Kelly Hunter, Michael E Shepherd, Hilary J Izatt, Zoe C Walker, Katherine McCabe, Daniel Nielson, Eve Bryner, Wylie Chang, Alister Martin
{"title":"Health Care-Led Get-Out-the-Vote Efforts as Treatments for Public Health and Democracy.","authors":"Kelly Hunter, Michael E Shepherd, Hilary J Izatt, Zoe C Walker, Katherine McCabe, Daniel Nielson, Eve Bryner, Wylie Chang, Alister Martin","doi":"10.2105/AJPH.2026.308599","DOIUrl":"10.2105/AJPH.2026.308599","url":null,"abstract":"<p><p>Democratic responsiveness can promote healthier populations. Expanding the electorate by increasing political participation in new and underrepresented voters is one way to bolster both democratic responsiveness and, in the process, public health and population health. In this analytic essay, we argue that health care-based get-out-the-vote efforts can reach new and underrepresented voters. We conducted an observational analysis utilizing 2022 data from Vot-ER, a health care worker-led voter registration organization in the United States, and from the Cooperative Election Study, a nationally representative survey of US adults. Compared with candidate and party campaigns, Vot-ER reached higher rates of unregistered voters, individuals younger than 35 years, and women, as well as Asian, Black, and Hispanic individuals. These findings suggest that health care-based voter registration initiatives can engage populations historically passed over by candidate and party campaigns. Health care worker-led voter mobilization provides a creative and pragmatic avenue for broadening democratic participation, even during midterm elections that historically have lower participation rates. Furthermore, expanding the electorate can help promote responsiveness to these more marginalized voters, cultivating an environment suited for better public and population health outcomes. (<i>Am J Public Health</i>. 2026;116(11):1705-1711. https://doi.org/10.2105/AJPH.2026.308599).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1705-1711"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148683124","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}
Don Operario, Wesley M Correll-King, Kristi E Gamarel, Arjee Javellana Restar
{"title":"One Year After Executive Order 14168: Public Health Consequences of Restricting Gender Affirmation.","authors":"Don Operario, Wesley M Correll-King, Kristi E Gamarel, Arjee Javellana Restar","doi":"10.2105/AJPH.2026.308583","DOIUrl":"10.2105/AJPH.2026.308583","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1694-1696"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629357","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}
Dror Walter, Yotam Ophir, Patrick E Jamieson, Kathleen Hall-Jamieson
{"title":"The Relationship Between Political Affiliation, Perceptions of Science and Scientists, and Perceived Safety and Effectiveness of the MMR, Flu, and COVID-19 Vaccines: United States, 2024.","authors":"Dror Walter, Yotam Ophir, Patrick E Jamieson, Kathleen Hall-Jamieson","doi":"10.2105/AJPH.2026.308606","DOIUrl":"10.2105/AJPH.2026.308606","url":null,"abstract":"<p><p><b>Objectives.</b> To examine the associations between political party identification, perceptions of science and scientists, and perceived safety and effectiveness of the measles, mumps, and rubella, flu, and COVID-19 vaccines. <b>Methods.</b> We used multiple regression analyses to examine survey data collected in November 2024 from a national probability sample of 1763 US adults. We measured perceptions of science and scientists using the Factors Assessing Science's Self-Presentation (FASS) scale, which assesses beliefs that scientists are credible, prudent, and unbiased and that science is beneficial and self-correcting. <b>Results.</b> Respondents perceived the measles, mumps, and rubella vaccine as the safest and most effective (mean safety score = 3.54 [SD = 0.71]; mean effectiveness score = 3.63 [SD = 0.68]) and the COVID-19 vaccine as the least safe and effective (mean safety score = 2.98 [SD = 1.07]; mean effectiveness score = 2.81 [SD = 1.02]). After adjustment for FASS factors, political party identification was associated only with perceptions of the COVID-19 vaccine (<i>P</i> < .001). Associations between political party identification and FASS factors varied by vaccine type. Perceiving science as beneficial was the factor most consistently associated with vaccine evaluations. <b>Conclusions.</b> Republicans are more concerned about the safety and effectiveness of vaccines, with politicization most evident for the COVID-19 vaccine. <b>Public Health Implications.</b> These findings can guide tailored communication strategies addressing vaccine safety and effectiveness concerns among specific audiences. (<i>Am J Public Health</i>. 2026;116(11):1765-1773. https://doi.org/10.2105/AJPH.2026.308606).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1765-1773"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148928803","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 Test-Negative Design for Assessing Vaccine Effectiveness.","authors":"Nicholas P Jewell","doi":"10.2105/AJPH.2026.308764","DOIUrl":"10.2105/AJPH.2026.308764","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1671-1674"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987773","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":"A Case for a Purple Public Health.","authors":"Sandro Galea, Salma M Abdalla","doi":"10.2105/AJPH.2026.308725","DOIUrl":"10.2105/AJPH.2026.308725","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1653-1654"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148928846","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":"There Is No Public Health Outside of Politics.","authors":"Gregg S Gonsalves","doi":"10.2105/AJPH.2026.308608","DOIUrl":"10.2105/AJPH.2026.308608","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1686-1687"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148683069","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}
