Abstract:
OBJECTIVES:The purpose of this study was to determine whether adequacy of prenatal care utilization improved after the implementation of a Medicaid managed care program in Rhode Island. METHODS:Rhode Island birth certificate data (1993-1995; n = 37021) were used to analyze pre- and post-program implementation changes in adequacy of prenatal care utilization. Logistic regression models were used to characterize the variation in prenatal care adequacy as a function of both time and the various covariates. RESULTS:Adequacy of prenatal care utilization for Medicaid patients improved significantly after implementation of the program, from 57.1% to 62.1% (odds ratio [OR] = 1.2, 95% confidence interval [CI] = 1.1, 1.3). After the program was implemented, Medicaid patients who went to private physicians' offices for prenatal care were 1.4 times as likely as before to receive adequate prenatal care (OR = 1.4, 95% CI = 1.2, 1.7). CONCLUSIONS:Unlike many other Medicaid expansions for pregnant women, the RIte Care program in Rhode Island has resulted in significant improvement in adequacy of prenatal care utilization for its enrollees. This improvement was due to specific program interventions that addressed and changed organizational and delivery system barriers to care.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Griffin JF,Hogan JW,Buechner JS,Leddy TMdoi
10.2105/ajph.89.4.497subject
Has Abstractpub_date
1999-04-01 00:00:00pages
497-501issue
4eissn
0090-0036issn
1541-0048journal_volume
89pub_type
杂志文章abstract:OBJECTIVES:We examined individual, friend or family, and community or tribe correlates of suicidality in a representative on-reserve sample of First Nations adolescents. METHODS:Data came from the 2002-2003 Manitoba First Nations Regional Longitudinal Health Survey of Youth. Interviews were conducted with adolescents ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300385
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:In the light of a possible link between stress and cancer promotion or progression, and of previously reported distress in residents near the Three Mile Island (TMI) nuclear power plant, we attempted to evaluate the impact of the March 1979 accident on community cancer rates. METHODS:Proximity of residence ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.6.719
更新日期:1991-06-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to prospectively assess the independent effect of hip fracture on mortalìty, hospitalization, and functional status. METHODS:Among 7527 members of the Longitudinal Study of Aging who were over age 70 at baseline, 368 persons with hip fracture occurring between 1984 and 1991 wer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.3.398
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVES:This study was undertaken to determine the prevalence of sexually transmitted diseases (STDs) in pregnant women in rural South Africa and to determine the value of using abnormal urogenital symptoms to identify infected women. METHODS:This was a cross-sectional study of 327 patients attending prenatal clini...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.8.1243
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVES:We identified factors associated with inpatient hospitalizations among a population-based cohort of homeless adults in Toronto, Ontario. METHODS:We recruited participants from shelters and meal programs. We then linked them to administrative databases to capture hospital admissions during the study (2005-20...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301646
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:This study determined the effect of provider (nurse or teacher) and training method (workshop or self-preparation) on outcomes of a social influences smoking prevention program. METHODS:One hundred elementary schools were stratified by school risk score (high risk = high smoking rate among senior students) ...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.89.12.1827
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVES:This study examined how immunization-related beliefs, attitudes, and perceived control mediate up-to-date immunization among various sociodemographic groups. METHODS:Statewide estimates of immunization rates among children up to the age of 2 years were obtained via a multistage cluster sample. In-person int...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.12.1821
更新日期:1998-12-01 00:00:00
abstract::Objectives. We explored gender role strain (GRS) arising from conflict between homosexuality and cultural conceptions of masculinity among young Black men who have sex with men (MSM). Methods. We conducted a categorical analysis (a qualitative, 3-stage, iterative analysis) of data from studies conducted in 2001 to 200...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301866
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:We conducted a midpoint review of The California Endowment's Healthy Eating, Active Communities (HEAC) program, which works in 6 low-income California communities to prevent childhood obesity by changing children's environments. The HEAC program conducts interventions in 5 key childhood environments: schools...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.192781
更新日期:2010-11-01 00:00:00
abstract::Public health often deals with inconvenient truths. These are best communicated and acted on when public health agencies are independent of the organizations or individuals for whom the truths are inconvenient. The importance of public health independence is exemplified by the lack of involvement of the Pennsylvania D...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301755
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVES:We evaluated the use of hearing health care services (hearing testing and hearing aids) by adults aged 21 to 84 years. METHODS:Hearing was tested and medical and hearing health histories were obtained as part of the Beaver Dam Offspring Study between 2005 and 2008 (n = 3285, mean age = 49 years). RESULTS:O...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301031
更新日期:2013-06-01 00:00:00
abstract::Three hundred ninety-eight patients treated in the emergency room for non-urgent complaints who stated that they had no regular source of primary medical care were referred to one of several medical care centers in the area. Overall, 34 per cent of such patients complied with the referral. Correlates of compliance wer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.1.57
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVES:We examined risk factors for injuries to nursing assistants from assaults by nursing home residents at both the individual and the organizational level. METHODS:We analyzed data from the 2004 National Nursing Assistant Survey that were linked to facility information from the 2004 National Nursing Home Surve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.185421
