2,060 results match your criteria Review [Journal]


Young Adult Perceptions Surrounding Hookah Use.

Health Behav Policy Rev 2017 Nov;4(6):593-600

College of Public Health, The Ohio State University, Columbus, OH.

Objective: We aimed to improve understanding of young adults' perceptions and interpretations of the contexts surrounding use.

Methods: We conducted focus groups with young adult hookah users (ages 18-28) to examine hookah-use experiences and risk perceptions.

Results: Two dominant themes that emerged from the discussions were the social aspects of use (eg, "ending up" at a hookah café while out with friends), and the mental and physiological reactions to use (eg, relaxation and a "high" feeling). Read More

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http://dx.doi.org/10.14485/HBPR.4.6.9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685191PMC
November 2017
2 Reads

Diet, Alcohol Use, and Colorectal Cancer Screening among Black Church-goers.

Health Behav Policy Rev 2017 Mar;4(2):118-128

Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX.

Objectives: Interventions for colorectal cancer (CRC) prevention among black adults are needed. Connections between CRC screening non-adherence and other health risk behaviors may inform intervention development.

Methods: Associations between red meat (RM) and fruit and vegetable (FV) consumption, at-risk alcohol use, and CRC ever-screening were examined using adjusted logistic regressions among 520 church-going black adults in Houston, Texas, aged >50. Read More

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http://dx.doi.org/10.14485/HBPR.4.2.3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5545898PMC
March 2017
14 Reads

Diet and Physical Activity Intervention Strategies for College Students.

Health Behav Policy Rev 2016 Jul;3(4):336-347

Division of Social and Behavioral Sciences, School of Public Health, University of Memphis, 214 Robison Hall, School of Public Health, University of Memphis, Memphis, TN 38152; ,

Objectives: To understand perceived barriers of a diverse sample of college students and their suggestions for interventions aimed at healthy eating, cooking, and physical activity.

Methods: Forty students (33% Asian American, 30% mixed ethnicity) were recruited. Six focus groups were audio-recorded, transcribed, and coded. Read More

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http://dx.doi.org/10.14485/HBPR.3.4.5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5415090PMC
July 2016
5 Reads

Electronic Cigarette Use among Current Smokers: A Pilot Qualitative Study.

Health Behav Policy Rev 2016 Nov;3(6):590-596

School of Public Health, Georgia State University, Atlanta, GA.

Objective: This pilot study explored psychosocial influences of e-cigarette use among dual users.

Methods: Two focus groups among adult current smokers who had ever used e-cigarettes were conducted in Georgia. Discussions were audio-recorded. Read More

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http://dx.doi.org/10.14485/HBPR.3.6.8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5381658PMC
November 2016
14 Reads

Dietary Quality of Diverse, Rural Adolescents Using the Healthy Eating Index - 2010.

Health Behav Policy Rev 2016 Nov;3(6):519-527

Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN.

Objective: We report baseline dietary intake using the Healthy Eating Index (HEI) - 2010 in rural, diverse adolescents from Minnesota.

Methods: In 2013-2014, 9th-10th graders who reported eating breakfast less than 3 or fewer times per week were recruited from 16 rural schools. Data included computer-based survey results, measured height and weight, and 24-hour dietary recalls. Read More

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http://openurl.ingenta.com/content/xref?genre=article&is
Publisher Site
http://dx.doi.org/10.14485/HBPR.3.6.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161826PMC
November 2016
5 Reads

Exploring Smoking Stigma, Alternative Tobacco Product Use, & Quit Attempts.

Health Behav Policy Rev 2016 Jan;3(1):13-20

Research Scholar, Center for Tobacco Control Research and Education, University of California San Francisco, CA.

Objectives: Investigate smoking stigma among different tobacco user types.

Methods: US adults (N=1,812) responded to an online survey, including non-smokers, smokeless tobacco users, exclusive smokers, and smokeless and cigarette "dual users".

Results: Dual users perceived the highest smoking stigma. Read More

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http://dx.doi.org/10.14485/HBPR.3.1.2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4829360PMC
January 2016
2 Reads

Clinical Comorbidities among Cocaine Users Screened in the Community through HealthStreet.

Health Behav Policy Rev 2016 Jan 1;3(1):54-61. Epub 2016 Jan 1.

