Public Health (PUBLIC HEALTH)

Publisher: Society of Community Medicine (Great Britain); Society of Medical Officers of Health (Great Britain); Royal Institute of Public Health and Hygiene (Great Britain); Society of Public Health (Great Britain); Royal Institute of Public Health (Great Britain), WB Saunders

Journal description

Provides international coverage of preventive medicine, epidemiology, social and community medicine. Key areas include: child health, communicable disease prevention, health promotion and health service planning.

Current impact factor: 1.48

Impact Factor Rankings

2015 Impact Factor Available summer 2015
2013 / 2014 Impact Factor 1.475
2012 Impact Factor 1.35
2011 Impact Factor 1.35
2010 Impact Factor 1.267
2009 Impact Factor 1.261
2008 Impact Factor 1.204
2007 Impact Factor 1.029
2006 Impact Factor 0.926
2005 Impact Factor 0.986
2004 Impact Factor 0.833
2003 Impact Factor 0.697
2002 Impact Factor 0.674
2001 Impact Factor 0.486
2000 Impact Factor 0.6
1999 Impact Factor 0.509
1998 Impact Factor 0.602
1997 Impact Factor 0.582
1996 Impact Factor 0.581
1995 Impact Factor 0.366
1994 Impact Factor 0.305
1993 Impact Factor 0.34
1992 Impact Factor 0.525

Impact factor over time

Impact factor

Additional details

5-year impact 1.61
Cited half-life 6.00
Immediacy index 0.58
Eigenfactor 0.01
Article influence 0.53
Website Public Health website
Other titles Public health (London, England), Public health
ISSN 0033-3506
OCLC 1338322
Material type Periodical, Internet resource
Document type Journal / Magazine / Newspaper, Internet Resource

Publisher details

WB Saunders

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Pre-print allowed on any website or open access repository
    • Voluntary deposit by author of authors post-print allowed on institutions open scholarly website including Institutional Repository, without embargo, where there is not a policy or mandate
    • Deposit due to Funding Body, Institutional and Governmental policy or mandate only allowed where separate agreement between repository and the publisher exists.
    • Permitted deposit due to Funding Body, Institutional and Governmental policy or mandate, may be required to comply with embargo periods of 12 months to 48 months .
    • Set statement to accompany deposit
    • Published source must be acknowledged
    • Must link to journal home page or articles' DOI
    • Publisher's version/PDF cannot be used
    • Articles in some journals can be made Open Access on payment of additional charge
    • NIH Authors articles will be submitted to PubMed Central after 12 months
    • Authors who are required to deposit in subject-based repositories may also use Sponsorship Option
    • 'WB Saunders' is an imprint of 'Elsevier'
  • Classification
    ​ green

