The relationship between the availability of lethal methods of injury and suicide rates is an important, but unresolved question. We investigated this relationship by prospectively classifying lethal methods according to their accessibility in the five counties of New York City. These counties have both similarities and differences in the proportion of their populations with access to specific ...

introduction: it is necessary to have exact, complete and up-to-date information about death of people in a society. this information can be useful in planning, determining priorities, distributing facilities, allocating budgets and rendering health care services justly. in this study, the methods and rules about registration, completion, issuances and collection of death certificates in esfaha...

BACKGROUND Adapting to extreme heat is becoming more critical as our climate changes. Previous research reveals that very few communities in the United States have programs to sufficiently prevent health problems during hot weather. OBJECTIVE Our goal was to examine county-level local heat preparedness and response in 30 U.S. states following the unusually hot summer of 2011. METHODS Using ...

STUDY OBJECTIVES Many US cities have experienced population reductions, often blamed on crime and interpersonal injury. Yet the overall injury risk in urban areas compared with suburban and rural areas has not been fully described. We begin to investigate this evidence gap by looking specifically at injury-related mortality risk, determining the risk of all injury death across the rural-urban c...

In this analysis, Medical Expenditure Panel Survey data from 2000 were used to examine differences in reports of preventive health service utilization in 4 types of counties: large metropolitan counties, small metropolitan counties, counties adjacent to metropolitan places, and counties not adjacent to metropolitan areas or with fewer than 10,000 residents. Women from counties with 10,000 or fe...

The map illustrates the geographic variation across counties and shows that counties with the highest prevalence of Medicare beneficiaries with 6 or more chronic conditions are located predominantly in southern states (eg, Texas, Florida, Kentucky) and northeastern states (eg, New York, Pennsylvania). Counties with the lowest prevalence are found mostly in western states (eg, Oregon, Montana, W...

With the passage of Amendments 20 (2000) and 64 (2012), Colorado legalized the medicinal and recreational use of marijuana. Nebraskan law enforcement in border counties subsequently reported increases in arrests and reductions in jail space. In response, the Nebraska state legislature passed LR-520 to study potential increased costs incurred by criminal justice agencies in border counties. To i...

OBJECTIVE To determine the impact of Florida's Medicaid Reform Demonstration on per member per month (PMPM) Medicaid expenditures. DATA Florida Medicaid claims data from the two fiscal years before implementation of the Demonstration (FY0405, FY0506) and the first two fiscal years after implementation (FY0607, FY0708) from two reform counties and two nonreform counties. STUDY DESIGN A diffe...

A nationwide survey of county departments of social services revealed a need for medical services and consultation to child protection units. Over 92% of the 84 counties surveyed stated they had a problem meeting their medical needs and would be willing to hire a physician assistant as medical consultant to their county's child protection team. No county refused to consider a physician assistan...

A 4-year systematic survey for the presence of soybean cyst nematode Heterodera glycines in Ohio soybean fields was initiated in 1992. A total of 667 soybean fields in 63 counties was sampled. Heterodera glycines was present in 91 fields in 40 counties based on soil samples collected, and in one field in each of three additional counties based on soil samples submitted to the Plant and Pest Dia...