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CBM 93-5



Health Care for Women: Access, Utilization, Outcomes


January 1990 through July 1993

580 Citations


Prepared by:

Loretta D. Ulincy, M.L.S., National Library of Medicine

Susan J. Simmons, Ph.D., R.N., Office on Women's Health, U. S. Public Health
Service
















U.S. DEPARTMENT OF HEALTH
 AND HUMAN SERVICES
Public Health Service
National Institutes of Health


National Library of Medicine
Reference Section
8600 Rockville Pike
Bethesda, Maryland 20894

1993




SERIES NOTE


Current Bibliographies in Medicine (CBM) is a continuation in part of the
National Library of Medicine's Literature Search Series, which ceased in 1987
with No. 87-15. In 1989 it also subsumed the Specialized Bibliography Series.
Each bibliography in the new series covers a distinct subject area of biomedicine
and is intended to fulfill a current awareness function. Citations are usually
derived from searching a variety of online databases. NLM databases utilized
include MEDLINE, AVLINE, BIOETHICSLINE, CANCERLIT, CATLINE, HEALTH, POPLINE and
TOXLINE. The only criterion for the inclusion of a particular published work is
its relevance to the topic being presented; the format, ownership, or location
of the material is not considered.

Comments and suggestions on this series may be addressed to:

                              Karen Patrias, Editor
                              Current Bibliographies in Medicine
                              Reference Section
                              National Library of Medicine
                              Bethesda, MD 20894
                              Phone: [phone]
                              Fax: [phone]
                              Internet: [e-mail]


Ordering Information:

Current Bibliographies in Medicine is sold by the Superintendent of Documents,
U.S. Government Printing Office, P.O. 371954, Pittsburgh, PA 15250-7954. To order
the entire CBM series for calendar year 1993 (approximately 7 bibliographies),
send $24.00 ($30.00 foreign) to the Superintendent of Documents citing GPO List
ID: CBM93. For your convenience an order blank is given inside the back cover.
Orders for individual bibliographies in the series ($3.50, $4.38 foreign) should
be sent to the Superintendent of Documents citing the title, CBM number, and the
GPO List ID given above.


Internet Access:

The Current Bibliographies in Medicine series is also available at no cost to
anyone with Internet access through FTP (File Transfer Protocol). FTP to
nlmpubs.nlm.nih.gov and login: as nlmpubs. The index file in the "bibs" directory
provides information on the bibliographies available.









Use of funds for printing this periodical has been approved by the Director of
the Office of Management and Budget through September 30, 1993.




HEALTH CARE FOR WOMEN: ACCESS, UTILIZATION, OUTCOMES


Women's health issues in general, and women's health care needs in particular,
are foremost among the Nation's public health priorities. Meeting the health care
needs of women requires a comprehensive understanding of several interrelated
issues, including: the social, cultural, economic and physical environments of
women; financial access to health care services; provider awareness of the need
for women's health services; and the content, quality and outcomes of health
services provided to women.

Over the past decade, the U.S. Public Health Service (PHS) has responded to the
importance of women's health. The development and implementation of women's
health activities across PHS is based on a set of criteria for defining women's
health issues: conditions or diseases unique to women, more prevalent or more
serious in women, or for which the risk factors or interventions are different
for women. Included in this definition are differences due to health care
considerations, including the availability, affordability, and appropriateness
of health care services for women.

This bibliography addresses a number of key issues influencing health care for
women in the United States. Issues are arranged in 9 major categories, including
sections on underserved populations; financial access barriers; lifestage
considerations; health care provider concerns; and a broad range of issues
pertaining to maternal-infant health, reproductive health and health behaviors
(e.g., smoking and substance abuse) and health conditions (e.g., cancer and
HIV/AIDS).

This bibliography lists selected references on women's health care issues
published as monographs, journal articles, government reports, technical reports,
hearings and news items from January 1990 through July 1993. Arrangement of the
bibliography is by subject format; given the crosscutting nature of many of these
issues, citations may appear in more than one subject area. Citations have been
restricted to the English language literature.






SEARCH STRATEGY


A variety of online databases are usually searched in preparing bibliographies
in the CBM series. To assist you in updating or otherwise manipulating the
material in this search, the strategy used for the NLM's MEDLINE database is
given below. Please note that the search strategies presented here differ from
individual demand searches in that they are generally broadly formulated and
irrelevant citations edited out prior to printing.

