American journal of public health最新文献_第2页

Going Places: An Active Transportation Intervention to Increase Youth Physical Activity, Durham, North Carolina, 2023-2024.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-20 DOI: 10.2105/AJPH.2025.308012

Emily M D'Agostino, Cody D Neshteruk, Tang Li, Jeremiah Davis, Isa Granados, Advika Kumar, Jeffrey Forde, Christoph P Hornik

引用次数: 0

Polysubstance Use Profiles Among the General Adult Population, United States, 2022: A Latent Class Analysis.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-20 DOI: 10.2105/AJPH.2024.307979

Karilynn M Rockhill, Joshua C Black, Janetta Iwanicki, Alison Abraham

{"title":"Polysubstance Use Profiles Among the General Adult Population, United States, 2022: A Latent Class Analysis.","authors":"Karilynn M Rockhill, Joshua C Black, Janetta Iwanicki, Alison Abraham","doi":"10.2105/AJPH.2024.307979","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307979","url":null,"abstract":"Objectives. To characterize present-day polysubstance use patterns in the general adult population. Methods. From a 2022 nationally representative survey in the United States, we defined polysubstance use as last 12-month use of 2 or more drugs (n = 15 800). Latent class analyses included medical (as indicated) and nonmedical (not as directed) use of prescription opioids, stimulants, benzodiazepines, and antidepressants; recreational use of cannabis, psilocybin or mushrooms, other psychedelics, cocaine, methamphetamine, and illicit opioids; and concomitant use with alcohol, cannabis, prescriptions, or recreational drugs. Results. The national prevalence of polysubstance use was 20.9% (95% confidence interval = 20.5%, 21.3%), broken down into the following 4 latent classes: (1) medically guided polysubstance use (11.5% prevalence, 6.1% substance use disorder [SUD]): prescribed drug use, some cannabis, and no concomitant use; (2) principal cannabis use variety (4.0% prevalence, 31.9% SUD): high probability of cannabis use with various drugs concomitantly used; (3) self-guided polysubstance use (3.4% prevalence, 14.5% SUD): nonmedical use of prescriptions and concomitant use; and (4) indiscriminate coexposures (2.1% prevalence, 58.9% SUD): concomitant drug use with indiscriminate drug preference. Conclusions. Different polysubstance profiles show adults with untreated SUDs, and there are 2 previously unrecognized classes. Prevention and treatment strategies addressing polysubstance use should take a personalized perspective and tailor to individuals' use profile. (Am J Public Health. Published online ahead of print March 20, 2025:e1-e11. https://doi.org/10.2105/AJPH.2024.307979).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e11"},"PeriodicalIF":9.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143668892","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

How and Why Does Redlining Matter for Present-Day Health? Critical Perspectives on Causality, Cartography, and Capitalism.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-13 DOI: 10.2105/AJPH.2024.308000

Carolyn Swope, Scott Markley, Shannon Whittaker, Amy Hillier

{"title":"How and Why Does Redlining Matter for Present-Day Health? Critical Perspectives on Causality, Cartography, and Capitalism.","authors":"Carolyn Swope, Scott Markley, Shannon Whittaker, Amy Hillier","doi":"10.2105/AJPH.2024.308000","DOIUrl":"https://doi.org/10.2105/AJPH.2024.308000","url":null,"abstract":"Recent years have seen an explosion of public health research on associations between historical redlining maps created by a US government agency, the Home Owners' Loan Corporation (HOLC), and present-day outcomes. Yet precisely how and why HOLC's surveys help us understand the underpinnings of present-day racial inequities remains unclear. We apply an interdisciplinary perspective to assess the contributions and limitations of this literature, particularly with regard to causal mechanisms and theoretical explanations. While research often frames HOLC redlining as a measure of structural racism that directly shapes present-day outcomes, we look instead to racial capitalism to understand how and why racialized housing policies are implemented. We argue that the HOLC maps represent symptoms, not causes, of systematic disinvestment in Black communities, that redlining was not produced by the federal government in isolation but was shaped by public‒private collaboration and infused with capitalist logics, and that redlining interacted with many other forms of racialized housing dispossession to shape present-day riskscapes. We conclude by offering conceptual and methodological recommendations for public health researchers, including suggestions for data sources other than HOLC maps. (Am J Public Health. Published online ahead of print March 13, 2025:e1-e11. https://doi.org/10.2105/AJPH.2024.308000).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e11"},"PeriodicalIF":9.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623189","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

