AIMS Public Health最新文献

{"title":"Analysis of fractal-fractional Alzheimer's disease mathematical model in sense of Caputo derivative.","authors":"Pooja Yadav, Shah Jahan, Kottakkaran Sooppy Nisar","doi":"10.3934/publichealth.2024020","DOIUrl":"10.3934/publichealth.2024020","url":null,"abstract":"<p><p>Alzheimer's disease stands as one of the most widespread neurodegenerative conditions associated with aging, giving rise to dementia and posing significant public health challenges. Mathematical models are considered as valuable tools to gain insights into the mechanisms underlying the onset, progression, and potential therapeutic approaches for AD. In this paper, we introduce a mathematical model for AD that employs the fractal fractional operator in the Caputo sense to characterize the temporal dynamics of key cell populations. This model encompasses essential elements, including amyloid-<i>β</i> ($mathbb{ A_beta }$), neurons, astroglia and microglia. Using the fractal fractional operator, we have established the existence and uniqueness of solutions for the model under consideration, employing Leray-Schaefer's theorem and the Banach fixed-point methods. Utilizing functional techniques, we have analyzed the proposed model stability under the Ulam-Hyers condition. The suggested model has been numerically simulated by using a fractional Adams-Bashforth approach, which involves a two-step Lagrange polynomial. For numerical simulations, different ranges of fractional order values and fractal dimensions are considered. This new fractal fractional operator in the form of the Caputo derivative was determined to yield better results than an ordinary integer order. Various outcomes are shown graphically by for different fractal dimensions and arbitrary orders.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 2","pages":"399-419"},"PeriodicalIF":3.1,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11252576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724640","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":"Challenges of nursing students during clinical training: A nursing perspective.","authors":"Lobna Mohamed Mohamed Abu Negm, Fathia Ahmed Mersal, Manal S Fawzy, Ajitha Thankarajan Rajennal, Rehab Salamah Alanazi, Lujain Obaid Alanazi","doi":"10.3934/publichealth.2024019","DOIUrl":"10.3934/publichealth.2024019","url":null,"abstract":"<p><p>Clinical training plays a fundamental role in nursing students' acquisition of professional capabilities. This study aimed to explore the perceived challenges nursing students face during clinical training. An explorative cross-sectional study was applied. A proportionate, stratified, random sample was enrolled in the study with inclusive criteria, including nursing students (2nd - 4th year) and interns who attended their internship in regional hospitals. A validated electronic questionnaire was used for data collection, which consisted of three sections and 29 items. The section that focused on the difficulties experienced by nursing students during their practical training included six elements: teachers, healthcare professionals, the students themselves, tasks, time management, and the location of the training. Another section inquired about the students' perspectives on the benefits of clinical training. A three-point \"Likert scale\" was applied. The findings indicated that mild (24%), moderate (62%), and severe (14%) degree of challenges were perceived by the study participants. The mean score for the total challenges during clinical training was 2.00 ± 0.28, and there were variations in the perceived challenges among grade levels. In conclusion, there are variations in the perceived challenges during clinical training among different grade levels. These challenges were related to teachers, health workers, the students, tasks, the time, and the place. Enhancing the nursing curricula alignment with practical training objectives is recommended, focusing on the development of technical and interpersonal skills with appropriate guidance, alongside positive clinical settings to help nursing students learn and boost their confidence in their approach.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 2","pages":"379-398"},"PeriodicalIF":3.1,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11252586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724642","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 impact of research on health education/health literacy on policymaking in Latin America and the Caribbean Region.","authors":"Carlos Vílchez-Román, Alberto Paucar-Caceres, Silvia Quispe-Prieto","doi":"10.3934/publichealth.2024017","DOIUrl":"10.3934/publichealth.2024017","url":null,"abstract":"<p><strong>Background: </strong>In this study, we addressed the gap between health research and policymaking in Latin America and the Caribbean (LAC), focusing on health education/health literacy. Despite growing research, translating findings into effective policies needs to be improved. We explored the factors that make research on health education and health literacy to be referenced and mentioned in policy documents in LAC (and in Peru). We proposed a model based on the hypothesis that the relationship between research and policymaking depends on the research strength of scientific evidence, timing, and social media activity.