Journal of Public Health Management and Practice最新文献

筛选
英文 中文
From Heroes to Zeroes: The Unraveling Support for Public Health in COVID Pandemic-Era Connecticut. 从英雄到零:COVID大流行时代康涅狄格州对公共卫生的支持。
IF 2.2 4区 医学
Journal of Public Health Management and Practice Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1097/PHH.0000000000002165
Amanda Ketner, Olivia Micca, Aaliyah Barnes, Emily Ent, Shelby Segala, Jean Breny, Gabriella DeMaro
{"title":"From Heroes to Zeroes: The Unraveling Support for Public Health in COVID Pandemic-Era Connecticut.","authors":"Amanda Ketner, Olivia Micca, Aaliyah Barnes, Emily Ent, Shelby Segala, Jean Breny, Gabriella DeMaro","doi":"10.1097/PHH.0000000000002165","DOIUrl":"10.1097/PHH.0000000000002165","url":null,"abstract":"<p><strong>Objectives: </strong>To assess public health workers' mental well-being and emotional needs; evaluate resource gaps and needs for public health workers since the COVID-19 pandemic; formulate and predict professional/personal strategies to support workers in future pandemics.</p><p><strong>Methods: </strong>Between 2021 and 2022, qualitative data were collected via Qualtrics survey and focus groups from Connecticut public health workers (N = 132) with 3 question areas: (1) challenges experienced during the pandemic; (2) professional/personal needs; and (3) recommendations for how governing organizations can support workers. Thematic and content analyses were performed using NVivo-12 software.</p><p><strong>Results: </strong>Participants reported experiencing gaps in knowledge and response strategies, lack of support, and shortages in staffing and grant spending. Challenges included concerns over personal safety, job security, post-traumatic stress disorder, and feelings of guilt and burnout.</p><p><strong>Conclusion: </strong>Governing agencies were limited in their ability to supply resources to struggling employees. Results from this study, and recommendations from health workers, should be integrated into response for future pandemics.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"766-772"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging Silos: Aligning State Health Improvement, Aging, and Dementia Plans. 弥合孤岛:调整国家健康改善,老龄化和痴呆症计划。
IF 2.2 4区 医学
Journal of Public Health Management and Practice Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1097/PHH.0000000000002182
Elizabeth Woods Fox, Talyah Sands Leavitt, Tyrone J Bethune, Meghan Fadel
{"title":"Bridging Silos: Aligning State Health Improvement, Aging, and Dementia Plans.","authors":"Elizabeth Woods Fox, Talyah Sands Leavitt, Tyrone J Bethune, Meghan Fadel","doi":"10.1097/PHH.0000000000002182","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002182","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"31 5","pages":"902-904"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Is Rural Public Health Different? 农村公共卫生有何不同?
IF 2.2 4区 医学
Journal of Public Health Management and Practice Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1097/PHH.0000000000002183
Casey P Balio, Haleigh Leslie, Kate Beatty, Christen Minnick, Michael Meit
{"title":"How Is Rural Public Health Different?","authors":"Casey P Balio, Haleigh Leslie, Kate Beatty, Christen Minnick, Michael Meit","doi":"10.1097/PHH.0000000000002183","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002183","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"31 5","pages":"687-690"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Geographic Variation in Cardiorespiratory Fitness Among South Carolina Students: Examining Contributions of Community, School, and Individual Factors. 南卡罗来纳州学生心肺健康的地理差异:社区、学校和个人因素的影响
IF 2.2 4区 医学
Journal of Public Health Management and Practice Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1097/PHH.0000000000002162
Morgan N Clennin, Marsha Dowda, Kelli Kenison, Lesley W Leake, William L Shirley, Russell R Pate
{"title":"Geographic Variation in Cardiorespiratory Fitness Among South Carolina Students: Examining Contributions of Community, School, and Individual Factors.","authors":"Morgan N Clennin, Marsha Dowda, Kelli Kenison, Lesley W Leake, William L Shirley, Russell R Pate","doi":"10.1097/PHH.0000000000002162","DOIUrl":"10.1097/PHH.0000000000002162","url":null,"abstract":"<p><strong>Context: </strong>Cardiorespiratory fitness (CRF) exerts a powerful influence on health. The distribution of cardiovascular risk factors, including CRF, varies across geographic places and is likely influenced by multiple factors at the community, neighborhood, and school levels. In South Carolina, Councils of Government (COGs) serve as regional planning organizations that guide the development and implementation of federal, state, and local initiatives-many of which can influence health-related sectors such as education, parks and recreation, and public health.