Lancet Regional Health-Americas最新文献

{"title":"Fear, loathing, and support for political violence in the United States: findings from a nationally representative survey","authors":"Garen J. Wintemute ,&nbsp;Bradley Velasquez ,&nbsp;Aaron B. Shev ,&nbsp;Elizabeth A. Tomsich ,&nbsp;Mona A. Wright ,&nbsp;Paul M. Reeping ,&nbsp;Sonia L. Robinson ,&nbsp;Daniel J. Tancredi ,&nbsp;Veronica A. Pear","doi":"10.1016/j.lana.2025.101235","DOIUrl":"10.1016/j.lana.2025.101235","url":null,"abstract":"<div><h3>Background</h3><div>Racism, hostile sexism, homonegativity, transphobia, xenophobia, antisemitism, and Islamophobia increase risk for perpetration of interpersonal violence generally. We quantify their associations, singly and in combination, with support for and willingness to commit political violence in the United States, at a time of increased concern that such violence may become widespread.</div></div><div><h3>Methods</h3><div>Findings are from Wave 2 of a nationally representative longitudinal survey, conducted May 18-June 8, 2023. Weighted prevalences of the characteristics under study are estimated from levels of agreement with abbreviated versions of previously validated scales, with missing values imputed using multiple imputation by chained equations. Associations with political violence are expressed as adjusted prevalence differences by level of agreement.</div></div><div><h3>Findings</h3><div>The survey completion rate was 84.2%; there were 9385 respondents. After weighting, 50.7% (95% CI 49.4%–52.1%) of respondents were female; 62.7% (95% CI 61.2%–64.1%) were white, non-Hispanic; the weighted mean (SD) age was 48.5 (25.9) years. Prevalences of strong agreement ranged from 2.9% (95% CI 2.4%–3.4%) for antisemitism to 26.6% (95% CI 25.4%–27.8%) for homonegativity. In all cases, significantly higher percentages of persons in strong agreement than in non-agreement supported and were willing to commit political violence; the largest differences were for Islamophobia and hostile sexism. Less prevalent characteristics tended to have stronger associations with political violence. Associations were larger when characteristics were combined in a single measure.</div></div><div><h3>Interpretation</h3><div>Racism, hostile sexism, homonegativity, transphobia, xenophobia, antisemitism, and Islamophobia were each strongly associated with support for and willingness to commit political violence in the United States. Such characteristics are resistant to change; prevention efforts should also seek to uncouple them from associated violent behaviors.</div></div><div><h3>Funding</h3><div>Supported by grants from the <span>Joyce Foundation</span>, <span>California Wellness Foundation</span>, and <span>Heising-Simons Foundation</span>, and by the <span>California Firearm Violence Research Center</span> Violence Prevention Research Program, both at the <span>University of California, Davis</span>.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"51 ","pages":"Article 101235"},"PeriodicalIF":7.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"El Niño-Southern Oscillation and shifting malaria risks in the Amazon","authors":"Gabriel Zorello Laporta","doi":"10.1016/j.lana.2025.101246","DOIUrl":"10.1016/j.lana.2025.101246","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"50 ","pages":"Article 101246"},"PeriodicalIF":7.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145060456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of housing markets in producing respiratory health disparities","authors":"Evan Lemire ,&nbsp;Sophia Carryl ,&nbsp;Sankaran V. Subramanian ,&nbsp;Adam L. Haber","doi":"10.1016/j.lana.2025.101228","DOIUrl":"10.1016/j.lana.2025.101228","url":null,"abstract":"<div><div>Asthma is a chronic lung disease affecting an estimated 27 million people in the United States. It is much more prevalent and severe among Black, Hispanic, Indigenous, and working-class communities. Substandard housing disproportionately exposes poor people and communities of color to pests, mold, poorly regulated temperatures, and psychosocial stress. This role of housing as a driver of respiratory health disparities is well-established. However, less attention has been paid to the economic and political forces that produce the current distribution of substandard housing, which enables this unequal exposure and disease burden to persist. This review examines how harmful conditions arise from the political, legal, and economic relationships that govern housing’s production, maintenance, and distribution in the United States. We review emerging evidence that identifies power relations—most importantly the landlord-tenant relationship—as the motor that creates and reproduces disparities in exposures and the downstream disparities in asthma burden.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"51 ","pages":"Article 101228"},"PeriodicalIF":7.