American journal of epidemiology最新文献

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Accuracy of COVID-19 vaccination Self-report compared with data from VSD electronic health Records for Pregnant Women and non-pregnant Adults, 2021-2022. 2021-2022年孕妇和非孕妇成人VSD电子健康记录数据与COVID-19疫苗接种自我报告的准确性比较
IF 5 2区 医学
American journal of epidemiology Pub Date : 2025-05-29 DOI: 10.1093/aje/kwaf112
Amy B Stein, Joshua T B Williams, Laura P Hurley, Kristin Breslin, Kate Kurlandsky, Simon J Hambidge, Jennifer C Nelson, Candace C Fuller, Bradley Crane, Kayla E Hanson, Sungching C Glenn, Amelia Jazwa, Liza M Reifler
{"title":"Accuracy of COVID-19 vaccination Self-report compared with data from VSD electronic health Records for Pregnant Women and non-pregnant Adults, 2021-2022.","authors":"Amy B Stein, Joshua T B Williams, Laura P Hurley, Kristin Breslin, Kate Kurlandsky, Simon J Hambidge, Jennifer C Nelson, Candace C Fuller, Bradley Crane, Kayla E Hanson, Sungching C Glenn, Amelia Jazwa, Liza M Reifler","doi":"10.1093/aje/kwaf112","DOIUrl":"https://doi.org/10.1093/aje/kwaf112","url":null,"abstract":"<p><p>During the COVID-19 pandemic, accurate measurement of vaccination status was important for guiding prevention efforts. We assessed the accuracy of electronic health record (EHR) COVID-19 vaccination compared with survey self-reported vaccination status using data from a cross-sectional study among pregnant women and non-pregnant adults in the Vaccine Safety Datalink (VSD) between 2021 and 2022, where self-report was considered the reference standard. We measured sensitivity and specificity of EHR vaccine data compared with the self-reported measure and estimated vaccination rates from EHR data. EHR data were obtained initially in November 2021, updated in April 2022, and record review in July 2022. Vaccination coverage increased in pregnant/formerly pregnant women and non-pregnant adult respondents by 23.9% and 9.2%, respectively, over 9 months. Estimates of sensitivity based on initial EHR data were 66.0% and 77.3% for pregnant women and non-pregnant people overall and between 41% and 66% for pregnant, non-Hispanic Black, and Hispanic, Spanish-speaking respondents. With matured, chart reviewed EHR data from April 2022, the sensitivity and specificity of EHR vaccine status relative to self-report were >93%. EHR data was a reasonable source of COVID-19 vaccination status during the pandemic and showed high accuracy with self-reported data after allowing EHR data to mature.</p>","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Health related quality of life in the UK Biobank Experience of Pain follow-up study: a comparison with general population norms. 英国生物银行中与健康相关的生活质量疼痛体验随访研究:与一般人群标准的比较
IF 5 2区 医学
American journal of epidemiology Pub Date : 2025-05-27 DOI: 10.1093/aje/kwaf113
N R Armfield, S F Farrell, B J Gabbe, R A Elphinston, S Kosgallana, L B Connelly, M Sterling
{"title":"Health related quality of life in the UK Biobank Experience of Pain follow-up study: a comparison with general population norms.","authors":"N R Armfield, S F Farrell, B J Gabbe, R A Elphinston, S Kosgallana, L B Connelly, M Sterling","doi":"10.1093/aje/kwaf113","DOIUrl":"https://doi.org/10.1093/aje/kwaf113","url":null,"abstract":"<p><p>The UK Biobank (UKB) is a population-based resource of genetic, health, lifestyle, sociodemographic, and linked clinical data for ~500,000 volunteers. Previous analyses of health determinants have shown that the UKB is not representative of the population from which it is drawn. However, representativeness from a general health-outcomes perspective is unknown, but could be assessed using health related quality of life (HRQoL) questionnaire responses and expected population norms. HRQoL responses, collected using the EuroQoL EQ-5D-5L instrument, were available for participants who completed the experience of pain follow-up survey (n=167,199). We comprehensively characterised follow-up participant HRQoL