AJPH and the Threat of Political Interference in Scientific Publishing.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-13 DOI: 10.2105/AJPH.2025.308100

Alfredo Morabia

引用次数: 0

Behavioral Interventions for Increasing Seat Belt Use and Decreasing Distracted Driving Using Telematics: A National Randomized Trial.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-13 DOI: 10.2105/AJPH.2024.307980

Jeffrey P Ebert, Ruiqi Yan, Sadie Friday, Dylan Small, Catherine C McDonald, Kelsey Bartolozzi, M Kit Delgado

{"title":"Behavioral Interventions for Increasing Seat Belt Use and Decreasing Distracted Driving Using Telematics: A National Randomized Trial.","authors":"Jeffrey P Ebert, Ruiqi Yan, Sadie Friday, Dylan Small, Catherine C McDonald, Kelsey Bartolozzi, M Kit Delgado","doi":"10.2105/AJPH.2024.307980","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307980","url":null,"abstract":"Objectives. To test low-cost, scalable interventions designed to encourage seat belt use (primary outcome) and discourage handheld phone use while driving. Methods. A randomized controlled trial assigned 1139 consenting General Motors‒connected vehicle customers in the United States to 1 of 4 groups for a 10-week intervention: (1) control, (2) behavioral engagement, (3) behavioral engagement plus raffle, and (4) behavioral engagement plus shared pot. Behavioral engagement involved education, personalized tips, a \"wish outcome obstacle plan\" exercise, and weekly feedback about buckling and handheld-free streaks. Participants in the behavioral engagement plus raffle group also earned a chance at a $125 prize each week they had a buckling or handheld-free streak. Those in the behavioral engagement plus shared pot group earned an equal share of this prize for each streak. The intervention was delivered virtually in spring 2023. Results. Participants in the behavioral engagement plus shared pot group had a higher buckling rate (91.3%) than those in the behavioral engagement plus raffle (89.5%), behavioral engagement (89.4%), or control (88.3%) groups-differences that remained significant at follow-up. Handheld phone use did not differ significantly. Conclusions. A behavioral intervention with a shared pot incentive could be delivered at scale to reduce injuries and deaths associated with vehicular crashes. Trial Registration. ClinicalTrials.gov identifier: NCT05469477. (Am J Public Health. Published online ahead of print March 13, 2025:e1-e11. https://doi.org/10.2105/AJPH.2024.307980).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e11"},"PeriodicalIF":9.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623187","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

Developing Indigenous-Centered Healing, Health, and Wellness Frameworks to Strengthen Indigenous Health Systems, Decolonize Public Health, and Achieve Health Equity.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-13 DOI: 10.2105/AJPH.2024.307958

Christina E Oré, Em Loerzel, Erin Marziale, Myra Parker

{"title":"Developing Indigenous-Centered Healing, Health, and Wellness Frameworks to Strengthen Indigenous Health Systems, Decolonize Public Health, and Achieve Health Equity.","authors":"Christina E Oré, Em Loerzel, Erin Marziale, Myra Parker","doi":"10.2105/AJPH.2024.307958","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307958","url":null,"abstract":"Over the past 20 years, national and global health initiatives have increasingly used resources, implemented tools, and proposed policies to change the social determinants of health contributing to health inequities. The World Health Organization and the US Centers for Disease Prevention and Control have applied their evidence-based frameworks to these efforts. Yet, for tribal nations and Indigenous communities in the United States, these frameworks' relevance and applicability are limited. The disproportionate impact of the COVID-19 pandemic (e.g., incidence and mortality rates) highlighted Indigenous epistemologies and realities (e.g., tribal sovereignty, strained state-tribal health systems) that were either missing or did not conceptually fit in these social determinants of health frameworks. We describe findings from the 2018 to 2024 Indigenous Social Determinants of Health Project completed by Seven Directions, an Indigenous public health institute. We propose constructs for Indigenous healing, health, and wellness frameworks developed by and for tribal nations and Indigenous communities. Practitioners and policymakers may use these tailored frameworks in collaboration across sectors (e.g., public health, social services, behavioral health) to align systems for transformational change, decolonize public health, and achieve health equity. (Am J Public Health. Published online ahead of print March 13, 2025:e1-e6. https://doi.org/10.2105/AJPH.2024.307958).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e6"},"PeriodicalIF":9.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623188","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