Objectives: We investigated the differences in clinical characteristics and musculoskeletal (MSK) conditions by cocaine use.

Methods: HealthStreet, a community engagement program assessed 7936 adults for medical conditions.

Results: Among 6145 African Americans (77%) and 1791 (23%) Caucasians, 15. Read More

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http://dx.doi.org/10.14485/HBPR.3.1.6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808595PMC
January 2016
9 Reads

Reactions to Smoke-free Policies and Messaging Strategies in Support and Opposition: A Comparison of Southerners and Non-Southerners in the US.

Health Behav Policy Rev 2015 Nov;2(6):408-420

Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA.

Objectives: We explored differences in support for smoke-free policies among Southerners versus non-Southerners within a quota-based non-probability sample of adults in the United States.

Methods: In 2013, a cross-sectional online survey was conducted among 2501 adults assessing tobacco use, reactions to personal and public smoke-free policies, and persuasiveness of various message frames regarding smoke-free bar/restaurant policies.

Results: Southerners were no different from non-Southerners in support for most public and private smoke-free policies. Read More

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http://openurl.ingenta.com/content/xref?genre=article&is
Publisher Site
http://dx.doi.org/10.14485/HBPR.2.6.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4686148PMC
November 2015
6 Reads

Self-recalled Youth Physical Activity and Postmenopausal Cardiovascular Disease.

Health Behav Policy Rev 2014 Nov;1(6):472-483

Department of Epidemiology, University of California, Irvine, Irvine, CA.

Objectives: To evaluate the association between childhood physical activity and incident cardiovascular disease (CVD) during postmenopausal years.

Methods: Proportional hazards and logistic regression were used describe the association between self-reported childhood physical activity and CVD incidence and mortality in 36,741 postmenopausal women.

Results: Older women, African-Americans, or nondrinkers or past drinkers self-reported the highest levels of youth physical activity and women with a history of diabetes, hypertension, overweight or obesity, or current smoking reported the highest youth physical activity dose. Read More

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http://dx.doi.org/10.14485/HBPR.1.6.5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4627784PMC
November 2014
1 Read

Food Service Perspectives on National School Lunch Program Implementation.

Health Behav Policy Rev 2015 Sep 1;2(5):362-371. Epub 2015 Sep 1.

Brown School of Social Work, Washington University in St. Louis.

Objectives: Explore barriers and facilitators to implementation of the new National School Lunch Program (NSLP) policy guidelines.

Methods: Interviews with eight food service directors using an interview guide informed by the Consolidated Framework for Implementation Research.

Results: Food service personnel; parents, teachers, school staff; and students were important stakeholders. Read More

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http://dx.doi.org/10.14485/HBPR.2.5.4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4583127PMC
September 2015
5 Reads

State Education Standards for Tobacco Prevention and Classroom Instruction.

Health Behav Policy Rev 2015 Sep;2(5):352-361

Assistant Professor, Rutgers University School of Criminal Justice, Rutgers, NJ.

Objectives: We examine whether state educational standards regarding tobacco correspond with teacher reports of classroom instruction.

Methods: We test this relation with data on tobacco use prevention standards, reports of middle and high school teachers from the 2008 and 2010 School Health Profiles study, and logistic regression models.

Results: State education standards are significantly related to increased likelihood of a lead health education teacher in that state reporting that the specific topic was taught in the school. Read More

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http://dx.doi.org/10.14485/HBPR.2.5.3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5856104PMC
September 2015
3 Reads

Tobacco Taxes in the Southeastern US States: Views from Former Legislators.

Health Behav Policy Rev 2015 Sep;2(5):333-342

Department of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA.

Objectives: We examine influences on southeastern state legislators' actions related to tobacco tax increases.

Methods: In 2014, we interviewed 26 former state legislators in southeastern states via phone.

Results: Themes regarding factors impeding increasing tobacco taxes included: tobacco's legacy in the South, protecting vulnerable populations from increased cigarette costs, concern about economic impact, opposing "sin" taxes, concern about impact on reelection, and perceptions that constituents oppose all taxes. Read More

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http://dx.doi.org/10.14485/HBPR.2.5.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4517976PMC
September 2015
1 Read

Optimism and Cardiovascular Health: Multi-Ethnic Study of Atherosclerosis (MESA).

