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Postneonatal mortality in the Nottingham Health District 1985-1988. 1985-1988年诺丁汉卫生区新生儿后期死亡率。
Community medicine Pub Date : 1989-11-01
S J Holroyd, R J Madeley, J C Pearson
{"title":"Postneonatal mortality in the Nottingham Health District 1985-1988.","authors":"S J Holroyd,&nbsp;R J Madeley,&nbsp;J C Pearson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Studies carried out in 1978 and 1981 found postneonatal mortality to be associated with poor environmental conditions. Since then, many changes have occurred to the environment. This study was designed to discover which factors are now associated with a higher risk of postneonatal death. A retrospective case-control study was carried out using 107 cases and 422 controls matched only for date of birth, to look at the effect of area of residence, social class, mother's age, and sex, birthweight, legitimacy and number of siblings. Fifty-eight per cent of the deaths were due to the sudden infant death syndrome, making this the leading cause of death. Causes previously absent from the death certificates are now appearing, particularly prematurity related deaths which now account for almost 6 per cent. The deaths were found to occur more frequently at home, in the winter, and at a peak age of 2 to 4 months. As shown previously in Nottingham, the deaths were more likely to have been male (relative risk 2.03), illegitimate (2.91), and of low birthweight (28.8). Total mortality was significantly higher in babies of mothers aged 19 or less and in babies of manual workers. Surprisingly, babies born to unemployed parents were found to have a very low relative risk of death (0.26). Mortality is still higher in the city than the suburbs and in areas of deprivation. Although still a risk factor for SIDS, high parity of the mother was found to be non-significant for postneonatal mortality in total.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4","pages":"342-51"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13777193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Who else responds to postal questionnaires? Are those involved in the subject of the study more likely to do so? 还有谁回复邮寄问卷?那些参与研究的人更有可能这样做吗?
Community medicine Pub Date : 1989-11-01 DOI: 10.1093/OXFORDJOURNALS.PUBMED.A042492
A. Cartwright, J. Windsor
{"title":"Who else responds to postal questionnaires? Are those involved in the subject of the study more likely to do so?","authors":"A. Cartwright, J. Windsor","doi":"10.1093/OXFORDJOURNALS.PUBMED.A042492","DOIUrl":"https://doi.org/10.1093/OXFORDJOURNALS.PUBMED.A042492","url":null,"abstract":"In a postal screen to identify people who had attended hospital outpatient departments, it was predicted that attenders would be more likely to respond than non-attenders. An experiment was set up to explore this. The response rates were 76 per cent among attenders compared with 70 per cent for the others--a difference which did not reach significance at the 5 per cent level.","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"152 1","pages":"373-5"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/OXFORDJOURNALS.PUBMED.A042492","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61160477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Economic analysis in the evaluation of health promotion. 健康促进评价中的经济分析。
Community medicine Pub Date : 1989-11-01
A Cribb, A Haycox
{"title":"Economic analysis in the evaluation of health promotion.","authors":"A Cribb,&nbsp;A Haycox","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The problems of using cost-effectiveness analysis in health promotion are set out in order to argue against the simplistic application of QALY-type analysis between the preventive and curative sectors. The difficulties of conceptualizing and measuring 'effectiveness', and the obstacle of achieving predictive validity in cost-effectiveness analysis are discussed.</p>","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4","pages":"299-305"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13664020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A report of the investigation and control measures instituted after the isolation of toxin-producing Corynebacterium diphtheriae mitis from a child in Leeds. 利兹市一名儿童分离出产毒白喉棒状杆菌后的调查及控制措施报告。
Community medicine Pub Date : 1989-11-01 DOI: 10.1093/OXFORDJOURNALS.PUBMED.A042486
P. Hatton
{"title":"A report of the investigation and control measures instituted after the isolation of toxin-producing Corynebacterium diphtheriae mitis from a child in Leeds.","authors":"P. Hatton","doi":"10.1093/OXFORDJOURNALS.PUBMED.A042486","DOIUrl":"https://doi.org/10.1093/OXFORDJOURNALS.PUBMED.A042486","url":null,"abstract":"This report describes the control measures instituted and further investigations undertaken after the isolation of toxin-producing Corynebacterium diphtheriae from a throat swab taken routinely from a nine-year-old boy, recently returned from Pakistan, who had been admitted to hospital in Leeds with hepatitis A infection. Four of his siblings were subsequently shown to have identical Corynebacterium diphtheriae on throat swabbing, except that in one child the organism did not produce toxin. All the children were asymptomatic carriers.","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4 1","pages":"316-9"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/OXFORDJOURNALS.PUBMED.A042486","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61160202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women, life and medicine--achieving the balance. An account of 1974 women medical graduates in 1987. 女人,生命和药物——达到平衡。1987年1974名女医学毕业生的记录。
