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1.
R S Rep ; (51): 1-26, 1984 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-12267634

RESUMO

PIP: The frequency of births with congenital defects, infants with very low birth weight, late fetal loss, and neonatal deaths is contrasted with pesticide/herbicide usage in Hawaii, using the variables percent of agricultural workers, type of agriculture, race of mother, and judicial district of mother's residence for the 5 year periods around 1970, 1975, and 1980. Rates per 1000 live births are calculated for each geographic group, for each of the time periods, and for the total combined time period; similar rates for Caucasian, Chinese, Filipino, Hawaiian, Part Hawaiian, Japanese, and Negro mothers are calculated for the entire 15 year period. Results show that: 1) there were more birth defects in 1968-1972 than in 1978-1982 in the state as a whole; 2) there was no correlation between the total and per capita use of pesticides by county and the frequency of reproductive dysfunctions; 3) there was a negative correlation between the ranks for neonatal deaths and percent of agricultural workers when they were ranked from lowest to highest; and 4) the correlation between the ranks of birth defects, low birth weight infants, and late fetal deaths, and the ranks of percent of agricultural workers, were not significant. This study shows that there has been considerable variation between birth defects, low birth weight infants, late fetal loss, and neonatal mortality from one judicial district to another. However, it is not possible to evaluate the correlation between the districts with high rates of a reporductive dysfunction and possible exposure to known environmental toxins.^ieng


Assuntos
Anormalidades Congênitas , Doenças e Anormalidades Congênitas, Hereditárias e Neonatais , Doença , Ecologia , Poluição Ambiental , Morte Fetal , Mortalidade Infantil , Mortalidade , Agricultura , América , Peso ao Nascer , Peso Corporal , Demografia , Países Desenvolvidos , Países em Desenvolvimento , Emprego , Meio Ambiente , Havaí , Recursos em Saúde , Mão de Obra em Saúde , Recém-Nascido de Baixo Peso , América do Norte , População , Dinâmica Populacional , Estados Unidos
2.
R S Rep ; (50): 1-19, 1984 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-12280339

RESUMO

PIP: Sudden Infant Death Syndrome (SIDS) is the sudden death of any infant which is unexpected by history and in which a thorough post mortem examination fails to demonstrate an adequate cause of death. This study defines the incidence of SIDS in Hawaii and identifies any factors that may be characteristic of this population. Data collected from the Department of Health Hawaii Health Surveillance Program, and the Neonatal Intensive Care Unit at Kapiolani Women's and Children's Medical Center are used to determine risk factors per 1000 live births for both SIDS and non-SIDS groups. Results reveal that: 1) all socioeconomic groups are affected in the same proportion; 2) 72% of the infants died between 1-3 months; 3) low birth weight is a significant risk factor for SIDS; 4) the rate for twin births is a significant risk factor at 4.24; 5) SIDS occur more frequently in males than in females; and 6) the SIDS rates by race are: 0.71 for Asians, 1.49 for Part Hawaiians, and 1.88 for Blacks. Other significant factors include: time of day of the death, seasonal trends, maternal age, and legitimacy of birth. Factors that are not associated with SIDS include prenatal care, maternal education, previous fetal death, and birth order. These results show that SIDS in Hawaii is epidemiologically similar to the problem reported elsewhere and extends the findings of previous studies in Hawaii.^ieng


Assuntos
Mortalidade Infantil , Mortalidade , América , Peso ao Nascer , Peso Corporal , Demografia , Países Desenvolvidos , Países em Desenvolvimento , Economia , Etnicidade , Havaí , Recém-Nascido de Baixo Peso , América do Norte , População , Características da População , Dinâmica Populacional , Fatores Sexuais , Fatores Socioeconômicos , Estados Unidos
3.
Int J Epidemiol ; 4(2): 119-26, 1975 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-1165149

RESUMO

When a prevalence study of Rheumatoid Arthritis (RA) was made in the adult Pima Indian population living on the Gila River Reservation, a high prevalence was found using the New York criteria (5-9 per cent). This was mainly due to the high frequency of limitation of motion which brought in many undesirable subjects. After excluding it as a component of New York criteria we found a prevalence for RA of 3 per cent with a predominance among the females (3-8 as against 2-0 per cent in males). The group so defined fulfilled the requirements of the Rome criteria, showed a higher concordance with serological or radiological evidence of RA, and appeared to identify subjects in whom the experienced clinical rheumatologist would more often agree with the diagnosis.


Assuntos
Artrite Reumatoide/epidemiologia , Indígenas Norte-Americanos , Adolescente , Adulto , Idoso , Arizona , Artrite Reumatoide/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , New York , Fator Reumatoide/análise
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