Michael H. Fox

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PURPOSE An isolated focus on 1 disease at a time is insufficient to generate the scientific evidence needed to improve the health of persons living with more than 1 chronic condition. This article explores how to bring context into research efforts to improve the health of persons living with multiple chronic conditions (MCC). METHODS Forty-five experts,(More)
BACKGROUND Increasingly, consumers have multiple health insurance options. New information is being developed to help consumers with these choices. OBJECTIVES To study similarities and differences in how the publicly and privately insured choose health plans. To explore the effect of traditional enrollment materials and reports developed by the Consumer(More)
BACKGROUND Adults with disabilities are less active and have higher rates of chronic disease than the general population. Given the health benefits of physical activity, understanding physical activity, its relationship with chronic disease, and health professional recommendations for physical activity among young to middle-age adults with disabilities(More)
BACKGROUND National survey data indicate the number of individuals reporting a disability is rising. Those with disabilities experience a large number of barriers to health promotion and disease prevention programming. However, only a limited number of studies have used nationally representative data to examine the health status of individuals with(More)
OBJECTIVES To determine knowledge, behavior, and attitude among Kansas residents exposed to a statewide West Nile Virus health education campaign. METHODS Telephone survey employing random selection of urban and rural counties and telephone numbers. RESULTS Knowledge was widespread, preventive behaviors less so. TV, newspapers, and word-of-mouth were(More)
Social determinants of health are the conditions in which individuals are born, grow, live, work, and age. Increasingly, they are being recognized for their relationship to the soaring incidence of Type 2 diabetes in the US, as well as the opportunities they present for us to counter it. Many current Type 2 diabetes interventions focus on biologic and(More)
OBJECTIVES To follow the 1995 birth cohort of infants, born in the State of Missouri, through their first birthday to: 1) examine their rates of visits to emergency departments (EDs), 2) identify predictors of any ED visit, 3) examine rates of nonurgent ED visits, and 4) identify predictors of nonurgent visits. METHODS This was a retrospective population(More)
The objective of this study was to assess the impact of a major disaster on county-level preparedness for persons with mobility disabilities. The authors surveyed 30 randomly selected Federal Emergency Management Agency (FEMA) disaster sites between 1998 and 2003 to determine disability surveillance capacity, the extent to which the disaster experience(More)
OBJECTIVE To examine the clinical and economic efficacy of an on-site support group for drug-abusing pregnant women enrolled in an urban, hospital-based obstetric clinic. STUDY DESIGN Maternal and neonatal outcomes and medical cost data were compared for drug-abusing pregnant women who attended (n = 54) and did not attend (n = 67) a weekly substance abuse(More)