To study the relation between alcohol intake and mortality in a large ambulatory population with attention to causes of death differences related age, sex, race, baseline risk.Prospective cohort study.Prepaid comprehensive health care program facilities Oakland San Francisco, California.Adults (n = 128,934) who supplied data at evaluations 1978 1985.Demographic history were using questionnaires. Death was ascertained by an automated linkage system individually validated. Relative risk for...

Trends in Self-reported and Biochemically Tested Marijuana Use Among Pregnant Females California From 2009-2016Marijuana is the most commonly used illicit drug during pregnancy, its use increasing.From 2002 to 2014, prevalence of self-reported, past-month marijuana among US adult pregnant women increased from 2.4% 3.9%. 1 In aggregated 2002-2012 data, 14.6% adolescents reported use. 2 However, studies are limited self-reported surveys likely underestimate due social desirability bias...

In a new study controlled for many factors, we reconfirmed the relationship of higher blood pressure to alcohol use. This was slightly stronger in men, whites, and persons 55 years age or older. A slight increase appeared men who drank one two drinks daily, continuous occurred at all drinking levels among white had constant habits. Among women, an only three more daily. The data suggest complete regression, beginning within days, alcohol-associated hypertension upon abstinence. Blood showed...

Journal Article Alcohol, Smoking, Cofee, and Cirrhosis Get access Arthur L. klatsky, klatsky 1Department of Medicine, Kaiser Permanente Medical Care Program (Northern California Region)Oakland, CA Reprint requests to Dr. Klatsky, Department program, 280 West macArthur Boulevard, Oakland, 94611. Search for other works by this author on: Oxford Academic PubMed Google Scholar Mary Anne Armstrong 2Division Research, American Epidemiology, Volume 136, Issue 10, 15 November 1992, Pages 1248–1257,...

Background. Few data are available on the outcome of neonatal sepsis evaluations in an era when intrapartum antibiotic therapy is common. Methods. We identified all newborns weighing ≥2000 g at birth who were ever evaluated for suspected bacterial infection 6 Kaiser Permanente hospitals between October 1995 and November 1996, reviewed their records laboratory data, tracked them to 1 week after discharge. analyzed relationship key predictors presence infection. Results. Among 18 299 without...

A substantially increased risk for heavy drinkers and a slightly reduced lighter results in the J-shaped alcohol-mortality curve. Limited data suggest more favorable mortality experience of wine than liquor or beer. To examine these relations, authors performed cohort study participants large Northern California prepaid health care program. Demographic history were collected from 128,934 adults undergoing evaluations 1978-1985, with subsequent death ascertained by an automated linkage...

Journal Article Comparison of Two Methods Assessing Physical Activity in the Coronary Artery Risk Development Young Adults (CARDIA) Study Get access Stephen Sidney, Sidney 1Division Research, Kaiser Permanente Medical Care Program (Northern California Region)Oakland, CA Reprint requests to Dr. Division Program, 3451 Piedmont Avenue, Oakland, 94611. Search for other works by this author on: Oxford Academic PubMed Google Scholar David R. Jacobs, Jr., Jr. 2Division Epidemiology, School Public...

Preterm birth is a major cause of perinatal morbidity and mortality. Whether the rate preterm can be reduced by frequent contact between nurses pregnant women or home monitoring uterine activity not known.

<h3>Importance</h3> As the overall prevalence of prenatal cannabis use rises, it is vital to also monitor trends in frequency period leading up and during pregnancy because more frequent may confer greater health risks for mothers their children. <h3>Objective</h3> To examine self-reported among pregnant women year before pregnancy. <h3>Design, Setting, Participants</h3> Cross-sectional study using data from 367 403 pregnancies 276 991 11 years or older who completed a self-administered...

Gastric intestinal metaplasia and dysplasia are precursor lesions for adenocarcinoma. The risks of progression to malignancy from these not well characterized, particularly in the US populations.We identified 4,331 Kaiser Permanente Northern California members who were diagnosed with gastric or between 1997 2006 followed them through December 2013. incident rates adenocarcinoma, relative comparison general population, predictors investigated.Among 4,146 individuals 141 low-grade 24,440...

To determine the frequency and interhospital variation of bilirubin testing identified hyperbilirubinemia in a large health maintenance organization.Retrospective cohort study.Eleven Northern California Kaiser Permanente hospitals.A total 51,387 infants born 1995-1996 at >/= 36 weeks' gestation 2000 g.Bilirubin tests maximum levels recorded first month after birth.The proportion receiving 1 test varied across hospitals from 17% to 52%. The 20 mg/dL (342 micromol/L) .9% 3.4% (mean: 2.0%), but...

We studied the relations between reported alcohol use and incidence of hospitalization for several types cerebrovascular disease. Daily consumption three or more drinks, but not lighter drinking, was related to higher rates hemorrhagic disease, especially intracerebral hemorrhage. Age, blood pressure, black race were other independent predictors events; pressure appeared be a partial mediator relation events. Alcohol associated with lower occlusive disease; an inverse present in both sexes,...

Background. High-risk newborns are known to have higher than average utilization of services after discharge from the neonatal intensive care unit (NICU). Most studies on this subject report aggregate data over periods ranging 1 3 years postdischarge. Little is about events that temporally close NICU discharge. Objectives. To characterize rehospitalizations within first 2 weeks six community NICUs. Methods. We scanned electronic databases and reviewed charts rehospitalized infants NICUs in...

In Brief OBJECTIVE: To investigate the annual rates, types, and indications for hysterectomies performed benign disease in Kaiser Permanente Northern California from 1994 to 2003. METHODS: All women, 20 years or age older, who were undergoing hysterectomy 2003 identified. We analyzed rates by type, indication, group. Changes over time with Cochran-Armitage test linear trend. RESULTS: From 2003, there 32,321 indications. Hysterectomy showed a significant decline, 4.01 per 1,000 women 3.41 (P...

BACKGROUND. Recent substantial immigration has created large population subsets of Asian Americans in the United States. Available data about cardiovascular risk factors these persons are sparse. METHODS. This study examined among 13,031 self-classified as 5951 Chinese, 4211 Filipinos, 1703 Japanese, and 1166 other Asians. Covariates regression analyses were age, smoking, alcohol, education, marital status. RESULTS. Chinese men women had lowest adjusted mean body mass index. Filipino highest...