{"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":"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":"208-224"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","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}
{"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":"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":"225-238"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","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}
Natalia Losada-Trujillo, Javier Eslava-Schmalbach, Carol C Guarnizo-Herreño
{"title":"Local governance dynamics in the Colombian health system: an exploratory cross-sectional study among public health sector officials.","authors":"Natalia Losada-Trujillo, Javier Eslava-Schmalbach, Carol C Guarnizo-Herreño","doi":"10.1057/s41271-026-00635-8","DOIUrl":"10.1057/s41271-026-00635-8","url":null,"abstract":"<p><p>Health system governance is essential for effective and equitable healthcare delivery. In Colombia, persistent challenges, including delays, denials, barriers to care, and poor system coordination, suggest weaknesses in local governance. This study aimed to explore local health system governance in Colombia by assessing institutional practices, decision-making processes, and perceptions of public health sector officials. Exploratory cross-sectional study using self-administered online surveys (May-July 2025) with a convenient non-probabilistic sample of 44 health sector officials in stewardship, planning, and oversight roles. Descriptive analyses were performed. While we identified high institutional planning capacity, respondents reported limited decision-making autonomy, external pressures on planning and budget allocation, poor integration of information systems, perceived insufficiency of the benefits package and capitation payment, irregular provider payments, and tariff variability. Findings suggest weak local health system governance in Colombia, highlighting the need to implement a comprehensive reform including strengthened stewardship, information systems integration, adequate financing, and fair provider payments.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"279-290"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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":"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":"182-193"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13278950/pdf/","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":"OA","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":"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":"263-278"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","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":"Correction: Her health, her faith.","authors":"Nicole Gesare, Beatrice Merli, Esther Okorodudu, Thuto Serufe Makara, Raman Bedi","doi":"10.1057/s41271-026-00637-6","DOIUrl":"https://doi.org/10.1057/s41271-026-00637-6","url":null,"abstract":"","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976838","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":"Poems for occupational health: a review of Charles Levenstein and Beth Rosenberg' Secret Cities Secret Work book.","authors":"Elena N Naumova","doi":"10.1057/s41271-026-00638-5","DOIUrl":"https://doi.org/10.1057/s41271-026-00638-5","url":null,"abstract":"","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976835","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}
Evans F Kyei, Samuel Akyirem, Grace K Kyei, Rockson Ansong
{"title":"Housing-related stress and substance use in the United States: a cross-sectional analysis of All of Us Research Program data.","authors":"Evans F Kyei, Samuel Akyirem, Grace K Kyei, Rockson Ansong","doi":"10.1057/s41271-025-00614-5","DOIUrl":"10.1057/s41271-025-00614-5","url":null,"abstract":"<p><p>Housing-related stress, defined as concerns about not having a place to live, represents a significant correlate of substance use that warrants further investigation. In this cross-sectional analysis of 4358 adults from the national All of Us Research Program we examined associations between housing-related stress and substance use, accounting for demographic factors and mental health status in the United States. We determined that housing-related stress was significantly associated with increased odds of substance use (OR = 1.49, 95% CI 1.31-1.70). Males, racial and ethnic minorities, and individuals with poor mental health showed high substance use, while being better educated and married had a protective effect. The relationship between housing stress and substance use was amplified among those with poor mental health. Addressing housing instability should be integrated into comprehensive substance use prevention strategies. Given the universality of housing insecurity as a social determinant of health, these findings offer insights that can inform global public health strategies aimed at reducing substance use harms across diverse international contexts.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"60-73"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758171","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":"Ultra-processed foods and the splurging obesity epidemic in Sub-Saharan Africa: policy interventions and public health implications.","authors":"Stephen Olaide Aremu","doi":"10.1057/s41271-025-00613-6","DOIUrl":"10.1057/s41271-025-00613-6","url":null,"abstract":"","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"152-156"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641882","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}
Francesco Andrea Causio, Flavia Beccia, Giovanna Elisa Calabrò, Loes Lindiwe Kreeftenberg, Roberta Pastorino, Carla van El, Stefania Boccia
{"title":"Knowledge and attitudes of personalized medicine, genetic testing, and health data sharing: a comprehensive survey in the European Union.","authors":"Francesco Andrea Causio, Flavia Beccia, Giovanna Elisa Calabrò, Loes Lindiwe Kreeftenberg, Roberta Pastorino, Carla van El, Stefania Boccia","doi":"10.1057/s41271-025-00619-0","DOIUrl":"10.1057/s41271-025-00619-0","url":null,"abstract":"<p><p>Personalized medicine's innovative approaches rely on the public's awareness and proficiency. We distributed an online survey to 6581 respondents from eight EU countries, investigating the public's knowledge of personalized medicine, support for implementing genetic testing in their healthcare system, and willingness to share health data. 12.11% of respondents had high compound knowledge of the topics. Knowledge levels vary among the included countries (highest in the Netherlands at 18.87%, lowest in France at 7.44%). 81.5% supported genetic testing in their healthcare systems, with acceptance rates varying for testing purposes. 52.35% reported willingness to share health data for altruistic use. Support for implementing genetic testing and the desire to share health data correlated positively with knowledge and education levels. Respondents from Southern Europe displayed higher support toward personalized medicine than in Central and Eastern Europe. Communication and education strategies are needed to enhance public understanding and trust in personalized medicine and health data sharing.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"23-39"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203541","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}