Published on 28.2.2023 in Vol 25 (2023) Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/40961, first published July 11, 2022 . The DHHS (1994a) described population-based public health services as interventions aimed at Introduction. Findings: A future population-testing programme could also target other chronic diseases. Federal government websites often end in .gov or .mil. Predicting the impact of population level risk reduction in cardio-vascular disease and stroke on acute hospital admission rates over a 5 year period--a pilot study. Epub 2012 Jun 14. Razak F, Subramanian SV, Sarma S, Kawachi I, Berkman L, Davey Smith G, Corsi DJ. Several decades of concerted research on eating disorders have generated a broad range of proposed causal influences, but much of this etiologic research does not elucidate practical avenues for preventive interventions. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. How is Population Health Different from Public Health? WebPopulation-Based Prevention of Child Maltreatment: The U.S. -, Rebbeck T.R., Friebel T., Lynch H.T., Neuhausen S.L., vant Veer L., Garber J.E., Evans G.R., Narod S.A., Isaacs C., Matloff E., et al. Variation in the net benefit of aggressive cardiovascular risk factor control across the US population of patients with diabetes mellitus. The Office of Justice Programs is working together with changemakers engaged in their communities to make a difference. Please enable it to take advantage of the complete set of features! Improving pragmatic clinical trial design using real-world data. Health Educ Res. But if the intervention has even a small degree of disutility, a targeted approach using multivariable risk prediction can prevent more morbidity and If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Accessibility Part II provides examples of the innovative ways that the Intervention Wheel is being used in public health/public health nursing practice, education, and administration. Triple P System Population Trial. sharing sensitive information, make sure youre on a federal PMC These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. 91 0 obj
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-, Bor W., Sanders M. R., Markie-Dadds C. The effects of the Triple PPositive Parenting Program on preschool children with co-occurring disruptive behavior and attentional/hyperactive difficulties. A .gov website belongs to an official government organization in the United States. The validation of these results in real-world population-based studies is therefore valuable to assess the relevance and the effectiveness of treatment guidelines for the prevention of pre-eclampsia. MeSH 2021 Dec;17(12):747-758. doi: 10.1038/s41582-021-00565-x. 2018 Aug 3;362:k3147. Next, new evidence is offered to build a case for how a population-wide reduction in dieting may be an effective strategy for prevention of eating pathology. 2007 Mar;40(2):114-9. doi: 10.1002/eat.20344. Cancer Inst. Accessibility All information these cookies collect is aggregated and therefore anonymous. Results: Among vol. Asadi-Aliabadi M, Tehrani-Banihashemi A, Mirbaha-Hashemi F, Janani L, Babaee E, Karimi SM, Nojomi M, Moradi-Lakeh M. Med J Islam Repub Iran. A community-based group randomized trial to increase aspirin use for primary prevention of cardiovascular disease: Study protocol and baseline results for the "Ask About Aspirin" initiative. A Care Management intervention includes systematic outreach to assess suicide risk, EHR-based tools to implement risk-based care pathways, and care management to facilitate recommended follow-up. Transl Behav Med. BMJ Nutr Prev Health. Conditions. Considers multiple levels of practice. WebOBJECTIVES To evaluate the effectiveness of periconceptional use of 400 microgram folic acid only on the prevention of neural tube defects (NTDs) METHOD As part of a public health campaign in areas of high (North) and low (South) NTDs prevalence in the China during 1993 and 1995, 130 142 pill takers and 117 689 non-pill takers were recruited National Library of Medicine Careers. You will be subject to the destination website's privacy policy when you follow the link. Risk of suicide attempt and suicide death following completion of the Patient Health Questionnaire depression module in community practice. close . Using an Attributes Model is one way to understand complex Correlation between mean body mass index in the population and prevalence of obesity in Brazilian capitals: empirical evidence for a population-based approach of obesity. declares research funding from The Eve Appeal and Cancer Research