SS 1 = WOMEN'S HEALTH OR WOMEN'S HEALTH SERVICES OR EXP MATERNAL HEALTH SERVICES

SS 2 = *HEALTH SERVICES (PX)

SS 3 = 2 AND NOT 1

SS 4 = *HEALTH FACILITIES (PX) OR EXP *ECONOMICS OR EXP *DELIVERY OF HEALTH CARE

SS 5 = EXP *HEALTH PLANNING OR EXP *ATTITUDE TO HEALTH OR HEALTH SERVICES
ACCESSIBILITY

SS 6 = *HEALTH SERVICES NEEDS A#D DEMAND OR *HEALTH CARE RATIONING OR EXP
*SOCIOECONOMIC FACTORS OR *CONTINUITY OF PATIENT CARE

SS 7 = 3 OR 4 OR 5 OR 6

SS 8 = EXP WOMEN OR ALL WOM#N# OR ALL MOTHER# OR ALL MATERNAL: OR EXP PREGNANCY
OR ALL GIRL# OR ALL WIDOW#

SS 9 = 7 AND 8

SS 10 = 1 OR 9

SS 11 = 10 AND NOT FOR (LA)


GRATEFUL MED

To make online searching easier and more efficient, the Library offers GRATEFUL
MED, microcomputer-based software that provides a user-friendly interface to most
NLM databases. This software was specifically developed for health professionals
and features multiple choice menus and "fill in the blank" screens for easy
search preparation. GRATEFUL MED runs on an IBM PC (or IBM-compatible) with DOS
2.0 or a Macintosh, and requires a Hayes (or Hayes-compatible) modem. It may be
purchased from the National Technical Information Service in Springfield,
Virginia, for $29.95 (plus $3.00 per order for shipping). For your convenience,
an order blank has been enclosed at the back of this bibliography.


SAMPLE CITATIONS


Citations in this bibliographic series are formatted according to the rules
established for Index Medicus*. Sample journal and monograph citations appear
below. For journal articles written in a foreign language, the English
translation of the title is placed in brackets; for monographs, the title is
given in the original language. In both cases the language of publication is
shown by a three letter abbreviation appearing at the end of the citation. Note
also that a colon (:) may appear within an author's name or article title. The
NLM computer system automatically inserts this symbol in the place of a
diacritical mark.




Journal Article:

                     Authors                                 Article Title

          Burton WN, Erickson D, Briones J. Women's health programs at the workplace.
                    J Occup Med 1991 Mar;33(3):349-50.

   Abbreviated Journal Date Volume Issue Pages
    Title



Monograph:

                     Authors/Editors                                             Title

          Wiener, Joshua M.; Engel, Jeannie. Improving access to health services for
children and pregnant women. Washington (DC): Brookings Institution; 1991. 90 p.

                              Place of              Publisher           Date  Total No.
                    Publication                                         of Pages





_________________________________

*For details of the formats used for references, see the following publication:

Patrias, Karen. National Library of Medicine recommended formats for
bibliographic citation. Bethesda (MD): The Library; 1991 Apr. Available from:
NTIS, Springfield, VA; PB91-182030.


TABLE OF CONTENTS





          Health Care for Women
                    General Issues

                    Financial Access

                    Gender Differences

                    Underserved Populations

                    Lifestage Issues

                              General
                              Adolescent women

                              Older women

                    Provider Awareness

                    Maternal/Infant Health

                    Reproductive Health

                    Health Conditions and Behaviors

                              Cancer

                              HIV/AIDS and other sexually transmitted diseases

                              Mental health/violence

                              Smoking

                              Substance abuse



HEALTH CARE FOR WOMEN

General Issues


Advance data from Vital and Health Statistics: Numbers 31-40. Vital and Health
Statistics Series. Hyattsville (MD): National Center for Health Statistics; 1990
Sep. Report No.: DHHS/PUB/PHS-90-1863; VHS/SER-16/4. 89 p. Available from: NTIS,
Springfield, VA; PB91-136184. See also PB-208208.

Anson O, Rosenzweig A, Shwarzmann P. The health of women married to men in
regular army service: women who cannot afford to be ill. Women Health
1993;20(1):33-45.

Bass M, Howes J. Women's health: the making of a powerful new public issue.
Womens Health Issues 1992 Spring;2(1):3-5.

Burton WN, Erickson D, Briones J. Women's health programs at the workplace. J
Occup Med 1991 Mar;33(3):349-50.

Carney P, Dietrich AJ, Freeman DH Jr. Improving future preventive care through
educational efforts at a women's community screening program.  J Community Health
1992 Jun;17(3):167-74.

Clancy CM, Massion CT. American women's health care. A patchwork quilt with gaps.
JAMA 1992 Oct 14;268(14):1918-20.

Collins J. Health care of women in the workplace. Health Care Women Int
1990;11(1):21-32.

Duelberg SI. Preventive health behavior among black and white women in urban and
rural areas. Soc Sci Med 1992 Jan;34(2):191-8.

Gurwitz JH, Col NF, Avorn J. The exclusion of the elderly and women from clinical
trials in acute myocardial infarction. JAMA 1992 Sep 16;268(11):1417-22.

Liu CP. A review of hospital-based women's health services: programs, customers,
and facilities. Hosp Top 1992 Winter;70(1):14-7.

Lucas VA. An investigation of the health care preferences of the lesbian
population. Health Care Women Int 1992 Apr-Jun;13(2):221-8.

Marwick C. Women's health action plan sees first anniversary [news]. JAMA 1992
Oct 14;268(14):1816-7, 1821.

