Purpose: The burden of prescription drug costs on Medicare beneficiaries has become a critical policy issue in improving the Medicare program, yet few studies have provided detailed and current information on that burden. The present study estimates total and out-of-pocket expenditures for prescription drugs and the burden of these costs in…

The present study is an examination of the effects of quality and quantity of social support on the psychological and physical well-being of women with fibromyalgia syndrome (FMS). Participants were 568 women who were members of a health maintenance organization (HMO) with a confirmed diagnosis of FMS. Participants were administered a battery of…

This monograph discusses policies designed to deal with food and nutrition problems in Tanzania. Available information on food supplies and nutritional conditions in Tanzania clearly shows that the country faces nutritional problems; protein energy malnutrition is the most serious and requires priority action. Iron deficiency anemia, goiter, and…

This study examined differences in student access to health services between schools with nurses 2 days/week (n = 7) compared to schools with nurses 5 days/week (n = 7). The study found statistically significant differences in numbers of nurse visits per 100 students. Of the 30 health conditions/activities investigated, 28 were statistically…

This report examines five major components that affect minority children's access to health care. They are: health status, barriers to access, workforce, organizational response, and the role of the American Academy of Pediatrics (AAP). Recommendations are included for each of these components. Health status indicators for minority children…

This study examined contextual and personality factors and their relation to perceived life satisfaction among adolescents in five sociocultural groups. Variations in the contribution of specific predictors were noted for the five groups, but no one factor accounted for a large amount of variance in any group. Among the most consistent predictors…

A clinical progress report is presented concerning how the infants and children of Harlem (New York City) have endured the past six years. Crack abuse, acquired immune deficiency syndrome, social disorganization, and violence have been added to the traditional concomitants of poverty. Proposals are made for improvement. (SLD)

The impact of family situations on the health of children is examined along the dimensions of (1) the growing povertization of parents who are of color; (2) health risks for children in poverty; and (3) consequences of placement in the foster care system. (SLD)

Provides an overview of the history of Acquired Immune Deficiency Syndrome (AIDS) in the United States. Surveillance data are given for several groups of African Americans, including women and men who have sex with men. AIDS cumulative incidence among African Americans in the next several years is projected. (SLD)

Although there exists in the minds of urban Texans the myth that rural life is especially healthy, in fact the mental and physical health of rural Texans is markedly worse than that of urban Texans. If health is defined in terms of environmental, physical, mental, and social factors, it is inaccurate to say that rural residents are receiving…

Because ill-clothed, sick, or hungry migrant children learn poorly, the Task Force has emphasized the migrant health situation in 1979. Migrant workers have a 33% shorter life expectancy, a 25% higher infant mortality rate, and a 25% higher death rate from tuberculosis and other communicable diseases than the national average. Common among…

The delivery of an appropriate quantity and quality of health care in an efficient way requires, among other things, matching the supply with the demand for the services of physicians, over time. Such matching has led to very different levels of physicians per million population across OECD countries--because of variations, among other things,…

Originally presented at an American Indian Studies Center conference in 1978, the papers in this volume comprise a review of the American Indian Policy Review Commission (AIPRC). The introduction makes the observation that many AIPRC problems might have been avoided if the federal government had funded an ad hoc Indian group whose task would have…

The 1993 recommendations to the Secretary of Health and Human Services on migrant health emphasize that all available federal and state public service programs be mobilized to also serve farmworkers, and that coordination of efforts among federal agencies and departments take place. The following recommendations offer approaches to secure…