Abstract:
OBJECTIVES:We examined recent public-sector trends in childhood vaccine costs and estimated future costs. METHODS:We used public-sector price data to calculate vaccine purchase cost per child for children aged 0 to 6 years from 1975 to 2001. We fit a linear regression model to historical data and then used it to project costs per child from 2002 to 2020, adjusted to 2001 US dollars. RESULTS:Controlling for inflation, the cost of vaccine purchase per child climbed from $10 in 1975 to $385 in 2001. The cost of vaccine purchase in the year 2020 following recommendation of 7 additional vaccines is estimated to be $1225 per child (95% confidence interval = $891, $1559). CONCLUSIONS:The cost per child for recommended vaccines at public-sector prices may triple over the next 2 decades. These projections have implications for vaccine financing at federal and state levels.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Davis MM,Zimmerman JL,Wheeler JR,Freed GLdoi
10.2105/ajph.92.12.1982subject
Has Abstractpub_date
2002-12-01 00:00:00pages
1982-7issue
12eissn
0090-0036issn
1541-0048journal_volume
92pub_type
杂志文章abstract::The relationship between corneal arcus (arcus senilis) and mortality from coronary heart disease (CHD) and cardiovascular disease (CVD) is examined in a prospective study of White men (n = 3,930) and women non-hormone users (n = 2,139), ages 30-69, followed for an average of 8.4 years as part of the Lipid Research Cli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.10.1200
更新日期:1990-10-01 00:00:00
abstract::Many assertions have been made about the competence of juries in dealing with expert evidence. I review the types of expert evidence that jurors hear and the impact of adversary legal procedure on the form and manner in which evidence is presented. Empirical research indicates that jurors understand the adversary proc...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2004.044677
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVES:California's Proposition 36 offers nonviolent drug offenders community-based treatment as an alternative to incarceration or probation without treatment. We examined how treatment capacity changed to accommodate Proposition 36 clients and whether displacement of other clients was an unintended consequence. ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.069336
更新日期:2007-01-01 00:00:00
abstract::While Job Corps Centers vary in size, location, and administrative structure, they are subject to uniform requirements for health services, established by federal regulation and must make individual decisions about whether to furnish dental care on-site or by some alternative arrangement in the community. Analysis of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.12.1294
更新日期:1980-12-01 00:00:00
abstract:OBJECTIVES:This study examined hospital administrators' experiences with the National Practitioner Data Bank. METHODS:One hundred forty-nine rural hospital administrators completed questionnaires assessing their perceptions of the data bank. RESULTS:Nearly 90% of respondents rated the data bank as an important source...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.4.663
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVES:To evaluate the effectiveness of an evidence-based, parent-centered intervention, Familias Unidas, delivered by nonresearch personnel, in preventing substance use (alcohol, illicit drugs) and sex without a condom among Hispanic adolescents. METHODS:A randomized controlled trial (n = 746) evaluated the effec...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2017.303653
更新日期:2017-04-01 00:00:00
abstract::We present results from life history interviews with 60 young adults from southern Uganda. Using a novel qualitative case-control design, we compared newly HIV-positive cases with HIV-negative controls matched on age, gender, marital status, and place of residence. Relationship context was the most salient theme diffe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301670
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVES:National data are thought to underestimate pregnancy-related mortality in the United States. A multisource surveillance system for pregnancy-associated deaths in New Jersey offers an opportunity to identify the magnitude of and the trends in pregnancy-related mortality at the state level. METHODS:Data from ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.8.1085
更新日期:1992-08-01 00:00:00
abstract::This paper reports the home-facility and level of care changes, discharges, and deaths over a five-year period for 1,653 clients newly admitted in 1978 to a long-term care program in British Columbia, Canada. Five years after admission, of clients initially admitted to care at home (N = 1241), 34.3 per cent were still...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.11.1312
更新日期:1986-11-01 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::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::We developed a theoretical framework to organize obesity prevention interventions by their likely impact on the socioeconomic gradient of weight. The degree to which an intervention involves individual agency versus structural change influences socioeconomic inequalities in weight. Agentic interventions, such as stand...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302066
更新日期:2014-10-01 00:00:00
abstract::Most health research with American Indian and Alaska Native (AI/AN) people has focused on tribal communities on reservation lands. Few studies have been conducted with AI/AN people living in urban settings despite their documented health disparities compared with other urban populations. There are unique consideration...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302027
更新日期:2014-11-01 00:00:00
abstract::Understanding mental health issues faced by young homeless persons is instrumental to the development of successful targeted interventions. No systematic review of recent published literature on psychopathology in this group has been completed. We conducted a systematic review of published research examining the preva...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2013.301318
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:We investigated trends in disability among older Americans from 1988 through 2004 to test the hypothesis that more recent cohorts show increased burdens of disability. METHODS:We used data from 2 National Health and Nutrition Examination Surveys (1988-1994 and 1999-2004) to assess time trends in basic activ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.157388
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVES:We evaluated the role of poverty in racial/ethnic disparities in HIV prevalence across levels of urbanization. METHODS:Using national HIV surveillance data from the year 2009, we constructed negative binomial models, stratified by urbanization, with an outcome of race-specific, county-level HIV prevalence r...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301997
更新日期:2014-07-01 00:00:00
abstract::Data derived through log recordings of 89 nurse practitioners (NPs) in adult/family practice on 7,086 prescriptions issued during 890 clinical days were analyzed to describe prescribing practices of NPs who held prescriptive authority from the licensing regulatory boards of five western states. Results showed drug uti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.3.258
更新日期:1985-03-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of dietary advice in primary prevention of chronic disease. METHODS:A meta-analysis was conducted of 17 randomized controlled trials of dietary behavior interventions of at least 3 months' duration. Results were analyzed as changes in reported dietary fat intakes and b...
