An ethics framework for public health.

Abstract:

:More than 100 years ago, public health began as an organized discipline, its purpose being to improve the health of populations rather than of individuals. Given its population-based focus, however, public health perennially faces dilemmas concerning the appropriate extent of its reach and whether its activities infringe on individual liberties in ethically troublesome ways. In this article a framework for ethics analysis of public health programs is proposed. To advance traditional public health goals while maximizing individual liberties and furthering social justice, public health interventions should reduce morbidity or mortality; data must substantiate that a program (or the series of programs of which a program is a part) will reduce morbidity or mortality; burdens of the program must be identified and minimized; the program must be implemented fairly and must, at times, minimize preexisting social injustices; and fair procedures must be used to determine which burdens are acceptable to a community.

journal_name

Am J Public Health

authors

Kass NE

doi

10.2105/ajph.91.11.1776

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

1776-82

issue

11

eissn

0090-0036

issn

1541-0048

journal_volume

91

pub_type

杂志文章
  • Determinants of community-based coverage: periodic vitamin A supplementation. Aceh Study Group.

    abstract::Factors related to preschool child receipt of vitamin A during the first year of a semi-annual vitamin A capsule delivery program were investigated in 229 villages in Aceh, Indonesia. Coverage was higher in villages which were more rural and less economically developed. Highest performance was achieved by village dist...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.79.7.847

    authors: Tarwotjo I,West KP Jr,Mele L,Nur S,Nendrawati H,Kraushaar D,Tilden RL

    更新日期:1989-07-01 00:00:00

  • Variation in youthful risks of progression from alcohol and tobacco to marijuana and to hard drugs across generations.

    abstract:OBJECTIVES:Much research has documented that youthful substance use typically follows a sequence starting with use of alcohol or tobacco or both and potentially proceeding to marijuana and then hard drug use. This study explicitly examined the probabilities of progression through each stage and their covariates. METHO...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.91.2.225

    authors: Golub A,Johnson BD

    更新日期:2001-02-01 00:00:00

  • Childhood pesticide exposures on the Texas-Mexico border: clinical manifestations and poison center use.

    abstract:OBJECTIVES:The purpose of this study was to describe differences in childhood pesticide exposures between counties on the Texas-Mexico border and nonborder counties. METHOD:The authors reviewed all pesticide exposures among children younger than 6 years reported to the South Texas Poison Center during 1997 through 200...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.93.8.1310

    authors: Belson M,Kieszak S,Watson W,Blindauer KM,Phan K,Backer L,Rubin C

    更新日期:2003-08-01 00:00:00

  • Professional relationships between midwives and physicians: collaboration or conflict?

    abstract::This study examines the professional relationships between midwives and physicians providing obstetrical care in Washington State. Four hundred ninety-six randomly sampled family physicians and obstetrician-gynecologists and 211 certified nurse, licensed, and lay midwives were surveyed to learn more about midwife/phys...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.82.2.262

    authors: Baldwin LM,Hutchinson HL,Rosenblatt RA

    更新日期:1992-02-01 00:00:00

  • Addressing Oral Health Disparities Via Educational Foci on Cultural Competence.

    abstract::An ever-present challenge for the oral health profession is to reduce the extent of oral disease among racial and ethnic minority populations. Adding to this complex dilemma is the linkage between oral health and systemic health. We describe enhanced cultural competency, in the context of individual cultural beliefs, ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2017.303721

    authors: Behar-Horenstein LS,Warren RC,Dodd VJ,Catalanotto FA

    更新日期:2017-05-01 00:00:00

  • A matter of opinion about hysterectomies: experts' and practicing community gynecologists' ratings of appropriateness.

