Jill M Singer, Jeffrey J Wing, Elizabeth G Klein, Micah L Berman, Megan E Roberts
{"title":"An evaluation of Massachusetts' flavored tobacco restriction one year after policy implementation: Is it promoting equity?","authors":"Jill M Singer, Jeffrey J Wing, Elizabeth G Klein, Micah L Berman, Megan E Roberts","doi":"10.1057/s41271-026-00633-w","DOIUrl":"https://doi.org/10.1057/s41271-026-00633-w","url":null,"abstract":"<p><p>In the United States certain groups, such as African Americans (AA) and sexual minorities (SM) have disproportionately high rates of flavored tobacco use. Policies restricting flavored tobacco may especially benefit these groups and lead to an equitable reduction in tobacco use. This study used Behavioral Risk Factor Surveillance System data from Massachusetts and Connecticut (control state) to evaluate changes in cigarette use before and after Massachusetts' flavor restriction policy was implemented. Difference-in-difference (DID) was used to evaluate the overall impact and difference-in-difference-in-difference (DDD) was used to evaluate the impact on AAs and SMs. There were no significant differences in the change in cigarette use for adults overall or for AA adults in Massachusetts compared to Connecticut. Among SMs, Connecticut had a greater decrease in cigarette use compared to Massachusetts. As more data become available, it will be crucial to monitor the longer-term impact of the policy and any differences in policy impact among groups.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What is the value of public health data?","authors":"Elena N Naumova","doi":"10.1057/s41271-026-00634-9","DOIUrl":"https://doi.org/10.1057/s41271-026-00634-9","url":null,"abstract":"","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Utilizing the Indian Self-Determination Act to enhance and improve health outcomes in Tribal communities in the United States.","authors":"Adriann Ricker, Shawnda Schroeder","doi":"10.1057/s41271-026-00623-y","DOIUrl":"https://doi.org/10.1057/s41271-026-00623-y","url":null,"abstract":"<p><p>The Indian Self-Determination and Education Assistance Act (PL 93-638) serves as a critical policy mechanism enabling Tribes to exercise sovereignty and self-determination in health care delivery in the United States. American Indian and Alaska Native communities face significant disparities in oral health outcomes, driven by systemic and structural racism, geographic isolation, and inadequate access to health care professionals. This policy paper examines the historical context and implementation of PL 93-638 and explores how the law empowers Tribes to address health inequities on their own terms. Drawing on case studies and insights from the Fort Peck Assiniboine and Sioux Tribes, this paper highlights how the community leveraged PL 93-638 to assume control of oral health services from Indian Health Services. The discussion underscores how the policy improves oral health outcomes and offers critical lessons and recommendations for future applications of tribal self-determination in oral health care.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Disparities in healthcare access and expenditures among Indigenous population in Mexico, 2018-2022.","authors":"Cecilia García-Amador, Diego Juárez-Díaz","doi":"10.1057/s41271-026-00631-y","DOIUrl":"https://doi.org/10.1057/s41271-026-00631-y","url":null,"abstract":"<p><p>In Mexico, Indigenous groups face persistent structural disparities in access to healthcare services, leading to high rates of preventable diseases and increased vulnerability to financial hardship associated with to out-of-pocket health expenditures. We conducted an analysis of health coverage and health-related expenditures among Indigenous population using microdata from the three cycles of National Survey of Household Income and Expenditures. These years correspond to contrasting policy and economic contexts: 2018 marks the final phase of the Seguro Popular program; 2020 reflects its termination alongside the onset of the COVID-19 pandemic; and 2022 captures the subsequent transition period marked by the restructuring of the national public healthcare system. We found that Indigenous systematically face greater barriers in accessing healthcare systems and are more likely to incur highest out-of-pocket health expenditures compared with non-Indigenous population. The evidence underscores the need for inclusive health policies that prioritize equity in accessing health care services.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kellie List, Aliza Monroe-Wise, Margaret Banks, Magdalena Barr-DiChiara, Agnes Chetty, Morkor Newman-Owiredu, Olufunmilayo Lesi, Cheryl Case Johnson, Alison L Drake
