American journal of public health最新文献_第3页

A Critical Examination of Whiteness as a Fundamental Causal Determinant of US Health Inequities. 白人作为美国健康不平等的基本因果决定因素的关键检查。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-02-01 Epub Date: 2024-12-12 DOI: 10.2105/AJPH.2024.307952

Jay A Pearson

引用次数: 0

Table of Contents. 目录表。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-02-01 DOI: 10.2105/AJPH.2025.115.2.107

引用次数: 0

Outcomes of Home Isolation Care Among COVID-19 Patients During the 2021 Epidemic Crisis in the Bangkok Metropolitan Region, Thailand.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-01-30 DOI: 10.2105/AJPH.2024.307922

Teeraboon Lertwanichwattana, Supattra Srivanichakorn, Sairat Noknoy, Sirinapa Siriporn Na Ratchaseema, Nittaya Phanuphak, Kitti Wongthavarawat, Arunotai Siriussawakul, Varalak Srinonprasert, Pattara Leelahavarong, Parawee Chevaisrakul, Putthapoom Lumjiaktase, Aree Kumpitak, Nopphan Phromsri, Yupadee Sirisinsuk, Pongtorn Kietdumrongwong, Apinun Aramrattana, Ram Rangsin

{"title":"Outcomes of Home Isolation Care Among COVID-19 Patients During the 2021 Epidemic Crisis in the Bangkok Metropolitan Region, Thailand.","authors":"Teeraboon Lertwanichwattana, Supattra Srivanichakorn, Sairat Noknoy, Sirinapa Siriporn Na Ratchaseema, Nittaya Phanuphak, Kitti Wongthavarawat, Arunotai Siriussawakul, Varalak Srinonprasert, Pattara Leelahavarong, Parawee Chevaisrakul, Putthapoom Lumjiaktase, Aree Kumpitak, Nopphan Phromsri, Yupadee Sirisinsuk, Pongtorn Kietdumrongwong, Apinun Aramrattana, Ram Rangsin","doi":"10.2105/AJPH.2024.307922","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307922","url":null,"abstract":"Objectives. To determine the overall mortality and risk factors of COVID-19 patients who were admitted to the Home Isolation (HI) program in Bangkok, Thailand, during the epidemic crisis in 2021. Methods. We conducted a retrospective cohort study using the data from a government telehealth application from July to December 2021. The vital status was verified from the government database on September 20, 2022. We used survival analysis to analyze the 28-day mortality and independently associated factors. Results. Of 90 854 reported cases, the average age was 37.27 years, and half were men. Initial symptoms included being asymptomatic (51.66%), having mild symptoms (35.60%), or experiencing severe symptoms requiring nonurgent (11.27%) or urgent referral (1.47%). The 28-day mortality rate was 0.80%. Factors associated with 28-day mortality included older age, male gender, higher body mass index, severity of initial symptoms, and time to admission. Conclusions. The Home Isolation program was able to manage a high volume of patients, including severe cases, exceeding its initial design. Thailand's COVID-19 mortality rate remained relatively low compared with other countries. Proactive bed surge planning and continuous plan improvement were crucial for future preparedness. (Am J Public Health. Published online ahead of print January 30, 2025:e1-e12. https://doi.org/10.2105/AJPH.2024.307922).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e12"},"PeriodicalIF":9.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063171","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

State-Level Influenza Hospitalization Burden in the United States, 2022-2023.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-01-30 DOI: 10.2105/AJPH.2024.307928

Alexia Couture, A Danielle Iuliano, Howard H Chang, Ryan Threlkel, Matthew Gilmer, Alissa O'Halloran, Dawud Ujamaa, Matthew Biggerstaff, Carrie Reed