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVES:We assessed the distribution of immunization records among 3 health care delivery sectors and the impact of a regional immunization registry on "up to date" rates. METHODS:Immunization registry records in 2 regions were categorized as having originated in private practices, community health centers, or publ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.6.967
更新日期:2004-06-01 00:00:00
abstract::Academic occupational health centers can support state-based occupational disease surveillance by playing a role in case identification and management, physician education, workplace investigation, and surveillance case criteria development. The existing centers can also serve as models for developing new clinics. As ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.suppl.58
更新日期:1989-12-01 00:00:00
abstract::Secular changes in height and weight measurements were examined in five- to 14-year-olds from 1973 to 1984. The age-sex specific 85th percentile was used to classify persons as overweight (based on ponderal index; kg/m3). Secular increases in weight (2.5 kg), and ponderosity (0.5-0.7 kg/m3) were found. Gains in ponder...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.1.75
更新日期:1988-01-01 00:00:00
abstract::This paper reports register data concerning somatic and psychiatric hospital care on 117 battered women who were identified in a surgical emergency department and offered a treatment program. Data were collected during a period of 10 years before to 5 years after the battering in question. It was concluded that the ba...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.11.1486
更新日期:1991-11-01 00:00:00
abstract::Objectives. To determine the number of people who inject drugs (PWID) in Canada and the annual coverage of opioid agonist treatment (OAT) and needle-and-syringe provision for PWID.Methods. We estimated the number of PWID in 11 of 13 Canadian provinces and territories in 2011 by using indirect multiplier methods based ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305379
更新日期:2020-01-01 00:00:00
abstract::The scientific literature from January 1970 to June 1979 was reviewed for articles reporting outcomes from out-of-hospital cardiac arrest treated by paramedic programs. Only articles appearing in refereed professional journals and reporting 25 or more attempted resuscitations were included. A total of 21 articles from...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.70.3.236
更新日期:1980-03-01 00:00:00
abstract:OBJECTIVES:This study examined the effect of birth cohort on incidence rates of hip fracture among women and men in the Framingham Study. METHODS:Age-specific incidence rates of first hip fracture were presented according to tertile of year of birth for 5209 participants of the Framingham Study, a population-based coh...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.5.858
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVES:We compared cycling injury risks of 14 route types and other route infrastructure features. METHODS:We recruited 690 city residents injured while cycling in Toronto or Vancouver, Canada. A case-crossover design compared route infrastructure at each injury site to that of a randomly selected control site fro...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300762
更新日期:2012-12-01 00:00:00
abstract::The medical outcomes and demographic characteristics of all victims of fires identified by The Baltimore Fire Department during a 14-month period in Baltimore City were studied. Fifty-nine per cent of victims suffered minor injuries, 25 per cent required hospitalization and 16 per cent were fatalities. The majority of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.67.11.1077
更新日期:1977-11-01 00:00:00
abstract:OBJECTIVE:The child labor laws are intended to protect young workers from the most dangerous jobs. However, children who work on their parents' farms are exempt from these laws. We evaluated the potential for preventing the occurrence of farm injuries among children by changing the US Federal Child Labor Laws, Hazardou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.078923
更新日期:2007-02-01 00:00:00
abstract::We measured the association between walking for exercise and the ratio of total cholesterol/HDL cholesterol in 3,621 adults. After controlling for age, gender, income, body fat, alcohol use, exercise other than walking, and cigarette smoking, adults in the high, moderate, and low duration walking categories were compa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.9.1111
更新日期:1990-09-01 00:00:00
abstract::The newborn screening program mandated by the New York State Public Health Law requires that every baby born in the state be tested for eight conditions including sickle cell anemia. Although sickle cell screening of newborns has been in operation since 1975, the follow-up program for case retrieval to obtain repeat b...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.3.249
更新日期:1983-03-01 00:00:00
abstract::We examined effects of New York and California's statewide smoke-free restaurant and bar policies on alcohol-related car crash fatalities. We used an interrupted time-series design from 1982 to 2008, with 312 monthly observations, to examine the effect of each state's law on single-vehicle-nighttime crashes and crashe...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300906
更新日期:2013-02-01 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:BACKGROUND:Recent studies have shown considerable variation in body fatness among children and adolescents defined as obese by a percentile rank for skinfold thickness. METHODS:We examined the relationship between percent body fat and risk for elevated blood pressure, serum total cholesterol, and serum lipoprotein rat...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.358
更新日期:1992-03-01 00:00:00
abstract:OBJECTIVES:To assess the readiness to vaccinate critical infrastructure personnel (CIP) involved in managing public works, emergency services, transportation, or any other system or asset that would have an immediate debilitating impact on the community if not maintained. METHODS:We analyzed self-reported planning to ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.303942
更新日期:2017-10-01 00:00:00
abstract::This study is the first to provide complete information on prevalence rates by gender and geographic variation for each type of tobacco product used in the United States. Results indicate that, in nearly half of all states, total tobacco use in men exceeded 40% and, in four states, exceeded 50%. In women, only Nevada,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.1.103
更新日期:1992-01-01 00:00:00