Abstract:
OBJECTIVES:This report describes trends in the rates of lower-extremity amputation and revascularization procedures and vascular disease risk factors. METHODS:We analyzed trends in National Hospital Discharge Survey data for 1979 through 1996 and in National Health Interview Study data for 1983 through 1994. RESULTS:Despite a decline between 1983/84 and 1991/92, by 1995/96 the rate of major amputation had increased 10.6% since 1979/80. The earlier 12-year decline was positively correlated with reductions in the prevalence of smoking (r = 0.88, P < .0001), hypertension (r = 0.65, P = .02), and heart disease (r = 0.73, P = .007), but not diabetes (r = -0.33, P = .29). During the 1980s, amputation and angioplasty rates were inversely correlated (r = -0.75, P = .001), but the decline in amputation rates occurred before the increase in angioplasty. The major amputation rate, which has increased since 1993, was 24.95 per 100,000 people in 1996. CONCLUSIONS:Major amputation rates fell in the years following the diffusion of distal bypass surgery but before the widespread use of peripheral angioplasty. Because disease prevalence and primary amputation rates are unknown, it is difficult to estimate the contribution of recent improvements in vascular surgery to limb preservation.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Feinglass J,Brown JL,LoSasso A,Sohn MW,Manheim LM,Shah SJ,Pearce WHdoi
10.2105/ajph.89.8.1222subject
Has Abstractpub_date
1999-08-01 00:00:00pages
1222-7issue
8eissn
0090-0036issn
1541-0048journal_volume
89pub_type
杂志文章abstract::Despite the potential for public health strategies to decrease the substantial burden of injuries, injury prevention infrastructure in state health departments is underdeveloped. We sought to describe the legal support for injury prevention activities at state health departments. We searched the Lexis database for st...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300454
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVES:We sought to determine how part-year and full-year gaps in health insurance coverage affected working-aged persons with chronic health care needs. METHODS:We conducted multivariate analyses of the 2002-2004 Medical Expenditure Panel Survey to compare access, utilization, and out-of-pocket spending burden am...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.191569
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:Between April and September of 2009 we evaluated the accuracy of the OraQuick HCV rapid antibody test and assessed its feasibility for use by community-based organizations (CBOs) serving populations at high risk for HCV in New York City. METHODS:We compared the results of screening by OraQuick (oral swab) a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300251
更新日期:2011-11-01 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::In 2004, Murray et al. reviewed methodological developments in the design and analysis of group-randomized trials (GRTs). We have updated that review with developments in analysis of the past 13 years, with a companion article to focus on developments in design. We discuss developments in the topics of the earlier rev...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2017.303707
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to assess the relationship between syphilis and human immunodeficiency virus (HIV) infection in injection drug users. METHODS:A 6-year prospective study of 790 injection drug users receiving methadone maintenance treatment in the Bronx, NY, was conducted. RESULTS:Sixteen perce...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.8_pt_1.1112
更新日期:1996-08-01 00:00:00
abstract:OBJECTIVES:A longitudinal survey assessed the distribution of adult body weight among the Chinese population. METHODS:Data from the 1989 and 1991 China Health and Nutrition Survey were used to study changes in the proportions of adults aged 20-45 years who were classified as underweight, normal weight, overweight, and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.5.690
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVES:This study was designed to provide an empirical description, based on a review of visit audiotapes, of primary care practice with chronic-disease patients. METHODS:We analyzed 439 interactions between adult patients with chronic disease and 49 physicians. We explored the content, frequency, intensity, and d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.7.979
更新日期:1993-07-01 00:00:00
abstract:OBJECTIVES:To examine intraindividual change in polytobacco and individual tobacco and nicotine product use across young adulthood. METHOD:Participants were 2711 students from 24 Texas colleges participating in a 6-wave online study, with 6 months between each wave. Participants were aged 18 to 25 years at baseline in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304850
更新日期:2019-03-01 00:00:00
abstract::We have summarized the evolution of the Nurses' Health Study (NHS), a prospective cohort study of 121 700 married registered nurses launched in 1976; NHS II, which began in 1989 and enrolled 116 430 nurses; and NHS3, which began in 2010 and has ongoing enrollment. Over 40 years, these studies have generated long-term,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303338
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:This study examined a project designed to improve the health and wellness of employees of Brabantia, a Dutch manufacturer of household goods, by means of lifestyle changes and changes in working conditions. METHODS:The workers at one Brabantia site constituted the experimental group, and the workers from tw...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章
doi:10.2105/ajph.88.7.1037
更新日期:1998-07-01 00:00:00
abstract::Using claims data from 443 employee groups in North Carolina, this study examines the acute care hospital utilization rates of hospital employees and their dependents and compares them to employee groups in non-hospital settings. Results show that hospital employee groups account for 28 per cent more hospital days tha...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.9.1021
更新日期:1981-09-01 00:00:00
abstract:OBJECTIVES:In February 2007, Public Health-Seattle and King County issued a press release describing a cluster of multiclass drug-resistant HIV cases among men who had sex with men (MSM). We evaluated the effect of the press release among MSM in the Seattle area. METHODS:We administered a rapid assessment survey at ve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.126656