McElmurry BJ, Swider SM, Bless C, Murphy D, Montgomery A, Norr K, Irvin Y, Gantes
M, Fisher M. Community health advocacy: primary health care nurse-advocate teams
in urban communities. NLN Publ 1990 Sep;(41-2281):117-31.

McKenzie N, Bilofsky E, Lerner S. Women and the health care system. Health PAC
Bull 1992 Summer;22(2):3-5, 35.

Nemes J. Women's hospitals redefine strategy. Mod Healthc 1991 Aug
26;21(34):22-7.

Powers TL, Anderson SP. Attributes and perceived benefits of women's health care
services. J Hosp Mark 1990;4(2):33-47.

Rodriguez-Trias H. Women's health, women's lives, women's rights [editorial]. Am
J Public Health 1992 May;82(5):663-4.

Romans MC. The Jacobs Institute of Women's Health. Womens Health Issues 1990
Fall;1(1):2-3.

Romeis JC, Gillespie KN, Virgo KS, Thorman KE. Female veterans' and nonveterans'
use of health care services. Med Care 1991 Sep;29(9):932-6.

Ruzek SB. Towards a more inclusive model of women's health [editorial]. Am J
Public Health 1993 Jan;83(1):6-8.

Schroeder P. Women's health: a focus for the 1990s [editorial]. Womens Health
Issues 1992 Spring;2(1):1-2.

Stephens B. Women's center program. Targeting midlife women. Profiles Healthc
Mark 1991 Apr;(42):42-5.

Stephens B. Women's services. "Be smart" theme attracts women. Profiles Healthc
Mark 1991 Apr;(42):35-41.

Villa Dresser CM ; Carroll MD ; Abraham S. Advance Data from Vital and Health
Statistics: Numbers 21-30. Vital and Health Statistics Series. Hyattsville (MD):
National Center for Health Statistics; 1990 May. Report No. DHHS/PUB/PHS-90-1862.
87 p. Available from: NTIS, Springfield, VA; PB90-208208. Also published as
National Center for Health Statistics Report No.: VHS/SER-16/3. See also
PB90-171695.

Vital and Health Statistics. Advance data from Vital and Health Statistics:
numbers 51-60. Series 16: Compilations of advance data from Vital and Health
Statistics, No. 6. 1991 Aug. Report No.: DHHS/PUB/PHS-91-1865, VHS/SER-16/6. 106
p. (Vital and Health Statistics series). Available from: NTIS, Springfield, VA;
PB92-106483. Sponsored by the National Center for Health Statistics.

Wallis LA, Klass P. Toward improving women's health care. J Am Med Wom Assoc 1990
Nov-Dec;45(6):219-21.

The Women's Health Data Book. A profile of women's health in the United States.
Womens Health Issues 1992;Suppl:1-145.

Wysocki S. Women's health care: equality for the 90s. Nurse Pract Forum 1991
Mar;2(1):8-10.

          Financial Access


Alexander GR, Tompkins ME, Petersen DJ, Weiss J. Source of bias in prenatal care
utilization indices: implications for evaluating the Medicaid expansion. Am J
Public Health 1991 Aug;81(8):1013-6.

Baird S. Medicare and Medicaid: opportunity or dilemma? J Health Care Poor
Underserved 1990 Summer;1(1):39-45; discussion 46-7.

Baker SL, Kronenfeld JJ. Medicaid prospective payment: case-mix increase. Health
Care Financ Rev 1990 Fall;12(1):63-70.

Bennett T. Insuring women's health [letter]. J Health Polit Policy Law 1991
Fall;16(3):589-93.

Braveman P, Bennett T, Lewis C, Egerter S, Showstack J. Access to prenatal care
following major Medicaid eligibility expansions. JAMA 1993 Mar 10;269(10):1285-9.

Carey TS, Weis K, Homer C. Prepaid versus traditional Medicaid plans: lack of
effect on pregnancy outcomes and prenatal care. Health Serv Res 1991
Jun;26(2):165-81.

Cline KE. A comparison of the effects of per case and per diem based charges on
the distribution of hospital costs across employer groups. Med Care 1990
Aug;28(8):681-702.

Clinics provide care to those who can't pay. Calif Hosp 1991 Nov-Dec;5(6):10-1.

Coburn AF, McDonald TP. The effects of variations in AFDC and Medicaid
eligibility on prenatal care use. Soc Sci Med 1992 Oct;35(8):1055-63.

Devaney B, Bilheimer L, Schore J. Medicaid costs and birth outcomes: the effects
of prenatal WIC participation and the use of prenatal care. J Policy Anal Manage
1992 Fall;11(4):573-92.

Elixhauser A, Weschler JM, Kitzmiller JL, Bennert HW, Coustan DR, Gabbe SG,
Herman W, Kaufmann RC, Ogata ES, Marks JS, et al. Financial implications of
implementing standards of care for diabetes and pregnancy. Diabetes Care 1992
Mar;15 Suppl 1:22-8.

