Abstract:
OBJECTIVES:This project investigated whether augmented prenatal care for high-risk African American women would improve pregnancy outcomes and patients' knowledge of risks, satisfaction with care, and behavior. METHODS:The women enrolled were African American, were eligible for Medicaid, had scored 10 or higher on a risk assessment scale, were 16 years or older, and had no major medical complications. They were randomly assigned to augmented care (n = 318) or usual care (n = 301). Augmented care included educationally oriented peer groups, additional appointments, extended time with clinicians, and other supports. RESULTS:Women in augmented care rated their care as more helpful, knew more about their risk conditions, and spent more time with their nurse-providers than did women in usual care. More smokers in augmented care quit smoking. Pregnancy outcomes did not differ significantly between the groups; however, among patients in augmented care, rates of preterm births were lower and cesarean deliveries and stays in neonatal intensive care units occurred in smaller proportions. Both groups had lower-than-predicted rates of low birthweight. CONCLUSIONS:High-quality prenatal care, emphasizing education, health promotion, and social support, significantly increased women's satisfaction, knowledge of risk conditions, and perceived mastery in their lives, but it did not reduce low birthweight.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Klerman LV,Ramey SL,Goldenberg RL,Marbury S,Hou J,Cliver SPdoi
10.2105/ajph.91.1.105subject
Has Abstractpub_date
2001-01-01 00:00:00pages
105-11issue
1eissn
0090-0036issn
1541-0048journal_volume
91pub_type
临床试验,杂志文章,随机对照试验abstract::Health officials often wish to sponsor nutrition and other health promotion programs but are hampered by lack of funding. One source of funding is suggested by the fact that 18 states and 1 major city levy special taxes on soft drinks, candy, chewing gum, or snack foods. The tax rates may be too small to affect sales,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.6.854
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVES:We investigated how state-level firearms legislation is associated with firearm ownership and storage among families with preschool-aged children. METHODS:Using 2005 nationally representative data from the Early Childhood Longitudinal Study-Birth Cohort (n = 8100), we conducted multinomial regression models...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301928
更新日期:2014-06-01 00:00:00
abstract::We report on the use of an instrument to measure exposure to stressors among 149 women presenting with their children for pediatric care at an urban primary care center. Overall, 38.3 percent of the women had significant levels of depressive symptoms; 71.4 percent of those in the "high stress" group had an adjusted pr...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.9.1295
更新日期:1989-09-01 00:00:00
abstract:OBJECTIVES:We examined relations between early alcohol use and subsequent alcohol and sexual risk behaviors among urban adolescents. METHODS:A total of 1034 African American and Hispanic youths completed surveys assessing alcohol and sexual behaviors at 7th and 10th grade. After we controlled for early sexual initiati...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2003.026567
更新日期:2005-05-01 00:00:00
abstract::This paper uses claims data from a universal health care system to describe physicians' hospitalization styles after adjusting for case-mix characteristics of their primary patients. Patients were uniquely assigned to that physician (general or family practitioners, internist, general surgeon, or obstetrician/gynecolo...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.1.45
更新日期:1986-01-01 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
abstract::The completion of essential components of patient encounters by lay paramedics in a feminist clinic was compared to that of nurse practitioners in a student health gynecology clinic using explicit criteria for the gynecological annual examination and the examination for vulvo-vaginitis. According to evidence charted i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.8.853
更新日期:1981-08-01 00:00:00
abstract:OBJECTIVES:An association of smoking with depression and anxiety has been documented in adult smokers. This study examines this association in a representative group of teenage smokers. METHODS:A two-stage cluster sample of secondary school students in Victoria, Australia, were surveyed by using a computerized questio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.2.225
更新日期:1996-02-01 00:00:00
abstract:OBJECTIVES:This study assessed the contribution of age and other risk factors to racial disparities in rates of moderately low birthweight (MLBW; 1500-2499 g) and very low birthweight (VLBW; <1500 g). METHODS:Logistic regression models were developed to determine the effects on MLBW and VLBW of maternal age, race, and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.11.1815
更新日期:2001-11-01 00:00:00
abstract::Food fortification is an effective public health tool for addressing micronutrient deficiencies. The mandatory fortification of enriched cereal grains (e.g., wheat flour) with folic acid, which began in the United States in 1998, is an example of a successful intervention that significantly reduced the rate of neural ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300135
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVES:Research on child labor and its effect on health has been limited. We sought to determine the impact of child labor on children's health by correlating existing health indicators with the prevalence of child labor in selected developing countries. METHODS:We analyzed the relationship between child labor (de...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.066829
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVES:The incidence, type, severity, and costs of crash-related injuries requiring hospitalization or resulting in death were compared for helmeted and unhelmeted motorcyclists. METHODS:This was a retrospective cohort study of injured motorcyclists in Washington State in 1989. Motorcycle crash data were linked to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.1.41