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Objectives: To examine the ‘nanny state’ arguments used by tobacco companies, explore the cognitive biases that impede smokers' ability to make fully informed choice, and analyse the implications for those working to limit the harmful effects of other risk products. Study design: A critical analysis of the practices engaged in by the tobacco industry, the logic on which they relied, and the extent to which their work has informed approaches used by other industries. Results: The tobacco industry's deliberate strategy of challenging scientific evidence undermined smokers' ability to understand the harms smoking poses and questions arguments that smoking is an informed choice. Cognitive biases predispose smokers to discount risk information, particularly when this is disputed and framed as uncertain. Only state intervention has held the tobacco industry to account and begun ameliorating the effects of their sustained duplicity. Evidence other industries are now adopting similar tactics, particularly use of ‘nanny state’ claims to oppose proportionate interventions, is concerning. Conclusions: Some marketing strategies have deliberately mis-informed consumers thus directly contributing to many public health problems. Far from removing free choice, government policies that restrain commercial communications and stimuli are prerequisites necessary to promote free choice.
    Public Health 04/2015; DOI:10.1016/j.puhe.2015.03.009
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    ABSTRACT: The objective of the study was to investigate whether patients from a South Asian ethnic background who had Crohn's disease received equivalent access to therapy with biologics compared to patients with an English background. The study was retrospective and covered the period 2008 to 2012. It was based on a register of all patients with Crohn's disease in Leicestershire who are treated with biologics. The prevalence of Crohn's disease in Leicestershire amongst South Asian and English patients was known from earlier studies and from these data it was possible to make corrections to allow for the difference in frequency of the condition between the two communities. All adult patients who received biologics for treatment of Crohn's disease in Leicestershire between 2008 and 2012 were reviewed and their gender and ethnicity noted as well as whether they had received infliximab or adalumimab. The expected numbers of patients who should have received these therapies were calculated in two ways: RESULTS: One hundred and twenty six patients with Crohn's disease who received treatment with biologics were European and 13 South Asian. The patients' gender was also noted and 67 European patients (53%) were female as were six Asians (46%). Based on prevalence data, the expected distribution of the treatment would have been for 97 of the patients to have been European and 42 to have been South Asian. If 126 European patients warranted treatment, on this basis the expected number of South Asian patients in need of biologic therapy would have been 55. Based on the smaller predicted number of South Asian patients (42) the difference is significant at P < 0.0001 [Proportion difference=0.69 (95% confidence interval=0.539278-0.809576]. For the difference to be extinguished the number of English patients who should have received biologic therapy would have been as low as between 30 and 39 cases (based on the calculated proportion of 97 and the actual figure of 126 European patients respectively). Based on a population composition, rather than prevalence data, in which 24% of the Leicester community should have been of South Asian origin, 33 patients would have received biologics compared with 92 patients of English origin (66%). This is significantly different to the 13 patients who did receive treatment (z=-3.2, P < 0.001). Suggested reasons for these differences have included concerns about the animal origins of infliximab as well as difficulties associated with accessing the service, such as the provision of information in an appropriate language through appropriate media. For those who come from groups with significant social deprivation there is often a readiness to accept more limited clinical services. However, such differences themselves, are examples of discrimination in clinical practice. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
    Public Health 03/2015; DOI:10.1016/j.puhe.2015.01.029
  • Public Health 03/2015; DOI:10.1016/j.puhe.2015.01.019
  • Source
    Public Health 03/2015; 11. DOI:10.1016/j.puhe.2015.02.005
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    ABSTRACT: To investigate injury risk associated with occupation and occupational physical demand levels among U.S. Army Soldiers. Retrospective cohort study. Personal characteristics, physical fitness, military occupational specialty (MOS), and injury data were obtained by survey from Soldiers in an Army light infantry brigade (n = 2101). Odds ratios (OR) and 95% confidence intervals (95% CI) from a multivariate analysis assessing injury risk were calculated. Injury incidence for the prior 12 months was 43%. Physical fitness and behavioral factors associated with injury risk included age 21-29 (OR [age 21-29/age ≤ 20] = 1.37, 95% CI 1.00-1.90), BMI 27.5-29.9 (high-overweight) (OR high-overweight/normal = 1.62, 95% CI 1.20-2.18); BMI >29.9 (obese) (OR obese/normal = 1.73, 95% CI 1.23-2.44), cigarette smoking (OR Smoker/Nonsmoker = 1.34, 95% CI 1.11-1.63), and poor APFT two mile run performance (OR (Q4/Q1) = 1.61, 95% CI 1.19-2.19). Higher risk of injury was associated with some MOSs (OR (Chemical, Explosives & Ammunition/Infantry) = 2.82, 95% CI 1.19-6.68; OR (Armor/Infantry) = 1.53, 95% CI 1.13-2.07). This study identified a number of potentially modifiable risk factors for injuries including: maintenance of healthy weight, improved aerobic endurance, and reduction in smoking. Results also indicate certain Army occupations may be at higher risk of injury. Further investigation into reasons for their higher risk is warranted. Copyright © 2015 The Royal Society for Public Health. All rights reserved.
    Public Health 03/2015; DOI:10.1016/j.puhe.2015.02.003