Finn urges Congress to include nutrition services in the standard health benefits
package. J Am Diet Assoc 1993 Jun;93(6):640-1.

Forrest JD, Singh S. Public-sector savings resulting from expenditures for
contraceptive services. Fam Plann Perspect 1990 Jan-Feb;22(1):6-15.

Fossett JW, Perloff JD, Kletke PR, Peterson JA. Medicaid patients' access to
office-based obstetricians. J Health Care Poor Underserved 1991
Spring;1(4):405-21.

Fossett JW, Perloff JD, Peterson JA, Kletke PR. Medicaid in the inner city: the
case of maternity care in Chicago. Milbank Q 1990;68(1):111-41.

Fox MH, Weiner JP, Phua K. Effect of Medicaid payment levels on access to
obstetrical care. Health Aff (Millwood) 1992 Winter;11(4):150-61.

Goldfarb NI, Hillman AL, Eisenberg JM, Kelley MA, Cohen AV, Dellheim M. Impact
of a mandatory Medicaid case management program on prenatal care and birth
outcomes. A retrospective analysis. Med Care 1991 Jan;29(1):64-71.

Haas JS, Udvarhelyi S, Epstein AM. The effect of health coverage for uninsured
pregnant women on maternal health and the use of cesarean section. JAMA 1993 Jul
7;270(1):61-4.

Haas JS, Udvarhelyi IS, Morris CN, Epstein AM. The effect of providing health
coverage to poor uninsured pregnant women in Massachusetts. JAMA 1993 Jan
6;269(1):87-91.

Harvey SM, Faber KS. Obstacles to prenatal care following implementation of a
community-based program to reduce financial barriers. Fam Plann Perspect 1993
Jan-Feb;25(1):32-6.

Health care reform legislative platform: economic benefits of nutrition services.
J Am Diet Assoc 1993 Jun;93(6):686-90.

Holland S, Peterson K. The health care Titanic: women and children first? Second
Opin 1993 Jan;18(3):11-29.

Howell EM, Herz EJ, Wang RH, Hirsch MB. A comparison of Medicaid and non-Medicaid
obstetrical care in California. Health Care Financ Rev 1991 Summer;12(4):1-15.

Jencks SF, Benedict MB. Accessibility and effectiveness of care under Medicaid.
Health Care Financ Rev 1990 Dec;Spec No:47-56.

Knedle-Murray ME, Oakley DJ, Wheeler JR, Petersen BA. Production process
substitution in maternity care: issues of cost, quality, and outcomes by nurse-
midwives and physician providers. Med Care Rev 1993 Spring;50(1):81-112.

Krieger JW, Connell FA, LoGerfo JP. Medicaid prenatal care: a comparison of use
and outcomes in fee-for-service and managed care. Am J Public Health 1992
Feb;82(2):185-90.

Mayer JP. A time series study of the impact of eligibility expansion on Medicaid
financing of births. J Health Soc Policy 1993;4(2):1-17.

Mayer JA, Slymen DJ, Jones JA, Allen JL, Eckhardt LE, Hovell MF, Williams SJ.
Mammography knowledge and intentions among insured women. Prev Med 1992
Jan;21(1):8-17.

McManus MA, Fox HB, Newacheck PW, Wicks LN. How will children and pregnant women
fare under current national health insurance proposals? Am J Dis Child 1992
Nov;146(11):1376-80.

Medicaid eligibility, prenatal care, and the outcome of pregnancy [letter]. JAMA
1991 Feb 27;265(8):974-5.

Moatti JP, Le Gales C, Julian C, Durbec JP, Mattei JF, Ayme S. Socio-cultural
inequities in access to prenatal diagnosis: the role of insurance coverage and
regulatory policies. Prenat Diagn 1990 May;10(5):313-25.

Neuwirth C. Medicaid expansions for prenatal care state and local implementation.
Final report. 1992 Jan. Dallas (TX): Dept. of Health and Human Services, Office
of Evaluation and Inspections. Report No.: HHS/OG/OEI/6-90/00160. 82 p. Available
from: NTIS, Springfield, VA; PB92-167519. See also PB88-135199.

Oberg CN, Lia-Hoagberg B, Skovholt C, Hodkinson E, Vanman R. Prenatal care use
and health insurance status. J Health Care Poor Underserved 1991
Fall;2(2):270-92.

Olds DL, Henderson CR Jr, Phelps C, Kitzman H, Hanks C. Effect of prenatal and
infancy nurse home visitation on government spending. Med Care 1993
Feb;31(2):155-74.

Piper JM, Ray WA, Griffin MR, Fought R, Daughtery JR, Mitchel E Jr.
Methodological issues in evaluating expanded Medicaid coverage for pregnant
women. Am J Epidemiol 1990 Sep;132(3):561-71.

Reis J. Medicaid maternal and child health care: prepaid plans vs. private fee-
for-service. Res Nurs Health 1990 Jun;13(3):163-71.

