Jonathan E Fielding
Biographic Data
| ID | 6059768 |
|---|---|
| NAME | Jonathan E Fielding |
| GIVEN NAMES | Jonathan E |
| FAMILY NAME | Fielding |
| SIGNATURE | FIELDING J E |
| AFFILIATIONS | University of California, Los Angeles |
| VERIFIED | No |
| TOTAL WORKS | 39 |
| TOTAL CITATIONS | 187 |
| AUTHOR COUNT | 38 |
| EDITOR COUNT | 1 |
| FIRST PUBLICATION YEAR | 1977 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 8 |
Our Catastrophe in Waiting: Climate Change
The Community Guide—A National Health Success Story
AffiliationsJonathan Fielding is with the Department of Health Policy & Management, Fielding School of Public Health, and the Department of Pediatrics, Geffen School of Medicine, University of California, Los Angeles
Commonsense Questions to Move Beyond Health Care at All Costs
AffiliationsBobby Milstein is with ReThink Health (an initiative of the Rippel Foundation) and the Massachusetts Institute of Technology Sloan School of Management, Cambridge, MA. Jonathan Fielding is with the University of California, Los Angeles Fielding School of Public Health and Geffen School of Medicine
Reduction in US Health Care Spending Required to Meet the Institute of Medicine’s 2030 Target
Objectives. To quantify changes in US health care spending required to reach parity with high-resource nations by 2030 or 2040 and identify historical precedents for these changes. Methods. We analyzed multiple sources of historical and projected spending from 1970 through 2040. Parity was defined as the Organisation for Economic Co-operation and Development (OECD) median or 90th percentile for per capita health care spending. Results. Sustained …
Excess Medical Care Spending: The Categories, Magnitude, and Opportunity Costs of Wasteful Spending in the United States
Landmark reports from reputable sources have concluded that the United States wastes hundreds of billions of dollars every year on medical care that does not improve health outcomes. While there is widespread agreement over how wasteful medical care spending is defined, there is no consensus on its magnitude or categories. A shared understanding of the magnitude and components of the issue may aid in systematically reducing wasteful spending and …
Building Capacity for Evidence-Based Public Health: Reconciling the Pulls of Practice and the Push of Research
Timely implementation of principles of evidence-based public health (EBPH) is critical for bridging the gap between discovery of new knowledge and its application. Public health organizations need sufficient capacity (the availability of resources, structures, and workforce to plan, deliver, and evaluate the preventive dose of an evidence-based intervention) to move science to practice. We review principles of EBPH, the importance of capacity bui…
The opportunity cost of pharmaceutical price increases: Improving health by investing in education
A federal law prohibits the US Government from negotiating pharmaceutical prices. This law comes with an opportunity cost: resources spent on unnecessarily highly priced drugs cannot be spent on other social goals. To calculate the opportunity cost of this spending, this analysis first identified a proxy for unnecessarily high pharmaceutical spending. We then estimated the value of the outcomes which this money would produce if invested in an alt…
Public health and the economy could be served by reallocating medical expenditures to social programs
As much as 30% of US health care spending in the United States does not improve individual or population health. To a large extent this excess spending results from prices that are too high and from administrative waste. In the public sector, and particularly at the state level, where budget constraints are severe and reluctance to raise taxes high, this spending crowds out social, educational, and public-health investments. Over time, as spendin…
Social Determinants of Health: Building Wide Coalitions Around Well-Honed Messages
Addressing Social Determinants of Health and Health Inequalities
Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolary…
Does neighbourhood composition modify the association between acculturation and unhealthy dietary behaviours
OBJECTIVE: Studies have shown that immigrants' acculturation is associated with numerous unhealthy behaviours. Yet, the role of environmental factors in modifying the effect of acculturation on health behaviours has received little attention. This study aims to create a more nuanced understanding of the health effects of acculturation by examining how neighbourhood immigrant composition modifies the association between individuals' eating pattern…
The Interaction Between an Individual’s Acculturation and Community Factors on Physical Inactivity and Obesity: A Multilevel Analysis
Objectives. We examined whether the interactions between primarily speaking English at home and community-level measures (median household income and immigrant composition) are associated with physical inactivity and obesity. Methods. We pooled the 2005 and 2007 Los Angeles County Health Survey data to construct a multilevel data set, with community-level median household income and immigrant density as predictors at the community level. After co…
