Critical Public HealthPub Date : 2026-01-01Epub Date: 2026-07-16DOI: 10.1080/09581596.2026.2697406
Omar Martinez, Maria Trent, Sybil Hosek, Jose Bauermeister, Julio Nazario-Valle, Rahim Miller, Larissa Jennings Mayo-Wilson, Zoë Njemanze, Jim Pickett, Michelle Ogle, Abigail English, Adrian Williams, Judah Dean, Patricia Emmanuel, Tina Simpson, Kristina Claude, Lisa Hightow-Weidman
{"title":"A turning point for youth HIV care in the United States: tailored strategies for adolescents and young adults.","authors":"Omar Martinez, Maria Trent, Sybil Hosek, Jose Bauermeister, Julio Nazario-Valle, Rahim Miller, Larissa Jennings Mayo-Wilson, Zoë Njemanze, Jim Pickett, Michelle Ogle, Abigail English, Adrian Williams, Judah Dean, Patricia Emmanuel, Tina Simpson, Kristina Claude, Lisa Hightow-Weidman","doi":"10.1080/09581596.2026.2697406","DOIUrl":"10.1080/09581596.2026.2697406","url":null,"abstract":"<p><p>Adolescents and young adults (AYAs; ages 13-24) remain an underserved and disproportionately affected population within the United States (U.S.). HIV epidemic. Despite overall national declines in HIV incidence, youth continue to account for approximately one in five new infections, with persistent disparities among Black and Latino youth, other structurally vulnerable youth, and those living in the Southern U.S. These inequities reflect structural barriers and developmental mismatches between youth needs and adult-oriented HIV prevention and care systems. This commentary examines the evolving landscape of HIV among AYAs, highlighting persistent gaps in testing, linkage, retention, and viral suppression. Drawing on national surveillance data and a case example from Orange County, Florida, we illustrate how developmental vulnerability, stigma, and fragmented systems undermine engagement across the HIV care continuum. We highlight emerging opportunities, including long-acting injectable antiretroviral therapy and PrEP, digital health tools, and youth-focused case management, and emphasize the role of implementation science frameworks in adapting and sustaining these innovations. We argue that meaningful progress will require embedding youth voices in program design, addressing structural determinants of health through legal aid, and committing to sustained investment in youth-centered strategies. Reimagining the HIV response with adolescents and young adults at the center is essential to achieving progress toward national and global HIV targets.</p>","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"36 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13419682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632869","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}
Critical Public HealthPub Date : 2026-01-01Epub Date: 2026-05-25DOI: 10.1080/09581596.2026.2676423
Esther E Velásquez, Mathew V Kiang
{"title":"Real-world management of opioid use disorder in primary care 2015-2019: associations between clinical practice attributes, diagnosis, and treatment.","authors":"Esther E Velásquez, Mathew V Kiang","doi":"10.1080/09581596.2026.2676423","DOIUrl":"10.1080/09581596.2026.2676423","url":null,"abstract":"<p><p>Expanding the treatment of opioid use disorder (OUD) remains a national priority and given constraints on treatment access, primary care may be an essential treatment context. While intervention studies within primary care have demonstrated efficacy, barriers to successful implementation and scale-up persist. The purpose of this work is to describe real-world management of OUD in primary care and assess how attributes of clinical practices are associated with rates of diagnosis and treatment. This observational study uses electronic health records from the American Family Cohort, a research dataset derived from PRIME, a Qualified Clinical Data Registry for primary care. The analytic cohort includes 854 clinical practices that were active between 2015-01-01 and 2019-12-31 and 4,767,971 patients attending those clinical practices. Overall, the OUD prevalence was 0.59% between 2015 and 2019. Approximately two-thirds of all patients with OUD and nearly 90% of all visits related to OUD were concentrated in only 50 primary care practices (5.8%). High-prevalence practices tended to be in metropolitan areas and have a higher ratio of physicians and behavioral health providers per patient. The concentrated distribution of patients with OUD in our study suggests that primary care practices are an important but underused tool for OUD. Further, targeted investment in a small number of high-volume practices may be more efficient for population health impact than universal scale-up.</p>","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"36 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426226","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}
Siyao Yang, Qing Li, Weimin Chen, M. Y. Chen, Ping Huang