Health Behav Policy Rev 2015 Jan;2(1):62-73

Dept of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.

Objectives: We examined the cross-sectional association between optimism and cardiovascular health (CVH).

Methods: We used data collected from adults aged 52-84 who participated in the Multi-Ethnic Study of Atherosclerosis (MESA) (n=5,134) during the first follow-up visit (2002-2004). Multinomial logistic regression was used to examine associations of optimism with ideal and intermediate CVH (with reference being poor CVH), after adjusting for socio-demographic factors and psychological ill-being. Read More

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http://dx.doi.org/10.14485/HBPR.2.1.6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4509598PMC
January 2015
8 Reads

Transporting Young Passengers While Impaired: The State of the Law.

Health Behav Policy Rev 2014 Jul;1(4):265-277

Research Scientist, CDM Group, Redwood City, CA.

Objective: This study sought to expand public health knowledge about the legal and policy aspects of DUI-child endangerment laws, and analyze the extent to which jurisdictions give priority to the protection of children.

Methods: We performed original legal research to locate and code driving-under-the-influence (DUI)-child endangerment laws across the 50 states and the District of Columbia, enabling us to compile a baseline legal dataset.

Results: Only 42 of the 51 jurisdictions address DUI-child endangerment in their statutes. Read More

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http://dx.doi.org/10.14485/HBPR.1.4.2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4422181PMC
July 2014
4 Reads

Orientation of US Young Adults toward E-cigarettes and their Use in Public.

Health Behav Policy Rev 2015 Mar;2(2):163-170

Massey University, School of English and Media Studies, Auckland, NZ.

Objectives: We examined use of e-cigarettes and views toward their use in public.

Methods: An online survey of US adults aged 18-24 (N = 874) was used. Measures included tobacco/e-cigarette use, acceptability of public cigarette/e-cigarette use, intention to use e-cigarettes, attitudes and norms. Read More

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http://dx.doi.org/10.14485/HBPR.2.2.8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4341836PMC
March 2015
1 Read

Perceived Characteristics of E-cigarettes as an Innovation by Young Adults.

Health Behav Policy Rev 2015 Mar;2(2):154-162

Massey University, School of English and Media Studies, Auckland, NZ.

Objectives: We examined channels through which information about e-cigarettes has flowed, public perception of e-cigarettes as an innovation, and how these may influence use.

Methods: An online survey of US adults aged 18-24 years (N = 874) was used. Measures included information channels, perception of e-cigarettes as an innovation, and intention to use. Read More

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http://dx.doi.org/10.14485/HBPR.2.2.7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4341835PMC
March 2015
1 Read

Effect of WIC Food Package Changes on Dietary Intake of Preschool Children in New Mexico.

Health Behav Policy Rev 2015 Jan;2(1):3-12

Prevention Research Center, University of New Mexico, Albuquerque, NM.

Objectives: This study examined WIC policy change effects on dietary intake of preschool children from WIC-participating households in rural New Mexico communities.

Methods: Dietary intake of children enrolled in Head Start in 8 communities was compared before and after 2009 WIC food package changes.

Results: Following the policy change, participants reported significantly increased consumption of lower-fat milk, reduced consumption of saturated fat (grams), and decreased consumption of vegetables without potatoes. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5033052PMC
http://dx.doi.org/10.14485/HBPR.2.1.1DOI Listing
January 2015
1 Read

Smokeless Tobacco Risk Comparison and Other Debate Messages in the News.

Health Behav Policy Rev 2014 May;1(3):183-190

University of California San Francisco School of Medicine, San Francisco, CA.

Objectives: Public health professionals have debated the use of smokeless tobacco (SLT) over cigarettes for harm reduction. This article describes SLT and cigarette risk comparisons and other SLT "debate" messages potentially reaching the public through news stories.

Methods: We conducted a content analysis of SLT-related 2006-10 articles from top newspapers and selected news wires. Read More

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http://dx.doi.org/10.14485/HBPR.1.3.2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4219498PMC
May 2014
1 Read

Concern about Child Weight among Parents of Children At-Risk for Obesity.