Sexually Transmitted Infection Disparities and Social Determinants of Health in California, 2013‒2021.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-06 DOI: 10.2105/AJPH.2024.307963

Esther E Gotlieb, Nicole O Burghardt, Jiawen Hu, Kathleen Jacobson, Robert E Snyder

{"title":"Sexually Transmitted Infection Disparities and Social Determinants of Health in California, 2013‒2021.","authors":"Esther E Gotlieb, Nicole O Burghardt, Jiawen Hu, Kathleen Jacobson, Robert E Snyder","doi":"10.2105/AJPH.2024.307963","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307963","url":null,"abstract":"Objectives. To characterize the intersection of social determinants of health, measured as the availability of community opportunities for healthy living, and sexually transmitted infections (STIs) in California. Methods. Geocoded 2013-2021 California bacterial STI cases were aggregated into Healthy Places Index (HPI) quartiles. Communities in the lowest scoring HPI quartile have the fewest opportunities for healthy living, while communities in the highest scoring quartile have the most opportunities. Results. As community opportunities became more available, bacterial STI risk decreased. Asian people had the lowest bacterial STI rates, while Black/African American people had the highest. As community opportunities increased, White people had the largest overall STI risk reduction, Native Hawaiian and other Pacific Islander people had the smallest reduction, Hispanic/Latino people had equivalent gonorrhea and early syphilis risk, and American Indian/Alaska Native people had equivalent chlamydia risk. Conclusions. Although STI incidence decreased as community opportunities increased, people of different racial and ethnic identities were differentially affected. Because the availability of community opportunities is not enough to mitigate racial health disparities, more work is needed to ensure community-level STI prevention efforts are accessible and inclusive. (Am J Public Health. Published online ahead of print March 6, 2025:e1-e9. https://doi.org/10.2105/AJPH.2024.307963).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e9"},"PeriodicalIF":9.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571870","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

Occupational Determinants of Health and Well-Being for Indigenous Populations in the United States: Findings From the National Health Interview Survey, 2020-2022.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-06 DOI: 10.2105/AJPH.2024.307959

Brett Shannon, Courtney Ryder, Chibuzor Abasilim, Kirsten S Almberg, Tessa Bonney, Linda Forst, Lee S Friedman

{"title":"Occupational Determinants of Health and Well-Being for Indigenous Populations in the United States: Findings From the National Health Interview Survey, 2020-2022.","authors":"Brett Shannon, Courtney Ryder, Chibuzor Abasilim, Kirsten S Almberg, Tessa Bonney, Linda Forst, Lee S Friedman","doi":"10.2105/AJPH.2024.307959","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307959","url":null,"abstract":"Objectives. To characterize occupational determinants of health and well-being for American Indian/Alaska Native (AIAN) populations in the United States using a nationally representative data set. Methods. We conducted a descriptive analysis and multivariable logistic regression using National Health Interview Survey data (2020-2022) to compare demographic and work characteristics across 3 groups of AIAN individuals: non-Hispanic (n = 558), Hispanic (n = 304), and those with at least 1 other racial identity (n = 653). The total unweighted sample was 88 701. Results. The 3 subgroups portrayed contrasting profiles by urbanicity, employment, region, and immigrant status. Specific groups had significantly lower odds of working and participating in the labor force and were more likely to have a family income below 200% of the poverty line, adjusting for age, education, and sex. Conclusions. Differences among the groups highlight the need for future health research to account for cultural, social, spiritual, mental, and physical health factors across Indigenous nations. Expanding beyond broad AIAN classifications could improve the specificity of occupational health research. Public Health Implications. The current definitions of Indigenous groups proposed by the US government directly impedes appropriate public health analysis to inform future work to address ongoing social, structural, and health disparities owing to colonization. (Am J Public Health. Published online ahead of print March 6, 2025:e1-e11. https://doi.org/10.2105/AJPH.2024.307959).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e11"},"PeriodicalIF":9.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571867","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