Sofaer S, Abel E. Older women's health and financial vulnerability: implications
of the Medicare benefit structure. Women Health 1990;16(3-4):47-67.

St Clair PA, Smeriglio VL, Alexander CS, Connell FA, Niebyl JR. Situational and
financial barriers to prenatal care in a sample of low-income, inner-city women.
Public Health Rep 1990 May-Jun;105(3):264-7.

Strobino DM, Kane LP, Frank RG, Decoster E. Trends in publicly financed prenatal
and related services, 1975-1984. J Public Health Policy 1992 Autumn;13(3):277-90.

Studies of health care policies show allocation inequities. Hosp Ethics 1992 Mar-
Apr;8(2):4-5.

Weiner J, Bernhardt BA. A survey of state Medicaid policies for coverage of
abortion and prenatal diagnostic procedures. Am J Public Health 1990
Jun;80(6):717-20.

Weis D. Uninsured maternity clients: a concern for quality. Appl Nurs Res 1992
May;5(2):74-82.

          Gender Differences


Anson O, Carmel S, Levin M. Gender differences in the utilization of emergency
department services. Women Health 1991;17(2):91-104.

Ayanian JZ, Epstein AM. Differences in the use of procedures between women and
men hospitalized for coronary heart disease. N Engl J Med 1991 Jul
25;325(4):221-5.

Barry P. Coronary artery disease in older women. Geriatrics 1993 Jun;48 Suppl
1:4-8.

Bickell NA, Pieper KS, Lee KL, Mark DB, Glower DD, Pryor DB, Califf RM. Referral
patterns for coronary artery disease treatment: gender bias or good clinical
judgment? Ann Intern Med 1992  May 15;116(10):791-7.

Cannistra LB, Balady GJ, O'Malley CJ, Weiner DA, Ryan TJ. Comparison of the
clinical profile and outcome of women and men in cardiac rehabilitation. Am J
Cardiol 1992 May 15;69(16):1274-9.

Franks P, Clancy CM. Physician gender bias in clinical decisionmaking: screening
for cancer in primary care. Med Care 1993 Mar;31(3):213-8.

Gerrard M, Breda C, Gibbons FX. Gender effects in couples' sexual decision making
and contraceptive use. J Appl Soc Psychol 1990 Apr;20(6):449-64.

Green LA, Ruffin MT 4th. Differences in management of suspected myocardial
infarction in men and women. J Fam Pract 1993 Apr;36(4):389-93.

Hall JA, Palmer RH, Orav EJ, Hargraves JL, Wright EA, Louis TA. Performance
quality, gender, and professional role. A study of physicians and nonphysicians
in 16 ambulatory care practices. Med Care 1990 Jun;28(6):489-501.

Heston TF, Lewis LM. Gender bias in the evaluation and management of acute
nontraumatic chest pain. The St. Louis Emergency Physicians' Association Research
Group. Fam Pract Res J 1992 Dec;12(4):383-9.

Kenen RH, Armstrong K. The why, when and whether of condom use among female and
male drug users. J Community Health 1992 Oct;17(5):303-17.

King AC, Haskell WL, Taylor CB, Kraemer HC, DeBusk RF. Group- vs home-based
exercise training in healthy older men and women. A community-based clinical
trial. JAMA 1991 Sep 18;266(11):1535-42.

LaRosa JC. Lipids and cardiovascular disease: do the findings and therapy apply
equally to men and women? Womens Health Issues 1992 Summer;2(2):102-13.

Lee GR, Dwyer JW, Coward RT. Gender differences in parent care: demographic
factors and same-gender preferences. J Gerontol 1993 Jan;48(1):S9-16.

Leland NL, Barth RP. Gender differences in knowledge, intentions, and behaviors
concerning pregnancy and sexually transmitted disease prevention among
adolescents. J Adolesc Health 1992 Nov;13(7):589-99.

Maynard C, Litwin PE, Martin JS, Weaver WD. Gender differences in the treatment
and outcome of acute myocardial infarction. Results from the Myocardial
Infarction Triage and Intervention Registry. Arch Intern Med 1992
May;152(5):972-6.

Nice DS ; Hilton SM. Sex differences in health care requirements aboard U.S. navy
ships. Interim report. San Diego (CA): Naval Health Research Center; 1990 March
20. Report No.: NHRC-90-2. Contract No.: M0106; M0106001. 74 p. Available from:
NTIS, Springfield, VA; AD-A223 194/2.

Pearson ML, Kahn KL, Harrison ER, Rubenstein LV, Rogers WH, Brook RH, Keeler EB.
Differences in quality of care for hospitalized elderly men and women. JAMA 1992
Oct 14;268(14):1883-9.

Schoenbaum EE, Webber MP. The underrecognition of HIV infection in women in an
inner-city emergency room. Am J Public Health 1993 Mar;83(3):363-8.