Health Behav Policy Rev 2014 May;1(3):197-208

Director of Scientific Development, HealthPartners Institute for Education and Research, Bloomington, MN.

Objectives: This study investigated the relationship between parental concern about child weight and weight-related child behaviors, parenting practices, and household characteristics.

Methods: Parent-child dyads (N=421) enrolled in a randomized, controlled obesity prevention trial were evaluated at baseline.

Results: Parental concern regarding child weight was associated with greater use of restrictive and monitoring feeding practices and lower total child energy intake. Read More

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http://dx.doi.org/10.14485/HBPR.1.3.4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4213741PMC
May 2014
2 Reads

Sleep Disturbances and Common Mental Disorders in College Students.

Health Behav Policy Rev 2014 May;1(3):229-237

Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.

Objective: To estimate the prevalence of common mental disorders (CMDs) and examine the association of sleep disorders with presence of CMDs.

Methods: A self-administered questionnaire was used to ascertain demographic information and behavioral characteristics among 2,645 undergraduate students in Ethiopia. Standard questionnaires were used to assess CMDs, evening chronotype, sleep quality and daytime sleepiness. Read More

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http://dx.doi.org/10.14485/HBPR.1.3.7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4190836PMC
May 2014
4 Reads

Patterns and Stability over Time of Older Adults' Diabetes-related Beliefs.

Health Behav Policy Rev 2014 Mar;1(2):111-121

Department of Epidemiology and Prevention, Wake Forest School of Medicine, Medical Center Blvd., Winston-Salem, NC.

Objectives: We sought to identify coherent profiles of diabetes beliefs within discrete domains (ie causes, symptoms, consequences, self management, and medical management), and delineate consistency of belief profiles over one month.

Methods: Diabetes beliefs of rural-dwelling older adults were assessed with the Common Sense Model of Diabetes Inventory at baseline (N = 593) and one month later (N = 563).

Results: A discrete number of belief patterns were identified in each belief domain using latent class analysis. Read More

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http://dx.doi.org/10.14485/HBPR.1.2.3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4190851PMC
March 2014
1 Read

Weight-related disparities for transgender college students.

Health Behav Policy Rev 2014 Mar;1(2):161-171

Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN.

Objective: The objective of this study was to explore disparities in weight and weight-related behaviors by transgender identity.

Methods: Cross-sectional regression models were fit using 2007-2011 College Student Health Survey data.

Results: Compared to non-transgender, transgender subjects (N=53) were more likely to be either underweight [adjusted relative risk (95% CI): 4. Read More

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http://dx.doi.org/10.14485/HBPR.1.2.8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4024379PMC
March 2014
6 Reads

Effectiveness of an Intervention for Adherence to Follow-up Recommendations for Abnormal Pap Tests in Appalachian Kentucky.

Health Behav Policy Rev 2014 Jan;1(1):6-15

College of Social Work, University of Kentucky, Lexington, KY.

Objective: In collaboration with rural county health departments (CHDs), we developed a patient navigation intervention to increase adherence to follow-up recommendations for women with abnormal Pap tests.

Methods: Local women were recruited, trained and placed in CHDs. Navigation was tailored to the follow-up care recommended. Read More

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http://dx.doi.org/10.14485/HBPR.1.1.2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5534130PMC
January 2014
1 Read

Health Impact Assessment, Physical Activity and Federal Lands Trail Policy.

Health Behav Policy Rev 2014 Jan;1(1):82-95

Board President and Volunteer Coordinator, Step Into Cuba, Nacimiento Community Foundation, Cuba, NM.

Objectives: The objectives of this paper are to describe the application of Health Impact Assessment (HIA) to inform trail decisions affecting a rural, under-resourced community and propose the routine integration of HIAs to enhance NEPA environmental assessments and environmental impact statements for trail decisions on federal lands.

Methods: Screening, scoping, assessment, recommendations, reporting, monitoring and evaluation are being used to examine the health impact of trail location and design.

Results: HIA recommendations are being integrated into the public lands National Environmental Protection Act process for planning access to a new segment of the Continental Divide National Scenic Trail. Read More

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http://dx.doi.org/10.14485/HBPR.1.1.9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870598PMC
January 2014
1 Read

: EXPLORING THE IMPACT OF UNAUTHORIZED IMMIGRATION STATUS ON CHILDREN'S WELL-BEING.