Estimating the Costs and Benefits of Providing Free Public Transit Passes to Students in Los Angeles County: Lessons Learned in Applying a Health Lens to Decision-Making
In spite of increased focus by public health to engage and work with non-health sector partners to improve the health of the general as well as special populations, only a paucity of studies have described and disseminated emerging lessons and promising practices that can be used to undertake this work. This article describes the process used to conduct a Health Impact Assessment of a proposal to provide free public transportation passes to stude…
Public health practice: Lessons From the Nation's Largest, Most Diverse County
Building Community Disaster Resilience: Perspectives From a Large Urban County Department of Public Health
An emerging approach to public health emergency preparedness and response, community resilience encompasses individual preparedness as well as establishing a supportive social context in communities to withstand and recover from disasters. We examine why building community resilience has become a key component of national policy across multiple federal agencies and discuss the core principles embodied in community resilience theory—specifically, …
Public Health Practice: What Works
This book compiles the lessons and best practices of working in the complex and evolving public health setting of Los Angeles County, as told by leaders of LA County's Department of Public Health. Los Angeles County's combination of urban centers, extensive suburbs, and low-income, rural, and agricultural communities renders public health challenges that are diverse in scope and unmatched in scale. Through stories of both success and challenges f…
A Framework for Mobilizing Communities to Advance Local Tobacco Control Policy: The Los Angeles County Experience
The Los Angeles County Tobacco Control and Prevention Program was significantly restructured in 2004 to improve capacity for local policy adoption. Restructuring included creating a fully staffed and trained policy unit; partnering with state-funded tobacco control organizations to provide high-quality, continuous technical assistance and training; implementing a highly structured policy adoption approach; expanding community capacity building; a…
Health Reform and Healthy People Initiative
The passage of the Affordable Care Act builds on and strengthens the foundation for prevention and wellness that Healthy People—the nation's health promotion and disease prevention aspirations for a healthier nation—established. The Affordable Care Act reaffirms the themes of Healthy People by promoting population-based prevention and sets the stage for Healthy People 2020. The heart of Healthy People 2010 lies in its leading health indicators, r…
Estimating the Potential Health Impact and Costs of Implementing a Local Policy for Food Procurement to Reduce the Consumption of Sodium in the County of Los Angeles
Objectives. We examined approaches to reduce sodium content of food served in settings operated or funded by the government of the County of Los Angeles, California. Methods. We adapted health impact assessment methods to mathematically simulate various levels of reduction in the sodium content of food served by the County of Los Angeles and to estimate the reductions’ potential impacts on mean systolic blood pressure (SBP) among food-service cus…
Health Disparities and Health Equity: The Issue Is Justice
Eliminating health disparities is a Healthy People goal. Given the diverse and sometimes broad definitions of health disparities commonly used, a subcommittee convened by the Secretary's Advisory Committee for Healthy People 2020 proposed an operational definition for use in developing objectives and targets, determining resource allocation priorities, and assessing progress. Based on that subcommittee's work, we propose that health disparities a…
The Effectiveness of Tax Policy Interventions for Reducing Excessive Alcohol Consumption and Related Harms
The Effectiveness of Limiting Alcohol Outlet Density As a Means of Reducing Excessive Alcohol Consumption and Alcohol-Related Harms
Evidence-Based Public Health: A Fundamental Concept for Public Health Practice
Despite the many accomplishments of public health, a greater attention to evidence-based approaches is warranted. This article reviews the concepts of evidence-based public health (EBPH), on which formal discourse originated about a decade ago. Key components of EBPH include making decisions on the basis of the best available scientific evidence, using data and information systems systematically, applying program-planning frameworks, engaging the…
Menu Labeling as a Potential Strategy for Combating the Obesity Epidemic: A Health Impact Assessment
Objectives. We conducted a health impact assessment to quantify the potential impact of a state menu-labeling law on population weight gain in Los Angeles County, California. Methods. We utilized published and unpublished data to model consumer response to point-of-purchase calorie postings at large chain restaurants in Los Angeles County. We conducted sensitivity analyses to account for uncertainty in consumer response and in the total annual re…
