American journal of public health最新文献

Prenatal Care and Congenital Syphilis in the United States: Characterizing Screening and Treatment. 产前护理和先天性梅毒在美国：特征筛选和治疗。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308657

Elizabeth A Suarez, Phoebe Thorpe, John Christian Hague, H June O'Neill, Katherine E Round, David Cole, Sarah K Dutcher, David Moeny, Lucia Menegussi, Terrence Lee, Jamal T Jones, Rose Radin, Nahida Chakhtoura, Juanita J Chinn, Alexander C Ewing, Elizabeth B Gray, Catherine J Vladutiu, Rachel L Abbey, Judith C Maro

{"title":"Prenatal Care and Congenital Syphilis in the United States: Characterizing Screening and Treatment.","authors":"Elizabeth A Suarez, Phoebe Thorpe, John Christian Hague, H June O'Neill, Katherine E Round, David Cole, Sarah K Dutcher, David Moeny, Lucia Menegussi, Terrence Lee, Jamal T Jones, Rose Radin, Nahida Chakhtoura, Juanita J Chinn, Alexander C Ewing, Elizabeth B Gray, Catherine J Vladutiu, Rachel L Abbey, Judith C Maro","doi":"10.2105/AJPH.2026.308657","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308657","url":null,"abstract":"Objectives. To assess trends in prenatal syphilis screening and treatment in the United States and evaluate newborn syphilis screening. Methods. We conducted a retrospective cohort study using Medicaid (2014-2021) and commercial insurance claims (2010-2023). We assessed syphilis screening by trimester, repeat screening (> 1 trimester), temporal trends, treatment with benzathine penicillin G or nonrecommended antibiotics, and screening of infants born to pregnancies diagnosed with syphilis within 30 days of birth. Results. Syphilis screening occurred in 75.2% of Medicaid-insured and 92.8% of commercially insured pregnancies; 51.8% and 81.7%, respectively, were screened in the first trimester. Screening increased in Medicaid (67.6% to 80.5%) and remained high in the commercially insured cohort (91.0% to 94.0%). Repeat screening more than doubled in both cohorts. Approximately half of pregnancies diagnosed with syphilis had evidence of benzathine penicillin G treatment, whereas 5% to 6% had evidence of nonrecommended antibiotics. Infant screening was rarely identified, likely reflecting incomplete capture in claims data. Conclusions. Prenatal syphilis screening in the United States may fall short of recommendations, although increasing repeat screening is encouraging progress. (Am J Public Health. Published online ahead of print September 3, 2026:e1-e10. https://doi.org/10.2105/AJPH.2026.308657).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e10"},"PeriodicalIF":7.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886203","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}

引用次数: 0

The Antiscience Moment Is a Trust Crisis. 反科学时刻是信任危机。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308674

Nia N Maye

引用次数: 0

Protecting Health Equity Science in Our Time. 在我们的时代保护健康公平科学。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308681

Ana Penman-Aguilar

引用次数: 0

State Advisory Boards and the Politics of Expertise in US Public Health. 国家咨询委员会和美国公共卫生专业知识政治。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308661

Sarah D Rozenblum

{"title":"State Advisory Boards and the Politics of Expertise in US Public Health.","authors":"Sarah D Rozenblum","doi":"10.2105/AJPH.2026.308661","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308661","url":null,"abstract":"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. (Am J Public Health. Published online ahead of print September 3, 2026:e1-e7. https://doi.org/10.2105/AJPH.2026.308661).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e7"},"PeriodicalIF":7.8,"publicationDate":"2026-09-03","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}

引用次数: 0

Low Perceived Neighborhood Safety as a Social Determinant of Loneliness: Findings From the 2024 Behavioral Risk Factor Surveillance System. 低感知邻里安全作为孤独的社会决定因素：来自2024年行为风险因素监测系统的发现。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308677

Yi-Fang Lu, Byunggu Kang, Kiseong Kuen

{"title":"Low Perceived Neighborhood Safety as a Social Determinant of Loneliness: Findings From the 2024 Behavioral Risk Factor Surveillance System.","authors":"Yi-Fang Lu, Byunggu Kang, Kiseong Kuen","doi":"10.2105/AJPH.2026.308677","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308677","url":null,"abstract":"Objectives. To assess the association between low perceived neighborhood safety and loneliness. Methods. We used data from the Social Determinants of Health and Health Equity module of the 2024 Behavioral Risk Factor Surveillance System (BRFSS). The sample included 317 320 respondents from 35 US states. Using logistic regression, we estimated the association between low perceived neighborhood safety and feelings of loneliness after adjustment for demographic characteristics, social support, living alone, diagnosis of depressive disorder, urbanicity, and state of residence. Results. The findings showed that low perceived neighborhood safety is associated with higher odds of loneliness. In comparison with adults who felt extremely safe in their neighborhoods, the adjusted odds ratios for feeling lonely were 1.06 among those who felt safe (95% confidence interval [CI] = 0.96, 1.16), 1.38 among those who felt unsafe (95% CI = 1.17, 1.62), and 1.68 among those who felt extremely unsafe (95% CI = 1.24, 2.27). Conclusions. Low perceived neighborhood safety is a key place-based correlate of loneliness. Improving neighborhood safety may represent an important, and potentially overlooked, pathway through which place-based conditions contribute to loneliness and related health risks. (Am J Public Health. Published online ahead of print September 3, 2026:e1-e4. https://doi.org/10.2105/AJPH.2026.308677).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e4"},"PeriodicalIF":7.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886245","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}

