Critical Public Health最新文献

{"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}

{"title":"Then And Now: Umbrella Variables Mask Temporal Mechanisms Of Structural Racism In US Urban Environments.","authors":"Victoria Fisher, Allison Boretsky, Nicole Alkhouri, Nadia N Abuelezam","doi":"10.1080/09581596.2025.2492798","DOIUrl":"10.1080/09581596.2025.2492798","url":null,"abstract":"<p><strong>Introduction: </strong>Racist urban development policies and capitalist municipal management have continued the cycle of poverty experienced by many in the US. Modeling this disadvantage often relies on composite, or \"umbrella\", socioeconomic variables. We argue that this approach obfuscates the temporal nature of social determinants. We propose organizing downstream consequences of structural racism by exposure duration-historical disenfranchisement and contemporary disadvantage-to assess their differential effect on excess all-cause mortality in an U.S. urban environment during the COVID-19 pandemic.</p><p><strong>Methods: </strong>ZIP-code tabulation area (ZCTA) 2020 and 2021 demographics were used to create an historical disenfranchisement index, a contemporary disadvantage index, and combined index (our proxy for a \"umbrella\" variable) for 210 ZCTAs in the Kansas City Metropolitan Area. Indices were dichotomized into \"above\" and \"below\" average, as well as a quadrant matrix index categorizing ZCTAs by \"above average\" in both, one index only, or neither. General linear models assessed the relationship between the indices and excess all-cause mortality. Model fit was compared by AIC.</p><p><strong>Results: </strong>Across all models, ZCTAs that experienced above average structural racism had significantly greater excess all-cause mortality than those with below average structural racism markers. The quadrant model (AIC = 3441) performed significantly better than the combined index (AIC = 3468.3) with a reduction in AIC of 27.2.</p><p><strong>Conclusion: </strong>Composite metrics of disadvantage may mask important distinctions in how mechanisms of structural racism are associated with health outcomes. This analysis provides support for place-based, historically sensitive health research.</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/PMC12382364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977490","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":"Re-evaluating National Suicide Prevention Month: Strategic Timing and Enhanced Impact.","authors":"Jeanne M Ward, Alina Yang, Yaya Shi, Alexandra Haydinger, John R Blosnich","doi":"10.1080/09581596.2025.2522328","DOIUrl":"10.1080/09581596.2025.2522328","url":null,"abstract":"<p><p>Awareness months are used as promotion strategies to enhance public health through increasing knowledge and behavioral change, including suicide prevention. However, given epidemiologic evidence and the historical impact of awareness months on health behaviors, the purpose of this paper is to encourage reconsideration of the current timing of suicide prevention month. In the U.S., most suicide deaths occur in May. The original National Suicide Prevention Week was established in May 1974 by the American Association of Suicidology. In the early 2000s, this week was moved to September to align with a global effort by the International Association for Suicide Prevention and the World Health Organization, establishing September 10th as World Suicide Prevention Day and September as National Suicide Prevention Month. This commentary reviews evidence around awareness months/weeks/days and provides a brief history of suicide prevention awareness wee development, inviting a deeper consideration of the timing of National Suicide Prevention Week with epidemiologic trends in suicide attempts and deaths. Specifically, if calendar-anchored campaigns successfully increase awareness and behavior change, then perhaps the placement of National Suicide Prevention Month in September is not maximizing benefit in the U.S. because epidemiologic evidence suggests suicides peak in late spring/early summer, making this a potentially better time to increase awareness campaigns. By aligning the awareness month with the peak of the phenomenon, enhanced suicide prevention awareness could reduce suicide attempts and deaths. Re-scheduling this effort would require nationwide coordinated conversations with stakeholder groups, including non-profit advocacy organizations, loss survivors, researchers, prevention programs, and care agencies.</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/PMC12306199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755089","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":"Development and Validation of a Critical Health Literacy Scale: Exploring Media Literacy, Social Determinants, and Empowerment.","authors":"Mi Zhou, A Susana Ramírez, Sandie Ha, Deepti Chittamuru, Yueqi Yan","doi":"10.1080/09581596.2025.2498034","DOIUrl":"10.1080/09581596.2025.2498034","url":null,"abstract":"<p><strong>Introduction: </strong>Critical health literacy has attracted much attention as an indicator of success beyond individual behavior change objectives in health promotion and as a tool to assess public health education. Despite its importance, there remains no consensus about how to operationalize critical health literacy. Building on Freire's concepts of critical consciousness and empowerment, we conceptualize critical health literacy as comprising reflection (media literacy and awareness of social determinants) and action (psychological empowerment).