Fam Court Rev 2012 Oct;50(4)

The present study examines the effect of unauthorized immigration status on child well-being at a time of elevated immigration rates, economic decline, and unprecedented local lawmaking related to immigration. Immigrant families today are likely to differ from those of the past in that they are more likely to be from Latin America or the Caribbean and include unprecedented numbers of unauthorized immigrants. In addition, they are settling in destinations that have not historically had immigrant populations. Read More

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http://dx.doi.org/10.1111/j.1744-1617.2012.01482.xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821695PMC
October 2012
4 Reads

Taking Stock of Parent Education in the Family Courts: Envisioning a Public Health Model.

Fam Court Rev 2013 Jan;51(1):131-148

Association of Family and Conciliation Courts.

The paper reviewed the development and current status of the parent education movement in the Family Courts. Parent education programs are now being implemented in courts throughout the United States and have a high level of public acceptance; however, a stronger research methodology to evaluate the effects and continued work to align the goals with the content and teaching strategies of these programs are needed. A new conceptual framework is proposed for parent education, which views divorce as a public health problem for children as well as a legal issue. Read More

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http://dx.doi.org/10.1111/fcre.12014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3638966PMC
January 2013
3 Reads

Assessing Danger: What Judges Need To Know.

Fam Court Rev 2012 Jan 30;50(1):150-158. Epub 2012 Jan 30.

University of Rochester Medical Center Department of Psychiatry Research 300 Crittenden Blvd. Rochester, NY 14642 585-275-6740

Every day, judges are faced with decisions regarding intimate partner violence (IPV) victims' requests for protection orders, custody arrangements, and visitation schedules. To make informed decisions, judges must understand victims' risk for future violence. This mixed method study explores the extent to which protection order petitions (n=169) communicate victims' current danger and future risk of violence. Read More

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http://doi.wiley.com/10.1111/j.1744-1617.2011.01436.x
Publisher Site
http://dx.doi.org/10.1111/j.1744-1617.2011.01436.xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3364605PMC
January 2012
5 Reads

Maternal Separations During the Reentry Years for 100 Infants Raised in a Prison Nursery.

Fam Court Rev 2012 Jan;50(1):77-90

Prison nurseries prevent maternal separations related to incarceration for the small subset of children whose pregnant mothers are incarcerated in states with such programs. For a cohort of 100 children accepted by corrections into one prison nursery, subsequent separation patterns are analyzed. The largest numbers are caused by corrections' removal of infants from the nursery and infants reaching a one-year age limit. Read More

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http://dx.doi.org/10.1111/j.1744-1617.2011.01430.xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3275801PMC
January 2012
2 Reads

Do Parent Education Programs Promote Healthy Post-Divorce Parenting? Critical Distinctions and a Review of the Evidence.

Fam Court Rev 2011 Jan;49(1):120-139

Prevention Research Center, Department of Psychology, Arizona State University.

Most parent education programs are designed to improve child well-being following divorce by changing some aspect of parenting. However, there has been relatively little discussion of what aspects of parenting are most critical and the effectiveness of programs to change different aspects of parenting. This paper addresses these issues by: 1. Read More

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http://dx.doi.org/10.1111/j.1744-1617.2010.01357.xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3086750PMC
January 2011
4 Reads

Miners, masculinity and the "Bataille du Charbon" in France, 1944-1948.

Authors:
Hanna Diamond

Mod Contemp Fr 2011 ;19(1):69-84

In 1944, the French provisional government, backed by the Parti communiste français and the Confédération générale du travail, undertook an aggressive propaganda campaign to persuade miners to embark upon a 'battle for coal' which raised their efforts in extracting coal to that of a national endeavour. At the same time, miners had great hopes that nationalisation of the coal industry, under discussion at this time, would bring significant improvement to their working lives. In identifying the ways in which publicists posited miners as an ideal of working-class manhood, this article will argue that "la bataille du charbon" marks a crucial moment in the celebration of working-class masculinity and that the "statut des mineurs" which was passed in 1946 as a part of nationalisation enshrined many of the existing gender assumptions about mining life. Read More

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June 2011
1 Read

Clinician feedback on using episode groupers with Medicare claims data.