UK into population testing and from Barts & the London Charity and Rosetrees Trust outside this work, as well as an honorarium for grant review from Israel National Institute for Health Policy Research. One of the biggest issues for the field is the reduction in effect sizes seen when a program is taken to scale. Unable to load your collection due to an error, Unable to load your delegates due to an error. Federal government websites often end in .gov or .mil. Methods: The https:// ensures that you are connecting to the HHS Vulnerability Disclosure, Help ClinicalTrials.gov registration # NCT02326883 , registered on 23 December 2014. FOIA official website and that any information you provide is encrypted It can be defined as what we as a society do collectively to assure the Assessing the effectiveness of population-based suicide prevention requires adherence to the principles of pragmatic trials: population-based enrollment, accepting variable treatment participation, assessing outcomes using health record data, and analyses based on intent-to-treat. 8600 Rockville Pike Real World Cost-Effectiveness Analysis of Population Screening for BRCA Variants among Ashkenazi Jews Compared with Family History-Based Strategies. Webpopulation pool of families who might contribute to substantiated and potential cases of CM. These related links offer diverse perspectives and strategiesall with a common convergence on population health. Objectives: To assess the rates of low-dose CDC views population health as an interdisciplinary, customizable approach that allows health departments to connect practice to policy for change to happen locally. Preventive health care, 2000 update: prevention of child maltreatment. 2022 Nov 14;29(12):2023-2031. doi: 10.1093/jamia/ocac144. All information these cookies collect is aggregated and therefore anonymous. 2007;22:15731577. Do early childhood interventions prevent child maltreatment? WebRecurrence: A RealWorld PopulationBased Study and to evaluate the impact of low-dose aspirin in prevention of pre-eclampsia recurrence in a real-world population. In the case of eating disorders, Rose's model is instructive: Dieting stands out as risk behavior that may both fit Rose's model This approach utilizes non-traditional partnerships among different sectors of the community public health, industry, academia, health care, local government entities, etc. Epub 2015 Apr 30. An official website of the United States government. Reprod. Hyattsville 2015. government site. Physicians seeking certification in the specialty of Public Health and General Preventive Medicine should apply to the Mid-career 12-month Residency. 0000034984 00000 n
The https:// ensures that you are connecting to the Suicidal thoughts and behaviors among adults aged 18 years - United States, 20082009. MeSH Journal of Abnormal Child Psychology. This process is inefficient, resource intensive and misses >50% of individuals or mutation carriers at risk. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Jacobi C, Morris L, Beckers C, Bronisch-Holtze J, Winter J, Winzelberg AJ, Taylor CB. Clipboard, Search History, and several other advanced features are temporarily unavailable. official website and that any information you provide is encrypted Unable to load your collection due to an error, Unable to load your delegates due to an error. COVID-19: A Comparative Study of Population Aggregation Patterns in the Central Urban Area of Tianjin, China. National Hospital Ambulatory Medical Care Survey: 2008 Emergency Department Summary Tables. Bethesda, MD 20894, Web Policies PMC The January/February newsletter highlights OJJDP's commitment to pursue racial equity and fairness in the juvenile justice system, Administrator Liz Ryan's comments at the National Mentoring Summit, two OJJDP-funded mentoring programs, and National AMBER Alert Awareness Day. College students as facilitators in reducing adolescent obesity disparity in Southern Appalachia: Team Up for Healthy Living. 2020 Aug;17(4):394-401. doi: 10.1177/1740774520910367. The .gov means its official. Population health promotes prevention, wellness and equity in all environments, resulting in a healthy New Jersey. Clipboard, Search History, and several other advanced features are temporarily unavailable. J. Clin. Prevention of obesity and eating disorders: a consideration of shared risk factors. Clipboard, Search History, and several other advanced features are temporarily unavailable. Would you like email updates of new search results? Discussion: WebA population-based prevention strategy can be an excellent option if an intervention has almost no adverse effects. The tiered levels of intervention are matched to PMC Keller LO, Strohschein S, Lia-Hoagberg B, Schaffer M. Public Health Nurs. However, this promise is challenging to fulfill. 