Abstract:
OBJECTIVES:We sought information about the cost-related underuse of medications-which medications are underused, by whom, and how often. METHODS:Chronically ill adults were asked to identify how often they underused prescription medication for 16 health conditions because of the cost. RESULTS:Eighteen percent of respondents cut back on medication use owing to cost in the previous year, and 14% used less medication at least monthly. Although rates of underuse varied substantially across treatments, prescription coverage and out-of-pocket costs were determinants of underuse across medication types. CONCLUSIONS:Many chronically ill adults frequently cut back on medications owing to cost. Patients are selective about the treatments they forgo. Out-of-pocket costs and inadequate prescription coverage may lead to adherence problems for many important medication types.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Piette JD,Heisler M,Wagner THdoi
10.2105/ajph.94.10.1782subject
Has Abstractpub_date
2004-10-01 00:00:00pages
1782-7issue
10eissn
0090-0036issn
1541-0048pii
94/10/1782journal_volume
94pub_type
杂志文章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:We used improved data on American Indian and Alaska Native (AI/AN) ancestry to provide an updated and comprehensive description of cancer mortality and incidence among AI/AN populations from 1990 to 2009. METHODS:We linked the National Death Index and central cancer registry records independently to the Ind...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301673
更新日期:2014-06-01 00:00:00
abstract::Systematic reviews have the potential to promote knowledge exchange between researchers and decision-makers. Review planning requires engagement with evidence users to ensure preparation of relevant reviews, and well-conducted reviews should provide accessible and reliable synthesis to support decision-making. Yet, sy...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301400
更新日期:2013-08-01 00:00:00
abstract::Cyclone Hudah struck the northeastern coast of Madagascar in the spring of 2000. Over a 5-month period, 11 700 relief kits consisting of bottles of water disinfectant and foldable jerry cans were distributed to the affected population. Five months after the cyclone, a survey was conducted in 12 villages to determine t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.10.1577
更新日期:2001-10-01 00:00:00
abstract::National rates of unintended births are a major public health concern. The availability of highly effective long-acting contraceptives has prompted some public officials to promote the coercive use of these methods to reduce such problems as intergenerational poverty and child abuse. Broad-brush public policies that r...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.86.6.787
更新日期:1996-06-01 00:00:00
abstract::The demands of equity and efficiency require a program of universal health insurance in the United States through which all workers will be provided by their employers with health insurance for themselves and their dependents, unemployment will no longer result in the loss of health insurance protection, and federal s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.5.583
更新日期:1988-05-01 00:00:00
abstract:OBJECTIVE:We examined the prevalence of intimate partner violence (IPV) among recent (0-9 years) and nonrecent (>/= 10 years) immigrant women in Canada to determine whether differences in IPV were associated with length of stay in Canada. METHODS:We analyzed data from the 1999 General Social Survey, a national cross-s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.046409
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVES:We examined the impact of a maternal-child home visitation program on birth spacing for first-time Latina mothers, focusing on adolescents and women who identified as Mexican or Puerto Rican. METHODS:This was a retrospective cohort study. One thousand Latina women enrolled in the Pennsylvania Nurse-Family P...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301505
更新日期:2014-02-01 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::We performed a cost-effectiveness analysis to evaluate whether patients with artificial joints should take penicillin, erythromycin, or no antibiotics before dental procedures. We modeled the risk of anaphylaxis from penicillin, the risks and consequences of an artificial joint infection, and the actual variable costs...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.6.739
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVES:We examined neighborhood-level foreclosure rates and their association with onset of depressive symptoms in older adults. METHODS:We linked data from the National Social Life, Health, and Aging Project (2005-2006 and 2010-2011 waves), a longitudinal, nationally representative survey, to data on zip code-lev...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301566
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to ascertain how economic reform has affected nutritional well-being of the elderly in the Russian Federation. METHODS:A sample of more than 2932 Russians 60 years of age and older was selected from a nationally representative survey of Russian households. A 24-hour dietary rec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.3.355
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVES:We assessed differences in HIV prevalence and sexual risk behavior among men who have sex with men (MSM) between 1997 and 2002 in San Francisco. METHODS:We used 2 population-based random-digit-dial telephone surveys of MSM households in San Francisco in 1997 (n=915) and 2002 (n=879). RESULTS:Estimated HIV ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.062851