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Healthy Brazil: a multisectoral strategy for tackling neglected diseases and promoting health equity”- The Lancet Regional Health—Americas 2025; Volume 48, 101187; DOI: 10.1016/j.lana.2025.101187","authors":"","doi":"10.1016/j.lana.2025.101242","DOIUrl":"10.1016/j.lana.2025.101242","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"50 ","pages":"Article 101242"},"PeriodicalIF":7.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in nonmedical ketamine use, poisonings, related deaths, pharmaceutical diversions, and law enforcement seizures: results from annual population-based repeated cross-sectional studies","authors":"Joseph J. Palamar ,&nbsp;Caroline Rutherford ,&nbsp;Katherine M. Keyes","doi":"10.1016/j.lana.2025.101230","DOIUrl":"10.1016/j.lana.2025.101230","url":null,"abstract":"<div><h3>Background</h3><div>The ketamine landscape in the USA is rapidly shifting, especially given recent increases in off-label prescribing of ketamine as a psychiatric treatment. Research is needed to determine the extent to which illicit ketamine is available, nonmedically used, and associated with morbidity and mortality in the USA.</div></div><div><h3>Methods</h3><div>This observational study used eight unique annual repeated cross-sectional datasets to examine illicit ketamine availability (using seizure data as a proxy), use, and consequences of use, including self-reported nonmedical use among noninstitutionalized individuals aged ≥12 years (2006–2014, 2015–2019, and 2021–2023) and among 12th grade students (2000–2023). Further, it assessed reported ketamine-related poisonings (1991–2023) and mortalities (2020–2023), diversion of undispensed pharmaceutical ketamine (2008–2024), drug seizures testing positive for ketamine (2001–2024), and the number and total weight of ketamine seizures from two additional law enforcement agencies (2017–2024 and 2019–2024). Piecewise linear regression models were used to estimate annual trends.</div></div><div><h3>Findings</h3><div>Nonmedical ketamine use among individuals aged ≥12 years increased between 2021 (0.19%) and 2023 (0.34%) (b [slope] = 0.08 [SE = 0.001], p = 0.0072). Regarding reported poisonings, there was initial increase from 1994 to 2000 (from 0.17 to 1.40 per 1,000,000 population; b = 0.20 [SE = 0.02], p &lt; 0.0001), a decrease through 2003 (0.58 per 1,000,000 population; b = −0.34 [SE = 0.08, p = 0.0002) and an increase from 2017 through 2023 (from 0.76 to 1.54 per 1,000,000 population; b = 0.12 [SE = 0.03], p = 0.0002). The number of reported diversions increased from 2008 (n = 23) to 2017 (n = 202) (b = 18.72 [SE = 2.20], p &lt; 0.0001) and again from 2021 (n = 183) to 2024 (n = 286) (b = 39.00 [SE = 12.04], p &lt; 0.0001). Regarding seizures, there was an increase in ketamine reports to one agency from 2015 (n = 1448) through 2024 (n = 4008) (b = 201.41 [SE = 57.83], p = 0.0023). In another source, there was an increase in seizures from 2022 (n = 247) through 2024 (n = 502) (b = 127.50 [SE = 10.40], p = 0.0003). Rates of ketamine-involved deaths did not significantly shift between 2020 and 2023. Nonmedical use declined among 12th grade students, first from 2000 (2.49%) through 2005 (1.61%) (b = −0.19 [SE = 0.06], p = 0.0039] and then again from 2005 through 2023 (0.9%) (b = −0.04 [SE = 0.01], p = 0.0019).</div></div><div><h3>Interpretation</h3><div>Ketamine poisonings, pharmaceutical diversion, and seizures have increased; trends in nonmedical ketamine use vary. Prevention and harm reduction are needed as use and morbidity are expected to continue to increase.</div></div><div><h3>Funding</h3><div><span>National Institute on Drug Abuse</span> at the <span>National Institutes of Health</span>.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"51 ","pages":"Article 101230"},"PeriodicalIF":7.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and correlates of severe depressive symptoms among Arab, Asian, Black, Indigenous, White, and mixed-race individuals in Canada: a population-based study","authors":"Jude Mary Cénat ,&nbsp;Seyed Mohammad Mahdi Moshirian Farahi ,&nbsp;Rose Darly Dalexis","doi":"10.1016/j.lana.2025.101231","DOIUrl":"10.1016/j.lana.2025.101231","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Canada's mental health crisis has worsened since the COVID-19 pandemic. Depression is particularly concerning due to its prevalence and significant effects, but racial differences in its occurrence and associated factors remain underexplored. This cross-sectional study aims to address this gap by (1) assessing the prevalence of depressive symptoms among Arab, Asian, Black, Indigenous, White, and mixed-race individuals in Canada, and (2) identifying the factors associated within these racial groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A nationally representative