Terrorism-Related Fear and Avoidance Behavior in a Multiethnic Urban Population
Objectives. We sought to determine whether groups traditionally most vulnerable to disasters would be more likely than would be others to perceive population-level risk as high (as measured by the estimated color-coded alert level) would worry more about terrorism, and would avoid activities because of terrorism concerns. Methods. We conducted a random digit dial survey of the Los Angeles County population October 2004 through January 2005 in 6 l…
Health Disparities and Health Equity: The Issue Is Justice
Eliminating health disparities is a Healthy People goal. Given the diverse and sometimes broad definitions of health disparities commonly used, a subcommittee convened by the Secretary's Advisory Committee for Healthy People 2020 proposed an operational definition for use in developing objectives and targets, determining resource allocation priorities, and assessing progress. Based on that subcommittee's work, we propose that health disparities a…
Heterogeneity of Health Disparities Among African American, Hispanic, and Asian American Women: Unrecognized Influences of Sexual Orientation
Objectives. This study compared health indicators among self-identified lesbians/bisexual women and heterosexual women residing in Los Angeles County. Methods. Respondents were English-speaking Hispanic, African American, and Asian American women. Health status, behavioral risks, access barriers, and indicators of health care were assessed. Results. Prevalence rates of chronic health conditions were similar among women in the 3 racial/ethnic grou…
Growing the Field of Health Impact Assessment in the United States: An Agenda for Research and Practice
Health impact assessment (HIA) methods are used to evaluate the impact on health of policies and projects in community design, transportation planning, and other areas outside traditional public health concerns. At an October 2004 workshop, domestic and international experts explored issues associated with advancing the use of HIA methods by local health departments, planning commissions, and other decisionmakers in the United States. Workshop pa…
Delays and Unmet Need for Health Care Among Adult Primary Care Patients in a Restructured Urban Public Health System
Objectives. We estimated the prevalence and determinants of delayed and unmet needs for medical care among patients in a restructured public health system. Methods. We conducted a stratified cross-sectional probability sample of primary care patients in the Los Angeles County Department of Health Services. Face-to-face interviews were conducted with 1819 adult patients in 6 languages. The response rate was 80%. The study sample was racially/ethni…
Frequency of worksite health promotion activities
The first National Survey of Worksite Health Promotion Activities surveyed a random sample of all private sector worksites with 50 or more employees, stratified by number of employers, geographic location, and type of industry. The 1,358 completed interviews constituted a response rate of 83.1 per cent. Of responding worksites 65.5 per cent had one or more areas of health promotion activity with slightly more than 50 per cent of activities initia…
Building Community Disaster Resilience: Perspectives From a Large Urban County Department of Public Health
An emerging approach to public health emergency preparedness and response, community resilience encompasses individual preparedness as well as establishing a supportive social context in communities to withstand and recover from disasters. We examine why building community resilience has become a key component of national policy across multiple federal agencies and discuss the core principles embodied in community resilience theory—specifically, …
Meeting the Data Needs of a Local Health Department: The Los Angeles County Health Survey
Monitoring the health status of populations is a core function of all public health agencies but is particularly important at the municipal and community levels, where population health data increasingly are used to drive public health decision making and community health improvement efforts. 1– 3 Unfortunately, most local health jurisdictions lack important data for developing population health profiles, such as data on chronic disease prevalenc…
Health promotion programs sponsored by California employers
A survey of California employers with more than 100 employees at one or more sites was undertaken to determine: 1) the nature and extent of health promotion activities; 2) plans for continuation and/or expansion of these activities; 3) plans for initiation of new activities; and 4) the relationship between reported health promotion activities and other characteristics of employers. Of 511 employers with whom interviews were attempted, 49 possible…
Excess Medical Care Spending: The Categories, Magnitude, and Opportunity Costs of Wasteful Spending in the United States