Steingart RM, Packer M, Hamm P, Coglianese ME, Gersh B, Geltman EM, Sollano J,
Katz S, Moye L, Basta LL, et al. Sex differences in the management of coronary
artery disease. Survival and Ventricular Enlargement Investigators. N Engl J Med
1991 Jul 25;325(4):226-30.

Turpin RS, Darcy LA, Weaver FM, Kruse K. Assessing health care delivery to male
versus female veterans. Women Health 1992;18(1):81-95.

Wallen J. A comparison of male and female clients in substance abuse treatment.
J Subst Abuse Treat 1992;9(3):243-8.

Weisner C, Schmidt L. Gender disparities in treatment for alcohol problems. JAMA
1992 Oct 14;268(14):1872-6.

Wenger NK. Cardiovascular drugs: the urgent need for studies in women. J Am Med
Wom Assoc 1991 Jul-Aug;46(4):117-20.

Wenger NK. Coronary heart disease in women: status 1992. J Med Assoc Ga 1992
Dec;81(12):679-81.

Wenger NK. Exclusion of the elderly and women from coronary trials. Is their
quality of care compromised? [editorial]. JAMA 1992 Sep 16;268(11):1460-1.

Young RF, Kahana E. Gender, recovery from late life heart attack, and medical
care. Women Health 1993;20(1):11-31.

          Underserved Populations


Aguirre ST. (Maternal and Child Health, Rockville MD). Border Maternity Health
Care Project. Final report 1 Oct 83-30 Sep 87. Rockville (MD): Maternal and Child
Health Bureau; 1991. Report No: MCJ-063281-03. 22 p. Available from: NTIS,
Springfield, VA; PB91-225144.

Ahmed F, McRae JA, Ahmed N. Factors associated with not receiving adequate
prenatal care in an urban black population: program planning implications. Soc
Work Health Care 1990;14(3):107-23.

Alcalay R, Ghee A, Scrimshaw S. Designing prenatal care messages for low-income
Mexican women. Public Health Rep 1993 May-Jun;108(3):354-62.

Auslander WF, Haire-Joshu D, Houston CA, Fisher EB Jr. Community organization to
reduce the risk of non-insulin-dependent diabetes among low-income African-
American women. Ethn Dis 1992 Spring;2(2):176-84.

Baker SL, Kronenfeld JJ. High risk channeling to improve Medicaid maternal and
infant care. J Health Soc Policy 1992;3(4):29-49.

Balcazar H, Cole G, Hartner J. Mexican-Americans' use of prenatal care and its
relationship to maternal risk factors and pregnancy outcome. Am J Prev Med 1992
Jan-Feb;8(1):1-7.

Brickner, Philip W.; Scharer, Linda Keen; Conanan, Barbara A., et al., editors.
Under the safety net: the health and social welfare of the homeless in the United
States. New York: Norton; 1990. 439 p.

Braxton G. Wellbeing is our birthright. The meaning of empowerment for women of
color. Health PAC Bull 1991 Winter;21(4):9-11.

Buechner JS, Scott HD, Smith JL, Humphrey AB. WIC program participation--a
marketing approach. Public Health Rep 1991 Sep-Oct;106(5):547-56.

Burks JA. Factors in the utilization of prenatal services by low-income black
women. Nurse Pract 1992 Apr;17(4):34, 46, 49.

Burns J. Hospital, Hispanic TV station put health series on the air. Mod Healthc
1992 Mar 2;22(9):60.

Calsyn RJ, Morse G. Homeless men and women: commonalities and a service gender
gap. Am J Community Psychol 1990 Aug;18(4):597-608.

Clarke LL, Miller MK, Vogel WB, Davis KE, Mahan CS. The effectiveness of
Florida's "Improved Pregnancy Outcome" program. J Health Care Poor Underserved
1993;4(2):117-32.

Cohen BB, Friedman DJ, Mahan CM, Lederman R, Munoz D. Ethnicity, maternal risk,
and birth weight among Hispanics in Massachusetts, 1987-89. Public Health Rep
1993 May-Jun;108(3):363-71.

Cordero L, Hines S, Shibley KA, Landon MB. Perinatal outcome for women in prison.
J Perinatol 1992 Sep;12(3):205-9.

Crane AB. HRSA's collaborative efforts with national organizations to expand
primary care for the medically underserved. Public Health Rep 1991 Jan-
Feb;106(1):10-4.

Crawford AN, Lennon MA. Dental attendance patterns among mothers and their
children in an area of social deprivation. Community Dent Health 1992
Sep;9(3):289-94.

The crisis in correctional health care: the impact of the National Drug Control
Strategy on correctional health services. American College of Physicians,
National Commission on Correctional Health Care, and American Correctional Health
Services Association. Ann Intern Med 1992 Jul 1;117(1):71-7.

Dail PW, Koshes RJ. Treatment issues and treatment configurations for mentally
ill homeless women. Soc Work Health Care 1992;17(4):27-44.