Racial and Ethnic Representation of the Local Public Health Workforce. 地方公共卫生工作人员的种族和民族代表性。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-01 Epub Date: 2024-12-19 DOI: 10.2105/AJPH.2024.307903

Casey P Balio, Haleigh Leslie, Michael B Meit

{"title":"Racial and Ethnic Representation of the Local Public Health Workforce.","authors":"Casey P Balio, Haleigh Leslie, Michael B Meit","doi":"10.2105/AJPH.2024.307903","DOIUrl":"10.2105/AJPH.2024.307903","url":null,"abstract":"Objectives. To describe racial and ethnic representativeness of the local health department (LHD) workforce compared with the populations served. Methods. In this study, we used a cross-sectional design of the 2021 Public Health Workforce Interests and Needs Survey, 2019 National Association of County and City Health Officials Profile data, and other sources to estimate the racial and ethnic representativeness of LHD workforce. We calculated representativeness as a binary measure of at least representative of the populations served for each race and ethnicity group. We present bivariate analyses comparing LHD representativeness by region and rurality, and multivariate analyses to estimate the associations between representativeness, agency, and jurisdiction characteristics. This study was conducted in Tennessee in 2023. Results. Sixty percent of LHDs in the sample were at least representative of the Black, Indigenous, and People of Color populations they serve. For most race and ethnicity groups, urban-serving LHDs were more representative of the populations they serve than rural-serving LHDs. Conclusions. Racial and ethnic representativeness of the LHD workforce varies by rurality, region, and race or ethnicity. These findings may help inform training, recruitment, and retention efforts in public health. (Am J Public Health. 2025;115(3):333-343. https://doi.org/10.2105/AJPH.2024.307903).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"333-343"},"PeriodicalIF":9.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862991","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}

引用次数: 0

Impacts of State COVID-19 Vaccine Mandates for Health Care Workers on Health Sector Employment in the United States.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-03-01 Epub Date: 2025-01-23 DOI: 10.2105/AJPH.2024.307906

Yin Wang, Kevin Callison, Julie H Hernandez, Charles Stoecker

{"title":"Impacts of State COVID-19 Vaccine Mandates for Health Care Workers on Health Sector Employment in the United States.","authors":"Yin Wang, Kevin Callison, Julie H Hernandez, Charles Stoecker","doi":"10.2105/AJPH.2024.307906","DOIUrl":"10.2105/AJPH.2024.307906","url":null,"abstract":"Objectives. To assess the impact of state COVID-19 vaccine mandates for health care workers (HCWs) on health sector employment in the United States. Methods. Using monthly state-level employment data from the Quarterly Census of Employment and Wages between January and October 2021, we employed a partially pooled synthetic control method that accounted for staggered mandate adoption and heterogeneous treatment effects. We conducted analyses separately for the 4 health care subsectors-ambulatory health care services, hospitals, nursing and residential care, and social assistance-with an additional analysis of 2 industry groups-skilled nursing care and community care for the elderly-under the nursing and residential care subsector. We further explored possible heterogeneous impacts according to the test-out option availability. Results. Mandate impact estimates were statistically indistinguishable from zero. Results further ruled out a mandate-associated decrease in employment larger than 2.1% of premandate employment levels for the 6 health care domains examined and for states with no test-out option. Conclusions. State COVID-19 vaccine mandates for HCWs were not found to be associated with significant adverse impacts on health sector employment even in states without a testing alternative to vaccination. The findings support vaccine mandates as a viable preventive measure without material disruption to the health care workforce, including in times of public health emergencies. (Am J Public Health. 2025;115(3):344-348. https://doi.org/10.2105/AJPH.2024.307906).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"344-348"},"PeriodicalIF":9.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027879","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}

引用次数: 0