2020 May;65:139-153. doi: 10.1016/j.bpobgyn.2020.02.007. Australian e-Journal for the Advancement of Mental Health, 2. Evaluating the impact of results-based motivating system on noncommunicable diseases risk factors in Iran: Study protocol for a field trial. -. 05-2008. Online ahead of print.ABSTRACTBACKGROUND: Many clinical trials have reported that low-dose aspirin decreases the risk of pre-eclampsia in women with prior pre-eclampsia. This study was conducted to investigate the effects of combining nutritional and physical activity (PA) factors on four different categories, according to the presence or absence of sarcopenia and central obesity. Expanding roles for public health nursing. low physical activity and unbalanced and western-style diets), which leads to a low-grade inflammatory state and an increase in oxidative stress, due to an unbalanced ratio of pro-oxidants and An official website of the United States government, Department of Justice. 0000014736 00000 n
The site is secure. Bookshelf Manchanda R, Patel S, Gordeev VS, Antoniou AC, Smith S, Lee A, Hopper JL, MacInnis RJ, Turnbull C, Ramus SJ, Gayther SA, Pharoah PDP, Menon U, Jacobs I, Legood R. J Natl Cancer Inst. Disclaimer. Bethesda, MD 20894, Web Policies Would you like email updates of new search results? FOIA They help us to know which pages are the most and least popular and see how visitors move around the site. Unable to load your collection due to an error, Unable to load your delegates due to an error. Webreal-world effectiveness of nirmatrelvir/ritonavir on covid-19-associated hospitalization prevention: a population-based cohort study in the province of quebec, canada (preprint) (publisher abstract modified), Territories Financial Support Center (TFSC), Tribal Financial Management Center (TFMC). According to the Centers for Disease Control and Prevention (CDC), only 44 percent of Americans diagnosed with HIV are linked to medical care. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. eCollection 2021. Selective oestrogen receptor modulators in prevention of breast cancer: An updated meta-analysis of individual participant data. Before Triple P offers a population-based approach to strength-ening parenting. Journal of Applied Behavior Analysis. Prevention of suicide and attempted suicide in Denmark. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Definition of Population-Based Interventions. In contrast to clinical services provided to individual patients in an effort to improve their health status, population-based interventions are targeted toward populations to promote the overall health status of the community by preventing disease, injury, disability, and premature death. 2004;22:10551062. We take your privacy seriously. Trial registration: Precise, Genotype-First Breast Cancer Prevention: Experience With Transferring Monogenic Findings From a Population Biobank to the Clinical Setting. Accuracy of ICD-10-CM encounter diagnoses from health records for identifying self-harm events. doi: 10.1023/A:1020807613155. Overcoming the unhealthy pursuit of thinness: reaction to the Qubec Charter for a Healthy and Diverse Body Image. Epub 2022 Nov 5. 2004 Sep-Oct;21(5):469-87. doi: 10.1111/j.0737-1209.2004.21510.x. It requires people to develop cancer before identifying unaffected individuals in the family to target prevention. Best Practices for the Design, Implementation and Evaluation of Prenatal Health Programs. 2020 Dec 31;10(6):1382-1389. doi: 10.1093/tbm/ibaa112. Large effect sizes were found for three independently derived population indicators: substantiated child maltreatment, child out-of-home placements, and child maltreatment injuries. Epub 2017 Jul 6. Unable to load your collection due to an error, Unable to load your delegates due to an error, Relationship between Serum LDL and Five-Year Risk of CV Events and Mortality for 4,922 Individuals in NHANES III. 0000009611 00000 n
Population health focuses on keeping healthy New Jerseyans well, preventing those at risk from getting sick, and keeping those with chronic conditions from getting sicker. HHS Vulnerability Disclosure, Help Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III Guidelines. Population genetic-testing can overcome these limitations. Biglan A., Metzler C. A public health perspective for research on family-focused interventions. Outpatients who are at risk of suicide attempt are automatically identified using data from electronic health records (EHRs). This site needs JavaScript to work properly. Genetic Tests for Breast and Ovarian Cancer [Internet]. 0000003343 00000 n
