Lancet Regional Health-Americas最新文献

{"title":"Women's attitudes towards intimate partner violence in Guyana: a population-based study","authors":"Gary Joseph ,&nbsp;Charles C. Branas ,&nbsp;Sandra Rupnarain ,&nbsp;Monica Riutort ,&nbsp;Christopher N. Morrison","doi":"10.1016/j.lana.2024.100920","DOIUrl":"10.1016/j.lana.2024.100920","url":null,"abstract":"<div><h3>Background</h3><div>Intimate partner violence (IPV) against women is a global health issue and a breach of human rights. However, the literature lacks understanding of how socioeconomic and geographic disparities influence women's attitudes toward IPV in Guyana over time. This study aimed to assess trends in women's attitudes about IPV in Guyana.</div></div><div><h3>Methods</h3><div>Data from three nationally representative surveys from 2009, 2014 to 2019 were analysed. The prevalence of women's attitudes about IPV was assessed, specifically in response to going out without telling their partners, neglecting their children, arguing with their partner, refusing sex with their partner, or burning food prepared for family meals. A series of stratified subgroup analyses were also completed. We assessed trends in IPV using the slope index of inequality (SII) and the concentration index of inequality (CIX). We used multilevel mixed-effects logistic regression to assess factors associated with women's attitudes justifying IPV.</div></div><div><h3>Findings</h3><div>The prevalence of women's attitudes justifying IPV for any of the five reasons declined from 16.4% (95% CI: 15.1–17.8) in 2009 to 10.8% (95% CI: 9.7–12.0) in 2019. Marked geographic and socioeconomic inequalities were observed among subgroups. The SII for any of the five reasons decreased from −20.02 to −14.28, while the CIX remained constant over time. Key factors associated with women's attitudes about IPV were area of residence, sex of the household head, marital status, respondent's level of education, wealth index quintile, and the frequency of reading newspapers/magazines.</div></div><div><h3>Interpretation</h3><div>From 2009 to 2019, Guyana was able to reduce women's attitudes justifying IPV against women by 34.1% and shortened subgroup inequalities. However, the prevalence remained high in 2019, with persisted inequalities among subgroups. Effective strategies, including the use of media to raise awareness, promotion of community-based approaches, and educational campaigns focusing on geographic and socioeconomic disparities, are essential for continuing to reduce the prevalence of IPV and associated inequalities.</div></div><div><h3>Funding</h3><div>The study was funded in part by the <span>National Institutes of Health</span>, <span>Fogarty International Center</span> grant number <span><span>D43TW012189</span></span>.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"39 ","pages":"Article 100920"},"PeriodicalIF":7.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533670","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":"Inequality through the pipeline: racial and ethnic disparities remain in U.S. kidney transplantation","authors":"Laura C. Plantinga","doi":"10.1016/j.lana.2024.100924","DOIUrl":"10.1016/j.lana.2024.100924","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"39 ","pages":"Article 100924"},"PeriodicalIF":7.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142533667","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":"Comparison of long-term healthcare use among older adults with disabilities following hospitalization for COVID-19, sepsis, or influenza: a population-based cohort study","authors":"John M. Lapp ,&nbsp;Thérèse A. Stukel ,&nbsp;Hannah Chung ,&nbsp;Samantha Lee ,&nbsp;Yona Lunsky ,&nbsp;Chaim M. Bell ,&nbsp;Angela M. Cheung ,&nbsp;Allan S. Detsky ,&nbsp;Susie Goulding ,&nbsp;Margaret Herridge ,&nbsp;Aisha Ahmad ,&nbsp;Fahad Razak ,&nbsp;Amol A. Verma ,&nbsp;Hilary K. Brown ,&nbsp;Pavlos Bobos ,&nbsp;Kieran L. Quinn","doi":"10.1016/j.lana.2024.100910","DOIUrl":"10.1016/j.lana.2024.100910","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;People with disabilities are at elevated risk of adverse short-term outcomes following hospitalization for acute infectious illness. No prior studies have compared long-term healthcare use among this high-risk population. We compared the healthcare use of adults with disabilities in the one year following hospitalization for COVID-19 vs. sepsis vs. influenza.