Abstract:
OBJECTIVES:We examined differences in quality of care among nursing homes in locales of varying degrees of rurality. METHODS:We classified locales into 4 classes according to rurality. We analyzed a 10% sample of nursing home admissions in the United States in 2000 (n=198613) to estimate survival models for 9 quality indicators. RESULTS:For postacute admissions, we observed significant differences in rates of decline for residents in facilities in large towns compared with urban areas, but differences in quality were both negative and positive. Among admissions for long-term or chronic care, rates of decline in 2 of 9 quality areas were lower for residents in isolated areas. CONCLUSIONS:We observed significant differences in a number of quality indicators among different classes of nursing home locations, but differences varied dramatically according to type of admission. These differences did not exhibit the monotonicity that we would have expected had they derived solely from rurality. Also, quality indicators exhibited more similarities than differences across the 4 classes of locales. The results underscore the importance, in some instances, of emphasizing the effects of specific settings rather than some continuum of rurality and of moving beyond the assumption that nursing home residents constitute a homogeneous population.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Phillips CD,Holan S,Sherman M,Williams ML,Hawes Cdoi
10.2105/ajph.94.10.1717subject
Has Abstractpub_date
2004-10-01 00:00:00pages
1717-22issue
10eissn
0090-0036issn
1541-0048pii
94/10/1717journal_volume
94pub_type
杂志文章abstract:OBJECTIVES:We examined local health department (LHD) preparedness capacities in the context of participation in accreditation and other performance improvement efforts. MetHODS: We analyzed preparedness in 8 domains among LHDs responding to a preparedness capacity instrument from 2010 through 2012. Study groups include...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302159
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:We determined racial/ethnic differences in social support and exposure to violence and transphobia, and explored correlates of depression among male-to-female transgender women with a history of sex work (THSW). METHODS:A total of 573 THSW who worked or resided in San Francisco or Oakland, California, were ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.197285
更新日期:2011-10-01 00:00:00
abstract::Objectives. To comprehensively assess asthma disparities and identify correlates in youths at the intersections of sex, sexual identity, and race/ethnicity in the United States.Methods. We obtained a diverse sample of youths (n = 307 073) from the Centers for Disease Control and Prevention's Youth Risk Behavior Survey...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305664
更新日期:2020-05-21 00:00:00
abstract::Relay, a peer-delivered response to nonfatal opioid overdoses, provides overdose prevention education, naloxone, support, and linkage to care to opioid overdose survivors for 90 days after an overdose event. From June 2017 to December 2018, Relay operated in seven New York City emergency departments and enrolled 649 o...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305202
更新日期:2019-10-01 00:00:00
abstract::Automated analysis of electronic health record (EHR) data is a complementary tool for public health surveillance. Analyzing and presenting these data, however, demands new methods of data communication optimized to the detail, flexibility, and timeliness of EHR data.RiskScape is an open-source, interactive, Web-based,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305963
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVES:We examined differences in substance abuse treatment outcomes between American Indians and their non-American Indian counterparts in California, during 2000 to 2002. METHODS:A total of 368 American Indians and a matched sample of 368 non-American Indians from 39 substance abuse treatment programs in 13 Cali...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.055871
更新日期:2006-05-01 00:00:00
abstract::This study estimated the risk of very-low-birthweight delivery among Black and White women with selected treatable antepartum medical conditions. A logistic regression model was applied to a retrospective, population-based data set identified by computerized, linked birth certificate and maternal hospital discharge re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.9.1495
更新日期:1994-09-01 00:00:00
abstract::Why are men more susceptible to heart disease than women? Traditional risk factors cannot explain the gender gap in coronary heart disease (CHD) or the rapid increase in CHD mortality among middle-aged men in many of the newly independent states of Eastern Europe. However, Eastern European men score higher on stress-r...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.5.768
更新日期:2003-05-01 00:00:00
abstract::Current theoretical approaches to bioethics and public health ethics propose varied justifications as the basis for health care and public health, yet none captures a fundamental reality: people seek good health and the ability to pursue it. Existing models do not effectively address these twin goals. The approach I e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.143651
更新日期:2010-01-01 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::We report on the firearms used in 235 suicides in Sacramento County, California, during 1983-85. Handguns were used in 69 per cent of firearm suicides--65 per cent for males, 88 per cent for females--and in all such deaths among women ages 35 and older. We tested the hypothesis that the choice of firearms by persons c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.7.824
更新日期:1988-07-01 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:The authors examined Americans' opinions about financial and treatment competence of people with mental health problems, potential for harm to self or others, and the use of legal means to force treatment. METHODS:The 1996 General Social Survey provided interview data with a nationally representative sample...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.9.1339
更新日期:1999-09-01 00:00:00
