Lancet Regional Health-Americas最新文献

{"title":"Safeguarding palliative and serious illness care in America","authors":"William E. Rosa, Gina Piscitello, Diane E. Meier, Arif H. Kamal, Jean S. Kutner, Abby R. Rosenberg, Allison Silvers, Stacie Sinclair, Robert M. Arnold","doi":"10.1016/j.lana.2026.101584","DOIUrl":"10.1016/j.lana.2026.101584","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"60 ","pages":"Article 101584"},"PeriodicalIF":9.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148651301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One population, many risks: rethinking youth suicide prevention in the Americas","authors":"The Lancet Regional Health – Americas","doi":"10.1016/j.lana.2026.101608","DOIUrl":"10.1016/j.lana.2026.101608","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"60 ","pages":"Article 101608"},"PeriodicalIF":9.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148737140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Less than what? Response to alcohol consumption recommendations in the 2025–2030 dietary guidelines for Americans","authors":"MacKenzie R. Peltier,&nbsp;Geetanjali Chander,&nbsp;Hendrée E. Jones,&nbsp;Grace Chang,&nbsp;Sherry A. McKee","doi":"10.1016/j.lana.2026.101510","DOIUrl":"10.1016/j.lana.2026.101510","url":null,"abstract":"<div><div>The United States Health and Human Services (HHS) and the United States Department of Agriculture (USDA) issued new alcohol guidelines in January 2026. The prior per occasion drinking limits of no more than 2 drinks per day for men and no more than 1 drink per day for women were replaced with the ambiguous advice to ‘consume less for better health’. Alcohol use remains one of the leading causes of preventable disease and death, contributing annually to 3 million deaths worldwide. Women have demonstrated recent increases in drinking and evidence exacerbated health risks associated with drinking alcohol. The removal of sex-specific drinking guidelines has significant health consequences, particularly for women. This Personal View addresses recent conflicting reports regarding the relationship between alcohol and health; summarizes the current state of the knowledge regarding alcohol and health; addresses women as a special population; and provides recommendations to improve public health.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"60 ","pages":"Article 101510"},"PeriodicalIF":9.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148737141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness-based eating in obesity and anxiety: a randomized controlled trial and feasibility assessment","authors":"Natasha Kim de Oliveira da Fonseca,&nbsp;Gabriela Rocha dos Santos,&nbsp;Gabrielle Terezinha Foppa,&nbsp;Gabriella Nunes da Luz Morelo,&nbsp;Artur Zanelatto Santos,&nbsp;Gibson Weydmann,&nbsp;Brunna Boaventura,&nbsp;Stuart William Flint,&nbsp;Luciana Conceição Antunes,&nbsp;Elisa Brietzke,&nbsp;Gisele Gus Manfro","doi":"10.1016/j.lana.2026.101541","DOIUrl":"10.1016/j.lana.2026.101541","url":null,"abstract":"<div><h3>Background</h3><div>There is a high prevalence of people living with obesity (LWO) and mental disorders, which could worsen stigma. Internalized weight stigma (IWS) impairs psychological functioning and eating behaviors. This study, therefore, evaluated the acute effects of a Mindfulness-based Eating (ME) intervention and the feasibility of incorporating IWS assessment into a randomized controlled trial for adults LWO and generalized anxiety disorder (GAD). It also explores associations between IWS, device use, and psychological outcomes.</div></div><div><h3>Methods</h3><div>Seventy adults LWO and GAD were randomized to a five-week ME group intervention (n = 36) or an asynchronous health educational video control (n = 34). The inhibitory control measured by the Go/No Go test was the primary RCT outcome. Post hoc feasibility outcomes were attendance and completion of the IWS assessment. The Weight Bias Internalization scale (WBIS) was applied alongside measures of body appreciation (BAS2), self-compassion (SCS), anxiety symptoms (GAD7), depressive symptoms (PHQ9), emotional dysregulation (DERS), shame (OAS), early memories (EMWSS), personality assessment (ER5FP), Mindful Eating (MEQ), binge eating (BES), impulsivity (BIS), and device use (smartphone/tablet). Associations were analyzed using correlation, regression and moderation; analyses of psychological outcomes were considered hypothesis-generating. NCT Number NCT06087185.</div></div><div><h3>Findings</h3><div>The ME group showed no clear improvement in inhibitory control on the food Go/No-Go task, but resulted in improvements across several psychological outcomes (p &lt; 0.05). All participants completed the WBIS; retention in the RCT was 58.6%. WBIS was positively associated with GAD7 (B = 0.869, p = 0.005) and negatively with BAS2 (B = −0.619, p = 0.005). Device use moderated the association between BAS2 and WBIS at baseline (B = 0.116, p = 0.021), with body appreciation being more protective against IWS at lower device use.</div></div><div><h3>Interpretation</h3><div>ME shows promise for improving psychological outcomes linked to IWS. This study supports the feasibility of integrating IWS measures in trials examining obesity and GAD. Findings highlight the important effect of device use moderates the BAS2–IWS association. These findings can support clinicians and researchers in developing more effective, stigma-informed interventions for individuals LWO, particularly those with psychiatric disorders.