</p><p><strong>Objectives: </strong>To describe geographic patterns in students' CRF among COG regions in South Carolina and to identify community and school factors that account for the observed variations.</p><p><strong>Design: </strong>Cross-sectional observational study.</p><p><strong>Setting: </strong>Using data from the South Carolina FitnessGram project (school year 2018-2019), the analytic sample included public school students from 710 public schools, 64 school districts, and 10 COGs (defined as a regional planning entity that provides a \"uniform geographical framework within which the planning, programming, and delivery of services might be undertaken with maximum efficiency and effectiveness\").</p><p><strong>Participants: </strong>74 456 students in grades 5, 8, and 9-12 (high school).</p><p><strong>Main outcome measure: </strong>Percentage of students in each COG that achieved the CRF healthy fitness zone (HFZ), as assessed by FitnessGram.</p><p><strong>Results: </strong>The sample had a mean age of 12.9 (1.9) years, was 51.7% male, and 51.8% identified as non-Hispanic White. Approximately half (51.3%) achieved the CRF HFZ. Significant differences in the proportion of students achieving the CRF HFZ were observed across COGs before and after adjusting for student, community, and school variables using multivariate analysis ( P < .001). Supportive school and community environments were positively and independently associated with the percentage of students achieving the CRF HFZ.</p><p><strong>Conclusions: </strong>Findings indicate that population-level youth fitness may be influenced by school and community factors that are amendable through policy actions taken by local government and planning organizations.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"746-754"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Minnesota Public Health Corps: A Qualitative Assessment of AmeriCorps' Members Experiences. 明尼苏达州公共卫生服务队:美国服务队成员经验的定性评估。
IF 2.2 4区 医学
Journal of Public Health Management and Practice Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1097/PHH.0000000000002145
Henry Stabler, Chelsey Kirkland, Jaclyn Frank, Rachel Price, Jonathon Leider
{"title":"Minnesota Public Health Corps: A Qualitative Assessment of AmeriCorps' Members Experiences.","authors":"Henry Stabler, Chelsey Kirkland, Jaclyn Frank, Rachel Price, Jonathon Leider","doi":"10.1097/PHH.0000000000002145","DOIUrl":"10.1097/PHH.0000000000002145","url":null,"abstract":"<p><strong>Context: </strong>Long-standing gaps in public health capacity exist due to extensive workforce shortages, particularly in governmental public health (GPH); these gaps were worsened during and after the COVID-19 pandemic. In response, the federal government established Public Health AmeriCorps (PHA), which supported the integration of AmeriCorps members in public health systems. Minnesota Public Health Corps (MNPHC) prioritized placing members in GPH agencies to increase GPH capacity. Initial evaluation results (2022-2023) suggest that program members were well-integrated into agencies. This article reports on the contextual information offered by MNPHC members throughout their service, including the specific programs and activities members implemented, to better explain how members were successful at extending agencies' capacity.</p><p><strong>Objectives: </strong>Activities, challenges, and successes of members during their service are described to better explain how members were successful at extending their sites' capacity.</p><p><strong>Design: </strong>Descriptive qualitative methods using data reported each month by 60 members.</p><p><strong>Setting: </strong>GPH agencies with at least one AmeriCorps member.</p><p><strong>Participants: </strong>MNPHC members and GPH agencies.</p><p><strong>Intervention: </strong>MNPHC members at GPH agencies across Minnesota who implemented service plans.</p><p><strong>Main outcome measure: </strong>Outcomes of interest included salient themes within MNPHC members' (1) activities, (2) encountered challenges and barriers, (3) successes.</p><p><strong>Results: </strong>MNPHC members implemented public health activities that helped bolster the capacity at host sites. The most common activities were related to public health communications, community engagement, and data analysis. Reported successes were largely concerned with progress made on the different activities being implemented by members. Members also reported few challenges; however, most reported challenges related to common issues encountered in public health, such as difficulty working with community partners or finding available data.</p><p><strong>Conclusions: </strong>MNPHC offers a compelling model that provides support to the GPH workforce while also offering those considering a career in GPH an opportunity to experience a range of public health activities.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"847-855"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining the Burden of Chronic Disease and Low SES to Identify High-Need Rural Counties. 检查慢性病负担和低社会经济地位以确定高需求的农村县。