{"title":"A plasma proteomic signature of mitochondrial dysfunction and its diagnostic potential for Type 2 Diabetes Mellitus","authors":"Siyao Yang, Qing Li, Weimin Chen, M. Y. Chen, Ping Huang","doi":"10.1080/09581596.2025.2609471","DOIUrl":"https://doi.org/10.1080/09581596.2025.2609471","url":null,"abstract":"","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147903656","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}
Critical Public HealthPub Date : 2025-06-28eCollection Date: 2025-01-01DOI: 10.1080/09581596.2025.2520410
Shibu Shrestha, Gemma Watts, Susi Geiger
{"title":"Exploring healthcare personnel's knowledge, barriers, and innovative approaches in personalised oncology medicine: a scoping review.","authors":"Shibu Shrestha, Gemma Watts, Susi Geiger","doi":"10.1080/09581596.2025.2520410","DOIUrl":"10.1080/09581596.2025.2520410","url":null,"abstract":"<p><p>Personalised medicine is widely utilised in oncology, and healthcare personnel are its main gatekeepers and implementers. This scoping review provides insights into the knowledge and attitudes of healthcare personnel toward personalised medicine for cancer, barriers and challenges faced, and innovative practices employed for the provision of personalised medicine. Extensive database searches identified 19,972 studies, of which 50 studies were included in the final review. The data was charted by two reviewers and analysed thematically. The knowledge of healthcare personnel of personalised medicine was mixed, with some studies reporting overall good knowledge (<i>n</i> = 2) while some reported poor knowledge among healthcare personnel (<i>n</i> = 4). There was high interest (63-95%) in furthering education and training in personalised medicine (<i>n</i> = 6). The commonly reported barriers and challenges were: limited reimbursement and insurance coverage mechanism (<i>n</i> = 11); insufficient education and training (<i>n</i> = 10); and lack of trained personnel to provide the service (<i>n</i> = 7). The innovations identified emphasised enhancing the skills and capacity of the existing workforce as well as using technologies to assist in timely decision-making. Overall, gaps were identified at the human resource, institutional, and systemic levels, which will need to be addressed to improve the provision of personalised medicine and healthcare personnel's confidence levels.</p>","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":"2520410"},"PeriodicalIF":2.3,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776789","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}
Critical Public HealthPub Date : 2025-06-03eCollection Date: 2025-01-01DOI: 10.1080/09581596.2025.2507854
Gregory Hollin
{"title":"Who should mark the homework? Concussion, conflicts of interest, and the constitution of expertise.","authors":"Gregory Hollin","doi":"10.1080/09581596.2025.2507854","DOIUrl":"10.1080/09581596.2025.2507854","url":null,"abstract":"<p><p>Concussion in sport is increasingly understood as a public health crisis. A key facet of this crisis concerns the claim that industry-funded research results in conflicts of interest that fundamentally compromise scholarship. This poses a particular problem for policymakers when adjudicating upon who counts as an expert and what to do with the evidence that they provide. In this paper, I explore these matters in relation to the 'Concussion in Sport' report produced by the UK's House of Commons's Digital, Culture, Media and Sport Committee. I ask, first, which stakeholders submit evidence to the Committee and, second, how evidence provided by those stakeholders is marshalled within the report itself. I show that, despite concerns about conflicts of interest, a significant body of interdisciplinary scholarship is submitted to the Committee. The report itself, however, understands academic scholarship as being both deficient and compromised, drawing exclusively upon epidemiological and neuroscientific work. I conclude by suggesting such an approach compromises the committee's own hope for an increasingly expansive notion of expertise.</p>","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":"2507854"},"PeriodicalIF":2.3,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762267","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}
Critical Public HealthPub Date : 2025-05-07eCollection Date: 2025-01-01DOI: 10.1080/09581596.2025.2497358
Andrea Kaiser-Grolimund, Salome A Bukachi, Julia Karuga, Laura Kämpfen, Frédéric Keck, Jakob Zinsstag, Hannah Brown