</p><p><strong>Methods: </strong>A mixed-methods approach was employed, combining quantitative and qualitative data analysis. Quantitative data sources included multidisciplinary databases, altmetric data, and citations of policy documents. For data analysis, we obtained descriptive statistics to identify patterns and then verified the association between variables using χ2. The negative binomial regression was used to test the empirical model introduced above. Quantitative analysis was complemented by analysis of responses to a set of open questions from a sample of Peruvian health policymakers.</p><p><strong>Results: </strong>We found that timing, strength of evidence, and social media activity were significant predictors of research cited in policy documents. Policy documents tended to rely more on qualitative evidence. A positive correlation between timing and cites in policy documents highlighted the importance of timely dissemination, whereas social media activity, while having an impact, had a relatively minor effect. Peruvian policymakers' responses emphasized the role of political context, the relevance of results, and policymakers' commitment to incorporating research into policies.</p><p><strong>Conclusion: </strong>Strength of evidence, social media engagement, and publication timing are key predictors of citations for health education/literacy research in LAC policy documents. However, qualitative findings highlight challenges, including some distrust in research findings, together with limited access to relevant research. The findings offer opportunities to enhance evidence-informed health education/health literacy policy decisions.</p><p><strong>Implications: </strong>To increase the influence on health policymakers, researchers should prioritize the timely dissemination of solid evidence, considering both traditional and digital platforms. Policymakers should focus on the quality and relevance of evidence when formulating policies.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 2","pages":"330-348"},"PeriodicalIF":3.1,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11252583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724681","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":"Utilizing AI for extracting insights on post WHO's COVID-19 vaccination declaration from X (Twitter) social network.","authors":"Ali S Abed Al Sailawi, Mohammad Reza Kangavari","doi":"10.3934/publichealth.2024018","DOIUrl":"10.3934/publichealth.2024018","url":null,"abstract":"<p><p>This study explores the use of artificial intelligence (AI) to analyze information from X (previously Twitter) feeds related to COVID-19, specifically focusing on the time following the World Health Organization's (WHO) vaccination announcement. This aspect of the pandemic has not been studied by other researchers focusing on vaccination news. By utilizing advanced AI algorithms, the research aims to examine a wealth of data, sentiments, and trends to enhance crisis management strategies effectively. Our methods involved collecting a dataset of tweets from December 2020 to July 2021. By using specific keywords strategically, we gathered a substantial 15.5 million tweets, focusing on important hashtags like #vaccine and #coronavirus while filtering out irrelevant replies and retweets. The assessment of three different machine learning models-BiLSTM, FFNN, and CNN - highlights the exceptional performance of BiLSTM, achieving an impressive F1-score of 0.84 on the test set, with Precision and Recall metrics at 0.85 and 0.83, respectively. The study provides a detailed visualization of global sentiments on COVID-19 topics, with a main goal of extracting insights to manage public health crises effectively. Sentiment labels were predicted using various classification models and categorized as positive, negative, and neutral for each country after adjusting for population differences. An important finding from the analysis is the variation in sentiments across regions, for instance, with Eastern European countries showing positive views on post-vaccination economic recovery, while China and the United States express negative opinions on the same topic.