Lancet Regional Health-Americas最新文献

{"title":"Self-care interventions for legal and safe abortions: lessons learned from a woman-centered approach to sexual and reproductive healthcare in Uruguay","authors":"Cecilia Stapff ,&nbsp;Lucía Gómez Garbero ,&nbsp;Rodolfo Gómez Ponce de León ,&nbsp;Leonel Briozzo ,&nbsp;Antonella Lavelanet ,&nbsp;Manjulaa Narasimhan","doi":"10.1016/j.lana.2024.100981","DOIUrl":"10.1016/j.lana.2024.100981","url":null,"abstract":"<div><h3>Problem</h3><div>In the 1990s, almost 40% of maternal deaths in Uruguay were caused by unsafe abortions.</div></div><div><h3>Approach</h3><div>A harm reduction model implemented in Uruguay, which addressed the risks associated with unsafe abortion practices by promoting and supporting the self-management of medical abortions by women in their homes, encouraged women’s autonomy.</div></div><div><h3>Local setting</h3><div>Since 2005, an accelerated decrease in maternal mortality has been recorded in Uruguay, coinciding with the implementation of two major actions: a harm reduction approach with active promotion of self-care through self-management of medical abortions; and in 2012, a change in legislation, which made abortion legal within sexual and reproductive health facilities when requested by women up to 12 weeks of pregnancy or later for specific indications.</div></div><div><h3>Relevant changes</h3><div>This example demonstrates that progress in public policies is possible through the combined efforts of civil society, healthcare professionals and policy makers. The initiative expanded the entry points to the healthcare system while strengthening women’s autonomy.</div></div><div><h3>Lessons learned</h3><div>Increased access to self-care interventions for SRH contributed to advancing achievement of universal health coverage and the highest, most attainable standards of health.</div></div><div><h3>Funding</h3><div>The authors have no financial relationships relevant to this article to disclose.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100981"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060243","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":"Is Trump again preparing a pathway for disease spread?","authors":"Christopher David Simms","doi":"10.1016/j.lana.2025.100993","DOIUrl":"10.1016/j.lana.2025.100993","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100993"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068179","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":"Children are family members too: can we continue to keep the door closed for them?","authors":"Bruna Brandao Barreto ,&nbsp;Mariana Luz ,&nbsp;Dimitri Gusmao-Flores","doi":"10.1016/j.lana.2024.100970","DOIUrl":"10.1016/j.lana.2024.100970","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100970"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11718334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972341","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":"Decarceration and COVID-19 infections in U.S. Immigration and Customs Enforcement detention facilities: a simulation modeling study","authors":"Christopher Weyant ,&nbsp;Jaimie P. Meyer ,&nbsp;Daniel Bromberg ,&nbsp;Chris Beyrer ,&nbsp;Frederick L. Altice ,&nbsp;Jeremy D. Goldhaber-Fiebert","doi":"10.1016/j.lana.2024.100971","DOIUrl":"10.1016/j.lana.2024.100971","url":null,"abstract":"<div><h3>Background</h3><div>U.S. Immigration and Customs Enforcement (ICE) facilities had high rates of COVID-19 infections and mortality during the global pandemic. We sought to quantify how many COVID-19 infections could have been averted through different decarceration strategies.</div></div><div><h3>Methods</h3><div>We developed a set of stochastic simulation models of SARS-CoV-2 transmission in ICE facilities. Employing incremental mixture importance sampling (IMIS), we calibrated them to empirical targets derived from publicly available case time series for ICE facilities, and publicly available facility population censuses prior to vaccine availability (May 6, 2020 to December 31, 2020). The models included infection importation from extra-facility sources. We evaluated reduction of the incarcerated population by 10–90%. People who were decarcerated faced background cumulative risks of infection and detection based on a weighted average of county-level estimates from the covidestim model, which is a Bayesian evidence synthesis model.</div></div><div><h3>Findings</h3><div>Without decarceration, the infection rate was 5.05 per 1000 person-days (95% CrI 3.40–6.81) and case rate was 1.53 per 1000 person-days (95% CrI 1.04–2.02). Rates declined linearly when decarceration did not reduce contacts of people remaining in facilities and faster than linearly when it did reduce contacts. At all decarceration levels, rates were substantially higher when contacts were not reduced. Even with 90% decarceration, infection rates for people remaining in facilities were higher than or comparable to otherwise similar free-living people.</div></div><div><h3>Interpretation</h3><div>The decline in COVID-19 infection rates with decarceration was linear or faster than linear depending on how decarceration was implemented. Our findings highlight infection risks associated with incarceration, which compound other health harms of incarceration.</div></div><div><h3>Funding</h3><div><span>Stanford’s COVID-19 Emergency Response Fund</span>; the <span>National Institute on Drug Abuse</span>; and the <span>National Institute of Mental Health</span>.