Abstract：
:I screened 312 women, 18-45 years of age, presenting for routine gynecologic examination or prenatal care in a multiphysician primary care practice for Chlamydia trachomatis and Neisseria gonorrhoeae. I evaluated age, pregnancy, payment status, and presence of clinical cervicitis or gonorrhea as possible predictors of risk for chlamydial infection. Compared to culture, the direct immunofluorescent antibody (DFA) test used to screen for C trachomatis had a sensitivity of 70% and a specificity of 97%. By culture, the overall prevalence of chlamydial infection was 3.2% (confidence limits [CL] = 1.1-5.9) with a prevalence of 2.2% in nonpregnant women and 9.3% in pregnant women. Overall prevalence by the DFA test was 5.45%. Pregnancy status and youth were the significant predictors of risk for infection as determined by culture but not by Microtrak. Payment status, clinical cervicitis, and gonorrhea cultures were not useful predictors of increased risk. I discuss the implications of using culture, an imperfect "gold standard," for determining sensitivity, specificity, and prevalence.
journal_name
Am J Prev Medjournal_title
American journal of preventive medicineauthors
Nelson MEsubject
Has Abstractpub_date
1992-09-01 00:00:00pages
298-302issue
5eissn
0749-3797issn
1873-2607journal_volume
8pub_type
杂志文章abstract：BACKGROUND:This study compares the efficacy of three types of reminders in promoting annual repeat mammography screening. DESIGN:RCT. SETTING AND PARTICIPANTS:Study recruitment occurred in 2004-2005. Participants were recruited through the North Carolina State Health Plan for Teachers and State Employees. All were ag...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.amepre.2009.01.032
更新日期：2009-06-01 00:00:00
abstract：CONTEXT:The effectiveness of personalized-feedback interventions to reduce problem drinking has been evaluated in several RCTs and systematic reviews. A meta-analysis was performed to examine the overall effectiveness of brief, single-session personalized-feedback interventions without therapeutic guidance. EVIDENCE A...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.amepre.2008.10.016
更新日期：2009-03-01 00:00:00
abstract：INTRODUCTION:Cardiovascular disease (CVD) risk screening may rely partly on self-report information. The accuracy of self-reporting in relation to the actual risk factor status is insufficiently known. DESIGN:Self-report (yes, no, don't know) of presence of hypertension, hyperlipidemia, and overweight was compared to ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(99)00019-7
更新日期：1999-05-01 00:00:00
abstract：BACKGROUND:Given evidence of widespread underuse of recommended clinical preventive services and chronic disease management, New York City developed the Public Health Detailing Program, a primary care provider outreach initiative to increase uptake of best practices on public health priorities. PURPOSE:The goal of the...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2012.03.014
更新日期：2012-06-01 00:00:00
abstract：:This is one of six short papers that describe additional innovations that support the integration of public health into medical education. These were featured in the "Patients and Populations: Public Health in Medical Education" conference and describe innovative endeavors or curricular components not previously publi...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2011.05.023
更新日期：2011-10-01 00:00:00
abstract：CONTEXT:Current physical activity levels of youth are alarmingly low. One way to promote higher levels of physical activity to youth is through school-based government policies. The current review examines evaluation of school-based physical activity policies for youth over the past 10 years. EVIDENCE ACQUISITION:Arti...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2012.08.022
更新日期：2012-12-01 00:00:00
abstract：:As the first Centers for Disease Control and Prevention (CDC) Prevention Research Centers Program thematic network, the Healthy Aging Research Network was established to better understand the determinants of healthy aging within older adult populations, identify interventions that promote healthy aging, and assist in ...