</p><p><strong>Methods: </strong>We developed and validated an 18-item critical health literacy scale among young adult Latinas (N=1,029) aged 18-29 years (mean age=19.6). The scale measures three dimensions: media literacy, awareness of social determinants of health, and psychological empowerment. Face and content validity were established through focus groups and expert panel reviews. We used exploratory factor analysis (EFA) on half the sample to identify the dimensional structure, followed by confirmatory factor analysis (CFA) on the remaining half to assess convergent and discriminant validity.</p><p><strong>Results: </strong>The EFA and CFA confirmed a five-factor structure with acceptable fit indices (TLI=.96, CFI=.95, RMSEA=.04, SRMR=.03). The scale demonstrated high internal consistency and composite reliability. Convergent and discriminant validity were established for most subscales, with the community control subscale showing weaker but theoretically important psychometric properties.</p><p><strong>Discussion: </strong>The validated critical health literacy scale provides a reliable tool for assessing understanding of social and commercial determinants of health and the degree to which young people feel empowered to engage in social change. This instrument can evaluate health promotion interventions at multiple levels within a socio-ecological framework and advance research on factors influencing health inequities among populations experiencing health disparities.</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/PMC12742978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851398","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":"Modifiable Risk Factors for Hypertensive Disorders in Pregnancy.","authors":"Mei-Wei Chang, Alai Tan, Joshua M Smyth, Duane T Wegener","doi":"10.1080/09581596.2025.2480277","DOIUrl":"10.1080/09581596.2025.2480277","url":null,"abstract":"<p><p>Hypertensive disorders in pregnancy (HDPs) are the leading causes of maternal mortality and morbidity. This study explored whether micronutrient intake and psychological distress were associated with HDPs. Micronutrients include folate and vitamin B12. Psychological distress refers to perceived stress, prenatal distress, and prenatal depression. HDPs were defined as systolic blood pressure (BP) ≥ 130 mmHg or diastolic BP ≥ 80 mmHg. Data were collected at ≤ 17 weeks gestation (T1), 25-27 weeks gestation (T2), and 35-37 weeks gestation (T3). T-tests comparing those with and without HDP were performed to explore the associations. Results showed that folate and vitamin B12 were associated with HDPs at T1 and T2 (T1: <i>d</i> = -0.41, <i>d</i> = -0.52; T2: <i>d</i> = -0.43, <i>d</i> = -0.24). Psychological distress was positively associated with HDPs, but associations varied between timepoints and by measure - prenatal distress at all times (T1: <i>d</i> = 0.26; T2: <i>d</i> = 0.54, T3: <i>d</i> = 0.40), perceived stress at T3 (<i>d</i> = 0.34), and prenatal depression at T2 and T3 (T2, <i>d</i> = 0.47; T3: <i>d</i> = 0.68). In summary, micronutrient intake and psychological distress are associated with HDPs but varied by construct and across gestational age.</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/PMC12456229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139405","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":"Justice as care: embedding legal services into HIV care to address health-harming legal needs.","authors":"Omar Martinez, Sandra Rodriguez, Andrew Maude, Theresa Brabson, Florence Marie Momplaisir, Hervette Nkwihoreze, Robin Davison, Ashley French, Lisa Pozzi, Deja Alvarez, Souhail Malave-Rivera, Amanda Cruz-Gerena, Samantha Morton, Carlos Rodriguez-Diaz, Miguel Muñoz-Laboy","doi":"10.1080/09581596.2025.2575803","DOIUrl":"10.1080/09581596.2025.2575803","url":null,"abstract":"<p><p>People with HIV face a constellation of social and structural barriers, including unstable housing, discrimination, lack of identification documents, immigration issues, and denial of public benefits, that impede access to and retention in care. These health-harming legal needs are rarely addressed systematically in HIV service settings, despite longstanding calls for structural interventions. This study examines the role and impact of a Medical-Legal Partnership (MLP) embedded within The Philadelphia AIDS Consortium, in collaboration with the Legal Clinic for the Disabled. As part of a larger feasibility and acceptability trial, we conducted follow-up interviews with 95 participants who engaged with the on-site attorney. Recruitment was conducted via venue-based outreach, online ads, and peer referral. Participants reported a substantial reduction