Public Health Commons^™

Is Science Ever Science? The Politics Of Child Care, Ibpp Editor

International Bulletin of Political Psychology

This article explores the political behavior of psychologists in the carrying out of scientific tasks.

State-Based Pharmaceutical Assistance Programs: Temporary Fix Or Lessons For Medicare?, Robin J. Strongin

National Health Policy Forum

By early 2001, more than one-half of the states had established some type of pharmaceutical assistance programs for the elderly. This issue brief considers specific program parameters, such as eligibility criteria, cost-sharing arrangements, program administration, and marketing and outreach. It also considers programs in the broader context of a future Medicare outpatient prescription drug benefit.

Tanf And Work Support Services: On The Job In Greater Philadelphia, Lisa Sprague

National Health Policy Forum

This site visit looked at programs in the greater Philadelphia area to move welfare recipients into employment and support services aimed at keeping them employed. Four years after implementation of the Personal Responsibility and Work Opportunity Reconciliation Act, welfare caseloads were much reduced, but challenges remained. Pennsylvania officials described their plans to assist beneficiaries who would reach their five-year lifetime cash assistance limit beginning in 2002. Site visitors met with state and county assistance office staff, employers, consumer advocates, and employment and training contractors. They participated in discussions of how work support services, such as medical assistance, child care, and …

Special Report On Children Born To Hiv Positive Parents In Nevada, 1991-1999, Drew Mather, Mary Guinan, Richard Whitley, Wei Yang

School of Public Health Faculty Research

Background:

This report encompasses an effort to look at the number of children born to HIV (Human Immunodeficiency Virus) and/or AIDS (Acquired Immunodeficiency Syndrome) infected parents during the years 1991 to 1999 in Nevada.

According to the Healthy People 2000 (HP 2000) Review for the years 1998- 1999, infants of untreated or undetected HIV positive women have been identified as a distinct population at risk for contracting the virus that causes AIDS.

The State of Nevada’s Bureau of Disease Control and Intervention Services in collaboration with the Bureau of Health Planning and Statistics has taken the initial step to “cross …

History Of Love Canal And Suny At Buffalo's Response, Adeline Levine Ph.D.

Buffalo Environmental Law Journal

No abstract provided.

History Of Love Canal And Suny At Buffalo's Response: History, The University Role, And Health Research, A. Theodore Steegmann Jr.

Buffalo Environmental Law Journal

No abstract provided.

Science And Health Risks Research Since Love Canal, John E. Vena

Buffalo Environmental Law Journal

No abstract provided.

Science And Health Risks Research Since Love Canal, James R. Olson

Buffalo Environmental Law Journal

No abstract provided.

Reflections On Love Canal, David Hahn-Baker

Buffalo Environmental Law Journal

No abstract provided.

Public Policy And Law Since Love Canal, Jon Cannon

Buffalo Environmental Law Journal

No abstract provided.

Public Policy And Law Since Love Canal: Unintented And Unforseen Consequences Of Love Canal And The Superfund Legislation, Robert S. Berger

Buffalo Environmental Law Journal

No abstract provided.

Quality In The Making: Perspectives On Programs And Progress, Lisa Sprague

National Health Policy Forum

This background paper considered the evolution of quality evaluation efforts, tracing their development from early initiatives to keep track of patients after surgery through the various guidelines, surveys, and measurement tools currently in use. It looked at both quality assurance and quality improvement strategies, highlighting the different philosophies that guide them. The paper examined the roles of purchasers, providers, consumers, and governments in furthering a quality agenda. Both regulatory and voluntary approaches were assessed.

The Health Care Safety Net In A Time Of Fiscal Pressures, Richard Hegner

National Health Policy Forum

This background paper reviewed the role played by the health care safety net in serving the nation's uninsured, underinsured, and indigent populations as well as those Americans who experience problems in obtaining access to health care. Against the backdrop of the March 2000 Institute of Medicine report, America's Health Care Safety Net: Intact But Endangered, the paper examined the recurrent choice in U.S. health policy between underwriting public insurance and subsidizing direct provision of health care. It recounted a number of reasons for direct federal interest in the safety net — including the important role played by Medicaid, the major …

The Study Of Periodicity Of Eating And Public Health Nutrition Issues, Karen E. Harrington

Doctoral

This thesis set out to provide an objective understanding of periodicity of eating in a group of free living adults, by determining the temporal pattern of nutrient intake during eating occasions throughout the day. A dietary assessment study was carried out using a 7-day estimated food diary in a sample of 133 adults recruited from a city local authority. During the survey period, respondents were met on at least three occasions to encourage and motivate them to follow their usual dietary habits and to record their intakes in a as detailed a manner as possible. A combination of quantification methods …