Community medicine Pub Date : 1989-11-01 DOI: 10.1093/OXFORDJOURNALS.PUBMED.A042487
H. Parkhouse, J. Parkhouse
{"title":"Women, life and medicine--achieving the balance. An account of 1974 women medical graduates in 1987.","authors":"H. Parkhouse, J. Parkhouse","doi":"10.1093/OXFORDJOURNALS.PUBMED.A042487","DOIUrl":"https://doi.org/10.1093/OXFORDJOURNALS.PUBMED.A042487","url":null,"abstract":"","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4 1","pages":"320-35"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/OXFORDJOURNALS.PUBMED.A042487","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61160269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postneonatal mortality in the Nottingham Health District 1985-1988. 1985-1988年诺丁汉卫生区新生儿后期死亡率。
Community medicine Pub Date : 1989-11-01 DOI: 10.1093/OXFORDJOURNALS.PUBMED.A042489
S. Holroyd, R. Madeley, J. Pearson
{"title":"Postneonatal mortality in the Nottingham Health District 1985-1988.","authors":"S. Holroyd, R. Madeley, J. Pearson","doi":"10.1093/OXFORDJOURNALS.PUBMED.A042489","DOIUrl":"https://doi.org/10.1093/OXFORDJOURNALS.PUBMED.A042489","url":null,"abstract":"Studies carried out in 1978 and 1981 found postneonatal mortality to be associated with poor environmental conditions. Since then, many changes have occurred to the environment. This study was designed to discover which factors are now associated with a higher risk of postneonatal death. A retrospective case-control study was carried out using 107 cases and 422 controls matched only for date of birth, to look at the effect of area of residence, social class, mother's age, and sex, birthweight, legitimacy and number of siblings. Fifty-eight per cent of the deaths were due to the sudden infant death syndrome, making this the leading cause of death. Causes previously absent from the death certificates are now appearing, particularly prematurity related deaths which now account for almost 6 per cent. The deaths were found to occur more frequently at home, in the winter, and at a peak age of 2 to 4 months. As shown previously in Nottingham, the deaths were more likely to have been male (relative risk 2.03), illegitimate (2.91), and of low birthweight (28.8). Total mortality was significantly higher in babies of mothers aged 19 or less and in babies of manual workers. Surprisingly, babies born to unemployed parents were found to have a very low relative risk of death (0.26). Mortality is still higher in the city than the suburbs and in areas of deprivation. Although still a risk factor for SIDS, high parity of the mother was found to be non-significant for postneonatal mortality in total.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 4 1","pages":"342-51"},"PeriodicalIF":0.0,"publicationDate":"1989-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/OXFORDJOURNALS.PUBMED.A042489","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61160694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
CDSC: from Cox to Acheson. 从考克斯到艾奇逊。
Community medicine Pub Date : 1989-08-01 DOI: 10.1093/oxfordjournals.pubmed.a042467
N S Galbraith
{"title":"CDSC: from Cox to Acheson.","authors":"N S Galbraith","doi":"10.1093/oxfordjournals.pubmed.a042467","DOIUrl":"https://doi.org/10.1093/oxfordjournals.pubmed.a042467","url":null,"abstract":"","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 3","pages":"187-99"},"PeriodicalIF":0.0,"publicationDate":"1989-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/oxfordjournals.pubmed.a042467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13833479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
NHS resource allocation after the 1989 white paper: a critique of the research for the RAWP review. 1989年白皮书后的NHS资源分配:对RAWP审查研究的批评。
Community medicine Pub Date : 1989-08-01 DOI: 10.1093/oxfordjournals.pubmed.a042466
N Mays
{"title":"NHS resource allocation after the 1989 white paper: a critique of the research for the RAWP review.","authors":"N Mays","doi":"10.1093/oxfordjournals.pubmed.a042466","DOIUrl":"https://doi.org/10.1093/oxfordjournals.pubmed.a042466","url":null,"abstract":"<p><p>The Government White Paper on the NHS, 'Working for Patients', abolished the Resource Allocation Working Party (RAWP) formula in name, but retained its general approach of ensuring geographical equity through funding health authorities by a system of weighted capitation. As a result, the longstanding debate about the appropriate need indicators to include in RAWP, which was tackled afresh in the recent NHS Management Board review of RAWP, will remain highly pertinent to NHS resource allocation in the 1990s. Yet, the research carried out for the RAWP review, on which its principal proposals for change to the need indicators were based, is inadequate for developing a new method of resource allocation after RAWP. The paper describes the research and sets out its main conceptual limitations and problems of method.</p>","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 3","pages":"173-86"},"PeriodicalIF":0.0,"publicationDate":"1989-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/oxfordjournals.pubmed.a042466","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13747009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 31
Deprivation and mortality: an alternative to social class? 剥夺和死亡:社会阶级的替代品?