and made age and sex-specific comparisons with normative data derived from the nationally representative Health Survey for England (2014). The pattern of reported problems mirrored those of the expected population norms, but with differences in magnitude: for both sexes, at all ages (except >74y) the prevalence/odds of problems were greater for UKB participants. Compared with the norms, HRQoL of participants in this subsample did not follow a pattern of decline as expected with increasing age. While we did find differences in patterns between the EoPQ cohort and expected population HRQoL, the absolute differences were only modest, and this should provide reassurance for users of the data.</p>","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144155484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Do laws protecting tenants' health work?: Implied warranties of habitability and respiratory health. 保护房客健康的法律起作用了吗?:可居住性和呼吸健康的隐含保证。
IF 5 2区 医学
American journal of epidemiology Pub Date : 2025-05-23 DOI: 10.1093/aje/kwaf111
Gabriel L Schwartz, Lela Chu
{"title":"Do laws protecting tenants' health work?: Implied warranties of habitability and respiratory health.","authors":"Gabriel L Schwartz, Lela Chu","doi":"10.1093/aje/kwaf111","DOIUrl":"https://doi.org/10.1093/aje/kwaf111","url":null,"abstract":"<p><p>Housing quality is a powerful determinant of health. When US renters' housing conditions deteriorate, state policies known as \"implied warranties of habitability\" are meant to force landlords to ameliorate pathogenic habitability violations, allowing renters to sue or withhold rent until repairs are completed. No research, however, has tested whether these policies work-whether they succeed at protecting population health. At issue is whether warranties are effective when bringing legal action is so onerous for renters in practice. We thus use generalized difference-in-differences models to estimate warranties' effects on renters' general and respiratory health, including event study and triple-difference models that employ homeowners as negative controls. Health outcome data from the National Health Interview Survey (1993-2018) was limited to the 10 states that did not have a warranty at baseline and had sufficient pre-implementation data. We found null associations near 0 for nearly all outcomes. It is unclear whether this is because (A) our sample mostly included states with weak policies, (B) US renters are not guaranteed lawyers in civil court, or (C) a completely different, more pro-active rental inspection approach is needed. Regardless, results suggest policies must change if we are to realize the public health promise of healthier housing.</p>","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Obtaining a Probability Sample of a Pregnancy Cohort of Births: A Review of the Problem and a Practical Solution. 获得妊娠队列出生的概率样本:问题的回顾和实际解决方案。
IF 5 2区 医学
American journal of epidemiology Pub Date : 2025-05-23 DOI: 10.1093/aje/kwaf110
Michael R Elliott, Jean M Kerver, Alexa Drew, Kaitlyn Watson, Breanna Kornatowski, Gwendolyn S Norman, Glenn E Copeland, Eva Leissou, Terri Ridenour, Shonda Kruger-Ndiaye, Tengfei Ma, Douglas Ruden, Charles Barone, Daniel P Keating, Robert J Sokol, Christine C Johnson, Nigel Paneth
{"title":"Obtaining a Probability Sample of a Pregnancy Cohort of Births: A Review of the Problem and a Practical Solution.","authors":"Michael R Elliott, Jean M Kerver, Alexa Drew, Kaitlyn Watson, Breanna Kornatowski, Gwendolyn S Norman, Glenn E Copeland, Eva Leissou, Terri Ridenour, Shonda Kruger-Ndiaye, Tengfei Ma, Douglas Ruden, Charles Barone, Daniel P Keating, Robert J Sokol, Christine C Johnson, Nigel Paneth","doi":"10.1093/aje/kwaf110","DOIUrl":"https://doi.org/10.1093/aje/kwaf110","url":null,"abstract":"<p><p>The Michigan Archive for Research on Child Health (MARCH) study produced a probability sample of Michigan births between 2017 and 2023, with data collection beginning at