Erica M LaFata, Hannah C McCausland, Alexandra G Goodin, Rachel Shannon
{"title":"Characterizing Food Industry Affiliations Among Critics of the Nova Food Classification System: A Systematic Review.","authors":"Erica M LaFata, Hannah C McCausland, Alexandra G Goodin, Rachel Shannon","doi":"10.2105/AJPH.2026.308691","DOIUrl":"10.2105/AJPH.2026.308691","url":null,"abstract":"<p><p><b>Objectives.</b> To evaluate the extent and nature of food-industry relationships among authors who published academic work between 2009 and 2025 criticizing the Nova food classification system or promoting the benefits of ultraprocessed foods, building on evidence that some Nova critiques stem from industry-linked actors. <b>Methods.</b> This preregistered review (PROSPERO CRD42024539022) characterized each author's disclosed and nondisclosed (uncovered by public online source) food industry relationships. <b>Results.</b> Of 69 included articles, 91.3% involved at least 1 industry-affiliated author, 68.5% of 232 total authors had food industry ties, and 65.2% of articles were published in journals associated with nutrition societies with disclosed industry partnerships. Arguments defending or promoting ultraprocessed foods appeared in 39.7% of articles with direct industry ties and 60.0% with organizational or governmental industry ties, compared with 16.7% of articles with no identified ties. <b>Conclusions.</b> Given the tobacco industry's well-documented strategy of manufacturing academic doubt about its products' harms, these findings raise concern that the food industry may be following a similar playbook as evidence for the health risks of ultraprocessed foods continues to grow. (<i>Am J Public Health</i>. 2026;116(11):1790-1799. https://doi.org/10.2105/AJPH.2026.308691).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1790-1799"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marian Moser Jones, Cheryl G Healton, José A Pagán, Mahathi Vojjala, Faith Daniel, Julie Holm, Shevya Awasthi, José Plascencia Jimenez, Sierra Jade Kaplan, Anne N M Getz Eidelhoch, Ashley Marie Bursie, Kelsey Anne Wilber, Winston Junior Scott, Tori-Ann Haywood, Amy Lauren Fairchild
{"title":"The Experience of US Public Health Officers During the COVID-19 Pandemic as a Prelude to the Current Political Backlash Against Public Health: Canaries in a Backlash Coal Mine.","authors":"Marian Moser Jones, Cheryl G Healton, José A Pagán, Mahathi Vojjala, Faith Daniel, Julie Holm, Shevya Awasthi, José Plascencia Jimenez, Sierra Jade Kaplan, Anne N M Getz Eidelhoch, Ashley Marie Bursie, Kelsey Anne Wilber, Winston Junior Scott, Tori-Ann Haywood, Amy Lauren Fairchild","doi":"10.2105/AJPH.2026.308614","DOIUrl":"10.2105/AJPH.2026.308614","url":null,"abstract":"<p><p>The COVID-19 pandemic served as a catalytic opportunity for preexisting social and political forces to gain a foothold that unleashed a serious and sweeping backlash against public health. These forces fuel ongoing public health backlash and feed a broadening politics of backlash against the authority of the protective state. In this article, we describe backlash as a historically rooted political concept that helps to reconceptualize public health's pandemic experience. We use it to systematically code and analyze a unique and rich sample of oral history interviews with 109 public health officials (PHOs) from 18 geographically and politically diverse states during the COVID-19 pandemic. In each selected state, we interviewed PHOs who led departments in the largest 1 or 2 cities, local counties or districts serving rural and suburban areas, and at the state level. This study, which demonstrates how backlash operated in the context of public health, points out specific ways PHOs and health departments remain at risk for growing and increasingly severe backlash now and in the future. (<i>Am J Public Health</i>. 2026;116(11):1774-1785. https://doi.org/10.2105/AJPH.2026.308614).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1774-1785"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148928831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changes in Substance Use Treatment Participation After Entering Supported Housing.","authors":"Jack Tsai, Hind A Beydoun, Nora D Volkow","doi":"10.2105/AJPH.2026.308726","DOIUrl":"10.2105/AJPH.2026.308726","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1829-1830"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148928894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Conservatives Belong in Public Health.","authors":"Karl Johnson, Tyler J VanderWeele","doi":"10.2105/AJPH.2026.308532","DOIUrl":"10.2105/AJPH.2026.308532","url":null,"abstract":"<p><p>Public health depends on trust with the communities it seeks to serve, and yet this trust has historically been difficult to establish within