Abstract:
OBJECTIVES:This study sought to determine whether nutrient-rich whole grains reduce mortality risk. METHODS:The study included 38,740 Iowa women, aged 55 to 69 years. A food frequency questionnaire was used to obtain data on grain intake. RESULTS:Median whole grain intake quintiles ranged from a median of 0.2 to more than 3 servings per day. Women with higher intakes had healthier lifestyles and less baseline disease. The total death rate decreased in increasing quintiles, and the pattern repeated for cancer, cardiovascular disease, and other causes combined. Adjusted for lifestyle and baseline disease, the relative hazard rate ratio for total death was about 0.85 in daily consumers of whole grain. Findings persisted in strata of baseline healthy and diseased and were not explained by dietary fiber. Rates of total mortality, but not cardiovascular disease mortality, were higher among frequent consumers of refined grain. CONCLUSIONS:Total mortality risk was inversely associated with whole grain intake and positively associated with refined grain intake. Refined grains contributed more than 20% of energy intake, and whole grains contributed 1%. Substitution of whole for refined grain may reduce chronic disease risk in the United States.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Jacobs DR Jr,Meyer KA,Kushi LH,Folsom ARdoi
10.2105/ajph.89.3.322subject
Has Abstractpub_date
1999-03-01 00:00:00pages
322-9issue
3eissn
0090-0036issn
1541-0048journal_volume
89pub_type
杂志文章abstract::US national elections, which draw sizable numbers of older voters, take place during flu-shot season and represent an untapped opportunity for large-scale delivery of vaccinations. In 2012, Vote & Vax deployed a total of 1585 clinics in 48 states; Washington, DC; Guam; Puerto Rico; and the US Virgin Islands. Approxima...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302628
更新日期:2015-06-01 00:00:00
abstract::An increased incidence of obvious live-birth neural tube defects (i.e., spina bifida cystica and encephalocele) occurred in Jamaica 11 to 18 months after Hurricane Gilbert. The conceptions of the affected babies coincided with a rise in megaloblastic change in sickle cell patients, suggesting a wide-spread drop in die...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.3.473
更新日期:1994-03-01 00:00:00
abstract::The Italian death rates and years of potential life lost (YPLL) for all causes and for 12 selected aggregations of causes are reported for 1979 and 1983, with the latter compared to United States data. Cancer is the leading cause of YPLL in Italy (23.8 per cent of total YPLL), followed by unintentional injuries (16.3 ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.9.1202
更新日期:1988-09-01 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. To explore whether and how the Affordable Care Act (ACA) affects the relationship between employment and health insurance coverage, health care utilization, and health outcomes among recently incarcerated men aged 18 to 64 years in the United States.Methods. With data from the National Survey on Drug Use a...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305419
更新日期:2020-01-01 00:00:00
abstract::Small, immigrant-owned businesses, such as auto repair shops and nail salons, often face barriers to environmental and occupational health compliance and may be a source of neighborhood pollution complaints. The Boston Public Health Commission established the Safe Shops Project to improve safety and environmental prac...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.176511
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:We sought to determine the extent to which early life conditions and adverse life events impact chewing ability in middle and later adulthood. METHODS:Secondary analyses were conducted based on data from waves 2 and 3 of the Survey of Health, Ageing, and Retirement in Europe (SHARE), collected in the years ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301918
更新日期:2014-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302516
更新日期:2015-07-01 00:00:00
abstract::Childhood immunization constitutes one of the great success stories of American public health in the 20th century. This essay provides a historical examination of this topic through 4 particularly important examples: diphtheria, pertussis, polio, and measles. Each case study illustrates how new vaccines have posed uni...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/ajph.90.2.199
更新日期:2000-02-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.1.14
更新日期:1993-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.2.196
更新日期:1989-02-01 00:00:00
abstract:OBJECTIVES:Interpreting associations between lead exposure and child behavior problems is difficult because studies have not controlled for sociodemographic confounders or have used shed teeth to mark exposure. This study explored associations between blood lead and preschool behavior. METHODS:Children from a smelter ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.3.481
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVES:We compared pneumonia and influenza death rates among American Indian/Alaska Native (AI/AN) people with rates among Whites and examined geographic differences in pneumonia and influenza death rates for AI/AN persons. METHODS:We adjusted National Vital Statistics Surveillance mortality data for racial miscla...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301740