first prenatal visit and continuing up to age 4. Birth certificate data were used to create a sampling frame of hospitals and associated obstetric clinics, from which a probability-proportional-size sample of 10 hospitals was drawn. Close to 100 pregnancies were then recruited in clinics serving each sampled hospital, yielding a probability sample of 1,021 births. This sample was supplemented with 109 births from a certainty selection of a Flint, MI hospital, for a total sample of 1,130. The resulting response rate was high, with 100% of sampled hospitals and 65% of sampled clinics participating. Comparing the resulting sample with all 2017-2023 Michigan births showed close correspondence with respect to birth outcomes (birthweight, gestational age, Apgar scores, gestational diabetes) and mothers' demographics (age, race, education, marital status), with underrepresentation of Hispanic ethnicity and overrepresentation of reported smoking. Given the recent failures of two major prospective birth cohorts (the US National Childrens' Study and the UK Life Study), our work shows a way forward for representative pre- and post-natal studies of births.</p>","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
The association between smoking status and aging cognitive trajectory accounting for bias in attrition. 吸烟状况与衰老认知轨迹之间的关联,说明了损耗偏差。
IF 5 2区 医学
American journal of epidemiology Pub Date : 2025-05-20 DOI: 10.1093/aje/kwaf107
Rachel Stuckwisch, Aleena Bennett, Anaïs Rouanet, Lloyd J Edwards, Michael Crowe, Suzanne E Judd, D Leann Long
{"title":"The association between smoking status and aging cognitive trajectory accounting for bias in attrition.","authors":"Rachel Stuckwisch, Aleena Bennett, Anaïs Rouanet, Lloyd J Edwards, Michael Crowe, Suzanne E Judd, D Leann Long","doi":"10.1093/aje/kwaf107","DOIUrl":"https://doi.org/10.1093/aje/kwaf107","url":null,"abstract":"<p><p>Studies on the relationship between smoking and cognition yield conflicting results, potentially from survival bias. We examined the effect of smoking status on cognitive evolution, accounting for potential bias in attrition. We analyzed 21 216 Black and White participants from the REGARDS cohort study. In order to account for potential differential attrition, a sensitivity analysis compared the association between smoking status and age-sex-specific composite cognitive trajectories using linear mixed models, robust under missing at random assumption, and joint models, robust under the extended missing at random assumptions. Linear mixed model results indicated current smokers had lower overall composite cognitive scores compared to never smokers at baseline (-0.20, 95% confidence interval (CI): -0.23, -0.16) and at 14-years duration in the study (-0.26, 95% CI: -0.33, -0.20), also apparent when comparing current smokers to past smokers, and memory and verbal fluency composite scores. Joint modeling estimates yielded results similar to results from linear mixed models. Joint models are recommended as a potential means to investigate concerns about attrition, particularly in studies of factors associated with both cognition and mortality. This study provides further support that smoking is likely to have negative impacts on cognition.</p>","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Associations of the LIBRA index with cognitive resilience to genetic susceptibility to dementia. 天秤座指数与认知恢复力对痴呆遗传易感性的关系
IF 5 2区 医学
American journal of epidemiology Pub Date : 2025-05-20 DOI: 10.1093/aje/kwaf108
Maude Wagner, Jeanne Neuffer, Quentin Le Grand, Aniket Mishra, Claudine Berr, Stéphanie Debette, Catherine Helmer, Cécile Proust-Lima, Cécilia Samieri
