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Planning community-wide services for persons with HIV infection in an area of moderate incidence.
  • Published Date:
    1993 May-Jun
  • Source:
    Public Health Rep. 108(3):285-293
  • Language:
    English
Filetype[PDF-1.77 MB]


Details:
  • Alternative Title:
    Public Health Rep
  • Personal Author:
  • Description:
    The human immunodeficiency virus (HIV) epidemic has placed enormous strains on health care and social services delivery. The authors studied the response to the epidemic by a local health jurisdiction in an area of moderate incidence. The area recorded about 1,000 cumulative cases of acquired immunodeficiency virus syndrome, and the estimated prevalence of HIV infection was 10,000 as of 1991. The local health jurisdiction combined methods in a community-wide planning process for HIV services. The process mobilized the existing community-based network of service providers to identify problem areas and to develop recommendations for action. The planning group used questionnaires and service use rates to project service requirements, estimate service availability, and establish levels of unmet needs in terms of units of service. Annual requirements per person with HIV infection were projected for case management (0.3 to 0.4 client enrollment slots), dental care (1.9 to 3.4 visits), nonacute institutional care (1.2 days), home health care (17.8 to 22.1 visits), short-term housing (8.3 to 10.6 days), mental health and emotional support (34.6 to 36.6 visits), legal services (2.7 appointments), acute inpatient medical care (2.0 to 3.2 days), and inpatient psychiatric care (0.2 to 0.3 days). Those service requirement estimates for a low or moderate HIV incidence area may be transferable to other communities.
  • Subject:
  • Pubmed ID:
    8497565
  • Pubmed Central ID:
    PMCnull
  • Document Type:
    Journal Article
  • Funding:
    BRP 090001-01-0/PHS HHS/United States
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
    1. Risk factors for drowning and near-drowning among children in Hillsborough County, Florida.
      Personal Author:
      Liller, K D; Kent, E B; Arcari, C; McDermott, R J;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):346-353
      Description:
      The authors obtained data from 700 households in Hillsborough County, FL, in a telephone random survey to determine risk factors for incidents of drowning and near-drowning among children in the county. The survey was conducted from August through De...
      File Type:
      Filetype[PDF - 1.62 MB]
    2. Mortality patterns among the youth of a northeastern American Indian cohort.
      Personal Author:
      Michalek, A M; Mahoney, M C; Buck, G; Snyder, R;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):403-407
      Description:
      Mortality patterns prevalent among American Indian youth have not been well documented. This investigation reports on mortality patterns among the Seneca Nation of Indians from January 1, 1955, through December 31, 1989. The study cohort consisted of...
      File Type:
      Filetype[PDF - 1004.69 KB]
    3. Public Health Rep ; v. 108, no. 3 : table of contents
      Published Date:
      May-Jun 1993
      Source:
      Public Health Rep. 108(3)
      File Type:
      Filetype[PDF - 638.96 KB]
    4. Disability and cognitive impairment are risk factors for pneumonia-related mortality in older adults.
      Personal Author:
      Salive, M E; Satterfield, S; Ostfeld, A M; Wallace, R B; Havlik, R J;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):314-322
      Description:
      The role of functional and cognitive limitations in the risk of pneumonia-related mortality in older adults was examined. As part of a cohort study in 3 communities (East Boston, MA; New Haven, CT; and Iowa and Washington Counties, IA), 6,234 women a...
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    5. Public health impact of the 1992 Los Angeles civil unrest.
      Personal Author:
      Evans, C A
      Published Date:
      1993 May-Jun
      Source:
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      Description:
      The Los Angeles civil unrest in April 1992 stunned the nation. The days of violence resulted in 53 deaths, 2,325 reported injuries, more than 600 buildings completely destroyed by fire, and approximately $735 million in total damages. The purpose of ...
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    6. Questioning the safety of food irradiation.
      Personal Author:
      Hoekstra, B
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):402
      File Type:
      Filetype[PDF - 186.47 KB]
    7. PUBLIC HEALTH PROGRAMS AND PRACTICES
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):410-416
      File Type:
      Filetype[PDF - 1.36 MB]
    8. Social support in smoking cessation among black women in Chicago public housing.
      Personal Author:
      Lacey, L P; Manfredi, C; Balch, G; Warnecke, R B; Allen, K; Edwards, C;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):387-394
      Description:
      To accomplish significant reductions in smoking by the year 2000, special populations with relatively low rates of smoking cessation must be reached and helped to quit smoking. These populations are most often groups in which traditional approaches t...
      File Type:
      Filetype[PDF - 1.55 MB]
    9. Public Health Reports ; v. 108, no. 3, May-June, 1993 : cover
      Published Date:
      May-Jun 1993
      Source:
      Public Health Rep. 108 (3)
      File Type:
      Filetype[PDF - 677.17 KB]
    10. Effects of enhanced calling efforts on response rates, estimates of health behavior, and costs in a telephone health survey using random-digit dialing.