conservative-leaning communities and individuals. Much of the current mistrust of public health professionals is a partisan phenomenon, one that may reflect the progressive slant of programming and policy development within modern public health. In response, we discuss why it would be beneficial to include more conservatives within the profession of public health. We further discuss 6 conservative values-the importance of religious communities and moral narratives, the rich varieties of community expression, the role of the family and other social orders in promoting health, an emphasis on local decision-making, an appreciation for procedural justice, and a cautious approach to large-scale social change-that could help enrich public health theory, research, and practice. We propose several practical strategies for expanding the representation of conservatives within the profession, including surveys of political affiliation, institutions of civil discourse, and intentional recruitment. Public health's mission of serving all people demands a pluralistic, trust-centered approach that explicitly welcomes conservative voices, communities, and ideas. (<i>Am J Public Health</i>. 2026;116(11):1697-1704. https://doi.org/10.2105/AJPH.2026.308532).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1697-1704"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148417940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Data, Democracy, and the Public's Health.","authors":"Alonzo L Plough","doi":"10.2105/AJPH.2026.308526","DOIUrl":"10.2105/AJPH.2026.308526","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1668-1670"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148576697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"State Advisory Boards and the Politics of Expertise in US Public Health.","authors":"Sarah D Rozenblum","doi":"10.2105/AJPH.2026.308661","DOIUrl":"10.2105/AJPH.2026.308661","url":null,"abstract":"<p><p>This essay examines the evolving relationship between public health expertise and politics in the United States, focusing on the emergence of state advisory boards during and after the COVID-19 pandemic. While public health decision-making has always involved political trade-offs, recent developments reflect a more direct politicization of federal institutions, including changes in advisory committee composition, constraints on scientific autonomy, and declining public trust. In response, several states have created independent advisory bodies to review federal guidance and guide vaccination policy. This article draws on examples from the Western States Scientific Safety Review Workgroup and a state vaccine advisory committee in Connecticut. These initiatives represent an important institutional adaptation to contested federal expertise. However, the latest proliferation of state advisory structures may also fragment scientific authority, complicate coordination during emergencies, and introduce new challenges for accountability and equity. The growing role of state-level expertise reveals the emergence of a more polycentric form of public health governance, raising questions about how scientific authority is organized, trusted, and contested in an era of political polarization. (<i>Am J Public Health</i>. 2026;116(11):1758-1764. https://doi.org/10.2105/AJPH.2026.308661).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1758-1764"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Statistical Is, and Always Has Been, Political.","authors":"Lee Kennedy-Shaffer","doi":"10.2105/AJPH.2026.308640","DOIUrl":"10.2105/AJPH.2026.308640","url":null,"abstract":"<p><p>Politicians and advocates across the political spectrum have called for health policy to follow the data. But the political implications of this claim depend on the data that are collected, the analysis methods used, and the standards for evidence that are applied or ignored. As the political nature of public health has come to the forefront of public policy, so has the political aspect of the statistics that underpin public health research and practice. Power and political economy have always shaped data, even when data are portrayed as technocratic and apolitical. Statistical methods are built on assumptions about the world, as they have been since their inception. And the demand for a specific type of causal or cost‒benefit evidence for some policies, or what counts as evidence, is a political, not technical, claim. Rather than attempting to claim legitimacy by retreating from the political aspects of public health, biostatisticians need to confront this role head-on, acknowledge the political and social structures that shape our work, and engage fully at the intersection of the political and the statistical. (<i>Am J Public Health</i>. 2026;116(11):1727-1733. https://doi.org/10.2105/AJPH.2026.308640).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1727-1733"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148838876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beth A Malow, Leslie M Lopato, Katelyn K Jetelina, Jessica B Steier, Douglass Teschner, Cristin McCarthy Vahey