Landmark reports from reputable sources have concluded that the United States wastes hundreds of billions of dollars every year on medical care that does not improve health outcomes. While there is widespread agreement over how wasteful medical care spending is defined, there is no consensus on its magnitude or categories. A shared understanding of the magnitude and components of the issue may aid in systematically reducing wasteful spending and …
Terrorism-Related Fear and Avoidance Behavior in a Multiethnic Urban Population
Objectives. We sought to determine whether groups traditionally most vulnerable to disasters would be more likely than would be others to perceive population-level risk as high (as measured by the estimated color-coded alert level) would worry more about terrorism, and would avoid activities because of terrorism concerns. Methods. We conducted a random digit dial survey of the Los Angeles County population October 2004 through January 2005 in 6 l…
Projected health impact of the Los Angeles City living wage ordinance
Study objective: To estimate the relative health effects of the income and health insurance provisions of the Los Angeles City living wage ordinance. Setting and participants: About 10 000 employees of city contractors are subject to the Los Angeles City living wage ordinance, which establishes an annually adjusted minimum wage ($7.99 per hour in July 2002) and requires employers to contribute $1.25 per hour worked towards employees’ health insur…
Menu Labeling as a Potential Strategy for Combating the Obesity Epidemic: A Health Impact Assessment
Objectives. We conducted a health impact assessment to quantify the potential impact of a state menu-labeling law on population weight gain in Los Angeles County, California. Methods. We utilized published and unpublished data to model consumer response to point-of-purchase calorie postings at large chain restaurants in Los Angeles County. We conducted sensitivity analyses to account for uncertainty in consumer response and in the total annual re…
Does neighbourhood composition modify the association between acculturation and unhealthy dietary behaviours
OBJECTIVE: Studies have shown that immigrants' acculturation is associated with numerous unhealthy behaviours. Yet, the role of environmental factors in modifying the effect of acculturation on health behaviours has received little attention. This study aims to create a more nuanced understanding of the health effects of acculturation by examining how neighbourhood immigrant composition modifies the association between individuals' eating pattern…
The pregnant smoker
The pregnant smoker. J E Fielding, and A YankauerCopyRight https://doi.org/10.2105/AJPH.68.9.835 Published Online: October 07, 2011
Health promotion--some notions in search of a constituency
Health promotion--some notions in search of a constituency. J E FieldingCopyRight https://doi.org/10.2105/AJPH.67.11.1082 Published Online: October 07, 2011
The Interaction Between an Individual’s Acculturation and Community Factors on Physical Inactivity and Obesity: A Multilevel Analysis
Objectives. We examined whether the interactions between primarily speaking English at home and community-level measures (median household income and immigrant composition) are associated with physical inactivity and obesity. Methods. We pooled the 2005 and 2007 Los Angeles County Health Survey data to construct a multilevel data set, with community-level median household income and immigrant density as predictors at the community level. After co…
A Framework for Mobilizing Communities to Advance Local Tobacco Control Policy: The Los Angeles County Experience
The Los Angeles County Tobacco Control and Prevention Program was significantly restructured in 2004 to improve capacity for local policy adoption. Restructuring included creating a fully staffed and trained policy unit; partnering with state-funded tobacco control organizations to provide high-quality, continuous technical assistance and training; implementing a highly structured policy adoption approach; expanding community capacity building; a…
Health Reform and Healthy People Initiative
The passage of the Affordable Care Act builds on and strengthens the foundation for prevention and wellness that Healthy People—the nation's health promotion and disease prevention aspirations for a healthier nation—established. The Affordable Care Act reaffirms the themes of Healthy People by promoting population-based prevention and sets the stage for Healthy People 2020. The heart of Healthy People 2010 lies in its leading health indicators, r…
Reduction in US Health Care Spending Required to Meet the Institute of Medicine’s 2030 Target
Objectives. To quantify changes in US health care spending required to reach parity with high-resource nations by 2030 or 2040 and identify historical precedents for these changes. Methods. We analyzed multiple sources of historical and projected spending from 1970 through 2040. Parity was defined as the Organisation for Economic Co-operation and Development (OECD) median or 90th percentile for per capita health care spending. Results. Sustained …