Tamara Rushovich, Rachel C Nethery, Ariel White, Nancy Krieger
{"title":"How Political Redistricting and Gerrymandering Can Shape Understanding of Public Health Need.","authors":"Tamara Rushovich, Rachel C Nethery, Ariel White, Nancy Krieger","doi":"10.2105/AJPH.2026.308648","DOIUrl":"10.2105/AJPH.2026.308648","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1691-1693"},"PeriodicalIF":7.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148838936","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}
Felicity T Enders, Chidiogo Anyigbo, Elizabeth H Golembiewski, Philip M Alberti, Terri L Menser, Michelle R Grady, Jane Q Yap, Leigh Johnson, Jodi A Lapidus, Alexandra L Hanlon, Jareen K Meinzen-Derr, Shyam Visweswaran
{"title":"Demographic Conscious Analysis: A New Paradigm for Health Research.","authors":"Felicity T Enders, Chidiogo Anyigbo, Elizabeth H Golembiewski, Philip M Alberti, Terri L Menser, Michelle R Grady, Jane Q Yap, Leigh Johnson, Jodi A Lapidus, Alexandra L Hanlon, Jareen K Meinzen-Derr, Shyam Visweswaran","doi":"10.2105/AJPH.2026.308767","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308767","url":null,"abstract":"<p><p>Race and ethnicity are frequently misused in research as biological determinants, reinforcing essentialist assumptions and embedding structural factors into clinical guidelines and tools. Disparities in health outcomes increasingly reflect lived experiences and structural inequities, yet standard analytic approaches have not meaningfully evolved. We introduce demographic conscious analysis (DCA), a methodological framework replacing the use of social demographics as predictor variables. Race/ethnicity is a \"social demographic\" variable that acts as a proxy for causative variables. The social demographic is excluded from primary analytic models, which instead incorporate causative variables; for race/ethnicity, these might include socioeconomic status, geographic deprivation, chronic stress, and accelerated biological aging. The social demographic is added in a secondary diagnostic analysis to assess residual confounding. A residual association signals unmeasured or inadequately captured causal mechanisms. Within a study, DCA provides a practical method to evaluate a model. Across studies, DCA offers a way to assess progress toward comprehensive measurement of the causative factors for which a given social demographic variable serves as a proxy. Overall, DCA replaces unchangeable social demographic variables with potentially modifiable causative variables. (<i>Am J Public Health</i>. Published online ahead of print October 15, 2026:e1-e10. https://doi.org/10.2105/AJPH.2026.308767).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e10"},"PeriodicalIF":7.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190646","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}
Clara E Busse, Meghan C O'Connell, Katy B Kozhimannil
{"title":"An Indigenous Public Health Success Story for Rural Community Health.","authors":"Clara E Busse, Meghan C O'Connell, Katy B Kozhimannil","doi":"10.2105/AJPH.2026.308793","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308793","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e3"},"PeriodicalIF":7.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190627","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}
Chiehfeng Chen, Shih-Jung Lin, Wei-Cheng Lo, Yi-No Kang, Ken N Kuo
{"title":"Decreases in Cancer Mortality During the COVID-19 Pandemic and Mortality Displacement in Aged Societies.","authors":"Chiehfeng Chen, Shih-Jung Lin, Wei-Cheng Lo, Yi-No Kang, Ken N Kuo","doi":"10.2105/AJPH.2026.308797","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308797","url":null,"abstract":"<p><p><b>Objectives.</b> To examine whether pandemic-era changes in cancer mortality reflect true improvements or mortality displacement and whether patterns differ by population aging, with updated Global Burden of Disease (GBD) mortality estimates from the Institute for Health Metrics and Evaluation. <b>Methods.</b> We conducted a cross-national ecological analysis using GBD 2023 data from 204 countries and territories. Countries were classified as aged if more than 14% of the population was aged 65 years or older in 2019. The exposure was cumulative COVID-19 age-standardized mortality rate (ASMR), and the outcome was change in all-cancer ASMR. <b>Results.</b> Among aged societies (n = 55), higher COVID-19 mortality was correlated with larger decreases in cancer mortality (r = -0.45; <i>P</i> = .001). No correlation was observed in non‒aged societies (n = 149; r = 0.08; <i>P</i> = .34), and correlations differed (<i>P</i> < .01). Across all countries and territories, the overall correlation was weak (r = 0.13; <i>P</i> = .06), indicating the inverse correlation was confined to aged populations. <b>Public Health Implications.</b> Decreases in cancer mortality during the COVID-19 pandemic may reflect mortality displacement rather than true improvements, particularly in aging populations. (<i>Am J Public Health</i>. Published online ahead of print October 15, 2026:e1-e4. https://doi.org/10.2105/AJPH.2026.308797).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e4"},"PeriodicalIF":7.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149190587","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}