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The hypothesis that ambient threats to employment security are associated with increased rates of low birthweight is tested in two sites. The first test uses interrupted time-series methods to measure the association between a threatened reduction in the number of state workers and the incidence of low birthweight in Sacramento, California. The second test(More)
Of the research on health and economic stress, the approach that has produced the strongest findings has been the aggregate time-series analysis of unemployment and suicide rates. A review of the literature indicates that this aggregate work has been disputed on both methodological and interpretive grounds. To address these issues, two studies of the(More)
We examine the relationship between ethnicity and income as determinants of mammography use over a span of four years as a means of assessing community intervention impacts. The sample consisted of 1,447 women older than 34 years, living in Hawaii, who participated in the Behavioral Risk Factor Surveillance System (BRFSS). The percentage of women in the(More)
National health-care costs are continuing to climb and employers in Hawaii and across the nation are forced to increase their share of the burden. To limit these costs, worksite health promotion programs are increasing in number and in scope. Smoking control programs in particular now rank as the most prevalent type of worksite program; as the disability,(More)
The association between economic contraction and neonatal mortality previously reported in this Journal is retested using methods and data that respond to criticisms of aggregate time-series work. Results suggest that the risk of neonatal mortality among birth cohorts of black males in the Los Angeles County and Orange County metropolitan areas is increased(More)
This paper reports the second of two studies of the hypothesis that the economy affects suicide; both studies were based in the same community during approximately the same time period. Although many aggregate-level tests have been conducted using archival measures of unemployment and suicide (the approach used in Part 1), the impact of economic climate on(More)
Breast cancer-related knowledge, attitudes, behaviors and barriers to obtaining a mammogram were assessed in women attending a primary care clinic serving a low-income minority population. Although most women believed in the value of mammograms, fewer than one in six was compliant with guidelines, and there were considerable deficits in knowledge about(More)
  • S Serxner
  • American journal of health promotion : AJHP
  • 1990
Abstract The hypothesis that overweight workers are more likely to participate in health promotion activities during times of organizational contraction than during other times was tested in a sample of 408 overweight employees selected from the total employee population at the headquarters facility of Control Data Corporation (CDC) in Minneapolis,(More)
The effects of selection, job stress, and culture models on the association between occupation and smoking were empirically estimated on a random sample of 2,362 employed adults in Orange County, California using data collected through the Orange County Health Survey. The largest percent of smokers were blue-collar workers (32.4%). The logistic regression(More)