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We performed a population-based cohort study using linked clinical and health administrative databases in Ontario, Canada of all adults with pre-existing disability (physical, sensory, or intellectual) hospitalized for COVID-19 (n = 22,551, median age 69 [IQR 57–79], 47.9% female) or sepsis (n = 100,669, median age 77 [IQR 66–85], 54.8% female) between January 25, 2020, and February 28, 2022, and for influenza (n = 11,216, median age 78 [IQR 67–86], 54% female) or sepsis (n = 49,326, median age 72 [IQR 62–82], 45.8% female) between January 1, 2014 and March 25, 2019. The exposure was hospitalization for laboratory-confirmed SARS-CoV-2 or influenza, or sepsis (not secondary to COVID-19 or influenza). Outcomes were ambulatory care visits, diagnostic testing, emergency department visits, hospitalization, palliative care visits and death within 1 year. Rates of these outcomes were compared across exposure groups using propensity-based overlap weighted Poisson and Cox proportional hazards models.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;Among older adults with pre-existing disability, hospitalization for COVID-19 was associated with lower rates of ambulatory care visits (adjusted rate ratio (aRR) 0.88, 95% confidence interval (CI), 0.87–0.90), diagnostic testing (aRR 0.86, 95% CI, 0.84–0.89), emergency department visits (aRR 0.91, 95% CI, 0.84–0.97), hospitalization (aRR 0.74, 95% CI, 0.71–0.77), palliative care visits (aRR 0.71, 95% CI, 0.62–0.81) and low hazards of death (adjusted hazard ratio (aHR) 0.71, 95% 0.68–0.75), compared to hospitalization for sepsis during the COVID-19 pandemic. Rates of healthcare use among those hospitalized for COVID-19 varied compared to those hospitalized for influenza or sepsis prior to the pandemic.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Interpretation&lt;/h3&gt;&lt;div&gt;This study of older adults with pre-existing disabilities hospitalized for acute infectious illness found that COVID-19 was not associated with higher rates of healthcare use or mortality over the one year following hospital discharge compared to those hospitalized for sepsis. However, hospitalization for COVID-19 was associated with higher rates of ambulatory care use and mortality when compared to influenza. As COVID-19 enters an endemic phase, the associated long-term health resource use and risks in the contemporary era are reassuringly similar to sepsis and influenza, even among people with pre-existing disabilities.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Funding&lt;/h3&gt;&lt;div&gt;This study was supported by &lt;span&gt;ICES&lt;/span&gt;, which is funded by an annual grant from the &lt;span&gt;Ontario","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"39 ","pages":"Article 100910"},"PeriodicalIF":7.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445378","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":"Confronting Mpox in Brazil amid global spread of clade Ib","authors":"Paulo Ricardo Martins-Filho ,&nbsp;Thialla Andrade Carvalho ,&nbsp;Silvia Sant'Ana Rodrigues ,&nbsp;Danilo Santos de Sousa ,&nbsp;Francy Waltilia Cruz Araújo ,&nbsp;Martha Débora Lira Tenório ,&nbsp;Diego Moura Tanajura ,&nbsp;Cliomar Alves dos Santos","doi":"10.1016/j.lana.2024.100917","DOIUrl":"10.1016/j.lana.2024.100917","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"40 ","pages":"Article 100917"},"PeriodicalIF":7.