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    ABSTRACT: Assess differences in perceived health status among individuals receiving colonoscopy screening based on smoking status. Cross-sectional data were collected as part of a larger study investigating whether verbal and non-verbal communication and behaviors of gastroenterologists and nurses. Data for this study were collected between 2011 and 2013 among receiving colonoscopy screenings. Data were collected as part of a study assessing patients (n = 1785) undergoing colonoscopy screenings about their expectations, concerns, understanding of the procedure, and perceived health status. Differences between current, former and never smokers were analyzed using a one-way between subjects ANOVA, with a Scheffe post hoc. Post hoc analyses revealed that current smokers were significantly different from former or never smokers on the following variables: days their physical health was not good, days their mental health was not good, days health influenced their activities, days pain influenced their ability to perform activities, perceived general health, and current anxiety. This study looked at perceived health among individuals receiving colonoscopy screening by on smoking status, a relevant population based on the recent Surgeon Generals link. Former smokers reported similar health status across all variables as never smokers, suggesting the effect of quitting smoking on self-perceived health. With this link, tailored smoking cessation messages to smokers receiving colonoscopy screenings may be an excellent vantage point for a smoking cessation intervention. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
    Public Health 03/2015; DOI:10.1016/j.puhe.2015.02.004
  • Public Health 03/2015; DOI:10.1016/j.puhe.2015.01.001
  • Public Health 03/2015; DOI:10.1016/j.puhe.2015.02.014
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    ABSTRACT: To evaluate the practical applicability of systematic reviews and meta-analyses to the maintenance of physical activity or weight loss by assessing methodological and reporting aspects. To identify relevant studies a literature search was conducted in MEDLINE, EMBASE, Cochrane Library, PsycINFO, PSYNDEX, Google scholar, and reference lists. Each article was evaluated for methodological quality, operationalization of maintenance, and practicability following the RE-AIM framework and the PRISMA statement. Twenty-four systematic reviews and meta-analyses were included of which 14 were published in the last four years. There were multiple definitions of maintenance. In addition the instances of redundancy, and neglect of thematic fields are identified. Eighty-seven percent of the reviews showed methodological flaws. The potential practical use of the outcomes was limited. The applicability of systematic reviews and meta-analyses regarding health behaviour maintenance is limited with regard to reporting, methodology and thematic coverage. For practitioners, synthesis of quantitative and qualitative evidence with theoretical models is lacking. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
    Public Health 02/2015; DOI:10.1016/j.puhe.2015.01.014
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    ABSTRACT: This study was to examine the association between emergency department (ED) visits for dental complaints and neighborhood socio-economic contexts of patients in a U.S. Midwestern metropolis. A retrospective study. Deidentified data of ED visits for the period 2001-2010 from all facilities serving Kansas City, Missouri and 2007-2011 American Community Survey 5-Year Estimates data were used to determine odds of visit by neighborhood socio-economic characteristics at the ZIP code level. ED visits with diagnoses of International Classification of Disease 9th Revision codes related to toothache or tooth injury were included. ZIP code characteristics included percent of non-white population, median family income, percent of population 25 years and older with at least a high school degree, and percent of population with a language other than English spoken at home. Each ZIP code characteristic was divided into quartiles. Chi-square tests and two-level hierarchical linear modeling (HLM) were conducted. In the HLM, the outcome variable was whether to have an ED visit for dental complaints (yes/no), the first-level variables were characteristics of individual ED visits, and the second-level variables were ZIP code characteristics. The study population made 1,786,939 ED visits, of which 35,136 (1.9%) were for dental complaints. Among the patients making ED visits for dental complaints, 54.8% were female, 51.9% were younger adults aged 19-35 years, 48.7% were non-Hispanic black, and 35.5% used self-pay as the source of payment. After controlling the first-level variables, the HLM showed that the risk of ED visits for dental complaints significantly increased for individuals residing in ZIP Code Tabulation Areas with lower median family income, or a higher proportion of the population with a language rather than English spoken at home. Among socio-economic characteristics examined, median family income and percent of population with a language other than English spoken at home are important indicators of ED visits for dental complaints. Copyright © 2014 The Royal Institute of Public Health. All rights reserved.
    Public Health 02/2015; 129(3). DOI:10.1016/j.puhe.2014.11.014
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    ABSTRACT: Visual dysfunction is more common in children with neurological impairments and previous studies have recommended such children receive visual and refractive assessment. In the UK, children with neurological impairment often have educational statementing for Special Educational Needs (SEN) and the statement should detail all health care and support needs to ensure the child's needs are met during school life. This study examined the representation of visual information in statements of SEN and compared this to orthoptic visual information from school visual assessments for children in a special school in Northern Ireland, UK. The parents of 115 school children in a special school were informed about the study via written information. Participation involved parents permitting the researchers to access their child's SEN educational statement and orthoptic clinical records. Statement information was accessed for 28 participants aged between four and 19 years; 25 contained visual information. Two participants were identified in their statements as having a certification of visual impairment. An additional 10 children had visual acuity ≥0.3logMAR. This visual deficit was not reported in statements in eight out of these 12 cases (67%). 11 participants had significant refractive error and wore spectacles, but only five (45%) had this requirement recorded in their statement. Overall, 10 participants (55%) had either reduced visual acuity or significant refractive error which was not recorded in their statement. Despite additional visual needs being common, and described in clinical records, the majority of those with reduced vision and/or spectacle requirements did not have this information included in their statement. If visual limitations are not recognized by educational services, the child's needs may not be met during school life. More comprehensive eye care services, embedded with stakeholder communication and links to education are necessary to improve understanding of vision for children with neurological impairments. Copyright © 2014 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