journal_title：American journal of preventive medicine
pub_type： 社论
doi：10.1016/j.amepre.2016.09.035
更新日期：2017-03-01 00:00:00
abstract：INTRODUCTION:This study evaluated whether intervening with child care providers would increase physical activity (PA) and reduce adiposity in preschoolers. METHODS:This was a two-arm, parallel group, cluster RCT whereby six child care centers were randomly assigned in equal numbers to intervention (n=40 children) or c...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.amepre.2016.03.024
更新日期：2016-08-01 00:00:00
abstract：:The Education for Health framework is designed as an educational roadmap for Healthy People 2020. It aims to connect the educational phases and suggests overall educational strategies needed to educate health professionals and the public to achieve a healthier America. The framework seeks to develop a seamless approac...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2010.10.017
更新日期：2011-02-01 00:00:00
abstract：BACKGROUND:International debates are occurring about the effectiveness of minimum legal drinking age laws. Most minimum legal drinking age evaluation studies have focused on motor vehicle collision outcomes, but this literature is primarily based on naturalistic experiments involving legislation changes in the U.S. in ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2014.08.012
更新日期：2014-12-01 00:00:00
abstract：:Priorities for improving the health of our nation include rebuilding the public health infrastructure through increasing assessment, policy development, and assurance capacities in our communities. Capacity building necessitates formalizing and strengthening public health practice linkages to achieve Year 2000 objecti...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1996-07-01 00:00:00
abstract：OBJECTIVES:We examine the utility of pooling data from the 1987 through 1994 Maryland Behavioral Risk Factor Surveillance system (BRFSS) surveys in order to increase sample size, and we investigate the social and demographic correlates of smoking in Maryland among 18-24-year-olds. METHODS:The data are from 1,714 subje...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：
更新日期：1997-11-01 00:00:00
abstract：BACKGROUND:Underage alcohol use is a major contributor to morbidity and mortality in adolescents and young adults. This study examined drinking levels and ensuing problems among college students and factors associated with binge drinking. METHOD:The Harvard School of Public Health College Alcohol Study conducted a sel...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(00)00163-x
更新日期：2000-07-01 00:00:00
abstract：BACKGROUND:If behavior-change services are to be offered routinely in primary care practices, providers must be appropriately compensated. Estimating what is spent by practices in providing such services is a critical component of establishing appropriate payment and was the objective of this study. METHODS:In-practic...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2008.08.007
更新日期：2008-11-01 00:00:00
abstract：BACKGROUND:Unintentional poisoning deaths have been increasing dramatically over the past decade, and the majority of this increase has resulted from overdoses of specific prescription drugs. Despite this trend, there are limited existing data examining hospitalizations for poisonings, both unintentional and intentiona...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2010.01.022
更新日期：2010-05-01 00:00:00
abstract：INTRODUCTION:Leading professional organizations recommend cervical cancer screening for average-risk women aged 21-65 years. For average-risk women aged >65 years, routine screening may be discontinued if "adequate" screening with negative results is documented. Screening is recommended after age 65 years for women who...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2017.02.024
更新日期：2017-09-01 00:00:00
abstract：BACKGROUND:Given the increased emphasis on chronic diseases in the United States, physicians and health survey analysts are now gathering information on patients' subjective measures of health, also known as health-related quality-of-life measures. Studies indicate that these measures can be more powerful predictors of...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2003.11.002
更新日期：2004-04-01 00:00:00
abstract：BACKGROUND:Associations between economic conditions and health are usually derived from cost-intensive surveys that are intermittently collected with nonspecific measures (i.e., self-rated health). PURPOSE:This study identified how precise health concerns changed during the U.S. Great Recession analyzing Google search...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2013.10.008
更新日期：2014-02-01 00:00:00
abstract：INTRODUCTION:Lifestyle physical activity interventions have resulted in response to the public health problem of promoting regular amounts of physical activity to the majority of U.S. adults who remain inadequately or completely inactive. These lifestyle interventions allow a person to individualize his/her physical ac...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/s0749-3797(98)00084-1
更新日期：1998-11-01 00:00:00
abstract：INTRODUCTION:Colorectal cancer (CRC) is the second leading cause of cancer mortality in the U.S.; however, if the population aged 50 years or older received routine screening, approximately 60% of these deaths could be eliminated. This study investigates whether adults, aged 50-75 years, with one of three disabilities ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2017.01.005
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:Developing effective programs to promote colorectal cancer (CRC) screening requires understanding of the effect of healthcare system factors on access to screening and adherence to guidelines. METHODS:This study assessed the role of insurance status, type of plan, the frequency of preventive health visits, ...