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142444628","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":"Clinical profile of patients with acute traumatic brain injury undergoing cranial surgery in the United States: report from the 18-centre TRACK-TBI cohort study","authors":"John K. Yue ,&nbsp;John H. Kanter ,&nbsp;Jason K. Barber ,&nbsp;Michael C. Huang ,&nbsp;Thomas A. van Essen ,&nbsp;Mahmoud M. Elguindy ,&nbsp;Brandon Foreman ,&nbsp;Frederick K. Korley ,&nbsp;Patrick J. Belton ,&nbsp;Dana Pisică ,&nbsp;Young M. Lee ,&nbsp;Ryan S. Kitagawa ,&nbsp;Mary J. Vassar ,&nbsp;Xiaoying Sun ,&nbsp;Gabriela G. Satris ,&nbsp;Justin C. Wong ,&nbsp;Adam R. Ferguson ,&nbsp;J. Russell Huie ,&nbsp;Kevin K.W. Wang ,&nbsp;Hansen Deng ,&nbsp;Ross D. Zafonte","doi":"10.1016/j.lana.2024.100915","DOIUrl":"10.1016/j.lana.2024.100915","url":null,"abstract":"<div><h3>Background</h3><div>Contemporary surgical practices for traumatic brain injury (TBI) remain unclear. We describe the clinical profile of an 18-centre US TBI cohort with cranial surgery.</div></div><div><h3>Methods</h3><div>The prospective, observational Transforming Research and Clinical Knowledge in Traumatic Brain Injury Study (2014–2018; <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> #<span><span>NCT02119182</span><svg><path></path></svg></span>) enrolled subjects who presented to trauma centre and received head computed tomography within 24-h (h) post-TBI. We performed a secondary data analysis in subjects aged ≥17-years with hospitalisation. Clinical characteristics, surgery type/timing, hospital and six-month outcomes were reported.</div></div><div><h3>Findings</h3><div>Of 2032 subjects (age: mean = 41.4-years, range = 17–89-years; male = 71% female = 29%), 260 underwent cranial surgery, comprising 65% decompressive craniectomy, 23% craniotomy, 12% other surgery. Subjects with surgery (vs. without surgery) presented with worse neurological injury (median Glasgow Coma Scale = 6 vs. 15; midline shift ≥5 mm: 48% vs. 2%; cisternal effacement: 61% vs. 4%; p &lt; 0.0001). Median time-to-craniectomy/craniotomy was 1.8 h (interquartile range = 1.1–5.0 h), and 67% underwent intracranial pressure monitoring. Seventy-three percent of subjects with decompressive craniectomy and 58% of subjects with craniotomy had ≥3 intracranial lesion types. Decompressive craniectomy (vs. craniotomy) was associated with intracranial injury severity (median Rotterdam Score = 4 vs. 3, p &lt; 0.0001), intensive care length of stay (median = 13 vs. 4-days, p = 0.0002), and six-month unfavourable outcome (62% vs. 30%; p = 0.0001). Earlier time-to-craniectomy was associated with intracranial injury severity.</div></div><div><h3>Interpretation</h3><div>In a large representative cohort of patients hospitalised with TBI, surgical decision-making and time-to-surgery aligned with intracranial injury severity. Multifocal TBIs predominated in patients with cranial surgery. These findings summarise current TBI surgical practice across US trauma centres and provide the foundation for analyses in targeted subpopulations.</div></div><div><h3>Funding</h3><div><span>National Institute of Neurological Disorders</span> and Stroke; US <span>Department of Defense</span>; <span>Neurosurgery Research and Education Foundation</span>.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"39 ","pages":"Article 100915"},"PeriodicalIF":7.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445379","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":"Promoting climate-resilient health systems through national surgical plans","authors":"Ayla Gerk ,&nbsp;Callum Forbes ,&nbsp;Taylor Wurdeman ,&nbsp;Nikathan Kumar ,&nbsp;Elizabeth J. McLeod ,&nbsp;John G. Meara ,&nbsp;Ruth Jimbo-Sotomayor ,&nbsp;Craig D. McClain ,&nbsp;Maria Jose Garcia Fuentes ,&nbsp;Tarsicio Uribe-Leitz ,&nbsp;Alfredo Borrero Vega","doi":"10.1016/j.lana.2024.100911","DOIUrl":"10.1016/j.lana.2024.100911","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"40 ","pages":"Article 100911"},"PeriodicalIF":7.