</div></div><div><h3>Funding</h3><div>CAPES; CNPq; FIPE-HCPA (ROR: <span><span>https://ror.org/010we4y38</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"59 ","pages":"Article 101541"},"PeriodicalIF":9.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chikungunya resurgence highlights gaps in Aedes surveillance and control in South America","authors":"Vincent Corbel,&nbsp;Martha Ahumada,&nbsp;Tashanna Bowman,&nbsp;Kartika Doerdjan-Ramoutar,&nbsp;Luciana dos Santos Dias,&nbsp;Jean-Bernard Duchemin,&nbsp;Stephane Duchon,&nbsp;Luisa Figueroa,&nbsp;Christian Raúl Gonzalez,&nbsp;Nilsa González-Brítez,&nbsp;Laura Harburguer,&nbsp;Audrey Lenhart,&nbsp;José Bento Pereira Lima,&nbsp;Ronald Lopez,&nbsp;Diego Morales,&nbsp;Martha Lucia Quiñones Pinzon,&nbsp;Emmanuel Roux,&nbsp;Miriam Palomino Salcedo,&nbsp;Gabriela Willat,&nbsp;Ademir Jesus Martins","doi":"10.1016/j.lana.2026.101538","DOIUrl":"10.1016/j.lana.2026.101538","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"59 ","pages":"Article 101538"},"PeriodicalIF":9.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13312582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What is the felt experience of weight stigma in Latin America and the Caribbean? A systematic narrative review","authors":"Fernanda Baeza Scagliusi,&nbsp;Mariana Dimitrov Ulian,&nbsp;Luana Cordeiro de Oliveira,&nbsp;Thifany Helena Torres,&nbsp;Ramiro Andrés Fernandez Unsain,&nbsp;Cindi SturtzSreetharan,&nbsp;Amber Wutich,&nbsp;Alexandra Brewis","doi":"10.1016/j.lana.2025.101353","DOIUrl":"10.1016/j.lana.2025.101353","url":null,"abstract":"<div><div>This systematic narrative review synthesized 46 studies concerning felt weight stigma in Latin America and the Caribbean (LAC), addressing a gap in global stigma research. Drawing from literature in English, Spanish, and Portuguese, the study applied inductive and deductive approaches to analyze the presence of felt weight stigma and the reasons that “mattered most” in the region. The findings confirmed the relevance of felt weight stigma and its associated profound emotional harm, social exclusion, bullying, moral stereotypes, and family issues, with gendered dimensions. While many patterns mirror those from the Global North, we identified the importance of relational dynamics deeply embedded in the region's sociocultural and moral life. An initial locally grounded theoretical model was proposed. The review underscores the importance of interventions that target what “mattered most” and adopt an intersectional, justice-oriented approach, grounded in local theoretical frameworks to address weight stigma as a public health concern in LAC.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"59 ","pages":"Article 101353"},"PeriodicalIF":9.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical AI in the Americas: policy, validation, and representativeness","authors":"The Lancet Regional Health – Americas","doi":"10.1016/j.lana.2026.101579","DOIUrl":"10.1016/j.lana.2026.101579","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"59 ","pages":"Article 101579"},"PeriodicalIF":9.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148566001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight stigma in Latin America and the Caribbean: a call to action","authors":"Stuart W. Flint,&nbsp;Taissa Vila","doi":"10.1016/j.lana.2026.101560","DOIUrl":"10.1016/j.lana.2026.101560","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"59 ","pages":"Article 101560"},"PeriodicalIF":9.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes, stigma and knowledge on obesity in Mexico: a national cross-sectional survey of the general population and healthcare professionals living with or without obesity","authors":"Verónica Vázquez-Velázquez,&nbsp;Nancy R. Mejía Domínguez,&nbsp;Leonardo G. Mancillas-Adame,&nbsp;Eduardo García-García,&nbsp;Gerardo Magallanes Díaz,&nbsp;Johann Rafael Montoya García,&nbsp;Stuart W. Flint","doi":"10.1016/j.lana.2026.101551","DOIUrl":"10.1016/j.lana.2026.101551","url":null,"abstract":"<div><h3>Background</h3><div>Weight stigma has major health impacts but remains understudied in Latin America. This study explores attitudes, stigma and knowledge of obesity in Mexican healthcare professionals (HCPs) and the general population (GenPop) living or not with overweight/obesity.</div></div><div><h3>Methods</h3><div>A national cross-sectional, anonymous, online survey was conducted among 3859 adults (1262 GenPop and 2597 HCPs). Participants completed sociodemographic questions, three validated instruments assessing stigma, beliefs, and internalized bias, 12 items evaluating obesity knowledge and treatment perceptions, and 14 items addressing medical care experiences and weight stigma among GenPop. Four groups were created based on body mass index (BMI): GenPop and HCPs living with overweight or obesity (GenPop/OW-OB and HCPs/OW-OB, BMI ≥25 kg/m²) and without (GenPop/NOW-OB and HCPs/NOW-OB, BMI &lt;25 kg/m²).</div></div><div><h3>Findings</h3><div>Stigma and beliefs varied significantly across groups. HCPs/NOW-OB reported the highest weight stigma scores, while GenPop/OW-OB showed the highest weight bias internalization and HCPs/OW-OB scored highest on beliefs that obesity is outside of individual control. Internalization was higher in women and decreased with age. Less than 30% define obesity as a disease, and even so, stigmatizing and outdated responses related to weight loss, weight regain, and the treatment of severe obesity were demonstrated. Personal experiences revealed that 79% of GenPop/OW-OB avoided medical visits, with over half feeling judged by doctors and 72–83% reporting weight stigma and discrimination, especially within their own families and social circles.