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AJPH NEWS Release

EMBARGOED UNTIL June 25, 2002, 4:00 PM (ET)
CONTACT: For copies of articles, call Natalie Raynor, (202) 777-2511

All articles are online at www.ajph.org

American Journal of Public Health: July 2002 Highlights

The articles highlighted below appear in the July 2002 issue of the American Journal of Public Health, the Journal of the American Public Health Association.

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Sunscreen Not Found To Increase Melanoma Risk
Several studies have suggested that sunscreen use could increase the risk for skin cancer. However, that's not the case, according to a new study that finds no relationship between use of topical sunscreen and an increased risk of malignant melanoma. The study involved analysis of data gleaned from 11 previously conducted case-controlled studies encompassing more than 9,000 patients. The researchers emphasize that the effect of solar radiation on melanoma development is more complex than other types of skin cancer, and that many unanswered questions remain regarding factors that may influence melanoma development. However, they concluded "Until more conclusive data are available, recommending use of sunscreens as a cancer prevention strategy would appear to be prudent."
[From: "Use of Topical Sunscreens and the Risk of Malignant Melanoma: A Meta-Analysis of 9067 Patients From 11 Case-Control Studies." Contact: Michael Huncharek, MD, MPH, FACA, Meta-Analysis Research Group, metaresearch@hotmail.com.]

Hospital Nurses Twice As Likely to Suffer Needlestick Injuries When Staffing, Working Climate Poor
Hospital nurses working on nursing units with low staffing and poor working climates were twice as likely to suffer needlestick injuries as their counterparts from better-managed units. The investigators analyzed data on needlestick exposures and near-misses among almost 1,000 nurses over different one-month periods in 1990 and 1991. Staffing levels and data about working climate and risk factors for needlestick injuries were collected in 20 general hospitals in 11 cities. The researchers concluded, "Remedying problems with understaffing, inadequate administrative support and poor morale in hospitals may turn out to be among the most important steps in building a safer healthcare system."
[From: "Effects of Hospital Staffing and Organizational Climate on Needlestick Injuries to Nurses." Contact: Sean P. Clarke, PhD, RN, University of Pennsylvania School of Nursing, sclarke@nursing.upenn.edu.]

Community-Based Family Planning Program Effective For Women in Pakistan
After decades of failure, the Pakistani government has found that community-based programs are starting to have an impact on contraceptive use. Currently, the most promising method of contraceptive delivery is use of specially trained literate women to provide information and services in their own and surrounding villages. A comparison of overall prevalence of contraceptive use, based on 1994-95 and 1996-97 surveys, found that prevalence of contraceptive use increased from 11% to 19%. Married women living within five kilometers of two community-based workers were significantly more likely to be using a modern, reversible method of contraception then those in localities with little or no access. "A steady expansion of current community-based programs may be the most effective way in the short term of meeting the huge potential demand for contraceptive services in rural Pakistan and in facilitating fertility decline."
[From: "Assessment of a New Approach to Family Planning Services in Rural Pakistan." Contact: John G. Cleland, MA, London School of Hygiene and Tropical Medicine, john.cleland@lshtm.ac.uk.]

Chlamydial Infection Common Among Young Men
A new study says chlamydial infection among young men in the United States is common, and suggests that screening efforts for sexually transmitted diseases (STDs) should be broadened. Chlamydial infection was detected in 3.1 percent of the 470 teenagers (ages 18-19) and 4.5 percent of the 995 young adults (ages 22-26) interviewed; the investigators consider these conservative estimates of total national prevalence. A minority of those infected were symptomatic or had been tested for STDs, however. Very few knew they were infected.
[From: "Risk Behaviors, Medical Care, and Chlamydial Infection Among Young Men in the United States." Contact: Leighton Ku, Center on Budget and Policy Priorities, ku@cbpp.org.]

Reporters Cite Difficulty Interpreting Health News
Almost 83 percent of health reporters receive no training to cover their beat, and the majority say they have difficulty understanding key health issues. Between 66 percent and 85 percent of 115 survey respondents assessed four tasks vital to sound health reporting as "sometimes difficult" to "nearly always difficult." These reporters, from daily newspapers in 5 Midwest states, most often cited four troublesome skills: understanding key health issues, putting health news in context, producing balanced stories on deadline, and interpreting statistics. Respondents with the least experience reported the highest perceived ability. About half of the reporters agreed that the media often do not provide context, "suggesting that criticisms of news coverage by those outside journalism are valid."
[From: "Checking the Pulse: Midwestern Reporters' Opinions on Their Ability to Report Health Care News." Contact: Melinda Voss, University of Minnesota, vossx017@umn.edu.]

The American Journal of Public Health is the monthly Journal of the American Public Health Association, the oldest and largest organization of public health professionals in the world and the foremost publisher of public health-related books and periodicals promoting high scientific standards, action programs and policy for good health. The Journal is online at www.ajph.org.

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