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441249","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":"Fires in Brazil: health crises and the failure of government action","authors":"Weeberb J. Requia","doi":"10.1016/j.lana.2024.100913","DOIUrl":"10.1016/j.lana.2024.100913","url":null,"abstract":"","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"39 ","pages":"Article 100913"},"PeriodicalIF":7.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441463","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":"Examining the surgical backlog due to COVID-19 in Latin America and the Caribbean: insights from a scoping review","authors":"Letícia Nunes Campos ,&nbsp;Mayte Bryce-Alberti ,&nbsp;Ayla Gerk ,&nbsp;Sarah K. Hill ,&nbsp;Chrystal Calderon ,&nbsp;Mehreen Zaigham ,&nbsp;Diana D. del Valle ,&nbsp;Carol Mita ,&nbsp;Sabrina Juran ,&nbsp;Júlia Loyola Ferreira ,&nbsp;Tarsicio Uribe-Leitz","doi":"10.1016/j.lana.2024.100908","DOIUrl":"10.1016/j.lana.2024.100908","url":null,"abstract":"<div><div>This scoping review assessed the surgical backlog in Latin America and the Caribbean (LAC) due to COVID-19 and identified mitigation strategies. We searched seven databases for citations from December 2019 to December 2022, focusing on LAC patients with cancelled or postponed procedures. We registered our protocol at Open Science Framework (<span><span>https://osf.io/x2nd8</span><svg><path></path></svg></span>) and adhered to PRISMA-ScR guidelines. We included 83 citations covering 23 LAC countries and 19 surgical specialities, with Brazil (67%, 56/83) and transplant surgery (24%, 20/83) being the most documented. Surgical backlogs were mainly reported at the hospital (44%, 37/83) and national levels (38%, 32/83). We identified 58 citations that reported a total of 42 strategies to mitigate the backlog, the most cited being establishing prioritisation criteria for surgical cases (41%, 24/58). Our findings highlight challenges across differing healthcare systems in LAC, including disparities in data availability, surgical capacity, and resource allocation. For instance, while countries like Brazil had extensive data on national surgical backlogs, others lacked comprehensive national-level data. Our review can help inform policymakers and healthcare stakeholders to implement targeted interventions to prepare LAC-based surgical systems for future health emergencies.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"40 ","pages":"Article 100908"},"PeriodicalIF":7.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441047","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":"On the path toward cervical cancer elimination in Canada: a national survey of factors influencing women's intentions to participate in human papillomavirus test-based primary cervical screening","authors":"Ovidiu Tatar ,&nbsp;Ben Haward ,&nbsp;Samara Perez ,&nbsp;Patricia Zhu ,&nbsp;Julia Brotherton ,&nbsp;Kathleen Decker ,&nbsp;Aisha K. Lofters ,&nbsp;Marie-Hélène Mayrand ,&nbsp;Emily McBride ,&nbsp;Gina Ogilvie ,&nbsp;Gilla K. Shapiro ,&nbsp;Laurie W. Smith ,&nbsp;Marc Steben ,&nbsp;Jo Waller ,&nbsp;Gregory D. Zimet ,&nbsp;Zeev Rosberger","doi":"10.1016/j.lana.2024.100901","DOIUrl":"10.1016/j.lana.2024.100901","url":null,"abstract":"<div><h3>Background</h3><div>HPV test-based primary cervical screening is replacing cytology in Canada. In other countries, women's unpreparedness and concerns hindered the transition and post-implementation screening uptake. We investigated psychosocial correlates of intentions of screening in eligible individuals to participate in HPV-based primary cervical screening.</div></div><div><h3>Methods</h3><div>We conducted a nationwide web-based survey of individuals aged 21–70 years in 2022 and oversampled under-screened individuals. We used five Canadian-validated scales to measure HPV test-based screening knowledge, attitudes, and beliefs. Using the multistage Precaution Adoption Process Model, we assessed women's stage of intentions to participate in HPV testing and self-sampling. We estimated associations of psychosocial factors with intentions' stage using multinomial logistic regression.