American journal of epidemiology最新文献_第7页

Prevalence and Characteristics of Community-Dwelling Older Adults Using Mobility Devices: A Cross-National Comparison between the United States and China. 社区居住老年人使用移动设备的患病率和特征：美国和中国的跨国比较。

IF 4.8 2区医学

American journal of epidemiology Pub Date : 2025-08-29 DOI: 10.1093/aje/kwaf173

Xinran Liu, Sara E Baumann, Andrea L Rosso, Elizabeth M Venditti, Yao Yao, Steven M Albert

{"title":"Prevalence and Characteristics of Community-Dwelling Older Adults Using Mobility Devices: A Cross-National Comparison between the United States and China.","authors":"Xinran Liu, Sara E Baumann, Andrea L Rosso, Elizabeth M Venditti, Yao Yao, Steven M Albert","doi":"10.1093/aje/kwaf173","DOIUrl":"https://doi.org/10.1093/aje/kwaf173","url":null,"abstract":"Mobility disability is a significant global issue, particularly affecting older adults in low- and middle-income countries (LMICs), where access to mobility devices and national statistics on their use is limited. Additionally, research on mobility device usage often overlooks cross-national and cultural perspectives. This study aims to address this gap by comparing mobility device usage and associated characteristics among community-dwelling older adults in the United States and China, using harmonized, nationally representative data from the 2015 National Health and Aging Trends Study (NHATS) and the China Health and Retirement Longitudinal Study (CHARLS). U.S. older adults exhibited a higher prevalence of mobility device use than those in China (22.2% vs. 16.3%, P<0.001), particularly in the use of walkers (9.9% vs. 0.5%, P<0.001) and wheelchairs (5.0% vs. 1.9%, P<0.001). In both countries, older mobility devices users were significantly more disadvantaged than non-users (Ps<0.001). The sensitivity analysis further reveals that U.S. users were more likely to be obese with a higher burden of chronic diseases, while Chinese users were more likely engaged in work and caregiving tasks rather than recreational activities (Ps<0.001). These findings underscore the widespread disadvantages faced by older mobility devices users in community settings, highlighting the global needs for targeted supports.","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938611","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

Staying sharp: Gendered work-family life courses and later-life cognitive functioning across four European welfare states. 保持敏锐：四个欧洲福利国家的性别工作-家庭生活课程和晚年认知功能。

IF 4.8 2区医学

American journal of epidemiology Pub Date : 2025-08-29 DOI: 10.1093/aje/kwaf194

Giulia Tattarini, Damiano Uccheddu, Ariane Bertogg

{"title":"Staying sharp: Gendered work-family life courses and later-life cognitive functioning across four European welfare states.","authors":"Giulia Tattarini, Damiano Uccheddu, Ariane Bertogg","doi":"10.1093/aje/kwaf194","DOIUrl":"https://doi.org/10.1093/aje/kwaf194","url":null,"abstract":"Cognitive functioning in later life is influenced by reserves accumulated through employment and family roles over the life course. This study examined men's and women's combined employment, parenthood, and partnership roles between ages 15 and 49, and their associations with later-life memory. We used retrospective and prospective data from nine waves of the Survey of Health, Ageing and Retirement in Europe (SHARE) for 5,638 men (24,199 observations) and 6,371 women (27,114 observations) in Italy, France, the Netherlands, and Sweden. Multichannel sequence analysis (MCSQA) and hierarchical clustering identified six work-family life course types for men and nine for women. Random-effects linear regression models indicate that weak labor market attachment is associated with lower memory performance among women, whereas the absence of family roles is more strongly negatively associated with memory among men. Women's cognitive gaps were most pronounced in Italy and least in Sweden and the Netherlands, while men's gaps were greater in Sweden and France. These findings suggest that gendered life courses contribute to different patterns of cognitive and relational reserve accumulation for men and women, and that welfare states buffer the negative consequences of adverse life courses on cognitive health.","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938718","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

Independent and Joint Associations of Key Social Exposome Components with Cognitive Aging: Triangulating Evidence Through Cross-National Data. 关键社会暴露成分与认知衰老的独立和联合关联：通过跨国数据的三角测量证据。

