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 Healthjournal_title
American journal of public healthauthors
Kass NEdoi
10.2105/ajph.91.11.1776subject
Has Abstractpub_date
2001-11-01 00:00:00pages
1776-82issue
11eissn
0090-0036issn
1541-0048journal_volume
91pub_type
杂志文章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
更新日期:1989-07-01 00:00:00
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
更新日期:2001-02-01 00:00:00
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
更新日期:2003-08-01 00:00:00
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
更新日期:1992-02-01 00:00:00
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
更新日期:2017-05-01 00:00:00
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
更新日期:1995-08-01 00:00:00
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
更新日期:1995-11-01 00:00:00
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
更新日期:2013-07-01 00:00:00
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
更新日期:1997-12-01 00:00:00
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
更新日期:2016-05-01 00:00:00
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
更新日期:2011-04-01 00:00:00
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
更新日期:1978-10-01 00:00:00
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
更新日期:2009-01-01 00:00:00
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
更新日期:2018-11-01 00:00:00
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
更新日期:1998-09-01 00:00:00
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
更新日期:1997-06-01 00:00:00
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
更新日期:2007-03-01 00:00:00
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
更新日期:2019-06-01 00:00:00
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
更新日期:1995-06-01 00:00:00
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
更新日期:2008-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2003.032482
更新日期:2005-02-01 00:00:00
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
更新日期:1985-06-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.191890
更新日期:2011-03-01 00:00:00
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
更新日期:2005-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.099630
更新日期:2007-10-01 00:00:00
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
更新日期:1986-05-01 00:00:00
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
更新日期:2011-12-01 00:00:00
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
更新日期:2014-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303994
更新日期:2017-12-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.8.1226
更新日期:2003-08-01 00:00:00