Community medicine Pub Date : 1989-08-01 DOI: 10.1093/oxfordjournals.pubmed.a042469
V Carstairs, R Morris
{"title":"Deprivation and mortality: an alternative to social class?","authors":"V Carstairs,&nbsp;R Morris","doi":"10.1093/oxfordjournals.pubmed.a042469","DOIUrl":"https://doi.org/10.1093/oxfordjournals.pubmed.a042469","url":null,"abstract":"<p><p>Mortality rates for males aged 20 to 64 in Scotland (1980-1982) display an increasing gradient both by social class (from class 1 to 5) and by the deprivation category of the area (from affluent to deprived) in which the event occurred. Social classes also exhibit gradients in mortality across deprivation categories, the corresponding rates in the most deprived category being around twice those in the most affluent areas. The gradients by deprivation category remain after standardizing for differences in social class composition. Within health boards in Scotland populations show only minor variability in terms of social class, while their composition on the dimension of deprivation is markedly diverse, and the classification of populations by the deprivation category of their area of residence appears to offer a superior basis for the explanation of differences in mortality between health boards than does social class. This evidence of area effects supports a proposal for area socioeconomic characteristics to be adopted as key variables in epidemiological analysis, and for an area classification to be designed and incorporated in the 1991 census output for use on a consistent basis.</p>","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 3","pages":"210-9"},"PeriodicalIF":0.0,"publicationDate":"1989-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/oxfordjournals.pubmed.a042469","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13747010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 258
Relationship of body mass index, weight and height to plasma lipid levels in people with different diets in Britain. 英国不同饮食人群的体质指数、体重和身高与血脂水平的关系。
Community medicine Pub Date : 1989-08-01 DOI: 10.1093/oxfordjournals.pubmed.a042472
M Thorogood, K McPherson, J Mann
{"title":"Relationship of body mass index, weight and height to plasma lipid levels in people with different diets in Britain.","authors":"M Thorogood,&nbsp;K McPherson,&nbsp;J Mann","doi":"10.1093/oxfordjournals.pubmed.a042472","DOIUrl":"https://doi.org/10.1093/oxfordjournals.pubmed.a042472","url":null,"abstract":"<p><p>Blood samples and self-reported heights and weights have been collected from 114 vegans, 1550 vegetarians, 415 fish eaters who did not eat meat, and 1198 meat eaters. We have previously reported that mean total and LDL cholesterol were lower in the vegetarians and fish eaters than in the meat eaters, while the mean levels in vegans were lower still. We have examined the possibility that this relationship could be explained by differences in the mean body mass index of the four groups. While there was a small positive relationship between body mass index and plasma lipid levels this did not explain the previously reported difference between diet groups. After adjusting for the effect of body mass index there remained a small negative association between height and plasma lipid levels, which has not previously been reported. Height is known to be influenced by childhood ill health and has also been shown to be related to social class, and it may be that the relationship between plasma lipid levels and height can be explained by these factors.</p>","PeriodicalId":75726,"journal":{"name":"Community medicine","volume":"11 3","pages":"230-3"},"PeriodicalIF":0.0,"publicationDate":"1989-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/oxfordjournals.pubmed.a042472","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13748930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
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