IF 4.8 2区医学

American journal of epidemiology Pub Date : 2025-08-29 DOI: 10.1093/aje/kwaf189

Ruijia Chen, Harold Lee, Jingxuan Wang, Yulin Yang, Sakurako S Okuzono, Kristen Nishimi, Lindsay Kobayashi, M Maria Glymour, Laura D Kubzansky

{"title":"Independent and Joint Associations of Key Social Exposome Components with Cognitive Aging: Triangulating Evidence Through Cross-National Data.","authors":"Ruijia Chen, Harold Lee, Jingxuan Wang, Yulin Yang, Sakurako S Okuzono, Kristen Nishimi, Lindsay Kobayashi, M Maria Glymour, Laura D Kubzansky","doi":"10.1093/aje/kwaf189","DOIUrl":"https://doi.org/10.1093/aje/kwaf189","url":null,"abstract":"We examined the independent and joint associations of five key social exposome components, including financial strain, neighborhood disorder, perceived discrimination, social strain, and traumatic life events, with cognitive function levels and decline. Data were from adults aged > 50 in the US Health and Retirement Study (HRS; n=13,795; 2008-2020) and the English Longitudinal Study of Ageing (ELSA; n=9,469; 2006-2019), and adults aged ≥ 65 in their Harmonized Cognitive Assessment Protocol (HCAP) subsamples (HRS-HCAP: n=2,749; 2016; ELSA-HCAP: n=955; 2018). Using linear mixed-effects models and quantile-based g-computation, we found that all components, except traumatic life events, were associated with lower cognitive function. Simultaneously lowering all components by one quartile could improve cognitive function by 0.09 SD units (95% CI: 0.07-0.11) in the HRS, 0.13 SD units (95% CI: 0.10-0.16) in the ELSA, and 0.07 SD units (95% CI: 0.02-0.13) in the HRS-HCAP. Neighborhood disorder had the strongest negative association with cognitive function in the U.S., while financial strain had the strongest association in England. No social exposome components were associated with faster cognitive decline. The associations of key social exposome components with cognitive function were consistent across countries, although the magnitude of the joint association was greater in England.","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938840","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

Inequalities in the association Between lifestyles and disability: prospective cohort studies in South Korea and China. 生活方式与残疾之间的不平等关系：韩国和中国的前瞻性队列研究。

IF 4.8 2区医学

American journal of epidemiology Pub Date : 2025-08-21 DOI: 10.1093/aje/kwaf177

Chengxu Long, Yao Yao, Dongfeng Tang, Yichao Li, Fangfei Chen, Yinghua Xie, Shangfeng Tang

{"title":"Inequalities in the association Between lifestyles and disability: prospective cohort studies in South Korea and China.","authors":"Chengxu Long, Yao Yao, Dongfeng Tang, Yichao Li, Fangfei Chen, Yinghua Xie, Shangfeng Tang","doi":"10.1093/aje/kwaf177","DOIUrl":"https://doi.org/10.1093/aje/kwaf177","url":null,"abstract":"Drawing on data from the Korean Longitudinal Study of Aging (N=3,252) and the Chinese Longitudinal Healthy Longevity Survey (N=8,281) from 2008 to 2018, this study employed fixed-effects panel data regressions to examine the differential association between healthy lifestyles and disability across education, income, and place of residence. Our results indicate that adopting one more healthy lifestyle was associated with a 0.1-0.2 point lower disability score among older adults in South Korea (β=-0.14, 95% CI: -0.19 to -0.09) and China (β=-0.24, 95% CI: -0.28 to -0.21). Specifically, this association was more pronounced among older adults with higher income, lower education, and urban residents, with a significant difference based on the Chow test (p < 0.05). Clinical and public health policies could pay attention to reducing the socioeconomic disparities highlighted in this study through tailored interventions. Our findings suggest that promoting healthy lifestyles among less-educated individuals might yield significant benefits against disability. They underscore the potential of promoting healthy lifestyles to mitigate education-related inequalities in disability within aging societies. We recommend that policymakers consider simultaneously emphasizing the enhancement of health literacy to delay disability onset among vulnerable groups and prevent the risk of low-income households slipping back into poverty.","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938598","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 impact of safety advisories on the prescribing of drospirenone-containing oral contraceptives in the United Kingdom: an interrupted time series analysis. 安全咨询对处方含螺环酮口服避孕药在英国的影响：中断时间序列分析。