{"title":"Cross-Partisanship in Public Health in the Age of Polarization: Why It Is Important and How to Achieve It.","authors":"Beth A Malow, Leslie M Lopato, Katelyn K Jetelina, Jessica B Steier, Douglass Teschner, Cristin McCarthy Vahey","doi":"10.2105/AJPH.2026.308644","DOIUrl":"10.2105/AJPH.2026.308644","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1688-1690"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148838925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lauren C Zalla, Joyce L Jones, Richard D Moore, Oluwaseun O Falade-Nwulia, Jeanne C Keruly, Laquita N Snow, Anthony T Fojo, Lorraine T Dean, Catherine R Lesko
{"title":"Associations of Routinely Collected Measures of Socioeconomic Disadvantage With Longitudinal Care Continuum Outcomes in a Clinical Cohort of Persons With HIV in the United States.","authors":"Lauren C Zalla, Joyce L Jones, Richard D Moore, Oluwaseun O Falade-Nwulia, Jeanne C Keruly, Laquita N Snow, Anthony T Fojo, Lorraine T Dean, Catherine R Lesko","doi":"10.2105/AJPH.2026.308484","DOIUrl":"10.2105/AJPH.2026.308484","url":null,"abstract":"<p><p><b>Objectives.</b> To examine the associations of routinely collected measures of socioeconomic disadvantage with HIV care continuum outcomes in 2024. <b>Methods.</b> In a cohort of people with HIV in Baltimore, Maryland, we compared restricted mean time spent in 4 states of the longitudinal care continuum (viral suppression, nonsuppression, having a 12-month gap in viral load monitoring, and death) by income, housing status, incarceration, insurance, and neighborhood deprivation. <b>Results.</b> All measures of socioeconomic disadvantage were associated with fewer days spent alive and more days with a nonsuppressed viral load. Individual income and neighborhood deprivation were independently associated with survival and viral suppression: among participants in low-deprivation neighborhoods, those with lower income spent 7 more days with a nonsuppressed viral load (95% confidence interval [CI] = 0, 16) and 2 fewer days alive (95% CI = 0, 4); among participants with higher income, those living in higher-deprivation neighborhoods spent 14 more days with a nonsuppressed viral load (95% CI = 4, 24) and 2 fewer days alive (95% CI = 0, 5). <b>Conclusions.</b> The routine collection of data on socioeconomic disadvantage can help assess risk of poor clinical outcomes among persons with HIV. (<i>Am J Public Health</i>. 2026;116(11):1800-1809. https://doi.org/10.2105/AJPH.2026.308484).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1800-1809"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148757870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Invisible by Design: How Colonialism Drives Political Determinants of Health in Puerto Rico.","authors":"Lianeris Estremera-Rodriguez","doi":"10.2105/AJPH.2026.308639","DOIUrl":"10.2105/AJPH.2026.308639","url":null,"abstract":"<p><p>Public health cannot be separated from politics. Although the relationship is often analyzed in democratic contexts, that framing limits the discussion to populations under colonial or neocolonial rule. Here I contend that colonialism functions as a higher-order determinant that influences the political determinants of health and, consequently, affects lower-level determinants, thereby hindering health equity. Colonialism operates through multiple mechanisms, disrupting the feedback loop in advocacy tools that connect community needs to political actions for health equity. Focusing on Puerto Rico, I use a legal determinants model to illustrate how laws and jurisprudence have institutionalized colonialism and affected health. This article expands Dawes's political determinants of health framework to demonstrate how a lack of sovereignty empowers external interests, shapes health, and filters local voices. Moreover, it shows that data invisibility and the systemic exclusion of US territories from federal data infrastructures constitute a form of epistemic erasure. The article concludes that achieving health equity and liberation requires dismantling colonial power structures, as the \"double burden\" of harmful policies and political impotence cannot be resolved without addressing lack of sovereignty and genuine representation. (<i>Am J Public Health</i>. 2026;116(11):1740-1749. https://doi.org/10.2105/AJPH.2026.308639).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1740-1749"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148838930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}