{"title":"Associations of the LIBRA index with cognitive resilience to genetic susceptibility to dementia.","authors":"Maude Wagner, Jeanne Neuffer, Quentin Le Grand, Aniket Mishra, Claudine Berr, Stéphanie Debette, Catherine Helmer, Cécile Proust-Lima, Cécilia Samieri","doi":"10.1093/aje/kwaf108","DOIUrl":"https://doi.org/10.1093/aje/kwaf108","url":null,"abstract":"<p><p>The role of lifestyle and health-related factors in dementia risk has been established. However, how a combination of modifiable risk factors, as reflected by the LIBRA (LIfestyle for BRAin health) index, contributes to cognitive resilience to genetic susceptibility to dementia (CRgen) remains unclear. We selected 6,774 Three-City study participants without dementia at baseline (mean age=74 years) and with ≥2 cognitive measures over time. Genetic risk was defined through ApoE-ε4 carriage alone (ε4-carriers) or combined with high AD-specific genetic risk scores beyond ApoE (ε4-carriers/GRS-high). To define CRgen, we modeled and compared the cognitive slopes of at-risk individuals to their demographically similar peers without genetic risk; at-risk individuals with the most preserved cognition were defined as resilient (ε4-carriers [n=237]; ε4-carrier/GRS-high [n=319]), and the least preserved as non-resilient (ε4-carriers [n=866]; ε4-carrier/GRS-high [n=1,249]). Lower LIBRA risk scores at baseline, denoting healthier lifestyle and reduced dementia risk, were linearly associated with greater odds of CRgen, both in ε4-carriers (odds ratio [OR]=1.11;95%CI=1.05-1.18) and ε4-carriers/GRS-high (OR=1.16;95%CI=1.11-1.22). When examining the LIBRA components, cognitive activity and coronary heart diseases history showed the strongest independent associations with CRgen (all P≤.01). Genetically susceptible older adults can develop cognitive resilience, which may be promoted by lifestyle modifications and health management simultaneously.</p>","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Association of walking volume and intensity with incident gout: a population-based cohort study. 步行量和强度与偶发性痛风的关系:一项基于人群的队列研究。
IF 5 2区 医学
American journal of epidemiology Pub Date : 2025-05-20 DOI: 10.1093/aje/kwaf109
Ziying Wu, Ying Hu, Hongyi He, Yuqing Zhang, Nicola Dalbeth, Junqing Xie, Yilun Wang, Chao Zeng, Guanghua Lei, Jie Wei
{"title":"Association of walking volume and intensity with incident gout: a population-based cohort study.","authors":"Ziying Wu, Ying Hu, Hongyi He, Yuqing Zhang, Nicola Dalbeth, Junqing Xie, Yilun Wang, Chao Zeng, Guanghua Lei, Jie Wei","doi":"10.1093/aje/kwaf109","DOIUrl":"https://doi.org/10.1093/aje/kwaf109","url":null,"abstract":"<p><p>Previous studies have reported that walking is associated with a lower risk of several metabolic diseases; however, evidence of its association with gout, a metabolic condition, is lacking. We conducted cohort studies using data from the UK Biobank (2013-2021) to examine the relationship of walking volume and intensity with the risk of incident gout. We included 92,066 participants who were free of gout and had valid baseline 7-day accelerometer data, which allowed us to derive walking volume (total steps), walking intensity (peak 30-minute cadence), and their combination (purposeful steps). Hazard ratios (HRs) for incident gout were estimated across different walking activity metrics groups using Cox proportional hazard models. During a mean follow-up period of 6.93 years, 706 participants developed incident gout. Walking volume and intensity alone showed no significant relationship to the risk of incident gout. However, compared with the low group (<5,000 steps/day) of purposeful steps, the risk of incident gout was lower in the middle group (5,000-7,999 steps/day) and high (≥8,000 steps/day) group, with adjusted HRs and 95% confidence intervals of 0.78 (0.66-0.94) and 0.72 (0.58-0.90), respectively (P for trend =0.003). These findings offer valuable insights for developing walking-based recommendations to prevent incident gout.</p>","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144126399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Re: "A propensity score approach and a partitioned approach for the self-controlled case series design to evaluate safety of a 2-dose vaccine series: application to myocarditis/pericarditis following mRNA COVID-19 vaccination". 回复:“倾向评分法和自我对照病例系列设计的分区法评估2剂疫苗系列的安全性:mRNA - COVID-19疫苗接种后心肌炎/心包炎的应用”。