</div></div><div><h3>Findings</h3><div>In both groups (adequately screened n = 1778; under-screened n = 1570), higher HPV knowledge was associated with intention for HPV testing and more personal barriers to the HPV test were associated with lower intentions to participate in HPV testing or use of self-sampling. In both groups, higher self-sampling concerns were associated with lower intentions for self-sampling and higher women's need for autonomy was associated with increased intentions for self-sampling. In the under-screened group, increased age was associated with lower intentions for HPV testing and self-sampling, while living in Canada for &lt;10 years was associated with higher intentions.</div></div><div><h3>Interpretation</h3><div>Our results could be used by policymakers and healthcare professionals to design communication strategies and ensure a smooth transition to HPV-based primary cervical screening, especially for under-screened individuals.</div></div><div><h3>Funding</h3><div><span>Canadian Institutes of Health Research</span> project grant 165905.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"39 ","pages":"Article 100901"},"PeriodicalIF":7.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441474","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":"Associations of the Philadelphia sweetened beverage tax with changes in adult body weight: an interrupted time series analysis","authors":"Joshua Petimar ,&nbsp;Christina A. Roberto ,&nbsp;Jason P. Block ,&nbsp;Nandita Mitra ,&nbsp;Emily F. Gregory ,&nbsp;Emma K. Edmondson ,&nbsp;Gary Hettinger ,&nbsp;Laura A. Gibson","doi":"10.1016/j.lana.2024.100906","DOIUrl":"10.1016/j.lana.2024.100906","url":null,"abstract":"<div><h3>Background</h3><div>Sweetened beverage taxes are associated with large decreases in sugar-sweetened beverage sales, but their effects on weight outcomes are unclear. We examined associations of the 2017 Philadelphia beverage tax with changes in adult weight outcomes.</div></div><div><h3>Methods</h3><div>We obtained electronic health record data on adults 18–65 years old in Philadelphia (intervention) and other areas of Pennsylvania and New Jersey (control) from 2014 to 2019. Controlled interrupted time series models compared post-tax changes in trends of body mass index (BMI, primary outcome) and obesity prevalence (secondary outcome). A panel sample comprised 175,675 adults with at least one BMI measure in both the pre-tax (2014–2016) and post-tax (2017–2019) periods. A cross-sectional sample comprised 587,121 adults with at least one BMI measure from 2014 to 2019.</div></div><div><h3>Findings</h3><div>Before tax implementation, Philadelphia panel patients had a mean BMI of 30.4 kg/m² and an obesity prevalence of 44.5%. After implementation, in the panel sample, there was a −0.03 kg/m² (95% CI: −0.07, 0.02) per quarter decrease in BMI vs. control, implying a −0.32 kg/m² (−0.85, 0.20) change at the end of the 3-year study period. In the cross-sectional sample, there was a −0.05 kg/m² (95% CI: −0.09, −0.01) per quarter decrease in BMI vs. control, implying a −0.60 kg/m² (−1.04, −0.16) change at the end of the study period. Results for obesity prevalence were consistent with the BMI results.</div></div><div><h3>Interpretation</h3><div>There was some limited evidence of a decrease in BMI and obesity prevalence in Philadelphia 3 years after beverage tax implementation. Replication of these results is needed.</div></div><div><h3>Funding</h3><div><span>National Institutes of Health</span>.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"39 ","pages":"Article 100906"},"PeriodicalIF":7.0,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142428556","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}