Health Care Financ Rev 2010 ;31(1):51-61

Centers for Medicare & Medicaid Services, Baltimore, MD 21244-1850, USA.

CMS is investigating techniques that might help identify costly physician practice patterns. One method presently under evaluation is to compare resource use for certain episodes of care using commercially available episode grouping software. Although this software has been used by the private sector to classify insured individuals' medical claims into episodes of care, it has never been used with fee-for-service Medicare claims except in the studies by the Medicare Payment Advisory Commission (MedPAC) and CMS. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195067PMC
March 2010
2 Reads

Colon cancer treatment costs for Medicare and dually eligible beneficiaries.

Health Care Financ Rev 2010 ;31(1):35-50

Michigan State University, Department of Epidemiology, East Lansing, MI 48824, USA.

To estimate the cost attributable to colon cancer treatment 1 year after diagnosis by cancer stage, comorbidity, treatment regimen, and Medicaid eligibility, we extracted an inception cohort of colon cancer patients aged 66 and older diagnosed between 1997 and 2000 from the Michigan Tumor Registry. Patients were matched to non-cancer control subjects in the Medicare Denominator file. We used the difference-in-differences method to estimate costs attributable to cancer, controlling for costs prior to diagnosis. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2832226PMC
March 2010
3 Reads

Medicaid expansions and the insurance coverage of poor teenagers.

Health Care Financ Rev 2010 ;31(1):23-34

University of Wisconsin-Madison, Madison, WI 53726-2397, USA.

This article employs a comparison group research design to examine the effects of the Medicaid expansions of the late 1990s on the insurance coverage of poor teenagers. Results suggest that the expansions were associated with a decrease in the likelihood of poor teens experiencing uninsured spells over the course of a calendar year, as measured by spending any part of the prior year uninsured and spending over half of the prior year uninsured. While the expansions were successful in increasing coverage among poor adolescents, they fell far short of facilitating near-universal coverage for this population. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195066PMC
March 2010
2 Reads

Toward understanding EHR use in small physician practices.

Health Care Financ Rev 2010 ;31(1):11-22

Mathematica Policy Research, Washington, DC 20024, USA.

This article presents insights into the use of electronic health records (EHRs) by small physician practices participating in a CMS pay-for-performance demonstration. Site visits to four States reveal slow movement toward improved EHR use. Factors facilitating use of EHRs include customization of EHR products and being owned by a larger organization. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195064PMC
March 2010
5 Reads

Ventilator-associated pneumonia among elderly Medicare beneficiaries in long-term care hospitals.

Authors:
William Buczko

Health Care Financ Rev 2010 ;31(1):1-10

Centers for Medicare & Medicaid Services, ORDI, Baltimore, MD 21244-1850, USA.

Ventilator-associated pneumonia (VAP) is a complication of ventilator care that produces excess, avoidable resource use and treatment costs. Control of VAP is an important aspect of quality of care improvement for long-term care hospitals (LTCHs) since they provide post-acute ventilator care for many Medicare beneficiaries. Data for Medicare patients discharged from LTCHs during CY 2004 who received continuous mechanical ventilation are examined (N=13,759). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195065PMC
March 2010
1 Read

The New Beginnings Program for Divorcing and Separating Families: Moving from Efficacy to Effectiveness.

Fam Court Rev 2009 Jul;47(3):416-435

This article describes a program of research on effectively transporting the New Beginnings Program (NBP), a university-tested prevention program for divorced families, to community settings. The status of four steps in this research are described: (1) Selecting a community partner; (2) Developing effective methods of engaging parents; (3) Redesigning the NBP to be easily delivered with high quality and fidelity in community agencies, and (4) Adapting the NBP to meet the needs of the full population of divorcing families. The article concludes with a discussion of plans for an effectiveness trial to evaluate the NBP when delivered in community settings. Read More

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http://dx.doi.org/10.1111/j.1744-1617.2009.01265.xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2768353PMC
July 2009
4 Reads

Linking tumor registry and Medicaid claims to evaluate cancer care delivery.

Health Care Financ Rev 2009 ;30(4):61-73

Dana Farber Cancer Institute, Boston, MA 02116, USA.

