Entity

Time filter

Source Type


Glasheen C.,Rti International | Hedden S.L.,Center for Behavioral Health Statistics and Quality | Forman-Hoffman V.L.,Rti International | Colpe L.J.,National Health Research Institute
Annals of Epidemiology | Year: 2014

This study updates nationally representative information on cigarette smoking behaviors among adults with mental illness, particularly serious mental illness (SMI), to serve as a new benchmark for smoking cessation initiatives. Methods: Data are from the 2008-2012 National Surveys on Drug Use and Health. Prevalence estimates for past month daily smoking, heavy smoking, mean cigarettes consumed per day, nicotine dependence, past month quit ratio, and proportion of cigarettes consumed are presented by mental illness status. Results: Adults with SMI were more likely than adults with any mental illness (AMI) but not SMI and adults without mental illness to engage in smoking behaviors. Adults with AMI but not SMI were more likely to engage in all smoking behaviors compared with adults without mental illness. The past month quit ratio was significantly lower among adults with SMI and among adults with AMI but not SMI than among adults without mental illness. Adults with SMI comprised 6.9% of past month smokers but consumed 8.7% of all cigarettes. Conclusions: Adults with mental illness engage in more smoking behaviors and are less likely to quit than adults without mental illness. In this high-risk population, continued efforts to promote smoking cessation are needed. © 2014. Source


Rosko M.D.,Widener University | Mutter R.L.,Center for Behavioral Health Statistics and Quality
Medical Care Research and Review | Year: 2014

Certificate-of-need (CON) regulations can promote hospital efficiency by reducing duplication of services; however, there are practical and theoretical reasons why they might be ineffective, and the empirical evidence generated has been mixed. This study compares the cost-inefficiency of urban, acute care hospitals in states with CON regulations against those in states without CON requirements. Stochastic frontier analysis was performed on pooled time-series, cross-sectional data from 1,552 hospitals in 37 states for the period 2005 to 2009 with controls for variations in hospital product mix, quality, and patient burden of illness. Average estimated cost-inefficiency was less in CON states (8.10%) than in non-CON states (12.46%). Results suggest that CON regulation may be an effective policy instrument in an era of a new medical arms race. However, broader analysis of the effects of CON regulation on efficiency, quality, access, prices, and innovation is needed before a policy recommendation can be made. © The Author(s) 2013. Source


Muhuri P.K.,Center for Behavioral Health Statistics and Quality
The American journal of drug and alcohol abuse | Year: 2011

To examine all-cause and cause-specific mortality over a 15-year follow-up period in relation to at-baseline reported lifetime use of illegal drugs from five classes (marijuana, cocaine, heroin, hallucinogens, and inhalants) among adults in the United States (US) household population. The study involved 20,983 sample adults who responded to the 1991 National Health Interview Survey Drug and Alcohol Use supplemental questionnaire and also met the eligibility criteria for mortality follow-up. Cox proportional hazards models were estimated to examine the relationships. Adults who at baseline reported lifetime heroin use were at significantly higher risk of all-cause death over the follow-up period (hazard rate ratio or HR=2.02; 95% confidence interval or CI 1.26-3.23), compared with those who did not report using drugs from any of the five classes, even after adjusting for age, sex, race, education, marital status, cigarette smoking status, and alcohol use status. Those who at baseline reported lifetime cocaine (no heroin) use had a significantly higher rate of death associated with human immunodeficiency virus diseases over the follow-up period than nonusers of drugs from any of the five classes. Several limitations of the analysis are discussed. Further research is needed to understand and track the elevated mortality associated with illegal drug use and the correlates of drug-poisoning deaths. Source


Umhau J.C.,U.S. National Institutes of Health | Garg K.,U.S. National Institutes of Health | Woodward A.M.,Center for Behavioral Health Statistics and Quality
Antioxidants and Redox Signaling | Year: 2012

The Dietary Supplement and Health and Education Act of 1994 gives the U.S. Food and Drug Administration (FDA) responsibility for oversight of the dietary supplement industry. Recent draft guidelines proposed by the FDA to insure the safety of new dietary ingredients would significantly alter the ability of manufacturers to bring new dietary ingredients to market, and may cause many products introduced since 1994 to be discontinued. These changes will have an impact on health care, but with limited research on dietary supplements and how their use affects the health care system, there is no way to predict what their overall effect on health will be. Since the natural raw materials for dietary supplements are often inexpensive and generally cannot be patented, manufactures have little incentive to conduct the research which might otherwise be warranted. Appropriate clinical trials that evaluate the use and efficacy of various supplements may be critical for our health care system. If inexpensive dietary supplements are found to be safe and effective, such research could yield significant cost savings as well as health benefits. © 2012 Mary Ann Liebert, Inc. Source


Hennessy K.D.,Center for Behavioral Health Statistics and Quality | Green-Hennessy S.,Loyola University
Psychiatric Services | Year: 2011

Objective: This study identified and examined characteristics of mental health interventions listed in a registry of evidence-based behavioral health programs and practices. Methods: Data were from the National Registry of Evidence-Based Programs and Practices (NREPP), which is sponsored by the Substance Abuse and Mental Health Services Administration. All mental health interventions posted as of May 2010 were reviewed. Results: A total of 91 interventions were assessed. Over half (57%) focused on promoting mental health rather than on treating mental illness. The implementation materials and trainings for most interventions (52%) were proprietary. Analysis of NREPP's rated dimensions revealed that quality-of-research scores were significantly lower for interventions with exclusively proprietary materials, whereas readiness-for-dissemination scores were significantly lower for interventions with exclusively publicly available materials. Conclusions: NREPP represents a practical tool for organizations seeking to initiate or expand their use of evidence-based services. Periodic studies of listed interventions may help to identify programmatic gaps in NREPP. Source

Discover hidden collaborations