引用次数: 0

The Global Antiscience Infodemic in Public Health: Complex Adaptive Systems and Syndemic Frameworks. 公共卫生领域的全球反科学信息：复杂的适应系统和综合框架。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308672

Pedro A Serrano

{"title":"The Global Antiscience Infodemic in Public Health: Complex Adaptive Systems and Syndemic Frameworks.","authors":"Pedro A Serrano","doi":"10.2105/AJPH.2026.308672","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308672","url":null,"abstract":"This essay explores the global antiscience phenomenon, characterizing the rapid spread of misinformation as an \"infodemic\" linked to rising social and political opposition. To address this growing threat to global public health, it applies a transdisciplinary framework integrating complexity and syndemic theories to analyze the public health science enterprise. The evidence suggests that antiscience activism operates as a complex adaptive system, fueled by nonlinear social interactions and emotional narratives on internet-mediated platforms. Widespread breakdowns in bidirectional science-society communication and sociopolitical disparities interact synergistically to exacerbate adverse health outcomes, functioning as an information syndemic. To counteract these forces, public health strategies must move beyond the traditional \"deficit model\" of one-way messaging. Potential solutions include adopting targeted media campaigns, employing cognitive inoculation strategies, promoting widespread media literacy, and training a new generation of scientists to engage in two-way dialogues with the public. (Am J Public Health. Published online ahead of print September 3, 2026:e1-e9. https://doi.org/10.2105/AJPH.2026.308672).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e9"},"PeriodicalIF":7.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148885926","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}

引用次数: 0

From Sewersheds to Watersheds: Expanding Environmental Surveillance to Zoonotic Pathogens in Wildlife. 从下水道到流域：将环境监测扩展到野生动物的人畜共患病病原体。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308662

Drew Capone, Karl Gaisser, Justin Greaves, Roberto Rodríguez, Daniel Johnson

引用次数: 0

Lessons Learned During the 2024‒2025 Highly Pathogenic Avian Influenza A(H5N1) Virus Outbreak Response in the United States: The Experience of State and Local Public Health Departments. 美国2024-2025年高致病性禽流感（H5N1）病毒爆发应对的经验教训：州和地方公共卫生部门的经验

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308656

Diane Meyer, Andrea Uhlig, Diné Butler, Stefanie Friedhoff, Jennifer B Nuzzo

{"title":"Lessons Learned During the 2024‒2025 Highly Pathogenic Avian Influenza A(H5N1) Virus Outbreak Response in the United States: The Experience of State and Local Public Health Departments.","authors":"Diane Meyer, Andrea Uhlig, Diné Butler, Stefanie Friedhoff, Jennifer B Nuzzo","doi":"10.2105/AJPH.2026.308656","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308656","url":null,"abstract":"Objectives. To describe challenges and lessons learned during state and local health department responses to the 2024‒2025 highly pathogenic avian influenza A(H5N1) outbreaks. Methods. We conducted semistructured interviews from August to November 2025 with Department of Health and Agriculture staff from states with confirmed or probable A(H5N1) human cases. We conducted 15 total interviews with 37 participants from 10 US states. Interview transcripts were inductively and deductively coded to identify generalizable lessons that might improve future outbreak response efforts. Results. Key themes included difficulty accessing farms and reaching at-risk populations; lack of sufficient guidelines for proactively responding to zoonotic outbreaks that could have human health implications; the importance of maintaining preparedness planning, capacity, and infrastructure; and uncertainty around future capacity to respond to outbreaks because of resource constraints and changes in federal leadership. Conclusions. Although this study focused on responses to A(H5N1) outbreaks, the findings are indicative of the nation's overall readiness for biological threats. Prioritization of capacity building for infectious disease outbreaks, including robust health department funding to support continued disease surveillance, is critical to prevent more widespread transmission. (Am J Public Health. Published online ahead of print September 3, 2026:e1-e7. https://doi.org/10.2105/AJPH.2026.308656).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e7"},"PeriodicalIF":7.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886265","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}

引用次数: 0

Framing Trust as a Social Determinant of Health. 构建信任作为健康的社会决定因素。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308649

Cicily A Gray, Leslie Heller

引用次数: 0

Ethical Triage: A Foundational Framework for Public Health Efficiency in an Era of Austerity. 伦理分类：紧缩时代公共卫生效率的基本框架。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-01 Epub Date: 2026-07-23 DOI: 10.2105/AJPH.2026.308653

Jason M Orr

引用次数: 0