Abstract:
:Programs and contraceptive use continuation rates were obtained for a rural Georgia family planning clinic. Program continuation is a measurement of maintenance of clinic attendance, while use continuation is related to actual use of effective contraceptives regardless of clinic activity status. Program continuation rates ranged from 0.77 at 12 months to 0.48 at 36 months. Contraceptive use continuation rates were 0.78 at 12 months and 0.58 at 36 months. Women who moved or were otherwise lost to follow-up formed the largest category of discontinuation. The highest rate of discontinuation from clinic attendance occurred after the first visit with secondary peaks around the time of scheduled annual checkups. Women who were younger and had fewer living children had a greater likelihood of discontinuing clinic attendance and contraceptive use. The reasons for and timing of discontinuation from clinic attendance suggest that clinic personnel should place special emphasis on the first visits, arrange referral for women who might have plans to leave the service area before the scheduled return visit, send reminders before first revisits, and follow up patients soon after missed visits. Priority might be assigned to the younger women of low parity who have been shown to be at higher risk of discontinuation. Other factors which might influence continuation include method of contraception, marital status, and race. Program continuation can be determined by analysis of clinic records alone while contraceptive use continuation often requires follow-up of patients. Although the two continuation rates were not equivalent, program and use continuation were roughly parallel through much of the study period. This suggests that a simple review of records in the clinic or on computer tape, when available, to determine program continuation may give an estimate of actual contraceptive use in the population.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Romm FJ,Armstrong PS,Prior APdoi
10.2105/ajph.65.7.693subject
Has Abstractpub_date
1975-07-01 00:00:00pages
693-9issue
7eissn
0090-0036issn
1541-0048journal_volume
65pub_type
杂志文章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::Vital statistics show that a rise in incidence of endometrial cancer began in the mid-1960s on the West Coast of the United States. This rise was continuous and reached a peak in 1975. Elsewhere, incidence rates for endometrial cancer rose during the 1970s. It now seems evident that much of the rise in all areas of th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.3.264
更新日期:1980-03-01 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:We examined whether healthy lifestyles are associated with absence of depressed mood. METHODS:A sample of 1169 adult participants in the Maastricht Aging Study provided baseline and 6-year follow-up data on smoking, alcohol use, physical exercise, body mass index, and mood. We examined associations between ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.053199
更新日期:2007-05-01 00:00:00
abstract::A random sample of employees was surveyed 20 months after a non-smoking policy was implemented at the New England Telephone Company in 1986. Overall, 21 percent of respondents who were smoking at the time they heard about the policy had quit smoking; 42 percent of quitters said they stopped smoking because of the poli...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.2.202
更新日期:1991-02-01 00:00:00
abstract::Washington State hospitals were queried about the fate of 507 infants born in 1978-79 for whom no linked death certificate existed. Only ten previously unregistered deaths were discovered, raising mortality for this group by 2.5 per cent. In addition, 13 previously unmatched death records were linked to birth records,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.7.740
更新日期:1982-07-01 00:00:00
abstract:OBJECTIVES: To determine if the Teen Outreach Program (TOP), a youth development and service learning program, can reduce sexual risk-taking behaviors compared with a business as usual or benign counterfactual. METHODS: We synthesized results of 5 independent studies conducted in 5 geographically and ethnically divers...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303307
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:We sought information about the cost-related underuse of medications-which medications are underused, by whom, and how often. METHODS:Chronically ill adults were asked to identify how often they underused prescription medication for 16 health conditions because of the cost. RESULTS:Eighteen percent of resp...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.10.1782
更新日期:2004-10-01 00:00:00
abstract::This paper uses monthly time-series data from 1968 through 1988 to test whether the observed increase in the incidence of low birthweight in New York City represents a reversal of the downward trend that existed prior to 1984. We find that the trend has shifted for both Whites and Blacks. We estimate that between July...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.682
更新日期:1990-06-01 00:00:00
abstract::The limiting effects of exemptions to the coverage of child restraint laws were estimated by determining the extent to which the laws would have applied to child motor vehicle occupants, ages 0-5 years, killed before the laws were passed (1976-80). The 50 state laws would have exempted about 39 per cent of child motor...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.1.31
更新日期:1986-01-01 00:00:00
abstract::Objectives. To evaluate how lowering the blood lead level (BLL) intervention threshold affects childhood lead testing policy.Methods. We geocoded 4.19 million Illinois lead testing records (2001-2016) and linked to 2.37 million birth records (2001-2014), data on housing age, industrial emissions, and roads. We used mu...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2020.305566
更新日期:2020-05-01 00:00:00
abstract::Data available from recent national surveys on the cigarette consumption and purchasing practices of teenage smokers were used to generate state-specific estimates of the number of teenage smokers and cigarette sales to minors. In 1991, approximately 2.7 million teenage cigarette smokers consumed an average of 28.3 mi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.2.300
更新日期:1994-02-01 00:00:00