sample (N = 4220) was randomly selected from a Computer-Assisted Web Interviewing panel, ensuring racial diversity (45.45% White, 13.53% Black, 13.25% Indigenous, 11.30% Arab, 7.32% Asian). Multiple linear and logistic regression analyses examined the associations between racial discrimination, resilience, and depression, controlling for sociodemographic factors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;The prevalence of depressive and severe depressive symptoms varied significantly across racial groups: Indigenous (49.37% and 21.11%), Arab (44.23% and 17.19%), Asian (41.42% and 13.92%), Black (32.92% and 12.78%), and White (32.69% and 10.53%), χ&lt;sup&gt;2&lt;/sup&gt; (6) = 88.41, &lt;em&gt;p&lt;/em&gt; &lt; 0.0001 and χ&lt;sup&gt;2&lt;/sup&gt; (6) = 65.16, &lt;em&gt;p&lt;/em&gt; &lt; 0.0001. For depressive symptoms, gender differences were significant only among White (28.96% men, 35.37% women, χ&lt;sup&gt;2&lt;/sup&gt; (1) = 8.92, &lt;em&gt;p&lt;/em&gt; = 0.0028) and Indigenous (41.40% men, 54.14% women) participants, χ&lt;sup&gt;2&lt;/sup&gt; (1) = 8.54, &lt;em&gt;p&lt;/em&gt; = 0.0035 and only for Indigenous participants for severe depressive symptoms. Younger participants consistently reported higher depressive and severe depressive symptoms rates across all racial groups. Everyday racial discrimination was significantly associated with depressive symptoms among all racialized and Indigenous groups (β = 0.28–0.43, &lt;em&gt;p&lt;/em&gt; &lt; 0.0001). Those reporting very high levels of discrimination were 4.79–18.61 times more likely to exhibit clinically significant depressive symptoms compared to those with low discrimination (Adjusted Odds Ratio = 4.79–18.61, &lt;em&gt;p&lt;/em&gt; &lt; 0.0001) with similar patterns for severe depressive symptoms. Resilience was negatively associated with depressive symptoms across all groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interpretation&lt;/h3&gt;&lt;div&gt;This study highlights the ongoing mental health crisis in Canada, particularly among racialized and Indigenous communities, which has been exacerbated by the complex racial trauma related to the experience of racial discrimination. There is a critical need for a national mental health plan that incorporates anti-racist and culturally sensitive prevention and care to ensure equitable access to mental health services.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Funding&lt;/h3&gt;&lt;div&gt;This study was funded by a grant from the &lt;span&gt;Public Health Agency of Canada&lt;/span&gt; (&lt;span&gt;PHAC&lt;/span&gt; – grant &lt;span&gt;&lt;span&gt;# 2324-HQ-000162&lt;/span&gt;&lt;/span&gt;","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"51 ","pages":"Article 101231"},"PeriodicalIF":7.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145046543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-based participatory research is not political","authors":"Ijeoma Opara","doi":"10.1016/j.lana.2025.101239","DOIUrl":"10.1016/j.lana.2025.101239","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"50 ","pages":"Article 101239"},"PeriodicalIF":7.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Active West Nile virus transmission in Brazil: an epidemiological study","authors":"Shirlene T.S. de Lima ,&nbsp;Ingra M. Claro ,&nbsp;Xinyi Hua ,&nbsp;Ronaldo de Jesus ,&nbsp;Kyla Serres ,&nbsp;Leda M. Simões Mello ,&nbsp;Julia Forato ,&nbsp;Filipe R.R. Moreira ,&nbsp;Rodrigo B. Kato ,&nbsp;Gustavo N. Guimarães ,&nbsp;Gabriel C. Scachetti ,&nbsp;Pamela dos Santos Andrade ,&nbsp;Larissa M.F. Duarte ,&nbsp;Maria Eduarda T. de Lima ,&nbsp;Clarissa P.M. Ferraz ,&nbsp;Marisa P.N. Vianna ,&nbsp;Rodrigo M. Santiago ,&nbsp;Enock L.R. Braga ,&nbsp;Igor S. Carneiro ,&nbsp;Antonio Carlos L Firmino ,&nbsp;William M. de Souza","doi":"10.1016/j.lana.2025.101229","DOIUrl":"10.1016/j.lana.2025.101229","url":null,"abstract":"<div><h3>Background</h3><div>West Nile virus (WNV) is a mosquito-borne flavivirus that can cause neurological and fatal disease in animals and humans. Since its introduction into the USA in 1999, WNV has become the leading arbovirus in North America. In contrast, no major WNV outbreak has been reported in South America. Our study investigated active WNV circulation in Brazil.</div></div><div><h3>Methods</h3><div>We examined WNV epidemiological, molecular, genomic, and serological data from Brazil from January 2014 to December 2024. We also conducted WNV testing in 561 patients with febrile illness, neuroinvasive disease, or death between January 2019 and January 2024 in Ceará State, Brazil. Next, we conducted time series, mapping, ecological niche modeling, age-sex distribution, phylogenetic analyses, and statistical hypothesis tests.