The utility of Medicaid claims for studying cancer care is not known. Our objective was to evaluate how well Medicaid claims capture diagnostic and treatment information recorded by the California Cancer Registry (CCR). We compared cancer treatment from Medicaid claims with CCR data, using 1988-2000 cases matched with 1997-1998 Medicaid enrollment data. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195063PMC
December 2009
2 Reads

The Medicare hospice payment system: a consideration of potential refinements.

Health Care Financ Rev 2009 ;30(4):47-59

RAND Corporation, Boston, MA 02116, USA.

The purpose of this article is to examine variation in resource utilization across and within patient stays in the context of Medicare's per diem payment system for hospice. Visit-level resource utilization data were linked to patient-level diagnosis and demographics covering more than 68,000 Medicare patients admitted in 2002 and 2003. Our findings suggest that case mix adjustment based on diagnosis and demographics does not improve our ability to explain variation in resource utilization across stays. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195059PMC
December 2009
2 Reads

Need for risk adjustment in adapting episode grouping software to Medicare data.

Health Care Financ Rev 2009 ;30(4):33-46

Stanford University, CA, USA.

Episode grouper software offers a potential framework for developing important components of a pay-for-performance system for healthcare providers. If the costs for treating health conditions can be computed, then policymakers can in principle benchmark different providers' cost distributions and reward the most efficient. This article applies two of the most prominent commercial groupers and examines the properties of the cost distributions calculated for their constructed episodes. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195061PMC
December 2009
1 Read

Estimating the costs of potentially preventable hospital acquired complications.

Health Care Financ Rev 2009 ;30(4):17-32

3M Health Information Systems, Silver Spring, Maryland 20904, USA.

California and Maryland hospital data are used to estimate the incremental cost associated with 64 categories of hospital acquired complications. The reason for admission, severity of illness at admission and the presence of hospital acquired complications are used in a linear regression model to predict incremental per patient cost yielding an adjusted R2 of 0.58 for Maryland data and 0. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195062PMC
December 2009
19 Reads

Redesigning the Medicare inpatient PPS to reduce payments to hospitals with high readmission rates.

Health Care Financ Rev 2009 ;30(4):1-15

3M Health Information Systems, Wallingford, CT 06492, USA.

A redesign of the Medicare inpatient prospective payment system (IPPS) that reduces payments to hospitals that have high-risk adjusted readmission rates is proposed. The redesigned IPPS uses a readmission performance standard from best practice hospitals to determine the risk-adjusted number of excess readmissions in a hospital and determines the payment reduction for a hospital based on its excess number of readmissions. Extrapolating from Florida Medicare 2004-2005 discharge data, the redesigned IPPS is estimated to reduce overall annual Medicare inpatient expenditures nationally by $1. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195060PMC
December 2009
9 Reads

Medicare financial status, budget impact, and sustainability--which concept is which?

Health Care Financ Rev 2009 ;30(3):77-90

Centers for Medicare & Medicaid Services (CMS), Office of the Actuary, Baltimore, MD 21244-1850, USA.

Medicare is continually undergoing change, as it must in order to reflect advances in medical technology, new health care delivery systems, financial pressures, and other developments. Modifications to the program are debated by policymakers in Congress and the administration, together with academic experts and others. These debates would be improved if policymakers and the public had a clearer understanding of Medicare and certain commonly cited views of the program's overall status. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195070PMC
July 2009
3 Reads

Use and knowledge of the new enrollee "welcome to Medicare" physical examination benefit.

Health Care Financ Rev 2009 ;30(3):71-6

Centers for Medicare & Medicaid Services, 7500 Security Boulevard, C3-16-27, Baltimore, MD 21244-1850, USA.

The Medicare Current Beneficiary Survey (MCBS) is a large survey utilizing a nationally representative sample of the Medicare population. The MCBS collects data on a whole host of topics including health status, health insurance coverage and financing, access to care, knowledge and understanding of the Medicare Program, as well as use and effectiveness of new program benefits and changes. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195073PMC
July 2009
4 Reads

Developing financial benchmarks for critical access hospitals.

Health Care Financ Rev 2009 ;30(3):55-69

Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, NC 27599, USA.