abstract:OBJECTIVES:We compared voluntary participation and comprehension of informed consent among individuals of African ancestry enrolled in similarly designed genetic studies of hypertension in the United States and Nigeria. METHODS:Survey questionnaires were used to evaluate factors associated with voluntariness (the numb...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.076232
更新日期:2006-11-01 00:00:00
abstract::We review the current status as well as the risks and benefits of a recently developed DNA test of risk for Alzheimer's disease: the apolipoprotein E genotype. While apolipoprotein E genotypes may indicate a degree of susceptibility, the gene is neither necessary nor sufficient to cause the disease; thus, many questio...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.85.9.1280
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVES:This study determined the prevalence and factors associated with hepatitis B virus (HBV) infection among men who have sex with men. METHODS:At the baseline visit of an HIV study among men who have sex with men, we asked about HBV vaccination status and tested for HBV markers. RESULTS:Of 625 subjects, 48% h...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.10.1570
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:We examined racial and ethnic disparities in the total potential burden of asthma in low-income, racially/ethnically heterogeneous Chicago schools. METHODS:We used the Brief Pediatric Asthma Screen Plus (BPAS+) and the Spanish BPAS+, validated, caregiver-completed respiratory questionnaires, to identify ast...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.071514
更新日期:2006-09-01 00:00:00
abstract::Death certificate of children less than 8 years of age who were killed between 1979 and 1986 were linked to their Ohio birth certificates and compared with those of Ohio children born in 1983 (controls). Having an unmarried mother increased risk of homicide almost fivefold (odds ratio 4.87). Having a teenage mother, a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.8.1052
更新日期:1991-08-01 00:00:00
abstract:OBJECTIVES:This study sought to identify characteristics of high-risk pregnant women that predicted long-term participation in a home visitation program. METHODS:Data regarding sociodemographic characteristics, perceived needs, psychological functioning, substance use, and informal social support were collected prospe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.1.121
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to determine whether women's sociodemographic characteristics are independently associated with cesarean delivery. METHODS:A retrospective review was conducted of hospital discharge data for singleton first births in California in 1991. RESULTS:After insurance and personal, co...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.5.625
更新日期:1995-05-01 00:00:00
abstract::Although the public health impact of direct-to-consumer (DTC) pharmaceutical advertising remains a subject of great controversy, such promotion is typically understood as a recent phenomenon permitted only by changes in federal regulation of print and broadcast advertising over the past two decades. But today's omnipr...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2009.181255
更新日期:2010-05-01 00:00:00
abstract::Viva la Vida (Live Your Life) is a call to action for older Latinos to take charge of their diabetes and live life to the fullest. Lumetra, California's federally designated Medicare quality improvement organization, developed the Viva la Vida project to improve diabetes care among Latino Medicare beneficiaries in 4 S...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.106062
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVES:We investigated basic measures used to assess collaboration between colocated providers and to gauge the extent to which health centers practice integrated care. METHODS:We used the Assessment of Behavioral Health Services survey and the 2010 Uniform Data System to explore the elements of integrated care fo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302710
更新日期:2015-10-01 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:OBJECTIVES:To test the effectiveness of a preclinical, telephone-based patient navigation intervention to encourage colorectal cancer (CRC) screening among older Black men. METHODS:We conducted a 3-parallel-arm, randomized trial among 731 self-identified Black men recruited at barbershops between 2010 and 2013 in New ...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2017.303885
更新日期:2017-09-01 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:OBJECTIVES:We examined the joint associations of marital status and duration of cohabitation on self-reported intimate partner violence, substance use, and postpartum depression among childbearing women. METHODS:We analyzed data from the 2006-2007 Canadian Maternity Experiences Survey, a cross-sectional nationwide sam...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301116
更新日期:2013-02-01 00:00:00
abstract::We studied the effect of legislation requiring deposits for beverage containers on the incidence of lacerations in urban children. Records of emergency room visits for lacerations and fractures were reviewed for three years pre-legislation (1980-82) and the immediate post-legislation period (1983). The incidence of to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.10.1243
更新日期:1986-10-01 00:00:00
abstract:OBJECTIVES:This work was undertaken to determine whether there are any chronic neurological sequelae to acute organophosphate pesticide poisoning. METHODS:California surveillance data were used in a study of neurological function among 128 men poisoned by organophosphate pesticides in California from 1982 to 1990 and ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.5.731
更新日期:1994-05-01 00:00:00
abstract::Low income families were interviewed to determine factors related to the number of family food servings per week. A multiple regression model indicated that participation in WIC (supplemental food program for women, infants and children), household size, and number of different income sources were associated with more...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.11.1376
更新日期:1990-11-01 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