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 2","pages":"349-378"},"PeriodicalIF":3.1,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11252579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724682","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":"External training load and performance recovery after small-sided games in soccer: Insights for return-to-play management.","authors":"Roberto Modena, Federico Schena","doi":"10.3934/publichealth.2024016","DOIUrl":"https://doi.org/10.3934/publichealth.2024016","url":null,"abstract":"<p><p>The return-to-play process' characteristics can vary by injury and sport type but are typically composed of phases of different durations, training targets, and intensities that gradually increase the physiological and mechanical load. In team sports, contact drills are a necessary part of the last phases of this process, and they should be planned using the optimal mechanical load. The present study investigated the external load and kinetic recovery in U19 soccer players performing 6vs6 and 3vs3 small-sided games. A global positioning system (GPS) measured external load metrics. The rate of perceived exertion (RPE) was registered at the end. Total quality of recovery (TQR) was collected at the beginning of the training session and after 24 h. Moreover, before and after the small-sided games (SSGs) and at 24 h, delayed-onset muscle soreness (DOMS) of the legs, sprinting time, and vertical jump height (CMJ) were collected. 6vs6 presented higher values in total distance low-, moderate-, high, and very-high-speed distance, and maximum speed (p < 0.05). However, 3vs3 showed higher number of sprints, acceleration, and deceleration at different intensities. Furthermore, no difference was shown in RPE. The effect of fatigue on sprint seems greater for 6vs6, showing an impairment persistent at 24 h (p < 0.05). Moreover, CMJ height was impaired after 6vs6 and at 24 h (p < 0.05) but did not change after 3vs3 (p > 0.05). DOMS values after SSGs and at 24 h were higher than baseline for both conditions (p < 0.05), while TQR decreased at 24 h in both conditions (p < 0.05). Based on our results, it seems that 6vs6, leading to a greater high-speed running distance, might cause a training load that needs more time to recover. This point may be crucial in a return-to-play process, especially when hamstring muscles are involved.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 1","pages":"315-329"},"PeriodicalIF":3.3,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865997","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":"Executive function deficits mediate the relationship between employees' ADHD and job burnout.","authors":"Yaara Turjeman-Levi, Guy Itzchakov, Batya Engel-Yeger","doi":"10.3934/publichealth.2024015","DOIUrl":"https://doi.org/10.3934/publichealth.2024015","url":null,"abstract":"<p><p>Adults with Attention-Deficit/Hyperactivity Disorder (ADHD) often face significant deficits in executive function and adverse work-related outcomes. This study aimed to explore the role of executive function deficits in job burnout of employees with ADHD. We hypothesized that employees with ADHD, relative to employees without ADHD, will experience higher levels of job burnout and deficits in executive function. We also hypothesized that the ADHD-job burnout relationship would be mediated through executive function deficits, specifically by self-management to time and self-organization/problem-solving. A field study with 171 employees provided support for the research hypotheses and mediation model in which the employees' ADHD-job burnout relationship was mediated through executive function deficits. Additional mediation analyses indicated that the specific executive function of self-management to time and self-organization/problem-solving mediated the effect of ADHD on job burnout and its facets. Specifically, for physical fatigue, the mediation was realized through self-management to time, and for emotional exhaustion and cognitive weariness, the mediation was significant through self-organization/problem-solving. The present findings shed light on the relevance of referring ADHD among employees, their vulnerability to job burnout, and the role of executive function deficits in job burnout of employees with ADHD.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 1","pages":"294-314"},"PeriodicalIF":3.3,"publicationDate":"2024-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866410","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":"Covid-19 pandemic? Mental health implications among nurses and Proposed interventions.","authors":"Vasiliki Georgousopoulou, Panagiota Pervanidou, Pantelis Perdikaris, Efrosyni Vlachioti, Vaia Zagana, Georgios Kourtis, Ioanna Pavlopoulou, Vasiliki Matziou","doi":"10.3934/publichealth.2024014","DOIUrl":"https://doi.org/10.3934/publichealth.2024014","url":null,"abstract":"<p><strong>Background: </strong>With its abrupt and huge health and socio-economic consequences, the coronavirus disease (COVID-19) pandemic has led to a uniquely demanding, intensely stressful, and even traumatic period. Healthcare workers (HCW), especially nurses, were exposed to mental health challenges during those challenging times.