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PubMed1966

The incidence of illness among young children in two communities of different air quality: a pilot study.

An epidemiological study of illness, causing an absence from school of grade one pupils, was conducted from January to June 1965 at two west coast areas, in order to study the community health effects of emissions from a large kraft pulp mill. Enquiry was made by telephone or home visit for each of the 2084 absences experienced by the 752 pupils and the symptoms, duration of illness, physician attendance and hospitalization were determined in each case. A series of indices of disease incidence and duration were prepared to account for school transfers and different communicable disease attack rates. In general the results were non-conclusive: the incidence of all illness and respiratory illness in the control community of Berryville lay midway between that of the two towns, Seaview and Upper Seaview, which comprised the study community; certain conditions, notably tonsillectomy, inflamed eyes, headache, feverishness and nausea, were, however, more frequent in the polluted area.

Air Pollution↗
PubMedDate not supplied

The effectiveness of family planning clinics in serving adolescents.

Data from surveys conducted by The Alan Guttmacher Institute (AGI) in 1981 have been used to create three indicators of the effectiveness of family planning clinics in serving teenagers: the mean delay between first intercourse and first clinic visit (which for teenage clinic patients is 13.2 months); teenage patient retention (67 percent; and the average excess of patient satisfaction over dissatisfaction with clinic policies and services (33 percent). Clinics run by Planned Parenthood are more effective than other types of facility, according to the mean delay indicator, whereas other clinics, such as those associated with community action programs and neighborhood health centers, rank highest in levels of patient satisfaction and patient retention. All three measures indicate that clinics serving 1,000-2,499 family planning patients per year are more effective in serving teenagers than either smaller or larger clinics, and that nonmetropolitan clinics are more effective in providing services than those in cities. Regression analysis shows that clinic administrators might take a number of actions to shorten the mean delay among teenagers between first intercourse and first clinic visit. These include offering community education programs for teenagers, enlisting the support of local churches, developing relationships with local youth groups, opening the clinic during evenings and weekends, accepting more teenagers as walk-in patients and locating a clinic in or near neighborhoods where many teenagers live. Two of the same factors--developing an active relationship with youth groups and opening the clinic to teenagers on evenings and weekends--were also found to be particularly effective in keeping teenagers as clinic patients.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