abstract::There is a high prevalence of oral disease in the Alaska Native population, much of which goes untreated, creating a large discrepancy between the level of their oral health and that of the general population. The causes of this discrepancy are multiple--a major cause being the lack of access to care, especially in re...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.053546
更新日期:2005-05-01 00:00:00
abstract::The Supplemental Nutrition Assistance Program (SNAP) is a highly effective program, vital to our nation's health and well-being. SNAP's entitlement funding structure allows it to provide benefits to anyone who meets the program's eligibility requirements, and this structure also enables SNAP to respond quickly when ne...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305325
更新日期:2019-12-01 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:To evaluate the impact of the partial repeal of Michigan's universal motorcycle helmet law on helmet use, fatalities, and head injuries. METHODS:We compared helmet use rates and motorcycle crash fatality risk for the 12 months before and after the April 13, 2012, repeal with a statewide police-reported cras...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303525
更新日期:2017-01-01 00:00:00
abstract::Data System. The National Health and Nutrition Examination Survey (NHANES), conducted by the National Center for Health Statistics, is a cross-sectional survey on the health and nutritional status of US adults and children. Data Collection/Processing. A complex, multistage probability design is used to select a sample...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303815
更新日期:2017-06-01 00:00:00
abstract::This study examined the prevalence and correlates of unprotected anal intercourse among 758 young African American men who have sex with men. A quarter of the sample reported unprotected anal intercourse in the past 3 months; nonsupportive peer norms and not carrying condoms predicted risky sexual behavior. Effective ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.7.1122
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to examine prospectively the association between reported use of vitamin supplements and risk of cataract and cataract extraction. METHODS:The study population consisted of 17,744 participants in the Physicians' Health Study, a randomized trial of aspirin therapy and beta-carot...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.5.788
更新日期:1994-05-01 00:00:00
abstract:OBJECTIVES:To inform a prevention strategy, this study determined the prevalence of and attitudes toward smoking among Chinese secondary school students. METHODS:Self-completion questionnaires were administered to 13- to 18-year-olds attending school in Zhejiang Province, eastern China. RESULTS:Of the 6674 respondent...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.10.1653
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVES:Overall and cause-specific mortality among persons with diabetes in North Dakota was estimated and compared with estimates from previous population-based studies. METHODS:Data were derived from North Dakota death certificate data, which included unique information on decedents' diabetes status and Behaviora...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.1.84
更新日期:2001-01-01 00:00:00
abstract::We used data from telephone interviews and mailed questionnaires to examine 12 aspects of family life among 93 families with infants considered at high risk for sudden infant death syndrome and on home apnea monitors and a matched comparison group with infants not requiring monitoring. Using logistic regression to con...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.5.719
更新日期:1992-05-01 00:00:00
abstract:OBJECTIVES:Sources of measurement error in assessing smoking status are examined. METHODS:The Lung Health Study, a randomized trial in 10 clinical centers, includes 3923 participants in a smoking cessation program and 1964 usual care participants. Smoking at first annual follow-up was assessed by salivary cotinine, ex...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.2105/ajph.83.9.1251
更新日期:1993-09-01 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::Reports of physical morbidity are compared among a community sample of Los Angeles County adults (N = 546) randomly assigned to either in-person or telephone interviews. No statistically significant differences were found between the two interview methods for overall assessment of health status, illnesses reported for...
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.72.9.1017
更新日期:1982-09-01 00:00:00
abstract::Electronic health records and electronic health information exchange are essential to improving quality of care, reducing medical errors and health disparities, and advancing the delivery of patient-centered medical care. In the US correctional setting, these goals are critical because of the high numbers of Americans...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301845
更新日期:2014-05-01 00:00:00
abstract:OBJECTIVES:The purpose of these analyses was to test the hypothesis that depressive symptomatology affects the risk of onset of physical disability in high-functioning elderly adults. METHODS:The data come from the MacArthur Study of Successful Aging, a community-based cohort of high-functioning adults aged 70 through...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.84.11.1796
更新日期:1994-11-01 00:00:00
abstract:OBJECTIVES:A longitudinal survey assessed the distribution of adult body weight among the Chinese population. METHODS:Data from the 1989 and 1991 China Health and Nutrition Survey were used to study changes in the proportions of adults aged 20-45 years who were classified as underweight, normal weight, overweight, and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.5.690
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVES:Reducing the widespread use of physical restraints in nursing homes is a primary goal of the federal nursing home reforms enacted as part of the Omnibus Budget Reconciliation Act of 1987. However, some nursing home operators assert that reducing restraint use could be prohibitively expensive, costing payors ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.3.342
更新日期:1993-03-01 00:00:00