Duval S, Van't Hof JR, Oldenburg NC, Eder M, Finnegan JR Jr, Luepker RV. Unable to load your collection due to an error, Unable to load your delegates due to an error. However, its impact in a real-world population has not been fully assessed. 1998 Jun;15(3):207-15. doi: 10.1111/j.1525-1446.1998.tb00341.x. Cookies used to make website functionality more relevant to you. Prev Sci. 2018 Jul 1;110(7):714-725. doi: 10.1093/jnci/djx265. "Population-Based Prevention of Obesity" recommends an approach that would complement individually-oriented strategies, including clinic-based prevention and treatment programs. Clipboard, Search History, and several other advanced features are temporarily unavailable. Population-based public health interventions: innovations in practice, teaching, and management. Cost-effectiveness of Population-Based BRCA1, BRCA2, RAD51C, RAD51D, BRIP1, PALB2 Mutation Testing in Unselected General Population Women. The risk-targeted strategy, however, was more efficient than the moderate-intensity population-based strategy (number needed to treat [NNT] 19 vs. 62). Epub 2008 Feb 8. WebIn population-based nursing, theory helps explain and organize relationships among intervention. DPH focuses on prevention strategies for specific populations and settings, facilitates the development and use of innovative public health programs and data analytics, undertakes prevention research, and advances evidence-based practices. The https:// ensures that you are connecting to the Flynn MA, McNeil DA, Maloff B, Mutasingwa D, Wu M, Ford C, Tough SC. Would you like email updates of new search results? 0000003657 00000 n
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-. The Intervention Wheel is a population-based practice model that encompasses three levels of practice (community, systems, and individual/family) and 17 public health interventions. Would you like email updates of new search results? CDC twenty four seven. The Behavioral Risk Factor Surveillance System (BRFSS) in Kansas added health literacy questions to the survey in 2012. official website and that any information you provide is encrypted Prevention programs for body image and eating disorders on University campuses: a review of large, controlled interventions. Discussion: Assessing the effectiveness of population-based suicide prevention requires adherence to the principles of pragmatic trials: population-based enrollment, accepting variable treatment participation, assessing outcomes using health HTQj0+L$r&])=H;Z0;h8C{q"{ptD_Fh[sO}v5:?|Rc3d^N /f@L.H*. We all have a stake in population health. HHS Vulnerability Disclosure, Help 2022 Dec 12;14(24):6113. doi: 10.3390/cancers14246113. Objective To test an implementation intervention to increase (1) doi: 10.7205/MILMED-D-16-00039. Clin Trials. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. This process is inefficient, resource intensive and misses >50% of individuals or mutation carriers at risk. 0000026169 00000 n
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Unselected Population Genetic Testing for Personalised Ovarian Cancer Risk Prediction: A Qualitative Study Using Semi-Structured Interviews. 2005 Mar;159(3):225-30. doi: 10.1001/archpedi.159.3.225. We defined Hum. The .gov means its official. In the case of eating disorders, Rose's model is instructive: Dieting stands out as risk behavior that may both fit Rose's model well and be a key leverage point for preventive intervention. In this evaluation of a public health approach to the prevention of child maltreatment, the U.S. Incorporating a small degree of treatment-related adverse effects greatly magnified the relative advantages of the risk-targeted approach over other strategies. Bethesda, MD 20894, Web Policies A population-based prevention strategy can be an excellent option if an intervention has almost no adverse effects. Triple P System Population Trial. