Danielle N Lambert,Nicole Luisi,Erin R Johnson,Rachel Baugh,Andrea Swartzendruber
{"title":"Crisis Pregnancy Centers in the United States: Post-Dobbs Characteristics and Changes.","authors":"Danielle N Lambert,Nicole Luisi,Erin R Johnson,Rachel Baugh,Andrea Swartzendruber","doi":"10.2105/ajph.2025.308055","DOIUrl":"https://doi.org/10.2105/ajph.2025.308055","url":null,"abstract":"Objective. To enumerate crisis pregnancy centers (CPCs) in the United States in 2024 and examine changes before and after Dobbs v Jackson Women's Health Organization and associations with selected state characteristics. Methods. Repeated cross-sectional analyses used CPC Map data to describe the number of CPCs in the United States after Dobbs and examine changes since 2021. We used negative binomial models to compare CPC counts by selected state characteristics. Results. In 2024, 2633 CPCs operated in the United States, a 3.3% increase from 2021. Nationally, 71.7% offered nondiagnostic ultrasounds, 28.0% advertised sexually transmitted infection (STI) testing, 17.2% STI treatment, 6.8% HIV testing, and 3.8% unproven \"abortion reversal\" on-site. The total count of CPCs in 2024 was 230% greater in states with a grant program (95% confidence interval [CI] = 148%, 357%; P < .001), and the rate of newly identified and re-opened CPCs was 1.81 times (95% CI = 1.15, 2.84; P = .010) greater, adjusting for CPCs in 2021. Conclusions. Despite being largely unregulated and failing to adhere to medical and ethical practice standards, CPCs proliferated and posed risk nationally, particularly in states with CPC grant programs. Health professionals should educate themselves and their communities about local CPCs and risks. (Am J Public Health. 2025;115(6):924-935. https://doi.org/10.2105/AJPH.2025.308055).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"10 1","pages":"924-935"},"PeriodicalIF":12.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982406","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":"What Can Be Done About the Global Far Right's Threat to Health?","authors":"Scott L Greer","doi":"10.2105/ajph.2025.308128","DOIUrl":"https://doi.org/10.2105/ajph.2025.308128","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"4 1","pages":"870-872"},"PeriodicalIF":12.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982425","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":"Notes From the Field: An Article Format Appropriate for the Current Times.","authors":"Robert J Kim-Farley","doi":"10.2105/ajph.2025.308121","DOIUrl":"https://doi.org/10.2105/ajph.2025.308121","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"1 1","pages":"858"},"PeriodicalIF":12.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982530","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}
Xuesong Han, Kewei Sylvia Shi, Qinjin Fan, Parichoy Pal Choudhury, Xin Hu, K Robin Yabroff
{"title":"Medicaid Expansion and US Mortality Rates During the COVID-19 Pandemic, 2018-2022.","authors":"Xuesong Han, Kewei Sylvia Shi, Qinjin Fan, Parichoy Pal Choudhury, Xin Hu, K Robin Yabroff","doi":"10.2105/AJPH.2025.308045","DOIUrl":"10.2105/AJPH.2025.308045","url":null,"abstract":"<p><p><b>Objectives.</b> To examine the association of state Medicaid expansion status with mortality changes during the COVID-19 pandemic in the United States. <b>Methods.</b> Deaths among individuals 20 to 64 years of age in 3142 counties were identified from 2018 to 2022 mortality surveillance data. Age-adjusted mortality rates were calculated for each county and by cause of death. Changes in mortality rates before and after the onset of the COVID-19 pandemic (2018-2019 vs 2021-2022) in Medicaid expansion states relative to nonexpansion states were calculated after adjustment for county sociodemographic factors and state COVID-19 vaccination rates. <b>Results.</b> All-cause mortality rates increased in 2020-2021 nationwide and decreased slightly in 2022. Overall, the increase was slower in Medicaid expansion states, leading to a net decrease of 31.8 (95% confidence interval [CI] = 20.9, 42.8) deaths per 100 000 person-years associated with Medicaid expansion from 2018-2019 to 2021-2022. The decrease was largest for deaths from heart disease and liver disease and was observed across subpopulations stratified by sex, age, and race. <b>Conclusions.</b> Increases in mortality rates were slower in Medicaid expansion states than in nonexpansion states during the COVID-19 public health emergency, suggesting a protective effect of Medicaid expansion on population health during the pandemic. (<i>Am J Public Health</i>. 2025;115(6):890-899. https://doi.org/10.2105/AJPH.2025.308045).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"890-899"},"PeriodicalIF":9.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lessons in Grief: Public Health and Healing in Community.","authors":"Lucy Tu","doi":"10.2105/ajph.2024.307955","DOIUrl":"https://doi.org/10.2105/ajph.2024.307955","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"32 1","pages":"856-857"},"PeriodicalIF":12.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982412","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 Far Right, Authoritarian Power, and Public Health.","authors":"Kenneth Rochel de Camargo","doi":"10.2105/ajph.2025.308123","DOIUrl":"https://doi.org/10.2105/ajph.2025.308123","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"8 1","pages":"868-869"},"PeriodicalIF":12.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982416","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":"Whose Democracy, and Whose Public Health?","authors":"Paul Erwin","doi":"10.2105/ajph.2025.308127","DOIUrl":"https://doi.org/10.2105/ajph.2025.308127","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"3 1","pages":"859-861"},"PeriodicalIF":12.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982418","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}
Arturo Vargas Bustamante,Marvin Chowdhury,Alexander N Ortega
{"title":"Expanding Medicaid for Undocumented Immigrants: A Path to Better Coverage and Population Health.","authors":"Arturo Vargas Bustamante,Marvin Chowdhury,Alexander N Ortega","doi":"10.2105/ajph.2025.308131","DOIUrl":"https://doi.org/10.2105/ajph.2025.308131","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"25 1","pages":"830-832"},"PeriodicalIF":12.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982410","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":"Health-Focused Arguments for Eliminating Overcrowding in Prisons, Jails, and Other Detention Facilities.","authors":"Jeremy D Goldhaber-Fiebert","doi":"10.2105/ajph.2025.308089","DOIUrl":"https://doi.org/10.2105/ajph.2025.308089","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"20 1","pages":"819-821"},"PeriodicalIF":12.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982407","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}
Arden S Handler,Kay Johnson,Kristin M Rankin,Alisa J Velonis,Arthur R James,Milton Kotelchuck
{"title":"Shuttering the Pregnancy Risk Assessment Monitoring System (PRAMS): A Dangerous Attack on US Mothers and Infants.","authors":"Arden S Handler,Kay Johnson,Kristin M Rankin,Alisa J Velonis,Arthur R James,Milton Kotelchuck","doi":"10.2105/ajph.2025.308107","DOIUrl":"https://doi.org/10.2105/ajph.2025.308107","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"40 1","pages":"848-850"},"PeriodicalIF":12.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982415","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}