IF 2.2 4区 医学
Journal of Public Health Management and Practice Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1097/PHH.0000000000002181
Gabriel A Benavidez, Emma Boswell, Peiyin Hung, Elizabeth Crouch
{"title":"Examining the Burden of Chronic Disease and Low SES to Identify High-Need Rural Counties.","authors":"Gabriel A Benavidez, Emma Boswell, Peiyin Hung, Elizabeth Crouch","doi":"10.1097/PHH.0000000000002181","DOIUrl":"10.1097/PHH.0000000000002181","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to identify rural counties across the United States that experience combined high prevalence of chronic diseases and low socioeconomic status (SES), categorizing them as high-need areas. We analyze the geographic and sociodemographic profiles of these counties and examine differences in access to care for high-need rural counties.</p><p><strong>Methods: </strong>We used the 2023 PLACES dataset from the Centers for Disease Control and Prevention for chronic disease prevalence estimates and the 2020 American Community Survey for SES indicators. Counties were classified into tertiles based on disease prevalence and SES indicators, creating an overall composite score identifying counties as low, moderate, or high need. We used ArcGIS Pro to map the distribution of high-need counties across the United States with statistical analyses of geographic distribution and health care access conducted through quantile regression and spatial autocorrelation methods.</p><p><strong>Findings: </strong>A total of 1934 rural counties, representing nearly 99% of rural counties, were included in this analysis, identifying 534 high-need counties, primarily in the southeastern United States. These counties had significantly higher proportions of non-Hispanic Black residents. Significant spatial autocorrelation indicated that counties with similar levels of chronic disease and SES are geographically clustered. High-need counties faced greater distances to health care facilities compared to their lower-need counterparts, highlighting substantial barriers to accessing care.</p><p><strong>Conclusion: </strong>This analysis identified geographic variation in chronic disease burden and socioeconomic status across rural US counties, with high-need areas concentrated in the Southeast. The findings demonstrate the value of a simple, replicable framework for identifying rural counties facing overlapping health and socioeconomic challenges. This approach can support efforts to prioritize resource allocation and guide future research and policy aimed at improving access and outcomes in underserved rural communities.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"691-699"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Associated With Unsuccessful Rabies Tests in Utah, 2014-2023. 2014-2023年犹他州狂犬病试验失败的相关因素
IF 2.2 4区 医学
Journal of Public Health Management and Practice Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1097/PHH.0000000000002155
Clarissa N Keisling, Will Boyd, Hannah Rettler, Heather Oltjen, Kacy Nowak, Kaona Ayres, Kim Kinnick-Hansen, Jesse Harbour, William A Lanier
{"title":"Factors Associated With Unsuccessful Rabies Tests in Utah, 2014-2023.","authors":"Clarissa N Keisling, Will Boyd, Hannah Rettler, Heather Oltjen, Kacy Nowak, Kaona Ayres, Kim Kinnick-Hansen, Jesse Harbour, William A Lanier","doi":"10.1097/PHH.0000000000002155","DOIUrl":"10.1097/PHH.0000000000002155","url":null,"abstract":"<p><strong>Context: </strong>Testing potentially rabid animals is crucial for providing accurate recommendations to prevent rabies infection. When a test of the animal is unsuccessful, (ie, does not produce a positive or negative result) after a potential exposure, health officials cannot rule out rabies and must recommend rabies postexposure prophylaxis, presenting an economic burden to patients and health care systems.</p><p><strong>Objectives: </strong>To better understand factors associated with unsuccessful rabies tests to inform interventions that would reduce preventable unsuccessful testing.</p><p><strong>Design: </strong>We performed tests of independence between unsuccessful test rates and frequently submitted animal and submitter types. We used Cochran-Mantel-Haenszel (CMH) tests to assess the significance of the association between unsuccessful tests and animal type and submitter type, while controlling for the effects of each. Stratified bivariate analyses identified specific factors driving significant CMH results.