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVES:We examined the effects of changes in Rhode Island's Lead Hazard Mitigation Law in 2005 on children's blood lead levels. METHODS:We used 2005 to 2009 data from Rhode Island's Lead Elimination Surveillance System; city tax assessor records in Central Falls, Pawtucket, Providence, and Woonsocket, Rhode Island...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301908
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVES:Our community-academic partnership employed community-based participatory research to develop and pilot a simple, peer-led intervention to promote weight loss, which can prevent diabetes and eliminate racial/ethnic disparities in incident diabetes among overweight adults with prediabetes. METHODS:We recruit...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2009.170910
更新日期:2010-04-01 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::A nationwide evaluation of 49 Veterans Administration drug dependence treatment programs was conducted using a sample of 1,655 patients. Their status with reference to seven treatment goals was assessed at admission and again 11 months later to determine change. The following changes were observed: a large decrease in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.68.1.39
更新日期:1978-01-01 00:00:00
abstract:OBJECTIVES:We examined the relationship between ability to speak English and receipt of Papanicolaou tests, clinical breast examinations, and mammography in a multiethnic group of women in the United States. METHODS:We used longitudinal data from the Study of Women Across the Nation to examine receipt of breast and ce...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.041418
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVES:We sought to learn how employees reacted to changes in the corporate narrative of Philip Morris Companies (PMC) in the late 1990s and early 2000s. METHODS:We analyzed archival internal tobacco industry documents about PMC's creation of a new corporate story. RESULTS:In response to litigation and public opp...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302767
更新日期:2015-10-01 00:00:00
abstract::The history of consumer protection against household poisons presents a key case study of the uniquely American struggle to balance public health and safety with the interests of business. By the late 19th century, package designs, warning labels, and state statutes had formed an uneven patchwork of protective mechani...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2012.301066
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVES:We provide an updated meta-analysis on the effectiveness of Project D.A.R.E. in preventing alcohol, tobacco, and illicit drug use among school-aged youths. METHODS:We used meta-analytic techniques to create an overall effect size for D.A.R.E. outcome evaluations reported in scientific journals. RESULTS:The...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.6.1027
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVES:We estimated human papillomavirus (HPV) vaccine series completion and examined predictors of completion among adolescents and young adults in a large family planning network. METHODS:Our retrospective cohort study of vaccine completion within 12 months and time to completion used electronic health record da...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302834
更新日期:2015-12-01 00:00:00
abstract::A coalition of mine operators has used a variety of tactics to obstruct scientific inquiry and impede public health action designed to protect underground miners from diesel particulate matter. These workers are exposed to the highest level of diesel particulate matter compared with any other occupational group. This ...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2005.064410
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVES:We evaluated the efficacy of skills training designed to increase female condom use among women. METHODS:We conducted a randomized controlled trial of 409 women, recruited from family planning clinics in northern California, who were randomly assigned to the experimental 4-session female condom skills train...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2007.113050
更新日期:2008-10-01 00:00:00
abstract::The religious distribution of Nassau County resident leukemia cases diagnosed between 1966 and 1974 was studied to see if the elevated incidence of the disease among Jews reported in the 1950s and early 1960s was persisting. The results showed, for both males and females, virtually no difference in attack rates betwee...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.11.1094
更新日期:1976-11-01 00:00:00
abstract:OBJECTIVES:We developed a process through which community outreach workers, whose role is not typically that of a trained researcher, could actively participate in collection of qualitative evaluation data. METHODS:Outreach workers for a community-based intervention project received training in qualitative research me...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300263
更新日期:2011-12-01 00:00:00
abstract::My experiences as a mentor of young investigators, along with conversations with a diverse pool of mentees, led me to question the ability of conventional research methods, problem formulation, and instruments to address the unique challenges of studying racial and ethnic minorities. Training of new investigators shou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.135996
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVES:We investigated the health profile of lesbian, gay, and bisexual (LGB) adults in North Carolina, the first state in the South to include a measure of sexual orientation identity in a probability-based statewide health survey. METHODS:Using data from 9876 respondents in the 2011 North Carolina Behavioral Ris...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301751
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVES:We examined the prevalence of depressive, anxiety, and substance use disorders among Latinos residing in the United States. METHODS:We used data from the National Latino and Asian American Study, which included a nationally representative sample of Latinos. We calculated weighted prevalence rates of lifetim...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.087205
更新日期:2007-01-01 00:00:00
abstract::Although researchers acknowledge that health disparities have multiple determinants, most recommendations for reducing inequities focus on a single approach. We suggest integrating 2 approaches for reducing disparities: improving access to primary care and updating and more vigorously enforcing consumer and environmen...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.166389
更新日期:2010-04-01 00:00:00