The Preventive Health and Health Services Block Grant funds a variety of disparate programs in health promotion and disease prevention. Many of these programs were funded by categorical grants to the States prior to the creation of this block grant in 1981. This block grant allows States to set priorities among the different programs by shifting their funding allocations. In addition, there is considerable opportunity to use these funds creatively in shaping the content of their programs. The Massachusetts Department of Public Health's experience with this block grant is reviewed, showing the grant's critical importance in the department's statewide disease prevention efforts. In order to maximize public health impact, the department has shifted its funding allocations based on explicit criteria. These criteria represent a model that may have widespread applicability for other State health departments.
A survey of 281 members (31 percent) of the Texas Pediatric Society was performed in 1981 to assess members' knowledge of, attitudes toward, and practices regarding mothers who work outside the home. Only 15 percent correctly answered two of three kn...
The growth and nutritional status of 2,056 schoolchildren from a poor community in southern New Jersey were assessed. Age-adjusted differences in growth among black, white, and Hispanic children were examined. Black youths were 2.5 centimeters (cm) t...
Hirsch, M B; Zabin, L S; Streett, R F; Hardy, J B;
Published Date:
1987 May-Jun
Source:
Public Health Rep. 102(3):307-316
Description:
Although the potential of school-based programs in the prevention of adolescent pregnancy is well recognized, few have been evaluated. This paper describes the use of a reproductive health care clinic associated with a school pregnancy prevention pro...
Medical records for 572 patients in two extended care facilities were reviewed to study seizure disorders and antiepileptic drug use. Seventy patients (12.2 percent) were receiving antiepileptic drugs. Of this group, 43 patients (61.4 percent) had a ...
Most descriptive reports of women who have not received recent Pap smear screening have been limited to bivariate descriptions. The purpose of this study was to develop a multivariate model to predict the recency of Pap smear screening. A systematic ...
Hartz, A J; Kelber, S; Borkowf, H; Wild, R; Gillis, B L; Rimm, A A;
Published Date:
1987 May-Jun
Source:
Public Health Rep. 102(3):254-259
Description:
This study was designed to test the association of smoking with four clinically apparent conditions that may be related to altered sex steroids: natural and induced menopause, infertility, oligomenorrhea, and hirsutism. Data were obtained from the pe...
Multiple cause-of-death data--that is, records of all medical conditions listed on death certificates--are used to study hypertension mortality in New York State during 1968-82. Mortality rates based on underlying causes for ischemic heart disease (I...
Urea formaldehyde foam insulation in homes has caused increasing concerns about the adverse health effects associated with residential exposure to formaldehyde emissions. These health effects cover a broad spectrum of symptoms, including neurophysiol...
Kreps, G L; Ruben, B D; Baker, M W; Rosenthal, S R;
Published Date:
1987 May-Jun
Source:
Public Health Rep. 102(3):270-277
Description:
Increasing emphasis in recent years has been placed on health promotion, prevention, and the self-management of health care. These strategies presume the public has sufficient levels of relevant health information, as well as necessary attitudes and ...
Wertz, D C; Sorenson, J R; Liebling, L; Kessler, L; Heeren, T C;
Published Date:
1987 May-Jun
Source:
Public Health Rep. 102(3):248-254
Description:
Analysis of the responses of 1,247 health care providers to questionnaires immediately before and after educational programs on acquired immunodeficiency syndrome (AIDS) revealed significant (P less than .05) improvements in accuracy of knowledge abo...
The supply of physicians has increased rapidly during the past decade. To examine the impact of this expanding supply on the geographic distribution of physicians in rural areas, we examined the location patterns of 1974-78 medical school graduates p...
Hypertension (high blood pressure) is 1 of 15 health priorities of the Public Health Service set forth in the report, "Promoting Health/Preventing Disease: Objectives for the Nation." The nine objectives for hypertension include improved health statu...
Community water fluoridation has served the American public extremely well as the cornerstone of dental caries prevention activities for 45 years. The dental and general health benefits associated with the ingestion of water-borne fluorides have been...
Hirsch, S H; Mayer-Oakes, A; Schweitzer, S; Atchison, K A; Lubben, J E; DeJong, F;
Published Date:
1992 Mar-Apr
Source:
Public Health Rep. 107(2):142-149
Description:
Enrollment of senior citizens in a community Medicare demonstration project to explore the efficacy of preventive health screening and health education was accomplished by using a two-stage process. This process consisted of initial communication wit...
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