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100971"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11741939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013106","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":"Bridging the gap of cardiovascular disease burden in the Americas: a call for action","authors":"Daniel Diaz ,&nbsp;Diana Z. Velazquez-Valdez ,&nbsp;Pavel E. Hernandez-Carreño ,&nbsp;Saul A. Beltran-Ontiveros ,&nbsp;Edgar L. Gonzalez-Gonzalez ,&nbsp;Lina S. Palacio-Mejia","doi":"10.1016/j.lana.2025.101023","DOIUrl":"10.1016/j.lana.2025.101023","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 101023"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403177","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":"Venous thromboembolism (VTE) prevention program implementation in a community oncology practice: author response to Yang et al","authors":"Steven Ades,&nbsp;Chris Holmes","doi":"10.1016/j.lana.2024.100980","DOIUrl":"10.1016/j.lana.2024.100980","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100980"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029962","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":"Los Angeles County in flames: responsibilities on fire","authors":"Orison O. Woolcott","doi":"10.1016/j.lana.2025.101005","DOIUrl":"10.1016/j.lana.2025.101005","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 101005"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141979","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 complex landscape of abortion law and public health in Brazil","authors":"Felipe Ornell ,&nbsp;Anne Orgler Sordi ,&nbsp;Bárbara Sordi Stock ,&nbsp;Juliana Nichterwitz Scherer ,&nbsp;Joana Corrêa de Magalhães Narvaez","doi":"10.1016/j.lana.2024.100987","DOIUrl":"10.1016/j.lana.2024.100987","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100987"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11751558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024851","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":"“Sleepy Joe”, “el loco”, and evolving debates about mental health and democratic leadership in the Americas","authors":"Alexander J. Smith ,&nbsp;Agustín Artese ,&nbsp;Maria A. Oquendo ,&nbsp;Dinesh Bhugra ,&nbsp;Helena Ferreira Moura ,&nbsp;Michael Liebrenz","doi":"10.1016/j.lana.2025.100992","DOIUrl":"10.1016/j.lana.2025.100992","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100992"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068175","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":"Mental health disparities among maternal populations following heatwave exposure in North Carolina (2011–2019): a matched analysis","authors":"Sarah E. Ulrich ,&nbsp;Margaret M. Sugg ,&nbsp;Dennis Guignet ,&nbsp;Jennifer D. Runkle","doi":"10.1016/j.lana.2025.100998","DOIUrl":"10.1016/j.lana.2025.100998","url":null,"abstract":"<div><h3>Background</h3><div>The increasing incidence of extreme heat due to climate change poses a significant threat to maternal mental health in the U.S. We examine the association of acute exposure to heatwaves with maternal mental health conditions in North Carolina from 2011 to 2019.</div></div><div><h3>Methods</h3><div>We incorporate a matched analysis design using NC Hospital Discharge Data to examine emergency department admissions for psychiatric conditions during the warm season (May to September), matching heatwave periods with non-heatwave unexposed periods at the zip code tabulation area (ZCTA) level. We stratify the sample to examine effect modification across the rural-urban continuum, physiographic regions, measurements of neighborhood racial and economic inequality, and individual-level sociodemographic factors (e.g., age, race/ethnicity, and insurance type).</div></div><div><h3>Findings</h3><div>Our sample of 324,928 emergency department visits by pregnant individuals has a mean age of 25.8 years (SD: 5.84), with 9.3% (n = 30,205) identifying as Hispanic. Relative risk (RR) estimates and 95% confidence intervals (CI) indicate significant increases in maternal mental health burdens following heatwave exposure. Acute heatwave periods were associated with a 13% higher risk of severe mental illness (RR_SMI: 1.13, CI: 1.08–1.19, <em>p</em>: &lt;0.0001), while prolonged exposure to moderate-intensity heatwaves was associated with 37% higher risk (RR_SMI: 1.37, CI: 1.19–1.58, <em>p</em>: &lt;0.001). Individual factors (e.g., advanced maternal age and insurance providers) and neighborhood-level characteristics, like low socioeconomic status, racialized and economic segregation, rurality, and physiographic region, further modified the risk of adverse maternal mental health outcomes.</div></div><div><h3>Interpretation</h3><div>Our results add to the growing evidence of the impact of extreme heat on maternal mental health, particularly among vulnerable subpopulations. Additionally, findings emphasize the influence of socioeconomic and environmental contexts on mental health responses to heatwave exposure.</div></div><div><h3>Funding</h3><div>This work was supported by the <span>Faculty Early Career Development Program</span> (CAREER) award (grant <span><span>#2044839</span></span>) from the <span>National Science Foundation</span> and the <span>National Institute of Environmental Health Sciences</span> (NIEHS) award (grant <span><span>#5R03ES035170-02</span></span>).</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"42 ","pages":"Article 100998"},"PeriodicalIF":7.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141555","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}