      Personal Author:
      Kristal, A R; White, E; Davis, J R; Corycell, G; Raghunathan, T; Kinne, S; Lin, T K;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):372-379
      Description:
      Public health researchers frequently rely on random-digit dialing (RDD) telephone surveys in monitoring trends in health behavior and evaluating health promotion interventions. RDD response rates have declined during the past decade, and cost-effecti...
      File Type:
      Filetype[PDF - 1.54 MB]
    11. Designing prenatal care messages for low-income Mexican women.
      Personal Author:
      Alcalay, R; Ghee, A; Scrimshaw, S;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):354-362
      Description:
      Communication theories and research data were used to design cross-cultural health education messages. A University of California Los Angeles-Universidad Autonoma in Tijuana, Mexico, research team used the methods of ethnographic and survey research ...
      File Type:
      Filetype[PDF - 1.91 MB]
    12. Directions for AIDS education for Hispanic women based on analyses of survey findings.
      Personal Author:
      Flaskerud, J H; Uman, G;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):298-304
      Description:
      In 1988 and again in 1990, the National Center for Health Statistics conducted a survey of the AIDS related knowledge and beliefs of Hispanic and non-Hispanic adults in the United States. A survey of Los Angeles Hispanic women was conducted in 1990, ...
      File Type:
      Filetype[PDF - 1.31 MB]
    13. Benefits of collecting local data on breast cancer and mammography practices in northwestern Pennsylvania.
      Personal Author:
      Norman, S A; Weinberg, G B; Krampe, B R; Finnegan, E T;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):395-401
      Description:
      The use of local data on cancer incidence and mortality and on risk-related behaviors to help communities set priorities and guide program planning is an important facet of the National Cancer Institute's Program, "Data-Based Intervention Research fo...
      File Type:
      Filetype[PDF - 1.34 MB]
    14. The University of Maryland experience in integrating preventive medicine into the clinical medicine curriculum.
      Personal Author:
      Havas, S; Rixey, S; Sherwin, R; Zimmerman, S I; Anderson, S;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):332-339
      Description:
      Lifestyle risk factors play a major role in the etiology of premature mortality, morbidity, and disability in the United States. Numerous professional groups as well as the Surgeon General of the Public Health Service have recommended that increased ...
      File Type:
      Filetype[PDF - 1.57 MB]
    15. Public Health Rep ; v. 108, no. 3 : Masthead
      Published Date:
      May-Jun 1993
      Source:
      Public Health Rep. 108(3)
      File Type:
      Filetype[PDF - 982.07 KB]
    16. Ethnicity, maternal risk, and birth weight among Hispanics in Massachusetts, 1987-89.
      Personal Author:
      Cohen, B B; Friedman, D J; Mahan, C M; Lederman, R; Munoz, D;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):363-371
      Description:
      National data reveal that low birth weight and infant mortality rates among Hispanics are, in general, between the rates for whites and those for blacks. The question remains, do differences in low birth weight reflect distributions of known risk fac...
      File Type:
      Filetype[PDF - 1.44 MB]
    17. Adjusting for nonresponse bias in a health examination survey.
      Personal Author:
      Rowland, Michael L.; Forthofer, Ronald N.;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):380-386
      Description:
      There is a potential for nonresponse bias in most population studies using health examinations. This is true of the Mexican American portion of the Hispanic Health and Nutrition Examination Survey (HHANES), conducted by the National Center for Health...
      File Type:
      Filetype[PDF - 1.51 MB]
    18. The emergency department in surveillance of attempted suicide: findings and methodologic considerations.
      Personal Author:
      Birkhead, G S; Galvin, V G; Meehan, P J; O'Carroll, P W; Mercy, J A;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):323-331
      Description:
      The authors conducted one of the first active, population-based public health surveillance systems for detecting suicide attempts in the United States. Surveillance was conducted in all four hospital emergency departments serving a county suburban to...
      File Type:
      Filetype[PDF - 1.41 MB]
    19. NATIONAL CENTER FOR HEALTH STATISTICS DATA LINE
      Personal Author:
      Smith, Sandra S.
      Published Date:
      May 1993
      Source:
      Public Health Rep. 108(3):408-409
      File Type:
      Filetype[PDF - 410.96 KB]
    20. Secular trends in New York City hospital discharge diagnoses of congenital syphilis and cocaine dependence, 1982-88.
      Personal Author:
      Webber, M P; Hauser, W A;
      Published Date:
      1993 May-Jun
      Source:
      Public Health Rep. 108(3):279-284
      Description:
      The ecologic relationship between the incidence of reactive serologic tests for syphilis among 2,229 newborns and diagnoses that included cocaine dependence among 17,219 hospitalized women ages 15-44 in New York City was investigated. Citywide, race-...
      File Type:
      Filetype[PDF - 1.30 MB]
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