    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

    authors: Bickell NA,Earp J,Evans AT,Bernstein SJ

    更新日期:1995-08-01 00:00:00

  • Risk factors for HIV and other sexually transmitted diseases and prevention practices among US heterosexual adults: changes from 1990 to 1992.

    abstract:OBJECTIVES:The National AIDS Behavioral Survey (1990-1992) of heterosexual adults (18-49 years) measured human immunodeficiency virus (HIV) risk factors, condom use, and HIV antibody testing, with a focus on major "high-risk" cities. METHODS:A longitudinal survey was conducted. RESULTS:There was little reduction in t...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.85.11.1492

    authors: Catania JA,Binson D,Dolcini MM,Stall R,Choi KH,Pollack LM,Hudes ES,Canchola J,Phillips K,Moskowitz JT

    更新日期:1995-11-01 00:00:00

  • Bicycle guidelines and crash rates on cycle tracks in the United States.

    abstract:OBJECTIVES:We studied state-adopted bicycle guidelines to determine whether cycle tracks (physically separated, bicycle-exclusive paths adjacent to sidewalks) were recommended, whether they were built, and their crash rate. METHODS:We analyzed and compared US bicycle facility guidelines published between 1972 and 1999...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2012.301043

    authors: Lusk AC,Morency P,Miranda-Moreno LF,Willett WC,Dennerlein JT

    更新日期:2013-07-01 00:00:00

  • Sociodemographic factors and the variation in syphilis rates among US counties, 1984 through 1993: an ecological analysis.

    abstract:OBJECTIVES:Syphilis in the United States is focally distributed, with high incidence rates in the South and in metropolitan areas nationwide. In this study an ecological analysis, using the county as the unit of analysis, was performed to generate hypotheses about community-level determinants of syphilis rates. METHOD...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.87.12.1937

    authors: Kilmarx PH,Zaidi AA,Thomas JC,Nakashima AK,St Louis ME,Flock ML,Peterman TA

    更新日期:1997-12-01 00:00:00

  • A Longitudinal Study of Multiple Drug Use and Overdose Among Young People Who Inject Drugs.

    abstract:OBJECTIVES:To determine the association between multiple drug use and nonfatal overdose among young people (younger than 30 years) who inject drugs. METHODS:We completed a longitudinal study of 173 injection drug users younger than 30 years living in San Francisco, California, between April 2012 and February 2014. RE...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2016.303084

    authors: Riley ED,Evans JL,Hahn JA,Briceno A,Davidson PJ,Lum PJ,Page K

    更新日期:2016-05-01 00:00:00

  • Interventions to increase physical activity among healthy adults: meta-analysis of outcomes.

    abstract:OBJECTIVES:We conducted a meta-analysis summarizing the effects of interventions designed to increase physical activity among healthy adults. METHODS:Our comprehensive searches located 358 reports eligible for inclusion. We used random-effects analyses to synthesize data, and we used meta-analytic analogues of regress...

    journal_title:American journal of public health

    pub_type: 杂志文章,meta分析

    doi:10.2105/AJPH.2010.194381

    authors: Conn VS,Hafdahl AR,Mehr DR

    更新日期:2011-04-01 00:00:00

  • Family allowance and family planning in Chile.

    abstract::Family allowances designed to promote maternal and child health and welfare could be self-defeating if they stimulated otherwise unwanted births, as often assumed. That assumption, with its public health and demographic implications, needs testing. An attempt to test it was made in Chile in 1969--1970 through intervie...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.68.10.989

    authors: Plank SJ

    更新日期:1978-10-01 00:00:00

  • Estimating the World Trade Center tower population on September 11, 2001: a capture-recapture approach.

    abstract::I applied the capture-recapture method to estimate the World Trade Center tower population at the time of the September 11, 2001, terrorist attacks. Available lists helped identify 8965 survivors and 2152 confirmed casualties. The capture-recapture model suggested that an additional 4435 survivors were present, puttin...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2007.124768

    authors: Murphy J

    更新日期:2009-01-01 00:00:00

  • Patterns of Racial/Ethnic Disparities and Prevalence in HIV and Syphilis Diagnoses Among Men Who Have Sex With Men, 2016: A Novel Data Visualization.

    abstract:OBJECTIVES:To describe disparities in HIV infection and syphilis among gay, bisexual, and other men who have sex with men (MSM) in US states through ratio-based measures and graphical depictions of disparities. METHODS:We used state-level surveillance data of reported HIV and syphilis cases in 2015 and 2016, and estim...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2018.304762

    authors: Sullivan PS,Purcell DW,Grey JA,Bernstein KT,Gift TL,Wimbly TA,Hall E,Rosenberg ES