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVES:We examined local public health agencies' involvement in community illicit drug policy advocacy and provision related to youths to determine the extent to which public health agencies were involved in local drug policy activities and could potentially provide an infrastructure for policy alternatives. METHO...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.112524
更新日期:2008-02-01 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::In 1976 the Ministry of Health of Nicaragua began a low cost program to deliver simple health services in rural areas through trained traditional birth attendants or "parteras." After two years the program had prepared 768 parteras in a five-day training course. Parteras were equipped with a kit that included oral reh...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.71.5.514
更新日期:1981-05-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.2.172
更新日期:1986-02-01 00:00:00
abstract::Occupational lead poisoning and environmental contamination were evaluated at a lead scrap smelter. Thirty of 37 employees (81 per cent) has blood lead levels of greater than or equal to 80 mug/100 ml, indicating unacceptable absorption, and 35 had free erythrocyte protoporphyrin (FEP) levels greater than 60mug/100ml ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.66.6.548
更新日期:1976-06-01 00:00:00
abstract:OBJECTIVES:We analyzed smoking survey data across communities in Chicago, Ill, to explore community-level variations in smoking behavior. METHODS:We conducted a health survey of 6 racially and ethnically diverse Chicago communities during 2002-2003. The survey included questions about current smoking, smoking history,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.051169
更新日期:2005-06-01 00:00:00
abstract::After being randomly assigned to receive policy effectiveness information expressed as attributable benefit, attributable risk, or relative risk, 318 graduate students were asked to indicate their preferences for the current voluntary seat belt use policy, a mandatory seat belt policy, or mandatory passive restraints....
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.75.4.354
更新日期:1985-04-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2016.303198
更新日期:2016-08-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.455
更新日期:1992-03-01 00:00:00
abstract::As successes mount in reducing commercial tobacco use, an alarming disparity has taken shape in Minnesota. Recent studies revealed that overall smoking rates have dropped to 14%, whereas American Indians' rates remain higher than 50%. With support from ClearWay Minnesota, the organization created from the state's toba...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303125
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVES:This paper explores several critical assumptions and methodological issues arising in cost-effectiveness analyses of genetic screening strategies in the reproductive setting. METHODS:Seven issues that arose in the development of a decision analysis of alternative strategies for cystic fibrosis carrier scree...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.5.684
更新日期:1996-05-01 00:00:00
abstract:OBJECTIVES: To investigate the impact of Be the Exception, a newly developed program to delay onset of sexual behaviors, in a White, rural population. METHODS: A cluster randomized controlled trial in northwestern Indiana (14 schools, 1776 students, 2011-2015) compared an intervention (5 group sessions and multimedia ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303438
更新日期:2016-09-01 00:00:00
abstract::Disability is often considered a health outcome disproportionately experienced by minority groups. It is also possible to view people with disabilities as a minority group that itself experiences health disparities. Calls to reduce these disparities necessitate the inclusion of people with developmental disabilities i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301286
更新日期:2013-12-01 00:00:00
abstract::We performed a cost-effectiveness analysis to evaluate whether patients with artificial joints should take penicillin, erythromycin, or no antibiotics before dental procedures. We modeled the risk of anaphylaxis from penicillin, the risks and consequences of an artificial joint infection, and the actual variable costs...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.6.739
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVES:This study assessed changes in the prevalence of hearing impairment in persons aged 50 years and older over the past 30 years and identified risk factors. METHODS:Age-adjusted hearing impairment prevalence rates at four time intervals were calculated from the Alameda County Study (n = 5108). Logistic regres...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.3.440
更新日期:1997-03-01 00:00:00
abstract::The French health system combines universal coverage with a public-private mix of hospital and ambulatory care and a higher volume of service provision than in the United States. Although the system is far from perfect, its indicators of health status and consumer satisfaction are high; its expenditures, as a share of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.1.31
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:We determined factors associated with hearing aid acquisition in older adults. METHODS:We conducted a population-based, prospective study that used information from 3 examinations performed on study participants as part of the Epidemiology of Hearing Loss Study (1993-2005). We included participants (n = 718...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300078
更新日期:2011-08-01 00:00:00