</p><p><strong>Results: </strong>Of 2 806 specimens submitted for rabies testing during January 2014-March 2023, 113 (4%) were unsuccessful. Bats, raccoons, and skunks each had higher unsuccessful test rates compared to dogs or cats ( Ps < .001-.003) and together comprised 87 (77%) of the 113 unsuccessful tests. Submissions by citizens had a higher proportion of unsuccessful tests than submissions by animal control ( P < .001); animal control had the lowest unsuccessful test rate of all submitter types. Unsuccessful test rates differed when controlling for submitter type ( P < .001) and animal type ( P = .01). Submissions of bats by citizens had a significantly greater proportion of unsuccessful tests than submissions of bats by animal control ( P < .001).</p><p><strong>Conclusions: </strong>More than three-quarters of unsuccessful tests were attributed to bats, skunks, and raccoons, emphasizing the need to improve submission quality for these animals. We recommend training Utah rabies response partners on proper specimen handling and submission. Efforts should also focus on educating citizens to route submissions through trained rabies responders. Conducting focus groups with specific entities that have the lowest unsuccessful test rates could yield model submission practices.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"886-893"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Variability in the Implementation of Best Practices for Sexual Assault Case Handling Across US Law Enforcement and Prosecutorial Agencies. 美国执法和检察机构性侵犯案件处理最佳实践实施的可变性。
IF 2.2 4区 医学
Journal of Public Health Management and Practice Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1097/PHH.0000000000002142
Veronica Valencia Gonzalez
{"title":"Variability in the Implementation of Best Practices for Sexual Assault Case Handling Across US Law Enforcement and Prosecutorial Agencies.","authors":"Veronica Valencia Gonzalez","doi":"10.1097/PHH.0000000000002142","DOIUrl":"10.1097/PHH.0000000000002142","url":null,"abstract":"<p><p>This brief report examines variability in the implementation of best practices for handling sexual assault cases across US law enforcement and prosecutorial agencies. Despite national guidelines promoting trauma-informed interviewing, timely forensic evidence collection, and collaborative interagency work, adoption varies widely. Surveys from 362 agencies and interviews with 25 representatives indicate that larger, metropolitan agencies are more likely to establish specialized units and incorporate victim advocates early in the process. In contrast, smaller and rural agencies report significant barriers, such as limited resources, lack of specialized training, and inconsistent collaboration. This variability underscores a critical need for more standardized guidelines to ensure uniform, survivor-centered approaches across jurisdictions. Addressing these disparities could improve outcomes for sexual assault survivors by promoting equity in care provision across diverse community settings. Additionally, addressing survivors' sexual health needs, including the identification, prophylaxis, and treatment of sexually transmitted infections, is critical to comprehensive care.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"870-873"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strategic and Performance Planning in US Local Health Departments: A Comparative Analysis of Strategic, Community Health Improvement, and Quality Improvement Plans. 美国地方卫生部门的战略和绩效规划:战略、社区卫生改善和质量改善计划的比较分析。
IF 2.2 4区 医学
Journal of Public Health Management and Practice Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1097/PHH.0000000000002152
Jacquelyn Jacobs, Britney Smart, Maureen Benjamins, Jesus Valencia, Anna Clayton, Krishna Patel, Joi Lee, Timothy C McCall, Ashley Edmiston
{"title":"Strategic and Performance Planning in US Local Health Departments: A Comparative Analysis of Strategic, Community Health Improvement, and Quality Improvement Plans.","authors":"Jacquelyn Jacobs, Britney Smart, Maureen Benjamins, Jesus Valencia, Anna Clayton, Krishna Patel, Joi Lee, Timothy C McCall, Ashley Edmiston","doi":"10.1097/PHH.0000000000002152","DOIUrl":"10.1097/PHH.0000000000002152","url":null,"abstract":"<p><strong>Context: </strong>Local health departments (LHDs) are a critical component of the US public health infrastructure. To guide their work and evaluate progress, LHDs develop and maintain a range of planning documents, including strategic plans (SPs), community health improvement plans (CHIPs), and quality improvement plans (QIPs).</p><p><strong>Objective: </strong>The goal of this study was to provide information on current LHD practices related to strategic planning and performance improvement.</p><p><strong>Design: </strong>The study used an environmental scan and document analysis of a sample of 93 plans from 31 LHDs to explore commonalities and differences within the strategies, goals, and priorities of SPs, CHIPs, and QIPs. Framework analysis was used, involving initial document review, development of a coding framework, and applying this framework to all documents iteratively. To ensure reliability, 19% of documents were double-coded, with discrepancies resolved through team discussions.