Davidson EC Jr, Gibbs CE, Chapin J. The challenge of care for the poor and
underserved in the United States. An American College of Obstetricians and
Gynecologists perspective on access to care for underserved women. Am J Dis Child
1991 May;145(5):546-9.

Domel SB, Alford BB, Cattlett HN, Gench BE. Weight control for black women. J Am
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          Lifestage Issues

                    -General


Cartoof VG, Klerman LV, Zazueta VD. The effect of source of prenatal care on
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                    -Adolescent women


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Pennbridge J, Mackenzie RG, Swofford A. Risk profile of homeless pregnant
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Ruch-Ross HS, Jones ED, Musick JS. Comparing outcomes in a statewide program for
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Sarvela PD, Ford TD. An evaluation of a substance abuse education program for
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Swenson IE. A profile of young adolescents attending a teen family planning
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                    -Older women


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Barry P. Coronary artery disease in older women. Geriatrics 1993 Jun;48 Suppl
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Blesch KS, Prohaska TR. Cervical cancer screening in older women. Issues and
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Breast Cancer Screening in Older Women. Forum. Sturbridge, Massachusetts, July
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Brown ML. Economic considerations in breast cancer screening of older women. J
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Burg MA, Lane DS. Mammography referrals for elderly women: is Medicare
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Coleman EA, Feuer EJ. Breast cancer screening among women from 65 to 74 years of
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Fox SA, Murata PJ, Stein JA. The impact of physician compliance on screening
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Fredriksen KI. North of Market: Older Women's Alcohol Outreach Program.
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Gale BJ. Psychosocial health needs of older women: urban versus rural
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Garner CH. Midlife women's health. NAACOGS Clin Issu Perinat Womens Health Nurs
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Goldstein MZ, Perkins CA. Mental health and the aging woman. Clin Geriatr Med
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Hopper SV. The influence of ethnicity on the health of older women. Clin Geriatr
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Jecker NS. Age-based rationing and women. JAMA 1991 Dec 4;266(21):3012-5.

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Lancaster G, Elton P. Does the offer of cervical screening with breast screening
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Logue BJ. Taking charge: death control as an emergent women's issue. Women Health
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Mandelblatt J, Traxler M, Lakin P, Kanetsky P, Kao R. Targeting breast and
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Mayer JA, Slymen DJ, Drew JA, Wright BL, Elder JP, Williams SJ. Breast and
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Menopause, hormone therapy, and women's health. Background paper. Washington
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Older women's health. Task Force on Older Women's Health. American Geriatrics
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Pharoah C, Redmond E. Care for ethnic elders. Health Serv J 1991 May
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Plichta SB, Weisman CS, Nathanson CA, Ensminger ME, Robinson JC. Partner-specific
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Romans MC. A report and recommendations from the Jacobs Institute-Mead Johnson
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Wilson-Ford V. Health-protective behaviors of rural black elderly women. Health
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          Provider Awareness


Abel TD. Women to have positive influence on the practice of medicine. Mich Med
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          Maternal / Infant Health


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          Health Conditions and Behaviors

                    -Cancer


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                    -HIV / AIDS and other sexually transmitted diseases


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Neonatal Nurs 1993 Mar-Apr;22(2):128-34.

Nyamathi A, Bennett C, Leake B, Lewis C, Flaskerud J. AIDS-related knowledge,
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Quirk ME, Godkin MA, Schwenzfeier E. Evaluation of two AIDS prevention
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Ramstedt K, Forssman L, Giesecke J, Granath F. Risk factors for Chlamydia
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Rhodes F, Wolitski RJ, Thornton-Johnson S. An experiential program to reduce AIDS
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Rickert VI, Gottlieb A, Jay MS. A comparison of three clinic-based AIDS education
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Rosser SV. AIDS and women. AIDS Educ Prev 1991 Fall;3(3):230-40.

Schoenbaum EE, Webber MP. The underrecognition of HIV infection in women in an
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Sellors JW, Pickard L, Gafni A, Goldsmith CH, Jang D, Mahony JB, Chernesky MA.
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Shayne VT, Kaplan BJ. Double victims: poor women and AIDS. Women Health
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Stratton P, Mofenson LM, Willoughby AD. Human immunodeficiency virus infection
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Tannenbaum I. The impact of HIV on women: gynecology, pregnancy, and family
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Tuomala R. Human immunodeficiency virus education and screening of prenatal
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Viadro CI, Earp JA. AIDS education and incarcerated women: a neglected
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Wofsy CB, Padian NS, Cohen JB, Greenblatt R, Coleman R, Korvick JA. Management
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                    -Mental health / violence