    更新日期:2018-11-01 00:00:00

  • The effect of WIC participation on small-for-gestational-age births: Michigan, 1992.

    abstract:OBJECTIVE:This study examined the relationship between enrollment in the Special Supplemental Nutrition Program for women, Infants, and Children (WIC) and delivery of small-for-gestational-age infants. METHODS:WIC records were linked with birth certificates for 1992 full-term births; 41,234 WIC records and 18,34 non-W...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.88.9.1374

    authors: Ahluwalia IB,Hogan VK,Grummer-Strawn L,Colville WR,Peterson A

    更新日期:1998-09-01 00:00:00

  • Ethical dilemmas in current planning for polio eradication.

    abstract::Intensification of polio eradication efforts worldwide raises concerns about costs and benefits for poor countries. A major argument for global funding is the high benefit-cost ratio of eradication; however, financial benefits are greatest for rich countries. By contrast, the greatest costs are borne by poor countries...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.87.6.922

    authors: Taylor CE,Cutts F,Taylor ME

    更新日期:1997-06-01 00:00:00

  • Asthma among homeless children in New York City: an update.

    abstract::Homeless children in New York City had an extremely high asthma prevalence-40%-in a cross-sectional study at 3 shelters (n=740) during 1998 to 1999. We used the same protocol to summarize subsequent data through December 2002. Asthma prevalence was 33% (n=1636); only 15% of the children previously diagnosed were takin...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2005.070482

    authors: Grant R,Bowen S,McLean DE,Berman D,Redlener K,Redlener I

    更新日期:2007-03-01 00:00:00

  • The Eighteen of 1918-1919: Black Nurses and the Great Flu Pandemic in the United States.

    abstract::This article examines the role of Black American nurses during the 1918-1919 influenza pandemic and the aftermath of World War I. The pandemic caused at least 50 million deaths worldwide and 675 000 in the United States. It occurred during a period of pervasive segregation and racial violence, in which Black Americans...

    journal_title:American journal of public health

    pub_type: 历史文章,杂志文章

    doi:10.2105/AJPH.2019.305003

    authors: Jones MM,Saines M

    更新日期:2019-06-01 00:00:00

  • Community-based tuberculin screening in Montreal: a cost-outcome description.

    abstract:OBJECTIVES:This study describes the costs and outcomes of community-based tuberculin screening programs conducted between 1987 and 1991 in Montreal, Quebec, Canada. METHODS:Follow-up information was abstracted from hospital records of all reactors detected in tuberculin screening of students in grades 6 and 10, of fir...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.85.6.786

    authors: Adhikari N,Menzies R

    更新日期:1995-06-01 00:00:00

  • Integrating epidemiology, education, and organizing for environmental justice: community health effects of industrial hog operations.

    abstract::The environmental justice movement has stimulated community-driven research about the living and working conditions of people of color and low-income communities. We describe an epidemiological study designed to link research with community education and organizing for social justice. In eastern North Carolina, high-d...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2007.110486

    authors: Wing S,Horton RA,Muhammad N,Grant GR,Tajik M,Thu K

    更新日期:2008-08-01 00:00:00

  • Painting a truer picture of US socioeconomic and racial/ethnic health inequalities: the Public Health Disparities Geocoding Project.

    abstract:OBJECTIVES:We describe a method to facilitate routine monitoring of socioeconomic health disparities in the United States. METHODS:We analyzed geocoded public health surveillance data including events from birth to death (c. 1990) linked to 1990 census tract (CT) poverty data for Massachusetts and Rhode Island. RESUL...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2003.032482

    authors: Krieger N,Chen JT,Waterman PD,Rehkopf DH,Subramanian SV

    更新日期:2005-02-01 00:00:00

  • Risk for cutaneous melanoma in recent Connecticut birth cohorts.