{"title":"A review of national guidelines on preventing mother-to-child transmission of HIV, syphilis, and hepatitis B in the African region: testing practices for triple elimination.","authors":"Kellie List, Aliza Monroe-Wise, Margaret Banks, Magdalena Barr-DiChiara, Agnes Chetty, Morkor Newman-Owiredu, Olufunmilayo Lesi, Cheryl Case Johnson, Alison L Drake","doi":"10.1057/s41271-026-00625-w","DOIUrl":"https://doi.org/10.1057/s41271-026-00625-w","url":null,"abstract":"<p><p>World Health Organization (WHO) updated guidelines for maternal HIV, syphilis and hepatitis B virus (HBV) testing for pregnant women. We reviewed national testing guidelines to assess alignment with WHO guidance and triple elimination of mother-to-child transmission (MTCT) priorities. We reviewed national HIV-related guidelines from 46 African countries after 2010, including guidelines on prevention of MTCT, HIV testing/self-testing, and HIV pre-exposure prophylaxis. Data was extracted on recommendations for maternal testing HIV (frequency and timing), syphilis (any test and test type); and HBV. Testing policies on HIV, syphilis, or HBV during pregnancy and/or postpartum from 38 (83%) countries were identified; 18 (47%) had policies updated after 2019. All 38 countries with HIV testing guidelines addressed maternal HIV retesting, 68% had guidelines recommending syphilis testing, and 58% had HBV testing guidelines. Half of countries had guidelines to test for all three infections; policy evaluations to measure implementation and impact are needed.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beyond the charitable feeding system: non-traditional community-based access points to distribute healthy food in an urban-rural county in the United States.","authors":"Julia Caldwell, Dipa Shah, Tony Kuo","doi":"10.1057/s41271-026-00628-7","DOIUrl":"https://doi.org/10.1057/s41271-026-00628-7","url":null,"abstract":"<p><p>High levels of food insecurity have motivated some local jurisdictions to expand access to food outside of the charitable feeding system in the United States. This study compares the produce consumption behaviors among repeat and first-time participants of free food distributions at community-based sites. We administered a survey to 4,469 low-income participants at these sites during 2021-2023. The sample comprises recruits from 53 charitable feeding system sites (food pantries) and non-traditional sites (early childhood centers, schools, and clinics). We examined differences in consumption behaviors among participants from non-traditional and traditional sites using multivariable logistic regression models. We tested whether repeat participants consumed more fruits and vegetables than first-time participants. Receipt of produce more than once at non-traditional sites was positively associated with meeting national recommendations for fruit and vegetable consumption. Enrollment in federal food assistance programs showed similar associations. Distributing healthy food through non-traditional access points appeared to be a promising practice.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vimar A Romero, Elizabeth T Romero, Kehinde Fadele, Kevin Smith Cabuhat, Ali Rahimi, Abraham Fessehaye Sium, Don Eliseo Lucero-Prisno
{"title":"Rethinking betel nut 'nga-nga' chewing practices in the Philippines: cultural tradition or overlooked public health risk?","authors":"Vimar A Romero, Elizabeth T Romero, Kehinde Fadele, Kevin Smith Cabuhat, Ali Rahimi, Abraham Fessehaye Sium, Don Eliseo Lucero-Prisno","doi":"10.1057/s41271-026-00629-6","DOIUrl":"https://doi.org/10.1057/s41271-026-00629-6","url":null,"abstract":"","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147476226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Why Nigeria cannot afford individualized hepatitis B vaccination?","authors":"Esther Adewuyi, Abdulrahmon Moradeyo, Regina Ayoola, Mariam Adenola, Fareedat Bakare, Fareedah Agberemi","doi":"10.1057/s41271-026-00630-z","DOIUrl":"https://doi.org/10.1057/s41271-026-00630-z","url":null,"abstract":"","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A legal epidemiology analysis of state civil provisions addressing non-consensual condom removal (stealthing) in the United States.","authors":"Monideepa B Becerra, Glenn Turner","doi":"10.1057/s41271-026-00626-9","DOIUrl":"https://doi.org/10.1057/s41271-026-00626-9","url":null,"abstract":"<p><p>Non-consensual condom removal, or stealthing, is increasingly recognized as a distinct form of sexual harm with population health and legal implications. While empirical studies continue to document the psychological and physical consequences of this act, legal responses in the U.S. remain limited and inconsistent. This study applies a legal epidemiology framework to examine the statutory landscape of civil remedies for stealthing across four U.S. states. Through systematic policy surveillance and coding, the analysis reveals significant variation in terminology, consent standards, scope of prohibited conduct, and survivor protections. While California uniquely uses the term 'stealthing,' other states rely on descriptive language that may obscure public understanding or survivor resonance. Similarly, standards of consent and available remedies vary, with only Washington and Vermont including explicit privacy protections. Findings highlight the need for broader, standardized statutory definitions that align with survivor experiences, support trauma-informed legal processes, and promote equitable access to civil justice. These results underscore the importance of law as a structural determinant of population health and the need to address underrecognized forms of sexual consent violations.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bukola A Olarewaju, Omotayo Osundiji, Tawakalitu A Kehinde
{"title":"Participation of underrepresented minority communities in genetic studies for rare disorders.","authors":"Bukola A Olarewaju, Omotayo Osundiji, Tawakalitu A Kehinde","doi":"10.1057/s41271-026-00624-x","DOIUrl":"https://doi.org/10.1057/s41271-026-00624-x","url":null,"abstract":"","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}