IF 4.8 2区医学

American journal of epidemiology Pub Date : 2025-08-21 DOI: 10.1093/aje/kwaf180

Reem Masarwa, Samuel Igweokpala, Pauline Reynier, Robert W Platt, Kristian B Filion

引用次数: 0

Use of causal inference methods in case-control studies: a methodology review. 病例对照研究中因果推理方法的应用：方法学综述。

IF 4.8 2区医学

American journal of epidemiology Pub Date : 2025-08-21 DOI: 10.1093/aje/kwaf182

Miceline Mésidor, Mengting Xu, Awa Diop, Canisius Fantodji, Marie-Élise Parent, Alexander Keil

{"title":"Use of causal inference methods in case-control studies: a methodology review.","authors":"Miceline Mésidor, Mengting Xu, Awa Diop, Canisius Fantodji, Marie-Élise Parent, Alexander Keil","doi":"10.1093/aje/kwaf182","DOIUrl":"https://doi.org/10.1093/aje/kwaf182","url":null,"abstract":"Background: The use of causal inference methods in cohort studies has increased considerably in recent years. However, their use has been limited in case-control studies. This report aimed at providing a detailed review of causal inference methods used in case-control studies and to review and examine their applications in previous studies.Methods: Several methods have been used to facilitate causal inference in case-control studies, including intercept-adjustment, propensity scores, weight-based and doubly-robust estimators. We used the Medical Literature Analysis and Retrieval System Online database to identify original peer-reviewed case-control studies conducted from March 2014 to March 2024 that applied these methods.Results: We identified 418 studies, 23 of which met the inclusion criteria. Most studies involved case-control matching (individual or frequency) and included incident cases. The covariate-conditional odds ratio was the most frequently reported estimated parameter. Sixty-five percent of included studies considered an adjustment for sampling bias, most often using inverse-probability of observation weighting and case-control targeted maximum likelihood approaches.Conclusion: We are still in early stages of development and application of causal inference methods for case-control studies. Their implementation and new techniques to address time-varying confounding can improve the validity of study findings and should be encouraged.","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938701","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 life-course socioeconomic status with lifestyle changes after diagnosis of non-communicable disease: a prospective study using data from European, US and Chinese cohorts. 非传染性疾病诊断后生命过程中社会经济地位与生活方式改变的关联：一项使用来自欧洲、美国和中国队列数据的前瞻性研究

IF 4.8 2区医学

American journal of epidemiology Pub Date : 2025-08-21 DOI: 10.1093/aje/kwaf178

Yaguan Zhou, Mika Kivimäki, Rodrigo M Carrillo-Larco, Carmen C W Lim, Danyang Wang, Xiaochen Dai, Yue Zhang, Yangyang Cheng, Xiaolin Xu

{"title":"Association of life-course socioeconomic status with lifestyle changes after diagnosis of non-communicable disease: a prospective study using data from European, US and Chinese cohorts.","authors":"Yaguan Zhou, Mika Kivimäki, Rodrigo M Carrillo-Larco, Carmen C W Lim, Danyang Wang, Xiaochen Dai, Yue Zhang, Yangyang Cheng, Xiaolin Xu","doi":"10.1093/aje/kwaf178","DOIUrl":"https://doi.org/10.1093/aje/kwaf178","url":null,"abstract":"Life-course socioeconomic inequalities existed in non-communicable diseases (NCDs) and lifestyles, but whether life-course socioeconomic status (SES) and social mobility affects changes in lifestyles after diagnosis of NCDs remains unknown. We investigated the association of life-course SES and social mobility with two lifestyle changes after the diagnosis of NCD, using data from 8,907 adults in the US, Europe and China. Life-course SES and social mobility were constructed using parental education, participant education and participant total household wealth. Physical inactivity and smoking were measured before and after diagnosis of NCDs. After NCD diagnosis, 6,131 (68.8%) of participants had no unfavourable changes in lifestyles, while 313 (3.5%) participants reported to have unfavourable changes in both physical inactivity and smoking. Lower life-course SES increased the likelihood of physical inactivity [odds ratio (OR)=3.01, 95% CI=2.55-3.56, average marginal effect (AME)=0.166, 95% CI=0.142-0.190] and smoking (2.43, 2.01-2.94, AME=0.091, 95% CI=0.072-0.111) after NCD diagnosis. Compared to stable high SES, stable low (8.66, 4.37-17.17), upward (3.01, 1.42-6.38), downward (6.88, 3.45-13.73) and varied SES mobility (3.76, 1.79-7.90) were all associated with unfavourable changes in lifestyles after NCD diagnosis. These findings support the notion that social patterning of unfavourable lifestyles extends beyond the onset of disease, potentially accelerating disease progression.","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938812","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