IF 5 2区 医学
American journal of epidemiology Pub Date : 2025-05-19 DOI: 10.1093/aje/kwae389
Haesu Lee, Koji Kanayama, Kiichi Furuse, Makoto Shiraishi, Mutsumi Okazaki
{"title":"Re: \"A propensity score approach and a partitioned approach for the self-controlled case series design to evaluate safety of a 2-dose vaccine series: application to myocarditis/pericarditis following mRNA COVID-19 vaccination\".","authors":"Haesu Lee, Koji Kanayama, Kiichi Furuse, Makoto Shiraishi, Mutsumi Okazaki","doi":"10.1093/aje/kwae389","DOIUrl":"https://doi.org/10.1093/aje/kwae389","url":null,"abstract":"","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144092444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Ending nuclear weapons, before they end us 1. 在核武器终结我们之前终结它们。
IF 5 2区 医学
American journal of epidemiology Pub Date : 2025-05-19 DOI: 10.1093/aje/kwaf081
Kamran Abbasi, Parveen Ali, Virginia Barbour, Marion Birch, Inga Blum, Peter Doherty, Andy Haines, Ira Helfand, Richard Horton, Kati Juva, Jose F Lapena, Robert Mash, Olga Mironova, Arun Mitra, Carlos Monteiro, Elena N Naumova, Tilman Ruff, Peush Sahni, James Tumwine, Carlos Umaña, Paul Yonga, Chris Zielinski
{"title":"Ending nuclear weapons, before they end us 1.","authors":"Kamran Abbasi, Parveen Ali, Virginia Barbour, Marion Birch, Inga Blum, Peter Doherty, Andy Haines, Ira Helfand, Richard Horton, Kati Juva, Jose F Lapena, Robert Mash, Olga Mironova, Arun Mitra, Carlos Monteiro, Elena N Naumova, Tilman Ruff, Peush Sahni, James Tumwine, Carlos Umaña, Paul Yonga, Chris Zielinski","doi":"10.1093/aje/kwaf081","DOIUrl":"https://doi.org/10.1093/aje/kwaf081","url":null,"abstract":"","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144092434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
The effect of lifting eviction moratoria on fatal drug overdoses in the context of the COVID-19 pandemic in the US. 在美国COVID-19大流行的背景下,解除驱逐禁令对致命药物过量的影响。
IF 5 2区 医学
American journal of epidemiology Pub Date : 2025-05-15 DOI: 10.1093/aje/kwaf105
Ariadne Rivera-Aguirre, Iván Díaz, Giselle Routhier, Cameron C McKay, Ellicott C Matthay, Samuel R Friedman, Kely M Doran, Magdalena Cerdá
{"title":"The effect of lifting eviction moratoria on fatal drug overdoses in the context of the COVID-19 pandemic in the US.","authors":"Ariadne Rivera-Aguirre, Iván Díaz, Giselle Routhier, Cameron C McKay, Ellicott C Matthay, Samuel R Friedman, Kely M Doran, Magdalena Cerdá","doi":"10.1093/aje/kwaf105","DOIUrl":"https://doi.org/10.1093/aje/kwaf105","url":null,"abstract":"<p><p>Between May 2020 and December 2021, there were 159,872 drug overdose deaths in the US. Higher eviction rates have been associated with higher overdose mortality. Amid the economic turmoil caused by the COVID-19 pandemic, 43 states and Washington, DC, implemented eviction moratoria of varying durations. These moratoria reduced eviction filing rates, but their impact on fatal drug overdoses remains unexplored. We evaluated the effect of these policies on county-level overdose death rates by focusing on the dates the state eviction moratoria were lifted. We obtained mortality data from NCHS and eviction moratoria dates from the COVID-19 US State Policy Database. We employed a longitudinal targeted minimum-loss-based estimation with Super Learner to flexibly estimate the average treatment effect (ATE) of never lifting the moratoria. Lifting state eviction moratoria was associated with a 0.14 per 100,000 higher rate of monthly overdose mortality (95%CI: -0.03, 0.32), although confidence intervals were wide and included zero. Eviction moratoria may not be sufficient to prevent overdose mortality during crises such as the COVID-19 pandemic.</p>","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
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