</p><p><strong>Results: </strong>Of the 31 LHDs included in this analysis, most were urban (89.7%) and medium-sized (64.5%), with a large percentage from the Midwest (41.9%). The analysis revealed that most LHDs used established frameworks to develop plans and identify priority areas. Frequently listed priority areas included behavioral health, social determinants of health, access to care, chronic disease, and nutrition and physical activity. Frequently listed strategies to improve priority areas included building collaborations and partnerships, advocating for policy change, increasing access to services and resources, and increasing awareness of issues. While CHIPs frequently incorporated social determinants of health as part of a guiding framework, QIPs focused on fostering continuous quality improvement. Differences were documented based on jurisdiction size, degree of rurality, and region.</p><p><strong>Conclusions: </strong>The study identified a widespread commitment to develop plans using established frameworks, community engagement, and data-driven decision-making, while also highlighting the diverse needs and capacities of LHDs in addressing public health challenges.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"773-782"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disparities in Preventive Care Utilization at the Intersection of Socioeconomic and Demographic Characteristics: A Survival Analysis of COVID-19 Vaccination Uptake in the United States. 社会经济和人口统计学特征交叉点预防保健利用的差异:美国COVID-19疫苗接种的生存分析
IF 2.2 4区 医学
Journal of Public Health Management and Practice Pub Date : 2025-09-01 Epub Date: 2025-07-17 DOI: 10.1097/PHH.0000000000002151
Biplab Kumar Datta, Santu Ghosh, Jennifer E Jaremski, Benjamin E Ansa, K M Monirul Islam, J Aaron Johnson
{"title":"Disparities in Preventive Care Utilization at the Intersection of Socioeconomic and Demographic Characteristics: A Survival Analysis of COVID-19 Vaccination Uptake in the United States.","authors":"Biplab Kumar Datta, Santu Ghosh, Jennifer E Jaremski, Benjamin E Ansa, K M Monirul Islam, J Aaron Johnson","doi":"10.1097/PHH.0000000000002151","DOIUrl":"10.1097/PHH.0000000000002151","url":null,"abstract":"<p><strong>Context: </strong>Vaccination coverage against COVID-19 varied across populations. While previous studies primarily documented disparities at a point of time, how uptake rates evolved over time across categories of socioeconomic status (SES) is less visited.</p><p><strong>Objective: </strong>This study utilizing timing (month and year) of the first dose of COVID-19 vaccination, assessed the differences in vaccination progress by different categories of SES across demographic groups in the United States (US).</p><p><strong>Design/setting/participants: </strong>Using data from the 2022 Behavioral Risk Factor Surveillance System for 135 730 individuals aged 18+ years, living in 29 US states, we estimated Kaplan-Meier failure functions and stratified Cox proportional hazard models for the event of first vaccination.</p><p><strong>Main outcome measures: </strong>We assessed how monthly survival probabilities, from December 2020 to December 2022, varied across categories of SES represented by educational attainment and household income in the full sample and in sub-samples of demographic characteristics including age groups, sex, and race and ethnicity.</p><p><strong>Results: </strong>Estimates of the K-M failure functions suggested a SES gradient of COVID-19 vaccination uptake rates, which were highest among adults with a college degree and income of ≥400% of Federal Poverty Level (FPL), and lowest among adults with educational attainment of less than high school diploma and income of <100% of FPL. Compared to college graduates, adults without a high school diploma were 0.50 (95% confidence interval: 0.48-0.52) times, and compared to adults with income of ≥400% of FPL, adults with income of <100% of FPL were 0.60 times as likely to receive the first dose of vaccination. The hazard ratios of vaccination were 0.61 and 0.70 for adults with high school diploma and some college education, and 0.69 and 0.80 for adults with income of 100% to 199% and 200% to 399% of FPL, respectively. The differences between high and low SES categories were qualitatively similar, though differed by magnitudes across the demographic groups.</p><p><strong>Conclusions: </strong>Our findings highlight a significant difference in the trends of COVID-19 vaccination uptake between individuals from high and low SES backgrounds and may offer insights for designing policies aimed at equitable vaccination coverage.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"726-736"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信