{"title":"Does One Health need an ontological turn?","authors":"Andrea Kaiser-Grolimund, Salome A Bukachi, Julia Karuga, Laura Kämpfen, Frédéric Keck, Jakob Zinsstag, Hannah Brown","doi":"10.1080/09581596.2025.2497358","DOIUrl":"10.1080/09581596.2025.2497358","url":null,"abstract":"<p><p>One Health has gained global prominence in recent years. Alongside its emergence, there have been extensive social science critiques. In this contribution, we make the case for the value of recent theoretical discussions in the field of anthropology - sometimes referred to as an 'ontological turn'. We argue that taking theory seriously benefits One Health as an integrated approach that has interdisciplinary collaborations at its heart, but which encounters challenges when conversations based on different epistemological and ontological positions result in voices talking past each other. In this contribution, we offer two examples of what One Health specialists can gain from anthropologically-informed ontological thinking. Both require questioning ontological premises. Firstly, questioning assumptions about distinctions between animals and humans. Secondly, questioning the universality of biomedical knowledge. In the conclusion, we underline the importance of an ontological openness when it comes to the constitution and position of the actors as well as different bodies of knowledge that are involved in One Health and we show that talking to each other with awareness of different ontological positions is not impossible.</p>","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":"2497358"},"PeriodicalIF":2.3,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755088","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}
Critical Public HealthPub Date : 2025-01-01Epub Date: 2025-02-25DOI: 10.1080/09581596.2025.2468987
Mei-Wei Chang, Chyongchiou J Lin, Joshua M Smyth, Duane T Wegener
{"title":"Factors Associated with Micronutrient Intake of Low-Income Overweight or Obese Young Mothers.","authors":"Mei-Wei Chang, Chyongchiou J Lin, Joshua M Smyth, Duane T Wegener","doi":"10.1080/09581596.2025.2468987","DOIUrl":"10.1080/09581596.2025.2468987","url":null,"abstract":"<p><p>We examined the proportion of the low-income overweight or obese mothers meeting micronutrient recommendations, and whether race, education and body mass index category (BMIc) were associated with micronutrient intake. This analysis included 198 women who completed a validated food frequency questionnaire. Micronutrients were grouped: antioxidant (vitamins A, C, and E, as well as copper, selenium, and zinc), methylation (vitamins B2, B3, B6, B9, and B12, and choline), bone health (vitamins D and K, calcium, magnesium, and phosphorus) and others (vitamin B1, iron, potassium, and sodium). We performed descriptive analysis and generalized linear models. At least two-thirds of women met most antioxidant, methylation, and other micronutrient recommendations. Antioxidant: White reported lower intake of selenium than Black. There were negative associations between education and vitamin E intake and between BMIc and zinc intake. Methylation: White had lower intake of choline than Black, and BMIc was negatively associated with vitamin B12 intake. Bone health: White had lower vitamin K intake than Black. BMIc was negatively associated with magnesium intake. Others: White reported lower potassium and sodium intake than Black. Education was positively associated with iron intake. Nutrition education for the target population might consider tailoring intervention based on race, education, and BMIc.</p>","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281626","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}
Critical Public HealthPub Date : 2025-01-01Epub Date: 2025-07-26DOI: 10.1080/09581596.2025.2532628
Natalie Flath, Lawrence Grandpre, Corey Shdaimah, Judith Park, Jordan J White, Brook Kearley
{"title":"Exploring Black civil society perspectives of drug decriminalization reforms in the Baltimore context: a participatory action qualitative study.","authors":"Natalie Flath, Lawrence Grandpre, Corey Shdaimah, Judith Park, Jordan J White, Brook Kearley","doi":"10.1080/09581596.2025.2532628","DOIUrl":"10.1080/09581596.2025.2532628","url":null,"abstract":"<p><p>Drug decriminalization is gaining recognition in academic and policy settings as an intervention to address the increasingly volatile drug crisis and achieve racially equitable drug policy reform in the United States. However, few studies elicit grassroots perspectives of Black communities most affected by legal change. This study explored the perspectives of Black civil society stakeholders on drug decriminalization to inform policy. From 2021 to 2022, racial justice policy advocates and university-based researchers conducted a participatory qualitative study, interviewing twelve key stakeholders a part of culturally responsive, Black-led efforts addressing drug-related harms at the grassroots level in Baltimore City, Maryland. A rapid qualitative analysis revealed that current decriminalization proposals overlook the structural harms of decades of drug criminalization and do not reflect the values that ground communities' responses to heal and become architects of the solution. Stakeholders recommended the incorporation of financial reparations and investment into a community-led support system that includes Black-owned businesses, harm reduction organizations, and psychospiritual care initiatives. For decriminalization to be effective in urban U.S. contexts, this study emphasizes the need for reforms to be community-led and inclusive of larger U.S. racial justice policy priorities.</p>","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13268585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267084","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}