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:To report on indicators of the National HIV/AIDS Strategy, we analyzed data collected through the national HIV surveillance system. METHODS:We analyzed data from adults and adolescents aged 13 years or older diagnosed with HIV in 13 US jurisdictions that have laboratory reporting of CD4+ T-lymphocyte (CD4) ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300859
更新日期:2013-01-01 00:00:00
abstract::Successful implementation of the Affordable Care Act (ACA) depends on the capacity of local communities to mobilize for action. Yet the literature offers few systematic investigations of what communities are doing to ensure support for enrollment. In this empirical case study, we report implementation and outcomes of ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302505
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVES:In this study, we examine the impact of a school-based curriculum designed to reduce violence among urban sixth-grade students. METHODS:This study used a staggered implementation design in which sixth-graders in six middle schools were taught an 18-session violence-prevention curriculum during either the fa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.6.979
更新日期:1997-06-01 00:00:00
abstract::The authors review the available empirical evidence from population-based studies of the association between perceptions of racial/ethnic discrimination and health. This research indicates that discrimination is associated with multiple indicators of poorer physical and, especially, mental health status. However, the ...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.93.2.200
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVES:We assessed whether asthma is associated with urban children's use of special education services. METHODS:We conducted a cross-sectional study in 24 randomly selected New York City public elementary schools using a parent-report questionnaire focusing on sociodemographic characteristics, special education e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.075887
更新日期:2006-09-01 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:We evaluated the effect of a weight gain prevention intervention (Shape Program) on depression among socioeconomically disadvantaged overweight and obese Black women. METHODS:Between 2009 and 2012, we conducted a randomized trial comparing a 12-month electronic health-based weight gain prevention interventi...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2014.302004
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:To investigate whether a newborn home visiting program for primiparous adolescent mothers (aged 16-20 years at childbirth) reduced recurrence of child maltreatment in child protective services (CPS) reports. METHODS:We conducted a randomized controlled trial of Healthy Families Massachusetts, a statewide ho...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.304957
更新日期:2019-05-01 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:We examined the associations of oral health literacy (OHL) with oral health status (OHS) and dental neglect (DN), and we explored whether self-efficacy mediated or modified these associations. METHODS:We used interview data collected from 1280 female clients of the Special Supplemental Nutrition Program for...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300291
更新日期:2012-05-01 00:00:00
abstract::Coronary arteries and aortas obtained at autopsy in six populations were examined microscopically. Two variants of atherosclerosis could be separately quantified by objective morphometry. These two variants, fibroplasia and atheronecrosis, were both found to increase with age and to correlate with each other from one ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.5.575
更新日期:1989-05-01 00:00:00
abstract:OBJECTIVES:To elucidate why the inverse association between education level and mortality risk (the gradient) has increased markedly among White women since the mid-1980s, we identified causes of death for which the gradient increased. METHODS:We used data from the 1986 to 2006 National Health Interview Survey Linked ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301128
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:We examined the effect of New York's HIV Reporting and Partner Notification law on HIV testing levels and on the HIV testing decisions of high-risk individuals. METHODS:In-person interviews were administered to 761 high-risk individuals to assess their knowledge, attitudes, and behaviors regarding HIV testi...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.092742
更新日期:2008-04-01 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:We examined HIV-infected parents' conversations about HIV prevention with their uninfected children, including what facilitated or hindered communication. METHODS:Parents with HIV/AIDS (n = 90) who had children aged 10 to 18 years were recruited for a mixed method study from 2009 to 2010. Interviews assesse...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301111
更新日期:2013-08-01 00:00:00
abstract::We administered the Center for Epidemiological Studies Depression (CES-D) Scale to 547 San Francisco Latinos as part of a random digit dialing telephone survey to evaluate smoking behavior. Both men and women current smokers had the highest mean CES-D levels (9.7 and 14.3, respectively). Logistic regression analysis a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.12.1500
更新日期:1990-12-01 00:00:00
abstract:OBJECTIVES:To evaluate 3 single-item screening measures for limited health literacy in a community-based population of English and Spanish speakers. METHODS:We recruited 324 English and 314 Spanish speakers from a community research registry in Dallas, Texas, enrolled between 2009 and 2012. We used 3 screening measure...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303092
更新日期:2016-05-01 00:00:00
abstract::This study considered days missed from work or usual activities for emotional reasons associated with a range of specific psychopathologic disorders, psychosocial distress, and persons found to be asymptomatic. Analyses were performed with the presence or absence of emotional disability days as the dependent variable ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.8.1304
更新日期:1994-08-01 00:00:00