The health status of Indian teenagers in the United States is below that of the general population. The usual barriers to the use of health care services that young people, including young Indians, encounter are compounded in rural areas by distance, isolation, and lack of appropriate services. To overcome these barriers in rural New Mexico, a public health demonstration project (a) established a single location where adolescents can receive multiple, integrated health care services free of charge; (b) set up the initial program of services at a rural school; (c) established links with existing agencies; and (d) incorporated community action toward creating change. The project began as a joint effort of three communities, the University of New Mexico (UNM), and the Albuquerque Area Indian Health Service (IHS) of the Public Health Service; a secondary level public school soon became a participant. The project is being replicated in two other communities that have formed separate partnerships with UNM and the area IHS; also the New Mexico Health and Environment Department has joined the effort in one community. Preliminary data suggest that the services are being used by a majority of the target population, with the proportions of boys and girls about equal.
Pedestrian fatalities caused by motor vehicles in King County, WA, over a 12-month period were reviewed to examine the potential for prevention by various strategies. Cases were identified through the King County Medical Examiner's Office. Between Ap...
A univariate and multivariate analysis of factors associated with suicide for residents of the State of Maryland was conducted. The investigation was statistically oriented in its approach, examining the relationships of age, race, sex, marital statu...
With today's lower mortality rates, longer expectations of life, and new medical technologies, the nation's health policy focus has shifted from emphasis on individual survival to emphasis on personal health and independent living. Using longitudinal...
The nation's supply of family physicians as estimated by the Graduate Medical Education National Advisory Committee appears fairly accurate. At the same time, the demands for family physicians appear to be strong, partially because case-management sy...
Mahoney, M C; Michalek, A M; Cummings, K M; Hanley, J; Snyder, R L;
Published Date:
1989 May-Jun
Source:
Public Health Rep. 104(3):279-285
Description:
The determination of years of potential life lost (YPLL) can aid in monitoring changes in premature mortality among various population groups. While premature mortality has been shown to differ among blacks and whites, patterns of YPLL have not been ...
Howe, H L; Wolfgang, P E; Burnett, W S; Nasca, P C; Youngblood, L;
Published Date:
1989 May-Jun
Source:
Public Health Rep. 104(3):251-256
Description:
In November 1985, the New York State Department of Health was altered to extraordinary concentrations of asbestos leachate in the drinking water in the Town of Woodstock. Concentrations of 3.2 million fibers per liter (MFL) to 304.5 MFL were found, d...
Lefebvre, R C; Lasater, T H; McKinlay, S M; Gans, K M; Walker, N; Carleton, R A;
Published Date:
1989 May-Jun
Source:
Public Health Rep. 104(3):266-270
Description:
Four experiments were conducted to assess the precision and accuracy of the Boehringer Mannheim Diagnostics Reflotron, an instrument that is being adopted by many public health groups to conduct blood cholesterol screening programs. Our study is one ...
Women's access to prenatal nutrition services was explored using a nationally representative sample of pregnant participants in the Special Supplemental Food Program for Women, Infants, and Children (WIC) in 1984. The probability was examined of the ...
In order to characterize the children who enter emergency shelters in Boston, we reviewed the data collected at intake interviews by the pediatric nurse practitioner visiting 10 family shelters and one hotel in Boston as part of the Boston Health Car...
To examine correlates and childhood predictors of serum total cholesterol in adolescence, measures of growth, development, and obesity were related to serum total cholesterol levels of youths aged 12-17 years in the National Health Examination Survey...
The Mental Health Services for the Homeless Block Grant Program has made available more than $57 million to the States in fiscal years 1987-89 to encourage States to develop and strengthen community services for homeless mentally ill persons. Funds w...
Weisman, C S; Celentano, D D; Teitelbaum, M A; Klassen, A C;
Published Date:
1989 May-Jun
Source:
Public Health Rep. 104(3):209-214
Description:
The reported practices and recommendations of primary care physicians with regard to cancer screening of elderly patients (65 years and older) were studied in a 1987 survey of 400 Maryland physicians. More than 90 percent of physicians in four specia...
Because of the rising percentage of elderly in the population and the cost of health care expenditures, interest has increased in preventive health care services for the aging. Although the effectiveness of such programs is still being discussed by p...
The Disabilities Prevention Program builds on traditional Centers for Disease Control (CDC) strengths in public health surveillance, epidemiology, and technology transfer to State and local governments in translating the findings of research into pre...
Magura, S; Grossman, J I; Lipton, D S; Amann, K R; Koger, J; Gehan, K;
Published Date:
1989 May-Jun
Source:
Public Health Rep. 104(3):231-240
Description:
The authors examined the factors associated with methadone patients' decisions about participating in a clinic-based AIDS prevention protocol. Despite the offer of incentives, only 27 percent attended AIDS education and only 12 percent obtained volun...
BackgroundThe Alaska Native (AN) population experiences twice the incidence and mortality of colorectal cancer (CRC) as does the U.S. white population. CRC screening allows early detection and prevention of cancer.ObjectiveWe describe pilot projects ...
Data from the National Health Interview Survey• The age-adjusted percentage of American Indian and Alaska Native (AIAN) adults in fair or poor health did not differ by urbanization level and was higher than all U.S. adults.• The percentage of AIA...
Association of State and Territorial Health Officials (U.S.). Centers for Disease Control and Prevention (U.S.)..
Published Date:
8/23/12
Description:
Most states and jurisdictions have numerous ethnic minorities and racial minorities. Notably, American Indian/Alaska Natives are also political minorities that have a specific legal status. The federal government recognizes 566 tribes, ranging from l...
The Indian Health Service (IHS) is a bureau of the Health Resources and Services Administration, an agency of the Public Health Service. It was formed in 1955 by a transfer of health services from the Bureau of Indian Affairs, Department of the Inter...
A pilot fetal alcohol syndrome (FAS) surveillance was carried out in four American Indian communities in the Northern Plains by the Aberdeen Area Indian Health Service to determine the incidence of FAS and to evaluate the feasibility of establishing ...
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