</p><p><strong>Objectives: </strong>Review the current literature on mental health problems among nurses caring for COVID-19 patients.</p><p><strong>Methods: </strong>This is a narrative review and critical evaluation of relevant publications.</p><p><strong>Results: </strong>Nurses experienced higher levels of stress, burnout, anxiety, depression, frustration, stigma, and depersonalization compared to other HCW. Factors that increased this symptomatology included concerns about infection or infection of family members, inadequate staff protective equipment, extended working hours, insufficient information, a reduced sense of security, and post-traumatic stress disorder. The factors that improved the psychopathology included a general positive attitude, job satisfaction, adequate information and education, harmonious group relationships, post-traumatic development, emotional intelligence, psychological counseling, mindfulness-based stress reduction, stable leadership, guidance, and moral and practical administrative support.</p><p><strong>Conclusions: </strong>Recent studies clearly show that nurses, especially women, are the most vulnerable subgroup among HCW and are particularly prone to mental health impacts during the COVID-19 pandemic. The documented mental health vulnerability of frontline nursing staff during the COVID-19 pandemic requires preventive nursing management actions to increase resilience and to develop relevant defense mechanisms.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 1","pages":"273-293"},"PeriodicalIF":3.3,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863726","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":"Workplace wellbeing in community pharmacy practice: A cross-sectional study in Can Tho, Vietnam.","authors":"Van De Tran, Trung Tin Pham, Trung Hieu Le, Thanh Thao Nguyen Thi, Minh Trung Nguyen, Duong Phuc Phan, Thi Bich Thuy Bui, Minh Cuong Nguyen, Rebecca Susan Dewey, Nguyet Tu Tran","doi":"10.3934/publichealth.2024013","DOIUrl":"https://doi.org/10.3934/publichealth.2024013","url":null,"abstract":"<p><strong>Background: </strong>Among pharmacy workers, low workplace wellbeing can lead to reduced effectiveness. However, to date, studies on this issue are limited within the community pharmacy setting in Vietnam.</p><p><strong>Objectives: </strong>This study was conducted to identify the component aspects of workplace wellbeing and their associations with demographic characteristics.</p><p><strong>Methods: </strong>The cross-sectional descriptive study was conducted in Can Tho, Vietnam. Self-administered questionnaires were hand-delivered to all pharmacy workers working at selected community pharmacies. The workplace wellbeing scale comprised 18 items.</p><p><strong>Results: </strong>In total, 382 pharmacy workers participated in this study. Factor analysis revealed three fundamental aspects to workplace wellbeing: Factor 1 - perceived self-worth and job satisfaction, Factor 2 - positive emotions with work, and Factor 3 - negative emotions with work. Factor 1 showed a positive correlation with Factor 2, with a correlation coefficient (ρ) of 0.509, while both Factor 1 (ρ = -0.399) and Factor 2 (ρ = -0.416) demonstrated negative correlations with Factor 3. Higher income was associated with higher positive emotions with work (<i>P</i> = 0.008), higher perceived self-worth and job satisfaction (<i>P</i> = 0.013), and lower negative emotions with work (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Workplace wellbeing of pharmacy workers in their professional environments was associated with financial aspects. These findings suggest that policies aimed at improving income for pharmacy workers could bring benefits to enhancing job satisfaction and workplace wellbeing.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 1","pages":"258-272"},"PeriodicalIF":3.3,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869073","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":"Relationships between employment status with self-perceived mental and physical health in Canada.","authors":"Anson Kwok Choi Li, Behdin Nowrouzi-Kia","doi":"10.3934/publichealth.2024012","DOIUrl":"https://doi.org/10.3934/publichealth.2024012","url":null,"abstract":"<p><strong>Background: </strong>The annual cost of mental illnesses in Canada is estimated to be $50 billion. Research from other countries have suggested that employment status is associated with mental and physical health. Within the Canadian context, there is a dearth of research on the relationship between employment and mental health.