Validating and leveraging non-SARS-CoV-2 respiratory infection as a negative control outcome in a phase 3 COVID-19 vaccine trial with extended observational follow-up. 验证和利用非sars - cov -2呼吸道感染作为阴性对照结果的3期COVID-19疫苗试验与延长观察随访。

IF 4.8 2区医学

American journal of epidemiology Pub Date : 2025-08-21 DOI: 10.1093/aje/kwaf176

Ethan Ashby, Holly Janes, Dean Follmann, Peter B Gilbert, Honghong Zhou, Xiaowei Wang, Bethany Girard, Frances Priddy, James G Kublin, Lawrence Corey, Kathleen M Neuzil, Lindsey R Baden, Hana M El Sahly, Bo Zhang, On Behalf Of Cove Study Group

{"title":"Validating and leveraging non-SARS-CoV-2 respiratory infection as a negative control outcome in a phase 3 COVID-19 vaccine trial with extended observational follow-up.","authors":"Ethan Ashby, Holly Janes, Dean Follmann, Peter B Gilbert, Honghong Zhou, Xiaowei Wang, Bethany Girard, Frances Priddy, James G Kublin, Lawrence Corey, Kathleen M Neuzil, Lindsey R Baden, Hana M El Sahly, Bo Zhang, On Behalf Of Cove Study Group","doi":"10.1093/aje/kwaf176","DOIUrl":"10.1093/aje/kwaf176","url":null,"abstract":"Negative control outcomes (NCOs) are useful tools for hidden bias detection, but empirical evidence validating NCOs for COVID-19 is lacking. To address this gap, we examined the blinded phase of the randomized, placebo-controlled Coronavirus Vaccine Efficacy (COVE; NCT04470427) trial of the mRNA-1273 COVID-19 vaccine. We confirmed that acute respiratory illness with a positive test for a non-SARS-CoV-2 respiratory pathogen on a multiplex PCR panel was a valid NCO for COVID-19, considering that it was unaffected by vaccination (vaccine efficacy, VE=3.3% (95% CI, -22.3-23.6)) yet strongly associated with COVID-19 (odds ratio=2.95 (95% CI, 2.00-4.24)). Subsequently, we leveraged non-SARS-CoV-2 infections to detect bias in time-varying VE estimates from COVE's blinded and booster phases. Balanced incidence of non-SARS-CoV-2 infection between vaccinated and unvaccinated COVID-19-free risk sets suggested low selection bias in VE estimates of two-dose mRNA-1273 against COVID-19 during the blinded phase (VE=92.5% (95% CI, 88.8-94.9) 14 days post-dose-two, stable for 5 months). In COVE's booster phase, higher non-SARS-CoV-2 incidence was observed after the single booster (intensity ratio, IR=2.38 (95% CI, 1.75-3.25) 14 days post-boost), suggesting that booster VE estimates may underestimate the true VE against COVID-19. Our findings demonstrate the potential of off-target infections for unraveling complex biases in COVID-19 vaccine studies.","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12448673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of Blood-based Neurodegenerative Biomarkers with cognitive functioning and dementia in India (LASI-DAD) and the United States (HRS). 印度（LASI-DAD）和美国（HRS）血液神经退行性生物标志物与认知功能和痴呆的关系。

IF 4.8 2区医学

American journal of epidemiology Pub Date : 2025-08-21 DOI: 10.1093/aje/kwaf179

Jung Ki Kim, Masroor Anwar, Abhishek Gupta, Bharat Thyagarajan, Peifeng Hu, Jessica D Faul, David R Weir, Kenneth M Langa, Jinkook Lee, Sharmistha Dey, Eileen M Crimmins