Hand Intensive Leisure Activities And Repetitive Motion Injuries Of The Distal Upper Extremities, Marilyn Colvin Wright

Loma Linda University Electronic Theses, Dissertations & Projects

Background. The work-relatedness of repetitive motion injuries to the distal upper extremities (RMI-DUEs) has been well documented; however, human occupation extends beyond the job to include self-care and leisure activities. The effects of hand intensive leisure activities (HILAs) such as home computer use and needlework on RMI-DUEs have not been explored. These HILAs require hand usage similar to known work-related risk factors. Additionally, sedentary leisure contributes to obesity thereby increasing the disease burden of women. Health beliefs regarding leisure and fitness among women employed in hand intensive sedentary jobs have not been explored.

Purpose. The purpose of this study was …

How Peruvian Mothers Appraise Pneumonia And The Predictors Of Their Intention To Seek Medical Care When Their Children Have Signs Of Pneumonia, César Augusto Gálvez

Loma Linda University Electronic Theses, Dissertations & Projects

Pneumonia ranks first in health problems demanding attention, and second in the cause of mortality for children under five years old in Peru (Toledo, & Minaya, 1999). Studies about behavioral determinants that influence mothers to seek medical help for their child with signs of pneumonia do not focus on the contribution of the behavioral determinants to intention of seeking medical help.

Using the Theory of Planned Behavior (TPB) and a cross-sectional design, the objectives of this study were to know first, Peruvian mothers' perceptions about knowledge and recognition of pneumonia, and about the government pneumonia campaign (GPC). Second, mothers' attitudes, …

Childhood Obesity And Its Relationship To Sedentary Behavior Patterns Vs. Other Independent Risk Factors Of Obesity Among Navy Dependent Adolescents, Shaye Lauren Arluk

Human Movement Studies & Special Education Theses & Dissertations

Background According to data gathered in the NHANES 1999 survey 14% of American children are now classified as obese, a 60% increase in prevalence from the NHANES II survey in 1976. Multiple research studies have looked at the role of dietary intake, heredity, and physical activity participation as independent risk factors of obesity with mixed results. However, sedentary behavior patterns, which have markedly increased in the past ten years, have not been extensively studied in relation to childhood obesity. The goal of this study was to focus on the relationship between various sedentary behaviors and childhood obesity.

Methods Two descriptive …

A Health System Analysis Approach To Health Outcomes In Medicare Clients With Chronic Illnesses, Christine A. Elnitsky

Health Services Research Dissertations

Since 1863, outcomes measurement efforts have provided information to health care consumers, administrators, and policymakers in assessing concerns about access, quality and costs. With a growing population of older adults with chronic illnesses, cost-cutting strategies in health delivery systems, and federal endorsement of managed care systems, researchers have begun to evaluate the impact of different delivery system organizations on health. The current study combines two areas of health services research to provide the first published hierarchical analysis of the influence of delivery system factors, and a profile of population and community characteristics and utilization factors, on perceived health outcomes of …

A Study Of The Factors That Impact Female Military Beneficiaries Obtaining Preventive Health Services, Cynthia Andrea Chargois

Health Services Research Dissertations

The purpose of this study was to determine what factors predict whether female military retirees or the female beneficiary of a military retiree, ages 40 to 64, will obtain preventive health services, specifically, Pap smears, mammograms, and clinical breast examinations. Based on the findings of the study, it is suggested that it may be important for the Department of Defense to broaden their scope of interest to include those areas that are most prominent in affecting female military retirees or the female beneficiary of a military retiree, particularly those 40 to 64, in obtaining preventive health services.

The study comprised …

Promoting Healthy Behavior Change In Skin Cancer Risk Reduction Using The Transtheoretical Stages Of Change Model, Sherry L. Pagoto

Dissertations

Skin cancer is the most commonly diagnosed cancer in the United States with 20% of people developing some form of skin cancer in their lifetime (American Cancer Society, 1999). In spite of the high incidence of skin cancer, it is highly preventable. Approximately 90% of the cases are caused by exposure to ultraviolet radiation from the sun (Skin Cancer Foundation, 1992). The effect of an intervention aimed at reducing skin cancer risk was compared to a survey only control group in 99 Chicago beach-goers. The intervention was based on the Transtheoretical Stages of Change Model (TTM) and included sun sensitivity …

Behind The Counter: Pharmacies And Dispensing Patterns Of Pharmacy Attendants In Karachi., Fauziah Rabbani, F. H. Cheema, N. Talati, S. Siddiqui, S. Syed, S. Bashir, L. Z. Zuberi, A. Shamim, Q. Mumtaz

Community Health Sciences

BACKGROUND:

There is little literature available on dispensing patterns and unsupervised sale of medicines from pharmacies in developing countries.

