Abstract:
:To avoid exploitation of host communities, many commentators argue that subjects must receive the best methods available worldwide. Others worry that this requirement may block important research intended to improve health care, especially in developing countries. To resolve this dilemma, we propose a framework for the conditions under which it is acceptable to provide subjects with less than the best methods. Specifically, institutional review boards should assume a default of requiring the "worldwide best" methods, meaning the best methods available anywhere in the world, in all cases.However, institutional review boards should be willing to grant exceptions to this default for research studies that satisfy the following 4 conditions: (1) scientific necessity, (2) relevance for the host community, (3) sufficient host community benefit, and (4) subject and host community non-maleficence.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Wendler D,Emanuel EJ,Lie RKdoi
10.2105/ajph.94.6.923subject
Has Abstractpub_date
2004-06-01 00:00:00pages
923-8issue
6eissn
0090-0036issn
1541-0048pii
94/6/923journal_volume
94pub_type
杂志文章abstract:OBJECTIVES:The aims of this study were to (1) describe AIDS-related knowledge, perceptions, and risky behaviors of impoverished African-American and high- and low-acculturated Latina women; (2) delineate relationships involving high-risk behaviors; and (3) determine whether risky behaviors differ by race and levels of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.1.65
更新日期:1993-01-01 00:00:00
abstract::Two generations of epidemiological studies of the true prevalence of mental disorders have been conducted since the turn of the century. The first and smaller in number took place prior to World War II and was characterized by the use of records and key informants to define "cases." The second, utilizing the greatly e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.11.1271
更新日期:1982-11-01 00:00:00
abstract::In 1974 and 1975, a selective tuberculosis screening program was conducted in a small mining community in Ottawa County, Oklahoma. Former miners, 50 years of age and over, who had abnormal chest radiographs consistent with silicosis or inactive tuberculosis and positive tuberculin skin tests, were offered isoniazid pr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.12.1404
更新日期:1982-12-01 00:00:00
abstract:OBJECTIVES:We examined associations between premigration political violence exposure and past-year intimate partner violence (IPV) perpetration among immigrant men attending community health centers in Boston. METHODS:A convenience sample of immigrant men (N = 379; aged 18-35 years), largely from the Caribbean and Cap...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.120634
更新日期:2009-03-01 00:00:00
abstract::A large portion of current epidemiologic research is based on methodologic individualism: the notion that the distribution of health and disease in populations can be explained exclusively in terms of the characteristics of individuals. The present paper discusses the need to include group- or macro-level variables in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.2.216
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVES:We estimated the costs associated with reducing class sizes in kindergarten through grade 3 as well as the effects of small class sizes on selected outcomes such as quality-adjusted life-years and future earnings. METHODS:We used multiple data sets to predict changes in the outcomes assessed according to le...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.105478
更新日期:2007-11-01 00:00:00
abstract::Background. There is debate whether policies that reduce firearm suicides or homicides are offset by increases in non-firearm-related deaths.Objectives. To assess the extent to which changes in firearm homicides and suicides following implementation of various gun laws affect nonfirearm homicides and suicides.Search M...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/AJPH.2020.305808
更新日期:2020-10-01 00:00:00
abstract::Members of the Reorganized Church of Jesus Christ of Latter-Day Saints (RLDS) are dissuaded from the use of tobacco, alcohol, and hot drinks. A well-balanced diet is also stressed. This study compares the 1972-78 mortality experience of the Missouri RLDS with three other population groups. The findings show Missouri R...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.12.1350
更新日期:1981-12-01 00:00:00
abstract::We examined the ability of MedisGroups, a severity measure based on clinical data abstracted from the medical record, to predict mortality 30 days following admission. MedisGroups measures severity both on admission and approximately one week into the hospital stay. The data base was a random sample of 20,985 admissio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.1.74
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVES:This study examined whether interventions aimed at aggressive/disruptive classroom behavior and poor academic achievement would reduce the incidence of initiation of smoking. METHODS:An epidemiologically based, universal randomized preventive trial involved 2311 children in 2 classroom-based preventive inte...