</div></div><div><h3>Findings</h3><div>Between January 2014 and December 2024, 110 West Nile cases were reported from 13 of 27 Brazilian states. In addition, our retrospective study in Ceará State revealed 12.1% (68 of 561 patients) were WNV cases, peaking in 2023, when 42.6% (29 of 68) of cases occurred. Among WNV cases, 7 (10.3%) had detected WNV RNA in serum, cerebrospinal fluid, or both, whereas 62 (89.7%) were IgM-positive, with 29 presenting with neurological complications, 35 with febrile illness, and four fatalities. WNV cases were reported in all months, with the highest numbers between May and August. Most cases were female (female-to-male ratio, 1.1:1), and the median age of patients was 40 years (interquartile range, 20–57). Our phylogenetic analysis showed that WNV lineage 1a circulated in Ceará State and caused a fatal horse case. Our ecological niche models identified several areas, mainly situated in the Northeast region, linked to a potentially higher risk of human exposure to local WNV circulation.</div></div><div><h3>Interpretation</h3><div>These findings comprehensively described consistent WNV circulation in Brazil and may contribute to informing public health policy, focusing on the strategies to determine the WNV burden in South America.</div></div><div><h3>Funding</h3><div><span>Burroughs Wellcome Fund</span>, <span>Wellcome Trust</span>, <span>National Institutes of Health</span>, <span>São Paulo Research Foundation</span>, <span>Brazilian Ministry of Science</span>, and <span>Brazilian National Council for Scientific and Technological Development</span>.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"51 ","pages":"Article 101229"},"PeriodicalIF":7.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145020530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anti-amyloid therapies in the Brazilian public health system: challenges and barriers","authors":"Raphael Machado Castilhos ,&nbsp;Elisa Resende ,&nbsp;Adalberto Studart Neto","doi":"10.1016/j.lana.2025.101224","DOIUrl":"10.1016/j.lana.2025.101224","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"50 ","pages":"Article 101224"},"PeriodicalIF":7.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three versus six sessions of problem-solving training with or without boosters for care partners of adults with dementia (CaDeS): a randomised controlled optimization trial","authors":"Shannon B. Juengst ,&nbsp;Alexandra Holland ,&nbsp;Kristin Wilmoth ,&nbsp;Matthew Lee Smith ,&nbsp;Gang Han ,&nbsp;Charlene Supnet-Bell ,&nbsp;Chung Lin (Novelle) Kew ,&nbsp;Alka Khera ,&nbsp;Gladys Maestre","doi":"10.1016/j.lana.2025.101222","DOIUrl":"10.1016/j.lana.2025.101222","url":null,"abstract":"<div><h3>Background</h3><div>Problem-Solving Training/Descubriendo Soluciones Juntos (PST/DSJ) can improve emotional consequences of caregiving. We assessed the number of sessions and boosters needed for reducing caregiver burden and depressive symptoms among Alzheimer’s disease and related dementias (ADRD) care partners.</div></div><div><h3>Methods</h3><div>We conducted a randomised factorial-design trial of bilingual PST/DSJ among ADRD care partners (NCT04748666). Participants were randomly assigned (blocks of 8 stratified by language) to 3 PST/DSJ sessions with (n = 19) or without (n = 21) boosters or 6 PST/DSJ sessions with (n = 28) or without (n = 29) boosters. The Zarit Burden Interview measured caregiver burden and Patient Health Questionnaire (PHQ-8) measured depressive symptoms at baseline, after sessions, and after boosters.</div></div><div><h3>Findings</h3><div>Ninety-seven care partners participated in the study (93% of those randomised) between June 2021 and July 2023 (n = 80 women, 83%). Ninety-five were included in intention-to-treat analysis (98% retention). For caregiver burden, all groups improved significantly over time (Estimate = −0.40, p = 0.004, Cohen’s D = 0.31), with no difference between intervention groups. For depressive symptoms, there was a main effect of time (Estimate = −0.16, p = 0.005, Cohen’s D = 0.33) indicating overall improvement regardless of group. Within group effect sizes (Cohen’s D = 0.17–0.51) suggest larger improvement with 6 sessions (Cohen’s D = 0.28–0.51) than 3 sessions (Cohen’s D = 0.17–0.41). No adverse events occurred.</div></div><div><h3>Interpretation</h3><div>Neither the number of sessions nor boosters resulted in differential efficacy for caregiver burden and depressive symptoms, though six sessions and boosters yielded the largest effect sizes. These results can inform the implementation of an evidence-based, bilingual problem-solving intervention to reduce burden and improve mood among diverse dementia care partners.</div></div><div><h3>Funding</h3><div><span>Texas Alzheimer’s Research and Care Consortium</span> [TARCC <span><span>2020-06-25-CR</span></span>].</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"50 ","pages":"Article 101222"},"PeriodicalIF":7.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}