OBJECTIVE:

This study obtained background information on pharmacies assessed the level of training, knowledge and dispensing patterns of pharmacy attendants in Karachi.

METHODOLOGY:

This is a descriptive cross sectional study with convenient sampling. A structured questionnaire was used to interview pharmacy attendants.

RESULTS:

Of the 219 pharmacies surveyed, 62% reported more than 50 customers daily and 20% also sold items of general provision. Mean operating hours were 13. Only 24 (11%) had a visible license. On an average 3 attendants were …

Welfare Reform And The Well-Being Of Families: Successes To Date And Challenges Ahead, Jane Koppelman

National Health Policy Forum

This issue brief discusses a key issue in evaluating the 1996 Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA): the status of families after the implementation of this landmark welfare reform program. The new block grant program to states to administer the Temporary Assistance to Needy Families(TANF) program has been extremely effective when measured by lower welfare rolls and higher work rates and earnings for recipients. However, an equally important dimension described by the paper is what is known about longer-term effects and the status of people who have left welfare, with special emphasis on how children have …

Welfare Reform And Substance Abuse: Innovative State Strategies, Ginger P. Parra

National Health Policy Forum

This issue brief highlights key facts about the impact of substance abuse on welfare reform and recipients of Temporary Assistance to Needy Families, or TANF. After outlining some of the data on the incidence of substance abuse as well as its costs and treatment, it concludes by describing innovative state welfare programs attempting to lower barriers to employment and self-sufficiency.

Contrasting Treatments Of Recall Bias In Two Epidemiological Settings, Daniel Barry

RISK: Health, Safety & Environment (1990-2002)

The author contrasts the treatment of recall bias in the literature on induced abortions and breast cancer, and on environmental tobacco smoke and lung cancer.

Over A Decade Of Comparative Risk Analysis: A Review Of The Human Health Rankings, David M. Konisky

RISK: Health, Safety & Environment (1990-2002)

The author reviews a method for undertaking a cross-project comparison of comparative risk analyses to understand which environmental problem areas have been cited most as often posing the severest risks.

State Schip Design And The Right To Coverage, Sara J. Rosenbaum, Barbara Smith

Health Policy and Management Issue Briefs

No abstract provided.

Looking Back At Fluoridation, Allan Mazur

RISK: Health, Safety & Environment (1990-2002)

The author reviews the 50-year history of the debate over fluoridating drinking water as a public health measure.

Chief Medical Officers' Perceptions Of Disease Management Programs, Gang Xu, Lisa E. Paddock, John P. O'Connor, David B. Nash, Mark Zitter

College of Population Health Faculty Papers

The purpose of this article is to examine chief medical officers' (CMOs) perception of disease management programs. Five open-ended questions, each addressing a major issue in the development of disease management programs, were given to 31 CMOs who attended a series of invitation-only conferences on disease management in the fall of 1999. Qualitative data analysis was conducted using the transcripts on each of the issues. Overall, the CMOs viewed the emergence of capitated disease management programs positively. They considered the population of a program to be the contractual patients and/or those at risk for the target disease. On the issue …

Measurement Of The Impact Of Winona Health Online, David B. Nash, David Shulkin, Florence Comite, Ron Loeppke, Bruce Van Cleave, Robert Kane, Jon Christianson, Douglas Pousma

College of Population Health Faculty Papers

The purpose of this article is to present the methodology to study the clinical and financial outcomes associated with the use of Winona Health Online, a novel community-wide interactive healthcare Website in Winona, Minnesota. Outcome methodology was developed by the University of Minnesota School of Public Health and the Carlson School of Management in cooperation with nationally recognized outcomes and disease state management experts, healthcare practitioners in Winona, statisticians, and health economists. The main areas of measurement include health status, satisfaction, cost and utilization of services, and clinical quality.

A Peculiar Logic Of Pro-Abortion Advocacy, Ibpp Editor

International Bulletin of Political Psychology

This article identifies a weakness in pro-abortion advocacy and how this weakness can be resolved to support said advocacy.