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.88.10.1490
更新日期:1998-10-01 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:Suffering from waning demand, poor quality, and reform efforts enabling veterans to "vote with their feet" and leave, the Veterans Health Administration (VA) health care system transformed itself through a series of substantive changes. We examined the evolution of primary care changes underlying VA's transf...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2007.115709
更新日期:2007-12-01 00:00:00
abstract::Considering the poor socioeconomic status of the Spanish surnamed population in Texas, the Spanish surname neonatal mortality rate seems surprisingly low. During five of the last 10 years, the neonatal mortality rate for Texas Spanish surnamed population was actually lower than for Anglos. It is often suggested that t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.9.993
更新日期:1982-09-01 00:00:00
abstract:OBJECTIVES:This report describes trends in the rates of lower-extremity amputation and revascularization procedures and vascular disease risk factors. METHODS:We analyzed trends in National Hospital Discharge Survey data for 1979 through 1996 and in National Health Interview Study data for 1983 through 1994. RESULTS:...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.8.1222
更新日期:1999-08-01 00:00:00
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 follo...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/AJPH.2003.037242
更新日期:2005-02-01 00:00:00
abstract::An editorial in a previous issue of this journal falsely claims that the US government's efforts to reduce road fatalities are not based on science. It says that, as a result, the United States has fallen behind other countries in road death prevention. A large body of research and evaluation informed federal and stat...
journal_title:American journal of public health
pub_type: 评论,杂志文章
doi:10.2105/AJPH.2014.302352
更新日期:2014-12-01 00:00:00
abstract::Smoking histories and beliefs about smoking were obtained on 120 ex- and current smokers. Ex-smokers view smoking as a serious health problem, did not report having a physician recommend they stop, and feel personally susceptible to its adverse effects. Moderate smokers (0-10/day) also view smoking as serious, but do ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.11.1253
更新日期:1981-11-01 00:00:00
abstract:OBJECTIVES:Many adolescent girls fail to meet national guidelines for physical activity, and the prevalence of obesity is increasing among this group. Our study examined the effects of a comprehensive school-based intervention on physical activity among high-school girls. METHODS:A group-randomized controlled field tr...
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.2004.045807
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVES:This analysis described Latino migrant farmworkers' work safety climate and its association with musculoskeletal discomfort, working while injured or ill, and depressive symptoms. METHODS:Data were from a cross-sectional survey of 300 farmworkers conducted in North Carolina in 2009. Generalized estimating e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300597
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVES:To report on indicators of the National HIV/AIDS Strategy, we analyzed data collected through the national HIV surveillance system. METHODS:We analyzed data from adults and adolescents aged 13 years or older diagnosed with HIV in 13 US jurisdictions that have laboratory reporting of CD4+ T-lymphocyte (CD4) ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300859
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:We examined the factors influencing delay in seeking abortion and the outcomes for women denied abortion care because of gestational age limits at abortion facilities. METHODS:We compared women who presented for abortion care who were under the facilities' gestational age limits and received an abortion (n ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301378
更新日期:2014-09-01 00:00:00
abstract::The association of life events and mental health impairment was studied in a community-based population of the elderly (n = 986). A crude estimate of the relative risk for mental health impairment given life events larger than or equal to 150 (as measured by the Schedule of Recent Events) was 2.14. A relative risk of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.11.1174
更新日期:1980-11-01 00:00:00
abstract:OBJECTIVES:To elucidate why the inverse association between education level and mortality risk (the gradient) has increased markedly among White women since the mid-1980s, we identified causes of death for which the gradient increased. METHODS:We used data from the 1986 to 2006 National Health Interview Survey Linked ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301128
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:We measured symptom and influenza prevalence, and the effectiveness of symptom and temperature screening for identifying influenza, in arriving international airline travelers. METHODS:This cross-sectional study collected data from travelers to Christchurch International Airport, New Zealand, in winter 2008...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300761r
更新日期:2015-10-01 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::From February through December 2012, we examined responses to health behavior questions integrated into the electronic medical record of primary care centers in the Bronx, New York in the context of New York City Community Health Survey data. We saw a higher proportion of unhealthy behaviors among patients than among ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302326
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:We examined the implications of the current recommended data collection practice of placing self-rated health (SRH) before specific health-related questions (hence, without a health context) to remove potential context effects, between Hispanics and non-Hispanics. METHODS:We used 2 methodologically comparab...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301055
更新日期:2014-01-01 00:00:00
abstract::In 1981, outbreaks of itchy skin rashes were reported accompanying the heavy infestation of gypsy moths (GM) in the Northeastern United States. The rash problem was widespread and a considerable public annoyance. In the spring of 1982, during the period of greatest contact with the caterpillars, a telephone survey was...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.8.799
更新日期:1984-08-01 00:00:00
abstract::Objectives. To examine changes in age of initiation of e-cigarette, cigarette, cigar, and smokeless tobacco use among adolescents in the United States.Methods. We used data from 5 cohorts of the National Youth Tobacco Survey (2014-2018; n = 26 662).Results. In 2014, 8.8% of lifetime e-cigarette users initiated use at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305421
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVES:Interpreting associations between lead exposure and child behavior problems is difficult because studies have not controlled for sociodemographic confounders or have used shed teeth to mark exposure. This study explored associations between blood lead and preschool behavior. METHODS:Children from a smelter ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.3.481
更新日期:1998-03-01 00:00:00