This study developed and applied benchmarks for five indicators included in the CAH Financial Indicators Report, an annual, hospital-specific report distributed to all critical access hospitals (CAHs). An online survey of Chief Executive Officers and Chief Financial Officers was used to establish benchmarks. Indicator values for 2004, 2005, and 2006 were calculated for 421 CAHs and hospital performance was compared to the benchmarks. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195075PMC
July 2009
5 Reads

Psychometric properties of an instrument to assess Medicare beneficiaries' prescription drug plan experiences.

Health Care Financ Rev 2009 ;30(3):41-53

RAND, Pittsburgh, PA 15213-2665, USA.

Using data from 335,249 Medicare beneficiaries who responded to the 2007 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, along with data from 22 cognitive interviews, we investigated the reliability and validity of an instrument designed to assess beneficiaries' experiences with their prescription drug plans. Composite measures derived from the instrument had acceptable internal consistency and sufficient plan-level reliability to inform consumer choice, quality improvement, and payor oversight. These measures were positively associated with members' overall rating of the plan and their willingness to recommend the plan. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195071PMC
July 2009
1 Read

Medicaid consumers and informed decisionmaking.

Health Care Financ Rev 2009 ;30(3):25-40

Department of Planning, Public Policy and Management, University of Oregon, Eugene 97405, USA.

In 2006, Florida's Medicaid reform required some Medicaid consumers to enroll in health plans that differed in terms of cost-sharing requirements and benefit limitations. In focus groups we found enthusiasm among Medicaid consumers for having choices among health plans; however, enthusiasm did not translate into comparison shopping for health plans. Survey findings suggested that Medicaid consumers had difficulty comprehending Medicaid health-plan comparison information, particularly if they were lower in numeracy or literacy skills. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195072PMC
July 2009
2 Reads

Payment reduction and Medicare private fee-for-service plans.

Health Care Financ Rev 2009 ;30(3):15-24

VA Boston Healthcare System and BU School of Public Health, MA 02130, USA.

Medicare private fee-for-service (PFFS) plans are paid like other Medicare Advantage (MA) plans but are exempt from many MA requirements. Recently, Congress set average payments well above the costs of traditional fee-for-service (FFS) Medicare, inducing dramatic increases in PFFS plan enrollment. This has significant implications for Medicare's budget, provoking calls for policy change. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195074PMC
July 2009
1 Read

Pay-for-performance in nursing homes.

Health Care Financ Rev 2009 ;30(3):1-13

University of Massachusetts Medical School and Meyers Primary Care Institute, Worcester, Massachusetts 01605, USA.

Information on the impact of pay-for-performance programs is lacking in the nursing home setting. This literature review (1980-2007) identified 13 prior examples of pay-for-performance programs in the nursing home setting: 7 programs were active as of 2007, while 6 had been terminated. The programs were mostly short-lived, varied considerably in the choice of performance measures and pay incentives, and evaluations of the impact were rare. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2758526PMC
July 2009
4 Reads

Identifying potentially preventable readmissions.

Health Care Financ Rev 2008 ;30(1):75-91

3M Health Information Systems, Wallingford, CT 06492, USA.

The potentially preventable readmission (PPR) method uses administrative data to identify hospital readmissions that may indicate problems with quality of care. The PPR logic determines whether the reason for readmission is clinically related to a prior admission, and therefore potentially preventable. The likelihood of a PPR was found to be dependent on severity of illness, extremes of age, and the presence of mental health diagnoses. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195042PMC
January 2009
5 Reads

Case selection for a Medicaid chronic care management program.

Health Care Financ Rev 2008 ;30(1):61-74

Center for Health Policy and Research, University of Massachusetts Medical School, Shrewsbury, MA 01545, USA.

Medicaid agencies are beginning to turn to care management to reduce costs and improve health care quality. One challenge is selecting members at risk of costly, preventable service utilization. Using claims data from the State of Vermont, we compare the ability of three pre-existing health risk predictive models to predict the top 10 percent of members with chronic conditions: Chronic Illness and Disability Payment System (CDPS), Diagnostic Cost Groups (DCG), and Adjusted Clinical Groups Predictive Model (ACG-PM). Read More

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https://www.cms.gov/Research-Statistics-Data-and-Systems/Res
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195045PMC
January 2009
1 Read