journal_title：American journal of preventive medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0749-3797(02)00444-0
更新日期：2002-07-01 00:00:00
abstract：INTRODUCTION:Sexual violence, particularly in the context of drinking, is prevalent on college campuses. This study tested a brief intervention to prevent sexual violence among students receiving care from college health centers. STUDY DESIGN:This study was a two-arm, unblinded cluster RCT. SETTING/PARTICIPANTS:On 28...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2020.02.007
更新日期：2020-07-01 00:00:00
abstract：INTRODUCTION:Although some view the ownership of firearms as a deterrent to crime, the relationship between population-level firearm ownership rates and violent criminal perpetration is unclear. The purpose of this study is to test the association between state-level firearm ownership and violent crime. METHODS:State-...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2015.02.008
更新日期：2015-08-01 00:00:00
abstract：BACKGROUND:The Hmong immigrated to the United States from Laos after the Vietnam conflict ended. Hmong encounter numerous readjustment issues, including health care. Traditional Hmong health beliefs and practices encompass more spiritual than biological etiologies. Hmong usually seek the first course of treatment from ...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2004.04.003
更新日期：2004-08-01 00:00:00
abstract：:This paper defines the appropriation and resource allocation structure of federal government programs that deliver vaccines to the public through state and local governments, with a special focus on the Centers for Disease Control and Prevention (CDC) Section 317 program. The paper places these programs in the context...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(00)00206-3
更新日期：2000-10-01 00:00:00
abstract：:Evidence-based evaluations of clinical preventive services help define priorities for research in prevention as part of primary health care. In this article, we draw on our experiences with the U.S. Preventive Services Task Force (USPSTF) to outline some major areas where research is needed to define the appropriate u...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/s0749-3797(97)00058-5
更新日期：1998-05-01 00:00:00
abstract：INTRODUCTION:The U.S. Surgeon General has concluded that aerosol from electronic vapor products, such as e-cigarettes, can contain harmful and potentially harmful constituents. This study assessed the prevalence and determinants of U.S. adult attitudes toward electronic vapor product use in indoor public places. METHO...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2018.08.022
更新日期：2019-01-01 00:00:00
abstract：:Deep vein thrombosis (DVT) and pulmonary embolism (PE), known collectively as venous thromboembolism (VTE), affect an estimated 900,000 people in the U.S. each year, resulting in several hundred thousand hospitalizations and about 300,000 deaths. Despite this substantial public health burden, no systematic collection ...
journal_title：American journal of preventive medicine
pub_type：
doi：10.1016/j.amepre.2010.01.010
更新日期：2010-04-01 00:00:00
abstract：CONTEXT:Postnatal depression is highly prevalent in mothers. Although physical activity has been found to reduce the risk of depression in the general population, little is known regarding its link with postnatal depression. This review examined original research investigating the relationship between physical activity...
journal_title：American journal of preventive medicine
pub_type： 杂志文章,评审
doi：10.1016/j.amepre.2013.04.004
更新日期：2013-08-01 00:00:00
abstract：BACKGROUND:Recreational use of hot tubs, whirlpools, and spas has increased within the past 3 decades. Injuries due to hot tubs, whirlpools, and spas can affect people of all ages and can result in serious disabilities. PURPOSE:This study examines nonfatal hot tub, whirlpool, and spa-related injuries on a national lev...
journal_title：American journal of preventive medicine
pub_type： 杂志文章
doi：10.1016/j.amepre.2009.08.024
更新日期：2009-12-01 00:00:00