in legal needs over time, with more than half reporting no health-harming legal needs (HHLNs) by the 3- and 6-month follow-ups. The most common concerns at baseline, transportation, care planning, and food access, declined significantly. Thematic analysis revealed six key domains of impact: (1) empowerment and knowledge-building; (2) trust, respect, and cultural competence; (3) accessibility and integration of legal services; (4) practical legal resolution; (5) emotional relief and therapeutic benefit; and (6) limitations in legal scope or access. Findings underscore the transformative potential of MLPs in HIV care. When embedded in trusted, culturally responsive settings, legal services can help dismantle structural barriers, foster trust, and support both practical legal resolution and improved mental health outcomes.</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/PMC12733083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145834506","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":"Blending De-implementation and Implementation to Promote Adoption of Universal PrEP Guidelines: Determinants, Strategies, and Outcomes.","authors":"Jahn Jaramillo, Tyler S Bartholomew, Audrey Harkness","doi":"10.1080/09581596.2025.2498714","DOIUrl":"10.1080/09581596.2025.2498714","url":null,"abstract":"<p><p>In 2021, the Centers for Disease Control and Prevention (CDC) proposed updated clinical practice guidelines for Pre-Exposure Prophylaxis (PrEP), marking a significant shift from risk-based screening to discussing PrEP with all sexually active adults. To ensure widespread adoption of new guidelines, this commentary posits that intentional de-implementation of the previous CDC guidelines is necessary to facilitate the adoption, implementation, and sustainment of new guidelines. Based on a review of the literature, the authors leveraged implementation science frameworks (i.e., CFIR, ERIC taxonomy, and RE-AIM) to map theoretical determinants, corresponding strategies, and outcomes in the context of de-implementing previous CDC guidelines for PrEP and simultaneously implementing the new guidelines. Potential barriers identified included resource constraints, staff capability, and structural characteristics of organizations that may impede de-implementation efforts. Potential facilitators included provider motivation and incentive systems that encourage providers to discuss PrEP with sexually active clients. Strategies like normalizing PrEP education and services, workflow redesign, and task-shifting could tackle workforce challenges. These strategies could aid in phasing out old guidelines, implementing new guidelines, increasing PrEP referrals, and reducing HIV incidence. Phasing out previous PrEP guidelines demands intentional (de-)implementation to enhance universal HIV prevention efforts and advance national plans for Ending the HIV Epidemic.</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/PMC12199270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530963","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":"Factors influencing patients’ engagement with ChatGPT for accessing health-related information","authors":"Fahad Alanezi","doi":"10.1080/09581596.2024.2348164","DOIUrl":"https://doi.org/10.1080/09581596.2024.2348164","url":null,"abstract":"This study aims to investigate the factors influencing patients’ engagement with ChatGPT for accessing health-related information. A quasi-experimental design with a mixed-methods approach includin...","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"8 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142222822","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":"Indian dance (Bharatanatyam) to ease social loneliness and isolation in older adults","authors":"Sloka Iyengar","doi":"10.1080/09581596.2024.2384938","DOIUrl":"https://doi.org/10.1080/09581596.2024.2384938","url":null,"abstract":"Older adults worldwide are facing disproportionate levels of isolation and loneliness. The current frameworks for understanding social isolation and loneliness include factors such as the physical ...","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"45 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141946349","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":"Association between menopause and occupational burnout in healthcare workers: a cross-sectional study","authors":"Sanja Terzic, Gauri Bapayeva, Nazira Kadroldinova, Antonio Sarría-Santamera, Arnur Gusmanov, Aurora Sanchez-Anguiano, Gulzhanat Aimagambetova, Antonio Simone Laganà, Talshyn Ukybassova, Kuralay Kongrtay, Meruyert Abdukassimova, Milan Terzic","doi":"10.1080/09581596.2024.2382696","DOIUrl":"https://doi.org/10.1080/09581596.2024.2382696","url":null,"abstract":"The increased proportion of women in the workplace and the labor force aging have been demanding investigations of the link between menopause and occupational health issues, especially in healthcar...","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"6 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141946350","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}