</p><p><strong>Objective: </strong>To explore the relationships between age, gender, income, and employment status on mental and physical health.</p><p><strong>Methods: </strong>The 2021 Canadian Digital Health Survey dataset was used for this study. Data records, which included responses for the questions on age, gender, income, employment status, mental, and physical health, were used in the analysis. Ordinal logistics regression was applied to investigate the associations that may exist between mental and physical health with the various sociodemographic factors. Descriptive statistics were also provided for the data.</p><p><strong>Results: </strong>The total sample size included in the analysis was 10,630. When compared to respondents who had full-time employment, those who were unemployed were more likely to have lower self-perceived mental health (<i>OR</i>: 1.91; 95% <i>CI</i>: 1.55-2.34). Retired respondents were less likely to have worse mental health than respondents who were employed full-time (<i>OR</i>: 0.78; 95% <i>CI</i>: 0.68-0.90). Self-perceived physical health was more likely to be lower for those who were unemployed (<i>OR</i>: 1.74; 95% <i>CI</i>: 1.41-2.14) or retired (<i>OR</i>: 1.28; 95% <i>CI</i>: 1.12-1.48) when compared to respondents employed full-time. The likelihood of worsening mental and physical health was also found to be associated with age, gender, and income.</p><p><strong>Conclusion: </strong>Our findings support the evidence that different factors contribute to worsening mental and physical health. Full-time employment may confer some protective effects or attributes leading to an increased likelihood of having improved mental health compared to those who are unemployed. Understanding the complex relationships on how various factors impact mental health will help better inform policymakers, clinicians, and other stakeholders on how to allocate its limited resources.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 1","pages":"236-257"},"PeriodicalIF":3.3,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866853","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":"Deaths in Immigration and Customs Enforcement (ICE) detention: A Fiscal Year (FY) 2021-2023 update.","authors":"Cara Buchanan, Sameer Ahmed, Joseph Nwadiuko, Annette M Dekker, Amy Zeidan, Eva Bitrán, Thomas Urich, Briah Fischer, Elizabeth R E Burner, Parveen Parmar, Sophie Terp","doi":"10.3934/publichealth.2024011","DOIUrl":"https://doi.org/10.3934/publichealth.2024011","url":null,"abstract":"<p><strong>Background: </strong>This study describes the deaths of individuals in Immigration and Customs Enforcement (ICE) detention between FY2021-2023, updating a report from FY2018-2020, which identified an increased death rate amidst the COVID-19 pandemic.</p><p><strong>Methods: </strong>Data was extracted from death reports published online by ICE. Causes of deaths were recorded, and death rates per 100,000 admissions were calculated using population statistics reported by ICE. Reports of individuals released from ICE custody just prior to death were also identified and described.</p><p><strong>Results: </strong>There were 12 deaths reported from FY2021-2023, compared to 38 deaths from FY2018-2020. The death rate per 100,000 admissions in ICE detention was 3.251 in FY2021, 0.939 in FY2022, and 1.457 in FY2023, compared with a pandemic-era high of 10.833 in FY2020. Suicide caused 1 of 12 (8.3%) deaths in FY2021-2023 compared with 9 of 38 (23.7%) deaths in FY2018-2020. COVID-19 was contributory in 3 of 11 (25%) medical deaths in FY2021-2023, compared with 8 of 11 (72.7%) in the COVID-era months of FY2020 (p = 0.030). Overall, 4 of 11 (36.3%) medical deaths in FY2021-2023 resulted from cardiac arrest in detention facilities, compared with 6 of 29 (20.3%) in FY2018-2020. Three deaths of hospitalized individuals released from ICE custody with grave prognoses were identified.</p><p><strong>Conclusions: </strong>The death rate among individuals in ICE custody decreased in FY2021-2023, which may be explained in part by the release of vulnerable individuals following recent federal legal determinations (e.g., <i>Fraihat v. ICE</i>). Identification of medically complex individuals released from ICE custody just prior to death and not reported by ICE indicates that reported deaths underestimate total deaths associated with ICE detention. Attentive monitoring of mortality outcomes following release from ICE custody is warranted.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"11 1","pages":"223-235"},"PeriodicalIF":3.3,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11007418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857589","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}