, we examined trends in HIV diagnosis rates for 2001 through 2004 using Poisson regression. We used a s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087551
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVES:This study determined the prevalence and factors associated with hepatitis B virus (HBV) infection among men who have sex with men. METHODS:At the baseline visit of an HIV study among men who have sex with men, we asked about HBV vaccination status and tested for HBV markers. RESULTS:Of 625 subjects, 48% h...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.10.1570
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVE:The child labor laws are intended to protect young workers from the most dangerous jobs. However, children who work on their parents' farms are exempt from these laws. We evaluated the potential for preventing the occurrence of farm injuries among children by changing the US Federal Child Labor Laws, Hazardou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.078923
更新日期:2007-02-01 00:00:00
abstract:BACKGROUND:Interventions are needed to assist drug abusers in reducing risky drug and sexual behavior. METHODS:A randomized controlled trial compared three small-group AIDS educational interventions among 567 clients of a 21-day inpatient drug detoxification program: a two-session informational intervention, given eit...
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.82.4.533
更新日期:1992-04-01 00:00:00
abstract:BACKGROUND:Drug overdose is an important, yet an inadequately understood, public health problem. Global attention to unintentional drug overdose has been limited by comparison with the scope of the problem. There has been a substantial increase in drug overdose incidence and prevalence in several countries worldwide ov...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2015.302843
更新日期:2015-11-01 00:00:00
abstract::Curriculum development in masters of public health programs that effectively meets the complex challenges of the 21st century is an important part of public health education and requires purposeful thinking. Current approaches to training the public health work-force do not adequately prepare professionals to be cultu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.062950
更新日期:2006-07-01 00:00:00
abstract:OBJECTIVES:This study examined the relationship between atrial fibrillation and (1) stroke and (2) all-cause mortality. METHODS:All eligible Medicare patients older than 65 years of age hospitalized in 1985 were followed up for 4 years. Kaplan-Meier and Cox proportional hazards models were used for assessment of risk ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.3.395
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVES:This study examined a project designed to improve the health and wellness of employees of Brabantia, a Dutch manufacturer of household goods, by means of lifestyle changes and changes in working conditions. METHODS:The workers at one Brabantia site constituted the experimental group, and the workers from tw...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章
doi:10.2105/ajph.88.7.1037
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVES:The Minnesota Heart Health Program is a 13-year research and demonstration project to reduce morbidity and mortality from coronary heart disease in whole communities. METHODS:Three pairs of communities were matched on size and type; each pair had one education site and one comparison site. After baseline su...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.9.1383
更新日期:1994-09-01 00:00:00
abstract::This paper examines artificial reproduction (AR) within a broad comparative perspective and with specific reference to Czechoslovak law, medicine, and demography. It proceeds form an analysis of the social context that gives rise to technologies of AR to a review of the two principal technologies, artificial inseminat...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.79.1.57
更新日期:1989-01-01 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:This study investigated the efficacy of a social-influences tobacco prevention program conducted with adolescents living in a high tobacco production area. METHODS:Students in 10 experimental schools completed the tobacco prevention program and a booster intervention. Control students received health educat...
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.88.12.1862
更新日期:1998-12-01 00:00:00
abstract::A nutrition surveillance system in public health clinics is providing data for patient care and program planning. Through this system, Arizona's Mexican-American population has been shown to differ from other ethnic groups seen in clinic. Anemia and low height-for-age are significant problems in the Mexican-American p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.2.151
更新日期:1977-02-01 00:00:00
abstract:OBJECTIVES:Hospitalization of nursing home residents is a growing, poorly defined problem. The purposes of this study were to define rates, patterns, costs, and outcomes of hospitalizations from nursing homes and to consider implications for reducing this problem as part of health care reform. METHODS:Communitywide nu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.10.1615
更新日期:1994-10-01 00:00:00
abstract:OBJECTIVES:This study examined the relationships between wealth and income and selected racial and ethnic differences in health. METHODS:Cross-sectional data on a national sample of 9744 men and women aged 51 through 61 from the 1992 Health and Retirement Survey were analyzed to examine the association between socioec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.5.805
更新日期:1997-05-01 00:00:00
abstract:OBJECTIVES:An association of smoking with depression and anxiety has been documented in adult smokers. This study examines this association in a representative group of teenage smokers. METHODS:A two-stage cluster sample of secondary school students in Victoria, Australia, were surveyed by using a computerized questio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.2.225
更新日期:1996-02-01 00:00:00
abstract:OBJECTIVES:I examined how sexual minority status, as indicated by sex of sexual partners, is associated with self-rated health and how socioeconomic status suppresses and age and sex moderate this association. METHODS:I used multinomial logistic regression to analyze aggregated data from the 1991 to 2010 General Socia...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301040
更新日期:2013-05-01 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::Public health, like politics, is the art of the possible. To maximize effectiveness, public health officers in any jurisdiction should (1) get good data and ensure timely and effective dissemination; (2) prioritize and tackle more difficult initiatives first; (3) find, fight, and win winnable battles in areas where pr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303204
更新日期:2016-07-01 00:00:00
abstract::Increasing costs of institutional care for the aged have occasioned a variety of government cost containment measures. People with senile dementia of the Alzheimer's type (SDAT) will be the principal group to suffer from cutbacks. SDAT patients are usually eligible for Intermediate Care Facilities (ICFs), rather than ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.12.1381
更新日期:1984-12-01 00:00:00
abstract::Data System. The Pregnancy Risk Assessment Monitoring System (PRAMS) is an ongoing state-based surveillance system of maternal behaviors, attitudes, and experiences before, during, and shortly after pregnancy. PRAMS is conducted by the Centers for Disease Control and Prevention's Division of Reproductive Health in col...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304563
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:The importance of injury as a public health problem is not well recognized in many developing countries. Data have recently become available on injury mortality in China. METHOD:We compared Chinese injury data based on a 100 million population segment for 1986 with data for the United States. RESULTS:The a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.5.605
更新日期:1991-05-01 00:00:00
abstract:OBJECTIVES:This study evaluated the long-term effectiveness of Draw the Line/Respect the Line, a theoretically based curriculum designed to reduce sexual risk behaviors among middle school adolescents. METHODS:The randomized controlled trial involved 19 schools in northern California. A cohort of 2829 sixth graders wa...
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.94.5.843
更新日期:2004-05-01 00:00:00
abstract::Objectives. To quantify the association between personal and family history of criminal justice system (CJS) involvement (PHJI and FHJI, respectively), health outcomes, and health-related behaviors.Methods. We examined 2017 New York City Community Health Survey data (n = 10 005) with multivariable logistic regression....
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305415
更新日期:2020-03-01 00:00:00
abstract::Objectives. To determine if and how state and local public health departments present information about climate change on their Web sites, their most public-facing platform.Methods. We collected data from every functioning state (n = 50), county (n = 2090), and city (n = 585) public health department Web site in the U...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305723
更新日期:2020-08-01 00:00:00
abstract::Affirmative action programs of all types are under attack legally and politically. Although medical schools have not been specifically targeted, their affirmative action programs, like others in higher education, are potentially in danger. This article examines the current legal status of affirmative action in medical...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.8.1256
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVES:We obtained contextual information regarding documented barriers to HIV clinical trial participation among Black men who have sex with men (MSM), and explored current preventive HIV clinical trial attitudes, beliefs, and perceptions among Black MSM leaders in the United States. METHODS:We conducted 2 focus ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301653
更新日期:2014-04-01 00:00:00