journal_title:American journal of public health
pub_type: 杂志文章,meta分析
doi:10.2105/ajph.87.9.1415
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVES:To evaluate the Public Health Emergency Preparedness (PHEP) program's progress toward meeting public health preparedness capability standards in state, local, and territorial health departments. METHODS:All 62 PHEP awardees completed the Centers for Disease Control and Prevention's self-administered PHEP Im...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2017.304038
更新日期:2017-09-01 00:00:00
abstract::The cultural divide between US military and civilian institutions amplifies the consequences of military discharge status on public health and criminal justice systems in a manner that is invisible to a larger society. Prompt removal of problematic wounded warriors through retributive justice is more expedient than le...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302117
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVES:A randomized controlled trial evaluated the impact of feedback and financial incentives on physician compliance with cancer screening guidelines for women 50 years of age and older in a Medicaid health maintenance organization (HMO). METHODS:Half of 52 primary care sites received the intervention, which inc...
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.88.11.1699
更新日期:1998-11-01 00:00:00
abstract::Recent theoretical studies suggest that the earth's ozone layer which filters ultraviolet radiation may be depleted by a fleet of supersonic transports or by continued use of chlorofluoromethanes. It is now generally accepted that short wavelength ultraviolet radiation leads to the development of skin cancer. In this ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.5.461
更新日期:1976-05-01 00:00:00
abstract::On June 20, 1997 a group of attorneys and health advocates proposed a "global settlement" of all public and private litigation against the tobacco industry. This agreement was controversial, and the subsequent implementing legislation was defeated. We sought to determine whether the global settlement represented a "mi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.2.218
更新日期:2004-02-01 00:00:00
abstract::Quantitative risk assessment provides formalized scientific input to regulatory agencies that set occupational and environmental standards for potentially toxic exposures. Current practice relies heavily on statistical extrapolation from high-dose animal studies. Human data obviate the need for interspecies extrapolat...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.4.484
更新日期:1995-04-01 00:00:00
abstract::This paper offers suggestions to adi the selection of appropriate instruments and data gathering methods for studies that require measures of personal health status applicable in general populations. Before selecting measures, the reason for studying health status must be identified. Next, definitional issues arise wh...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.6.620
更新日期:1981-06-01 00:00:00
abstract::We identified factors associated with death at home for 28,828 hospice and non-hospice cancer patients in 13 counties of western Washington State. Hospice participation was found to be the variable most strongly associated with death at home. Admission to hospice appears to override the tendency for certain subgroups ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.11.1549
更新日期:1989-11-01 00:00:00
abstract:OBJECTIVES:We sought to examine trends in hepatitis B virus (HBV) vaccination among high-risk adults and assess the potential effect vaccinated adolescents have on these trends as they age. METHODS:We used data from the National Health Interview Survey 2000, 2002, and 2004 to examine trends in HBV vaccination among hi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.116046
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVES:We sought to quantify the potential health impact of selected medical and nonmedical policy changes within the United States. METHODS:Using data from the 1997-2000 National Health Interview Surveys (linked to mortality data through 2002) and the 1996-2002 Medical Expenditure Panel Surveys, we calculated age...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.165019
更新日期:2010-09-01 00:00:00
abstract::Interview data from a three-wave panel study of the impact of the residential environment upon the psychological well-being of 337 minority women were used to examine the effects of household infestation upon self-reported depression, phobic anxiety, somatization, hostility, and anomia. The findings of cross-sectional...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.11.1303
更新日期:1985-11-01 00:00:00
abstract:OBJECTIVES:We sought to determine whether supplemental private insurance coverage among Medicare recipients alters patterns of health care or outcomes associated with acute myocardial infarction. METHODS:Medicare patients hospitalized after a myocardial infarction were identified from New York City hospitalization rec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.5.778
更新日期:2004-05-01 00:00:00