    abstract::Mortality trends suggest that increases in Connecticut incidence for cutaneous melanoma (CM) equal or under estimate increases for the entire country. One-sixth of CM in Connecticut occurs under age 35. In the 1955 birth cohort, modeled incidence rates per 100,000 age-adjusted to the 1960 US population are 38.2 in mal...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.75.6.679

    authors: Roush GC,Schymura MJ,Holford TR

    更新日期:1985-06-01 00:00:00

  • Education associations with smoking and leisure-time physical inactivity among Hispanic and Asian young adults.

    abstract:OBJECTIVES:We assessed whether associations between education and 2 health behaviors--smoking and leisure-time physical inactivity (LTPI)--depended on nativity and age at immigration among Hispanic and Asian young adults. METHODS:Data came from the 2000-2008 National Health Interview Survey. The sample included 13 345...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2010.191890

    authors: Stoddard P,Adler NE

    更新日期:2011-03-01 00:00:00

  • What has a decade of Daubert wrought?

    abstract::There have been changes within the judicial system that may be attributable to opinions on the admissibility of expert testimony that began with the Supreme Court's 1993 decision in Daubert v Merrell Dow Pharmaceuticals, Inc. After surveying Daubert and subsequent related Supreme Court opinions, I examine a number of ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2004.044701

    authors: Berger MA

    更新日期:2005-01-01 00:00:00

  • Income-specific trends in obesity in Brazil: 1975-2003.

    abstract:OBJECTIVES:We sought to update income-specific secular trends in obesity in Brazil to assess the hypothesis that the disease burden is shifting toward the poor. METHODS:We compared overall and income-specific obesity prevalence rates estimated for Brazilian men and women from national surveys conducted in 1975, 1989, ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2006.099630

    authors: Monteiro CA,Conde WL,Popkin BM

    更新日期:2007-10-01 00:00:00

  • Prevalence of antibody to LAV/HTLV-III among homosexual men in Seattle.

    abstract::The prevalence of antibody to LAV/HTLV-III among homosexual men attending a community clinic and a sexually transmitted disease clinic in Seattle, Washington in early 1985 was 42 per cent and 32 per cent, respectively. Seropositivity was apparently not related to age or number of sexual partners. The high prevalence o...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.76.5.564

    authors: Collier AC,Barnes RC,Handsfield HH

    更新日期:1986-05-01 00:00:00

  • Community health workers can be a public health force for change in the United States: three actions for a new paradigm.

    abstract::Community health workers (CHWs) have gained increased visibility in the United States. We discuss how to strengthen the roles of CHWs to enable them to become collaborative leaders in dramatically changing health care from "sickness care" systems to systems that provide comprehensive care for individuals and families ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2011.300386

    authors: Balcazar H,Rosenthal EL,Brownstein JN,Rush CH,Matos S,Hernandez L

    更新日期:2011-12-01 00:00:00

  • Bridging the divide: HIV prevention research and Black men who have sex with men.

    abstract:OBJECTIVES:We obtained contextual information regarding documented barriers to HIV clinical trial participation among Black men who have sex with men (MSM), and explored current preventive HIV clinical trial attitudes, beliefs, and perceptions among Black MSM leaders in the United States. METHODS:We conducted 2 focus ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2013.301653

    authors: Andrasik MP,Chandler C,Powell B,Humes D,Wakefield S,Kripke K,Eckstein D

    更新日期:2014-04-01 00:00:00

  • Twitter-Based Detection of Illegal Online Sale of Prescription Opioid.

    abstract:OBJECTIVES:To deploy a methodology accurately identifying tweets marketing the illegal online sale of controlled substances. METHODS:We first collected tweets from the Twitter public application program interface stream filtered for prescription opioid keywords. We then used unsupervised machine learning (specifically...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2017.303994

    authors: Mackey TK,Kalyanam J,Katsuki T,Lanckriet G

    更新日期:2017-12-01 00:00:00

  • Public health's response to a changed world: September 11, biological terrorism, and the development of an environmental health tracking network.

    abstract::Historically, the importance of public health has often been recognized during or as a result of major tragedy. The attacks that occurred in the United States in 2001 are no exception. These events have raised awareness of our vulnerability and the need for emergency preparedness, the need for a flexible and sustainab...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.93.8.1226

    authors: Marmagas SW,King LR,Chuk MG

    更新日期:2003-08-01 00:00:00