Health promotion--some notions in search of a constituency
Health promotion--some notions in search of a constituency. J E FieldingCopyRight https://doi.org/10.2105/AJPH.67.11.1082 Published Online: October 07, 2011
The pregnant smoker
The pregnant smoker. J E Fielding, and A YankauerCopyRight https://doi.org/10.2105/AJPH.68.9.835 Published Online: October 07, 2011
Health promotion programs sponsored by California employers
A survey of California employers with more than 100 employees at one or more sites was undertaken to determine: 1) the nature and extent of health promotion activities; 2) plans for continuation and/or expansion of these activities; 3) plans for initiation of new activities; and 4) the relationship between reported health promotion activities and other characteristics of employers. Of 511 employers with whom interviews were attempted, 49 possible…
Frequency of worksite health promotion activities
The first National Survey of Worksite Health Promotion Activities surveyed a random sample of all private sector worksites with 50 or more employees, stratified by number of employers, geographic location, and type of industry. The 1,358 completed interviews constituted a response rate of 83.1 per cent. Of responding worksites 65.5 per cent had one or more areas of health promotion activity with slightly more than 50 per cent of activities initia…
Worksite health promotion programs in the United States: Progress, lessons and challenges
Lessons From France—'Vive la Différence': The French Health Care System and US Health System Reform
GERMANY, and Canada, maybe England. These countries are where US policy makers look for lessons applicable to reform of the US health care system. Why not France? France provides almost universal coverage with a uniform comprehensive benefit plan that, unlike those in the United States, includes pharmaceuticals, physical therapy, and even medically prescribed spa treatments. Consumers have coverage that follows them from job to job, including any…
Meeting the Data Needs of a Local Health Department: The Los Angeles County Health Survey
Monitoring the health status of populations is a core function of all public health agencies but is particularly important at the municipal and community levels, where population health data increasingly are used to drive public health decision making and community health improvement efforts. 1– 3 Unfortunately, most local health jurisdictions lack important data for developing population health profiles, such as data on chronic disease prevalenc…
Heterogeneity of Health Disparities Among African American, Hispanic, and Asian American Women: Unrecognized Influences of Sexual Orientation
Objectives. This study compared health indicators among self-identified lesbians/bisexual women and heterosexual women residing in Los Angeles County. Methods. Respondents were English-speaking Hispanic, African American, and Asian American women. Health status, behavioral risks, access barriers, and indicators of health care were assessed. Results. Prevalence rates of chronic health conditions were similar among women in the 3 racial/ethnic grou…
The effectiveness of early childhood development programs
Culturally competent healthcare systems
Long term compliance with California’s Smoke-Free Workplace Law among bars and restaurants in Los Angeles County
This study provides clear evidence that the California Smoke-Free Workplace Law has been effective at reducing patron and employee smoking in Los Angeles County bars and restaurants. Recommendations include educational campaigns targeted to freestanding bar owners and staff to counter perceptions of lost revenue, more rigorous enforcement, and more severe penalties for repeat violators such as alcohol licence revocation. Policymakers can enact sm…
Delays and Unmet Need for Health Care Among Adult Primary Care Patients in a Restructured Urban Public Health System
Objectives. We estimated the prevalence and determinants of delayed and unmet needs for medical care among patients in a restructured public health system. Methods. We conducted a stratified cross-sectional probability sample of primary care patients in the Los Angeles County Department of Health Services. Face-to-face interviews were conducted with 1819 adult patients in 6 languages. The response rate was 80%. The study sample was racially/ethni…
Projected health impact of the Los Angeles City living wage ordinance
Study objective: To estimate the relative health effects of the income and health insurance provisions of the Los Angeles City living wage ordinance. Setting and participants: About 10 000 employees of city contractors are subject to the Los Angeles City living wage ordinance, which establishes an annually adjusted minimum wage ($7.99 per hour in July 2002) and requires employers to contribute $1.25 per hour worked towards employees’ health insur…
Growing the Field of Health Impact Assessment in the United States: An Agenda for Research and Practice
