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INTRODUCTION People worldwide depend upon daily fish consumption as a major source of protein and other nutrients. Fish are high in nutrients essential for normal brain development, but they also contain methylmercury (MeHg), a neurotoxicant. Our studies in a population consuming fish daily have indicated no consistent pattern of adverse associations(More)
OBJECTIVES We assessed trends in use of electronic cigarettes among U.S. adults, demographic predictors of use, and smoking status of current electronic cigarette users. METHODS Mixed-mode surveys were used to obtain representative, cross-sectional samples of U.S. adults in each of 4 years. RESULTS Sample sizes for 2010, 2011, 2012, and 2013 were 3,240,(More)
The internet is one of a range of health information sources available to adolescents. It is recognised that young people have difficulties accessing traditional health services; in theory, the internet offers them confidential and convenient access to an unprecedented level of information about a diverse range of subjects. This could redress adolescents'(More)
Deaf people who use American Sign Language (ASL) are medically underserved and often excluded from health research and surveillance. We used a community participatory approach to develop and administer an ASL-accessible health survey. We identified deaf community strengths (e.g., a low prevalence of current smokers) and 3 glaring health inequities: obesity,(More)
OBJECTIVE To determine the extent to which the 2007 definitions for severe obesity (body mass index [BMI] > or = 99th percentile for age and gender) and morbid obesity (BMI > or = 40kg/m(2)) affects different groups of American children and adolescents and has increased over time. METHODS Analysis of nationally representative data from the National Health(More)
BACKGROUND Most surveys on adolescents' use of health services rely on parental report, and this may underestimate adolescents' use of confidential services. OBJECTIVE To investigate adolescents' report of their own use of health services, access to care, and knowledge and use of confidential services. METHOD A random digit-dialed survey of 14- to(More)
PURPOSE To describe use of health services and self-reported access to regular and emergency care by homeless adolescents and street youth. METHODS Interviewer-administered surveys addressed use of health services, availability of sources of care for emergencies, and types of care sources used. An abbreviated version of the questionnaire used for youth in(More)
Tobacco has major adverse consequences for children. Despite its devastating consequences , in countries facing immediate issues of poverty, lack of access to potable water and infectious diseases, tobacco is often viewed as a lower priority health threat. In this editorial, we consider specific areas of harm and suggest some strategies for combating(More)
PURPOSE To evaluate factors that independently predict counseling for diet, exercise, sexually transmitted diseases (STDs), pregnancy, smoking, and injuries at adolescent well visits, and compare these rates to the frequency of counseling at adolescent acute visits. METHODS The 1997-2000 National Ambulatory Medical Care and National Hospital Ambulatory(More)