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Harlow SD, Goldberg EL, Comstock GW. A longitudinal study of risk factors for
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Heyding RK. Providing medical care to mentally ill women in the community.
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Koss MP, Koss PG, Woodruff WJ. Deleterious effects of criminal victimization on
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Kurz D. Interventions with battered women in health care settings. Violence Vict
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Lantican LS, Mayorga J. Effectiveness of a women's mental health treatment
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Lazzaro MV, McFarlane J. Establishing a screening program for abused women. J
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Leidig MW. The continuum of violence against women: psychological and physical
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Mattson S. Mental health of Southeast Asian refugee women: an overview. Health
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McCullough LB, Coverdale J, Bayer T, Chervenak FA. Ethically justified guidelines
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McFarlane J, Parker B, Soeken K, Bullock L. Assessing for abuse during pregnancy.
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Newberger EH, Barkan SE, Lieberman ES, McCormick MC, Yllo K, Gary LT, Schechter
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Nicholson J, Geller JL, Fisher WH, Dion GL. State policies and programs that
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Noel NL, Yam M. Domestic violence. The pregnant battered women. Nurs Clin North
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North CS, Smith EM. A systematic study of mental health services utilization by
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Physicians and domestic violence: ethical considerations. JAMA 1992 Jun
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Plichta S. The effects of woman abuse on health care utilization and health
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Rumptz MH, Sullivan CM, Davidson WS 2d, Basta J. An ecological approach to
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Ryan J, King C. Violence against women: clinical issues. NLN Publ 1992
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Sampselle CM, Petersen BA, Murtland TL, Oakley DJ. Prevalence of abuse among
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Ulrich YC. Women's reasons for leaving abusive spouses. Health Care Women Int
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Warren BJ, Menke EM, Clement J, Wagner J. The mental health of African-American
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                    -Smoking


Adams MM, Brogan DJ, Kendrick JS, Shulman HB, Zahniser SC, Bruce FC. Smoking,
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Windsor RA, Li CQ, Lowe JB, Perkins LL, Ershoff D, Glynn T. The dissemination of
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Windsor RA, Lowe JB, Perkins LL, Smith-Yoder D, Artz L, Crawford M, Amburgy K,
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                    -Substance abuse


Abdul-Quader AS, Des Jarlais DC, Tross S, McCoy E, Morales G, Velez I. Outreach
to injecting drug users and female sexual partners of drug users on the lower
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Abma JC, Mott FL. Substance use and prenatal care during pregnancy among young
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Broekhuizen FF, Utrie J, Van Mullem C. Drug use or inadequate prenatal care?
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Brown L. Women and children last. Barriers to drug treatment for women. Health
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Copeland J, Hall W, Didcott P, Biggs V. A comparison of a specialist women's
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Fredriksen KI. North of Market: Older Women's Alcohol Outreach Program.
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Hennessey MB. Identifying the woman with alcohol problems. The nurse's role as
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Illicit drug use by pregnant women. [Policy statement 9020]. Am J Public Health
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Joyce T, Racine AD, Mocan N. The consequences and costs of maternal substance
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Kane-Cavaiola C, Rullo-Cooney D. Addicted women: their families' effect on
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Kenen RH, Armstrong K. The why, when and whether of condom use among female and
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Klerman LV ; Johnson MA. Case studies of substance-abusing pregnant women, their
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Marques PR, McKnight AJ. Drug abuse risk among pregnant adolescents attending
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Martin CA, Rafter JA. The Women's Place: caring for addicted pregnant women. J
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McCalla S, Minkoff HL, Feldman J, Delke I, Salwin M, Valencia G, Glass L. The
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McCaul ME, Svikis DS, Feng T. Pregnancy and addiction: outcomes and
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Pelham TL, DeJong AR. Nationwide practices for screening and reporting prenatal
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Poland ML, Dombrowski MP, Ager JW, Sokol RJ. Punishing pregnant drug users:
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Rosenbaum M, Murphy S. Women and addiction: process, treatment, and outcome. NIDA
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Shoaee S. Women and alcoholism in America: policy analysis and gender-related
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Substance abuse in pregnancy: economic and social costs: Hearing before the
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Szwabo PA. Substance abuse in older women. Clin Geriatr Med 1993
Feb;9(1):197-208.

Walfish S, Stenmark DE, Sarco D, Shealy JS, Krone AM. Incidence of bulimia in
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Walfish S, Stenmark DE, Shealy SE, Krone AM. MMPI profiles of women in
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Wallen J. A comparison of male and female clients in substance abuse treatment.
J Subst Abuse Treat 1992;9(3):243-8.

Wambach KG, Byers JB, Harrison DF, Levine P, Imershein AW, Quadagno DM, Maddox
K. Substance use among women at risk for HIV infection. J Drug Educ
1992;22(2):131-46.

Weber EM. Alcohol- and drug-dependent pregnant women: laws and public policies
that promote and inhibit research and the delivery of services. NIDA Res Monogr
1992;117:349-65.

Weisner C, Schmidt L. Gender disparities in treatment for alcohol problems. JAMA
1992 Oct 14;268(14):1872-6.

Wells DV, Jackson JF. HIV and chemically dependent women: recommendations for
appropriate health care and drug treatment services. Int J Addict 1992
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Zellman, Gail L. Health care system response to prenatal substance use: an
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