Health impact assessment (HIA) methods are used to evaluate the impact on health of policies and projects in community design, transportation planning, and other areas outside traditional public health concerns. At an October 2004 workshop, domestic and international experts explored issues associated with advancing the use of HIA methods by local health departments, planning commissions, and other decisionmakers in the United States. Workshop pa…
The Effectiveness of Limiting Alcohol Outlet Density As a Means of Reducing Excessive Alcohol Consumption and Alcohol-Related Harms
Evidence-Based Public Health: A Fundamental Concept for Public Health Practice
Despite the many accomplishments of public health, a greater attention to evidence-based approaches is warranted. This article reviews the concepts of evidence-based public health (EBPH), on which formal discourse originated about a decade ago. Key components of EBPH include making decisions on the basis of the best available scientific evidence, using data and information systems systematically, applying program-planning frameworks, engaging the…
Menu Labeling as a Potential Strategy for Combating the Obesity Epidemic: A Health Impact Assessment
Objectives. We conducted a health impact assessment to quantify the potential impact of a state menu-labeling law on population weight gain in Los Angeles County, California. Methods. We utilized published and unpublished data to model consumer response to point-of-purchase calorie postings at large chain restaurants in Los Angeles County. We conducted sensitivity analyses to account for uncertainty in consumer response and in the total annual re…
Terrorism-Related Fear and Avoidance Behavior in a Multiethnic Urban Population
Objectives. We sought to determine whether groups traditionally most vulnerable to disasters would be more likely than would be others to perceive population-level risk as high (as measured by the estimated color-coded alert level) would worry more about terrorism, and would avoid activities because of terrorism concerns. Methods. We conducted a random digit dial survey of the Los Angeles County population October 2004 through January 2005 in 6 l…
The Effectiveness of Tax Policy Interventions for Reducing Excessive Alcohol Consumption and Related Harms
Estimating the Potential Health Impact and Costs of Implementing a Local Policy for Food Procurement to Reduce the Consumption of Sodium in the County of Los Angeles
Objectives. We examined approaches to reduce sodium content of food served in settings operated or funded by the government of the County of Los Angeles, California. Methods. We adapted health impact assessment methods to mathematically simulate various levels of reduction in the sodium content of food served by the County of Los Angeles and to estimate the reductions’ potential impacts on mean systolic blood pressure (SBP) among food-service cus…
Health Disparities and Health Equity: The Issue Is Justice
Eliminating health disparities is a Healthy People goal. Given the diverse and sometimes broad definitions of health disparities commonly used, a subcommittee convened by the Secretary's Advisory Committee for Healthy People 2020 proposed an operational definition for use in developing objectives and targets, determining resource allocation priorities, and assessing progress. Based on that subcommittee's work, we propose that health disparities a…
Public Health Practice: What Works
This book compiles the lessons and best practices of working in the complex and evolving public health setting of Los Angeles County, as told by leaders of LA County's Department of Public Health. Los Angeles County's combination of urban centers, extensive suburbs, and low-income, rural, and agricultural communities renders public health challenges that are diverse in scope and unmatched in scale. Through stories of both success and challenges f…
A Framework for Mobilizing Communities to Advance Local Tobacco Control Policy: The Los Angeles County Experience
The Los Angeles County Tobacco Control and Prevention Program was significantly restructured in 2004 to improve capacity for local policy adoption. Restructuring included creating a fully staffed and trained policy unit; partnering with state-funded tobacco control organizations to provide high-quality, continuous technical assistance and training; implementing a highly structured policy adoption approach; expanding community capacity building; a…
Health Reform and Healthy People Initiative
The passage of the Affordable Care Act builds on and strengthens the foundation for prevention and wellness that Healthy People—the nation's health promotion and disease prevention aspirations for a healthier nation—established. The Affordable Care Act reaffirms the themes of Healthy People by promoting population-based prevention and sets the stage for Healthy People 2020. The heart of Healthy People 2010 lies in its leading health indicators, r…
Public health practice: Lessons From the Nation's Largest, Most Diverse County
Medicine (36 works) · Environmental health (25 works) · Public health (24 works) · Nursing (19 works) · Political science (17 works) · Gerontology (13 works) · Gerontology (13 works) · Health care (13 works) · Business (12 works) · Demography (11 works)