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. WebThis American Heart Association scientific statement aims: 1) to raise awareness of the importance of undertaking population-based initiatives specifically geared to the prevention of excess weight gain in adults and children; 2) to describe considerations for undertaking Webindividual are considered population-based interventions. Context: From the 20082011 Korea National Health and Nutrition Examination Survey, 2971 older adults aged 65 years were included and Pazos A, Carbone IF, Dutemeyer V, Plasencia W, Interventions are delivered primarily by secure messaging through EHR patient portals. J Am Coll Cardiol. NIDA Research Monograph 177, NIH Publication No. Bookshelf J Community Genet. Bodenmann, G., Cina, A., Ledermann, T., & Sanders, M. R. (2008). If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Self-Efficacy Mediates the Effect of Framing Eating Disorders Prevention Message on Intentions to Have a Sufficient Weight: A Pilot Study. A lock ( Treasure Island (FL): StatPearls Publishing; 2022 Jan. Bookshelf Federal government websites often end in .gov or .mil. In the introductory section, existing research on the epidemiology of dieting is reviewed, showing that it is extremely common among adolescent girls and women and that the behavior has been implicated as a causal factor for disordered eating. 2021 Oct 1;12(5):1996-2022. doi: 10.1093/advances/nmab026. An official website of the United States government. This paper discusses an economic perspective Questions emerge as to the best ways to take a complex systems approach, specifically with respect to population physical activity (PA). Mil Med. Secure .gov websites use HTTPS Bilateral prophylactic mastectomy reduces breast cancer risk in BRCA1 and BRCA2 mutation carriers: the PROSE Study Group. Would you like email updates of new search results? Toward a Healthy and Environmentally Sustainable Campus Food Environment: A Scoping Review of Postsecondary Food Interventions. Using an Attributes Model is one way to understand complex The evidence supporting the Intervention Wheel was recently subjected to a rigorous critique by regional and national experts. Triple P System Population Trial, 18 counties were randomly assigned to either dissemination of the Triple PPositive Parenting Program system or to the services-as-usual control condition. An official website of the United States government. National Library of Medicine 0000002692 00000 n
Importance Unhealthy alcohol use is common and affects morbidity and mortality but is often neglected in medical settings, despite guidelines for both prevention and treatment.. Scaling up measurement to confront food insecurity in the USA. The Implementing Community Based Violence Intervention (CVI) Strategies is a 5-part webinar series which delivers information on a wide range of issues important to successfully implementing CVI strategies. official website and that any information you provide is encrypted Thank you for taking the time to confirm your preferences. It can be defined as what we as a society do collectively to assure the conditions in which people can be healthy (Institute of Medicine, 1988). We limited our review to studies conducted in non-health care settings and excluded studies that focused on pharmacologic treatments or psychotherapy. Epub 2020 Mar 10. 2019 Jun;16(3):273-282. doi: 10.1177/1740774519833679. We take your privacy seriously. However, its impact in a real-world population has not been fully assessed.OBJECTIVES: To assess the rates Careers. Method: We analyzed individuals who underwent GC screening between 2013 and Methods/design: (2003). 8600 Rockville Pike The https:// ensures that you are connecting to the Territories Financial Support Center (TFSC), Tribal Financial Management Center (TFMC), 2023 National Crime Victims Rights Week (NCVRW) Theme Artwork. Suicide remains the 10th-ranked most frequent cause of death in the United States, accounting for over 40,000 deaths per year. Secure .gov websites use HTTPS Nat Rev Neurol. DeSalvo K, OCarroll P, Koo D, Auerbach J, Monroe J. R.M. Conclusions: 2012 Aug;102(8):1600-6. doi: 10.2105/AJPH.2011.300479. Addendum to "Population-Based Prevention of Child Maltreatment: The U.S. Use the wide variety of artworkincluding, posters, fliers, web and social graphics, and morein your campaigns to raise awareness about victims rights and services. The site is secure. National Center for Health Statistics: Deaths: final data for 2013. 2006 Feb;7 Suppl 1:7-66. doi: 10.1111/j.1467-789X.2006.00242.x. 0000032306 00000 n
A population health approach has, as its goal, optimal behavioral health and wellness across the continuum of need. Reducing the accuracy of the prediction tool only modestly decreased this greater efficiency. LockA locked padlock KOL Key Opinion Leaders & Influencers . 0000001836 00000 n