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVES:We assessed which types of mass media messages might reduce disparities in smoking prevalence among disadvantaged population subgroups. METHODS:We followed 1491 adult smokers over 24 months and related quitting status at follow-up to exposure to antismoking ads in the 2 years prior to the baseline assessmen...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.161638
更新日期:2009-12-01 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:BACKGROUND:Brazil is the world's fifth largest and sixth most populous nation. Its economy is varied, with strong manufacturing, agriculture, mining, and service sectors. Therefore, a wide variety of workplace hazards confronts its work force. This paper describes Brazil's occupational safety and health regulatory sche...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.12.1619
更新日期:1991-12-01 00:00:00
abstract::Following Hurricane Katrina, the uniformed US Public Health Service created an updated system through which its officers participated in emergency responses. The Rapid Deployment Force (RDF) concept, begun in 2006, involved five teams of officers with diverse clinical and public health skill sets organized into an inc...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2018.304496
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:We tested a structural model of relations among self-reported childhood maltreatment, alcohol and other drug abuse and dependence symptoms, and sexual risk behavior in a sample of adolescents receiving outpatient treatment of substance use problems. METHODS:Structured interviews were administered to an ethn...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300628
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVES:We analyzed how ease of geographic access to emergency departments (EDs), defined as driving time to the closest ED, changed between 2001 and 2005, and whether access deterioration was more likely to occur in vulnerable communities. METHODS:We classified communities on the basis of American Hospital Associa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.175828
更新日期:2010-08-01 00:00:00
abstract::The degree to which national expert panel survey ratings of the appropriateness of hysterectomy differed from those of a random sample of practicing community gynecologists was determined. Community gynecologists rated hysterectomy as more appropriate on six of eight cervical dysplasia scenarios. Experts agreed among ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.8_pt_1.1125
更新日期:1995-08-01 00:00:00
abstract:OBJECTIVES:To examine the role of Department of Defense policies in identifying theater-sustained traumatic brain injuries (TBIs). METHODS:We conducted a retrospective study of 48 172 US military service members who sustained their first lifetime TBIs between 2001 and 2016 while deployed to Afghanistan or Iraq. We use...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304347
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVES:We estimated the effect of the ACA expansion of dependents' coverage on health care expenditures and utilization for young adults by race/ethnicity. METHODS:We used difference-in-difference models to estimate the impact of the ACA expansion on health care expenditures, out-of-pocket payments (OOP) as a shar...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302542
更新日期:2015-07-01 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 sought to estimate the risk of silicosis by cumulative exposure-years in a cohort of miners exposed to silica, as well as the lifetime risk of silicosis under the current Occupational Safety and Health Administration (OSHA) standard (0.09 mg/m3). METHODS:In a cohort study of 3330 gold miners who ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.10.1372
更新日期:1995-10-01 00:00:00
abstract::Public awareness of the risks of drinking during pregnancy was assessed in a Northwestern metropolitan county. Ninety per cent of respondents stated spontaneously that drinking might be harmful, and one-fourth of this group felt pregnant women should customarily abstain from alcohol. The balance of those who considere...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.3.312
更新日期:1981-03-01 00:00:00
abstract:BACKGROUND:The logistic regression model is being used with increasing frequency in all areas of public health research. In the calendar year 1989, over 30% of the articles published in the American Journal of Public Health employed some form of logistic regression modeling. In spite of this increase, there has been no...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.12.1630
更新日期:1991-12-01 00:00:00
abstract::Objectives. To examine state-level factors associated with late-stage HIV diagnoses in the United States.Methods. We examined state-level factors associated with late-stage diagnoses by estimating negative binomial regression models. We used 2013 to 2016 data from the National HIV Surveillance System (late-stage diagn...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305273
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVES:This study determined infection risk for HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) from needle reuse at a phlebotomy center that possibly exposed 3810 patients to infection. METHODS:We used a model for the risk of infection per blood draw, supplemented by subsequent testing results from 1699...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.4.636
更新日期:2001-04-01 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:We evaluated the use of hearing health care services (hearing testing and hearing aids) by adults aged 21 to 84 years. METHODS:Hearing was tested and medical and hearing health histories were obtained as part of the Beaver Dam Offspring Study between 2005 and 2008 (n = 3285, mean age = 49 years). RESULTS:O...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301031
更新日期:2013-06-01 00:00:00