{"title":"Association of Blood-based Neurodegenerative Biomarkers with cognitive functioning and dementia in India (LASI-DAD) and the United States (HRS).","authors":"Jung Ki Kim, Masroor Anwar, Abhishek Gupta, Bharat Thyagarajan, Peifeng Hu, Jessica D Faul, David R Weir, Kenneth M Langa, Jinkook Lee, Sharmistha Dey, Eileen M Crimmins","doi":"10.1093/aje/kwaf179","DOIUrl":"10.1093/aje/kwaf179","url":null,"abstract":"This study examines associations between blood-based neurodegenerative biomarkers and cognitive functioning in nationally representative samples of older adults in India and the United States. Using data from the Longitudinal Aging Study in India-Diagnostic Assessment of Dementia (LASI-DAD) and the Health and Retirement Study (HRS), we analyzed four biomarkers-the ratio of Amyloid beta 42 to 40 (Aβ42/Aβ40), Glial Fibrillary Acidic Protein (GFAP), Neurofilament Light Chain (NfL), and Phosphorylated Tau at Threonine 181 (pTau181)-in relation to cognitive outcomes. Higher levels of GFAP and NfL were associated with worse cognitive function and a greater likelihood of dementia in both populations. GFAP and NfL also were associated with cognitive decline in the HRS, but not in LASI-DAD. Higher Aβ42/Aβ40 ratio was associated with worse cognitive functioning and more dementia in HRS; on the other hand, higher levels of the Aβ42/Aβ40 ratio were significantly linked with better cognitive functioning in LASI-DAD. PTau181 was generally not associated with cognitive functioning in either country. These findings suggest some promise for these biomarkers, especially GFAP and NfL, for clarifying associations with cognitive decline and dementia. The associations of the whole set of markers with subsequent mortality suggest they may serve as markers for general aging.","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12497661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial Affinity Caucuses (RACs) as Anti-Racist Pedagogy in an Epidemiology Course. 种族亲和党团会议（RACs）作为流行病学课程中的反种族主义教学法。

IF 4.8 2区医学

American journal of epidemiology Pub Date : 2025-08-21 DOI: 10.1093/aje/kwaf172

Wendy E Barrington, Ramya Kumar, Collrane Frivold, Anne E Massey, Cyrus Mugo, Sarah N Cox, Fredericka A Sesay, Anjum Hajat, Jennifer E Balkus

{"title":"Racial Affinity Caucuses (RACs) as Anti-Racist Pedagogy in an Epidemiology Course.","authors":"Wendy E Barrington, Ramya Kumar, Collrane Frivold, Anne E Massey, Cyrus Mugo, Sarah N Cox, Fredericka A Sesay, Anjum Hajat, Jennifer E Balkus","doi":"10.1093/aje/kwaf172","DOIUrl":"https://doi.org/10.1093/aje/kwaf172","url":null,"abstract":"The University of Washington Department of Epidemiology launched a quarterly virtual anti-racism journal club in spring 2020. After two quarters, students expressed concerns that white students dominated discussions. Students and instructors worked together to amplify the voices of Black, Indigenous, and People of Color (BIPOC) students using racial affinity caucuses (RACs) as a pedagogical intervention before classroom discussions. We used the Consolidated Framework for Implementation Research (CFIR) to examine intervention process and determinants as described by students via anonymous course evaluations and the Public Health Critical Race Praxis (PHCRP) to identify \"how is racism operating here?\" across CFIR domains. On a scale of zero to five (0: Very Poor, 5: Excellent), the overall course effectiveness was rated just below 'Excellent' (average: 4.8), while the effectiveness of RACs was rated just below 'Very Good' (average: 3.7). Student comments endorsed the RAC intervention as a CFIR innovation that effectively supported BIPOC students while acknowledging the barriers and facilitators of its implementation. Student and instructor flexibility, humility, courage to engage in praxis, and willingness to learn from failure were essential to implementation. Yet, students rated the course and RAC intervention highly, suggesting that anti-racism praxis can foster classroom learning in an epidemiology classroom.","PeriodicalId":7472,"journal":{"name":"American journal of epidemiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938666","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