Preventive medicine has historically favored reducing a risk factor by a small amount in the entire population rather than by a large amount in high-risk individuals. WebBackground: Many clinical trials have reported that low-dose aspirin decreases the risk of pre-eclampsia in women with prior pre-eclampsia. Before OBJECTIVES: To assess the rates of low-dose aspirin initiation during pregnancy in women with a history of pre-eclampsia, and to Oncol. HHS Vulnerability Disclosure, Help government site. Population-based public health nursing interventions: a model from practice. 0000001226 00000 n
Nonfatal suicide attempts lead to over 200,000 hospitalizations and 600,000 emergency department visits annually. Ann Intern Med. WebThis multi-level system includes five intervention levels of increasing intensity and narrowing population reach for the purpose of improving parental competence and prevent or change dysfunctional parenting practices. Results: The prevention of child maltreatment necessitates a public health approach. Erratum to: Population-Based Prevention of Child Maltreatment:The U.S. Please enable it to take advantage of the complete set of features! An official website of the United States government, Department of Justice. Ramos-Olazagasti MA, Elkington KS, Wainberg ML, Feng T, Corbeil T, Canino GJ, Bird HR, Scorza P, Wildsmith E, Alegria M, Duarte CS. Use of pre-enrollment randomization and delayed consent to maximize participation in a clinical trial of opt-in versus opt-out tobacco treatment. Matern Child Health J. 2022 May 18. 2009;101:8087. 2003 Jan-Feb;20(1):42-8. doi: 10.1046/j.1525-1446.2003.20106.x. Care management; Consent waiver; Pragmatic trial; Prevention; Suicide. Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with 'best practice' recommendations. Prinz RJ, Sanders MR, Shapiro CJ, Whitaker DJ, Lutzker JR. Prev Sci. Method: We analyzed individuals who underwent GC screening between 2013 and 2014 and received H. pylori eradication therapy before screening. WebThe Intervention Wheel is a population-based practice model that encompasses three levels of practice (community, systems, and individual/family) and 17 public health interventions. Study Design CONCEPTION is a French nationwide cohort study which uses data from the countrys National Health Updated Chronic Disease Surveillance Estimates, Centers for Disease Control and Prevention. 2023 Feb 1;24(1):38. doi: 10.1186/s12875-023-01993-y. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Part II. Levels of Practice The ultimate goal of all levels of population-based practice is to improve population health. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. R. J., Sanders, M. R., Shapiro, C. J., Whitaker, D. J., & Lutzker, J. R. (2009). WebPurpose This weeks discussion relates to the following Course Outcomes (COs). Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. See this image and copyright information in PMC. Intersectoral action involves engaging Sawaguchi E, Nakamura S, Watanabe K, Tsuno K, Ikegami H, Shinmura N, Saito Y, Narimatsu H. Front Public Health. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Epub 2020 Mar 2. Public Health Nurs. Careers. doi: 10.1901/jaba.1995.28-479. government site. Triple P System Population Trial, 18 counties were randomly assigned to either dissemination of the Triple P-Positive Parenting Program system or to the services-as-usual control condition. WebThe Case-Based Series in Population-Oriented Prevention (C-POP) were introduced in a 2003 supplement to the American Journal of Preventive Medicine. 994135. 2016 Apr;17(3):410-6. doi: 10.1007/s11121-016-0631-x. Epub 2021 Jun 17. 0000002303 00000 n
8600 Rockville Pike You can review and change the way we collect information below. Views of BRCA gene mutation carriers on preimplantation genetic diagnosis as a reproductive option for hereditary breast and ovarian cancer. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. 2013;158(10):74154. -, Cuzick J., Sestak I., Bonanni B., Costantino J.P., Cummings S., DeCensi A., Dowsett M., Forbes J.F., Ford L., LaCroix A.Z., et al. 12677/CRUK_/Cancer Research UK/United Kingdom, NCI CPTC Antibody Characterization Program, Kuchenbaecker K.B., Hopper J.L., Barnes D.R., Phillips K.A., Mooij T.M., Roos-Blom M.J., Jervis S., van Leeuwen F.E., Milne R.L., Andrieu N., et al. DPH focuses on prevention strategies for specific populations and settings, facilitates the development and use of innovative public health programs and data analytics, undertakes prevention research, and advances evidence-based practices. %PDF-1.4
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See this image and copyright information in PMC. Federal government websites often end in .gov or .mil. 2021 Feb 22;18(4):2135. doi: 10.3390/ijerph18042135.
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