Critical Public HealthPub Date : 2025-01-01Epub Date: 2025-12-01DOI: 10.1080/09581596.2025.2595527
Ana Lucia Seminario, Sydney Malone, Immaculate Opondo, Whasun Oh Chung, Arthur Kemoli, Yan Wang
{"title":"Residency as a determinant of oral health disparities in primary dentition among HIV-infected, HIV-exposed, and unexposed children in Kenya - findings from a cohort study.","authors":"Ana Lucia Seminario, Sydney Malone, Immaculate Opondo, Whasun Oh Chung, Arthur Kemoli, Yan Wang","doi":"10.1080/09581596.2025.2595527","DOIUrl":"10.1080/09581596.2025.2595527","url":null,"abstract":"<p><p>Residency is a critical factor related to the social determinants of health. This study aimed to evaluate the role of residency in oral health disparities among Kenyan children during the primary dentition period. We recruited participants from three cohorts of children, all aged 3 years, including those living with HIV infection (HIV), exposed to HIV but uninfected (HEU), and their healthy peers (HUU; uninfected and unexposed). We recruited 120 children in each cohort. Logistic regression was used to estimate the associations between oral diseases, HIV status, and residence, adjusting for sex and school type. Most children (47%) were enrolled in private schools, and 49% lived in rural areas. Children in HIV cohort had a significantly higher prevalence (81%) of abnormal oral findings compared with those in HEU (60%) and HUU (54%) cohorts (p < 0.0001). Children living in rural areas (OR = 3.3, 95% CI:1.7-6.3) and urban areas (OR = 2.0, 95% CI:1.1-3.9) were more likely to have abnormal findings than those in peri-urban areas. However, peri-urban residents had the highest prevalence of dental caries (63%), while rural residents had the highest combined prevalence of all dental conditions (83%). Residential area contributed to differences in the burden of oral diseases among HIV and HEU cohorts. Targeted prevention and treatment strategies should be considered by residential location.</p>","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12700314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758231","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}
Critical Public HealthPub Date : 2025-01-01Epub Date: 2025-04-12DOI: 10.1080/09581596.2025.2486498
Megan Comfort, Rania Ali, Jennifer Lorvick, Jordana Hemberg, La Sonya A Goode, Megha Ramaswamy
{"title":"The complexities of 'trust' in the context of COVID-19 vaccination choices among Black women in Alameda County, CA.","authors":"Megan Comfort, Rania Ali, Jennifer Lorvick, Jordana Hemberg, La Sonya A Goode, Megha Ramaswamy","doi":"10.1080/09581596.2025.2486498","DOIUrl":"10.1080/09581596.2025.2486498","url":null,"abstract":"<p><p>Many academic and media conversations about COVID-19 vaccination center on lower uptake among racially minoritized individuals due to what is characterized as 'mistrust.' In 'Is trust enough? Anti-Black racism and the perception of Black vaccine hesitancy,' Wilson argues that questioning Black people's trust in the COVID-19 vaccine fails to 'understand Black people as rational, complex beings who are fit to make reasonable decisions guided by complex factors.' In this study, we explore what shapes Black women's COVID-19 vaccination choices using data from 20 qualitative interviews conducted March-April 2022 with a sample of predominantly Black women in Alameda County, CA. Findings provide empirical evidence to support Wilson's argument that a narrow view of 'trust' over-simplifies Black women's comprehensive thinking about health decisions. Participants triangulated COVID-19 information sources and vetted this material with specific consideration of factors highly relevant to Black women's day-to-day lives: evidence of systemic or interpersonal racism in healthcare settings, management of chronic health conditions, and the importance of family. Many participants indicated that it was common for people in their networks to hold different perspectives on vaccination and they normalized these differences of opinions, expressing understanding of the socio-structural factors affecting the impact of the COVID-19 pandemic and vaccination choices.</p>","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12383278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977473","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}