    Public Health 02/2015; 129(2). DOI:10.1016/j.puhe.2014.12.009
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    ABSTRACT: Sparsely populated areas are potentially predisposed to health inequalities due to limited access to services. This study aimed to explore and describe issues of access to medicines and related advice experienced by residents of the Scottish Highlands and Western Isles. Cross-sectional cohort study. Anonymized questionnaires were mailed to a random sample of 6000 residents aged ≥18 years identified from the electoral register. The questionnaire contained items on: access to medicines; interactions with health care services; and perceptions of the services. Results were analysed using descriptive, inferential and spatial statistics. Adjusted response rate was 49.5% (2913/5889). Almost two thirds (63.4%, 1847) were prescribed medicines regularly, 88.5% (1634) of whom considered the source convenient. Pharmacy (73.8%, 1364) or dispensing GP (24.0%, 443) were the most accessed sources. Prescription medicine advice was mainly obtained from the GP (55.7%, 1029). Respondents ≥80 years old were significantly (P < 0.0001) more likely to live alone (45.3%, 92) compared with those <80 (15.8%, 424). Almost a fifth (16.5%, 31) of those >80 years living alone disagreed that they obtained prescribed medicines from a convenient source. The majority of respondents who felt they did not have a convenient medicines source, regardless of urban/rural classification, lived within five miles of a pharmacy or GP practice. Respondents accessed medicines and advice from a variety of sources. While most considered their access to medicines convenient, there were issues for those over 80 years and living alone. Perceived convenience would not appear to be solely based on geographical proximity to supply source. This requires further exploration given that these individuals are likely to have long-term conditions and be prescribed medicines on a chronic basis. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
    Public Health 02/2015; 129(3). DOI:10.1016/j.puhe.2015.01.005
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    ABSTRACT: Argentina has enacted important tobacco control initiatives in recent years. Yet little is known about the social patterning of attitudes toward tobacco control. Research is needed to explore what predicts opposition to tobacco control initiatives such as higher taxes on tobacco and the prohibition of tobacco advertising. Secondary analysis of Argentina's Global Adult Tobacco Survey (N = 6645). Binary logistic regression analysis examining opposition to raising tobacco taxes and banning tobacco publicity. Models were stratified by smoking status. Respondents generally indicated very little opposition to either tobacco control measure, with only 15.6% of respondents opposed to increasing taxes on tobacco products and 9.6% opposed to banning tobacco advertisements. Smoking status is the most important predictor of opposition to increasing taxes (OR = 7.85, 95% CI = 6.60-9.34) and banning advertisements (OR = 1.72, 95% CI = 1.39-2.11). Opposition to these measures is most likely among young respondents (aged 15-24) and least likely among older age groups (55-64 and 65 or over), compared to the 25-34 age group. Stratified models suggest that the effect of age may be different for smokers and non-smokers. Low income is a significant predictor of opposition, but only in stratified models for smokers. There is general support for stronger tobacco control measures in Argentina. Opposition to raising taxes on tobacco products and banning tobacco advertisement appears to be concentrated among young smokers with low and medium levels of household income. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
    Public Health 02/2015; DOI:10.1016/j.puhe.2014.12.020
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    ABSTRACT: To test whether there is unexplained variation in a) incidence of diagnosed bacterial food poisoning; and b) notification of bacterial food poisoning between general practices. Observational study using routine surveillance data collected between 1 January 2008 and 31 December 2009. Poisson regression, and the pseudo-R(2) statistic, was used to test for the unexplained (i.e. after adjustment for measured confounders) variation in incidence between practices. A generalized linear model, and the pseudo-R(2) statistic, was used to test for variation in notifications between practices. Both models were adjusted for demographic factors and organisational factors (Primary Care Trust and Quality and Outcomes Framework score). A total of 5766 incident cases (811 Salmonella and 4955 Campylobacter) were included. The adjusted incidence of Salmonella and Campylobacter was 128.3 cases per 100,000 persons per year. The adjusted incidence by general practice ranged from 9.8 to 281 per 100,000 (IQR: 90.2-151) persons per year. The median practice notification rate for Salmonella was 25% (range: 0%-100%), and 14.3% (range: 0%-87.5%) for Campylobacter. The Poisson regression model had a pseudo-R(2) of 0.080 for the total number of Salmonella and Campylobacter cases, after adjustment for Primary Care Trust and practice deprivation, suggesting substantial variation. The Generalized Linear regression model (predicting notification by general practice) had a pseudo-R(2) of 0.040 for Salmonella and Campylobacter, after adjustment for Primary Care Trust and practice deprivation, suggesting substantial unexplained variation. Substantial variation in the diagnosed incidence and notification of Salmonella and Campylobacter by general practice in the Thames Valley area exists. Practice-level factors are likely to account for some of the difference in testing and under-notification. This is important for interpreting data from surveillance systems. Further research is needed to inform interventions designed to increase notifications or improve testing. Copyright © 2015 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
    Public Health 02/2015; 129(3). DOI:10.1016/j.puhe.2015.01.002
  • Public Health 02/2015; DOI:10.1016/j.puhe.2014.12.005