</div></div><div><h3>Interpretation</h3><div>This study underscores the urgent need for education addressing misconceptions about obesity's causes and controllability among HCPs and GenPop. Despite recognition of obesity as a disease, biological factors are underrepresented, and weight stigma drives healthcare avoidance. These findings highlight the importance of culturally sensitive education to reduce weight stigma and improve understanding of the complexity of obesity, and the promotion of empathy by recognizing the lived experiences faced by people living with obesity, for both Mexican HCPs and GenPop.</div></div><div><h3>Funding</h3><div>An investigator-led grant awarded to Obesidades SC (where VVV is president) was received from Novo Nordisk to cover the cost of QualtricsTM participant pooling. The study was conceived and the methods designed by VVV and SWF before the investigator-led funding application. The sponsor had no role in study design, data collection, data analysis, data interpretation, or manuscript writing. The fee for open access publication in The Lancet Regional Health - Americas was covered by the Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (INCMNSZ).</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"59 ","pages":"Article 101551"},"PeriodicalIF":9.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The weight of society: a qualitative study on how social norms shape body size and weight ideals","authors":"Miguel Alejandro Saquimux Contreras,&nbsp;Ximena Ramos Salas,&nbsp;Silvana Ferreira Bento,&nbsp;Karla Simônia de Pádua,&nbsp;Maria José Martins Duarte Osis","doi":"10.1016/j.lana.2026.101491","DOIUrl":"10.1016/j.lana.2026.101491","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Weight bias and stigma have transformed body weight from a purely biological attribute into a complex social phenomenon. Social and health scientists continue to critically examine how weight stigmatising discourses and biased perceptions shape attitudes, beliefs and everyday experiences. Studies show that socially mediated subjectivities profoundly affect women's health-related behaviours and decision-making. This study seeks to explore, from the standpoint of patients attending a gynaecological clinic, how weight bias and stigma influence women's perceptions of their own weight and body size and the healthcare decisions they make.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This qualitative study was conducted in a Family Planning Outpatient Clinic in the southeastern region of Brazil. Interviews (n = 6) and focus groups (n = 2, six participants per group) with patients were conducted from February to November 2024. All participants identified as women, and the interviews and focus groups were analysed using a reflexive thematic analysis approach.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;The rationality of weight bias and stigma influences how women perceive their weight and body shape. This turns biological functions, such as eating and exercising, into social actions that respond to imposed norms that shape common sense about what is considered a healthy and desirable weight.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interpretation&lt;/h3&gt;&lt;div&gt;Medical research and clinical practice often reduce health risk factors to poor personal choices or biological predispositions, while neglecting systemic drivers such as weight bias, stigma and fatphobic representations, medicalised discourses of weight, and neoliberal ideals equating thinness with moral virtue. The rationality behind the embodied realities of women navigating weight-based discrimination reveals how weight bias and stigma shape women's everyday life, social actions and healthcare decisions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Funding&lt;/h3&gt;&lt;div&gt;São Paulo Research Foundation (FAPESP).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Contexto&lt;/h3&gt;&lt;div&gt;O preconceito e o estigma de peso transformaram o peso corporal de um atributo puramente biológico em um fenômeno social complexo. Cientistas sociais e da saúde continuam a examinar criticamente como discursos estigmatizantes sobre o peso e percepções preconceituosas moldam atitudes, crenças e experiências cotidianas. Estudos mostram que subjetividades socialmente mediadas afetam profundamente os comportamentos e as decisões relacionados à saúde das mulheres. Este estudo busca explorar, sob a perspectiva de pacientes atendidas em uma clínica ginecológica, como o preconceito e o estigma de peso influenciam as percepções das mulheres sobre o próprio peso e o corpo, bem como as decisões que tomam em relação à saúde.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Métodos&lt;/h3&gt;&lt;div&gt;Este estudo qualitativo foi realizado em uma Clínica de Planejamento Familiar na região Sudeste do Brasil. Foram realizadas entrevistas (n=6) e gr","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"59 ","pages":"Article 101491"},"PeriodicalIF":9.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}