{"title":"State-Level Influenza Hospitalization Burden in the United States, 2022-2023.","authors":"Alexia Couture, A Danielle Iuliano, Howard H Chang, Ryan Threlkel, Matthew Gilmer, Alissa O'Halloran, Dawud Ujamaa, Matthew Biggerstaff, Carrie Reed","doi":"10.2105/AJPH.2024.307928","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307928","url":null,"abstract":"Objectives. To develop a method leveraging hospital-based surveillance to estimate influenza-related hospitalizations by state, age, and month as a means of enhancing current US influenza burden estimation efforts. Methods. Using data from the Influenza Hospitalization Surveillance Network (FluSurv-NET), we extrapolated monthly FluSurv-NET hospitalization rates after adjusting for testing practices and diagnostic test sensitivities to non-FluSurv-NET states. We used a Poisson zero-inflated model with an overdispersion parameter within the Bayesian hierarchical framework and accounted for uncertainty and variability between states and across time. Model validation included checking the sensitivity of results to input data, as well as model convergence diagnostics and comparing the results with independent data sources. Results. We estimated 379 300 (90% credible interval [CrI] = 305 400, 479 300) influenza-related hospitalizations in the United States for the 2022-2023 season. Median cumulative state rates ranged widely from 23.2 to 249.0 per 100 000 people. Conclusions. Our estimates were comparable to national burden estimates incorporating other approaches while accounting for variations in the timing and geography of disease activity and changes in detection and reporting. Our results provide a complementary framework to calculate estimates at finer geographic scales. (Am J Public Health. Published online ahead of print January 30, 2025:e1-e9. https://doi.org/10.2105/AJPH.2024.307928).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e9"},"PeriodicalIF":9.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063138","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

Syndromic Surveillance and Case Identification for Varicella Among Recent Immigrants: New York City, 2023.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-01-30 DOI: 10.2105/AJPH.2024.307961

Melanie S Askari, Robert J Arciuolo, Olivia Matalka, Krishika A Graham, Beth M Isaac, Ramona Lall, Antonine Jean, Jennifer B Rosen

{"title":"Syndromic Surveillance and Case Identification for Varicella Among Recent Immigrants: New York City, 2023.","authors":"Melanie S Askari, Robert J Arciuolo, Olivia Matalka, Krishika A Graham, Beth M Isaac, Ramona Lall, Antonine Jean, Jennifer B Rosen","doi":"10.2105/AJPH.2024.307961","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307961","url":null,"abstract":"Objectives. To determine utility of syndromic surveillance in improving varicella case detection during an outbreak among recent immigrants to New York City (NYC). Methods. During March through August 2023, the NYC Health Department received varicella reports from routine sources and syndromic surveillance from emergency department visits with varicella as a chief complaint or discharge diagnosis. Reports were reviewed to determine if individuals met criteria for confirmed or probable varicella cases and if cases were outbreak-associated. We calculated positive predictive value (PPV) and timeliness of syndromic surveillance reports and compared them with routine surveillance reports. Results. The health department received 639 unique varicella reports. Of 513 varicella cases, 247 (48.1%) were from syndromic surveillance alone, 194 (37.8%) from routine sources alone, and 72 (14.0%) from both sources. PPV was higher for syndromic surveillance (89.1%) versus routine surveillance (74.7%). Among 310 outbreak-associated cases, 139 were identified through syndromic surveillance (44.8%); syndromic surveillance was the only reporting source for 75 (24.2%). Syndromic surveillance was more timely than routine reporting (median = 3 days; range = 1-27 vs 5 days; range = 0-52). Conclusions. NYC syndromic surveillance improved varicella case detection during this outbreak. (Am J Public Health. Published online ahead of print January 30, 2025:e1-e4. https://doi.org/10.2105/AJPH.2024.307961).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e4"},"PeriodicalIF":9.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063140","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

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 : 2025-01-23 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":"https://doi.org/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. Published online ahead of print January 23, 2025:e1-e5. https://doi.org/10.2105/AJPH.2024.307906).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e5"},"PeriodicalIF":9.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical Care or Deportation: Examining Interior Border Checkpoints and Access to Higher-Level Medical Care for Undocumented Immigrants in South Texas.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-01-23 DOI: 10.2105/AJPH.2024.307927

Christine Crudo Blackburn, Mayra Rico, Jessica Hernandez, Miryoung Lee

引用次数: 0

Research Funded by National Institutes of Health Concerning Sexual and Gender Minoritized Populations: A Tracking Update for 2012 to 2022.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-01-23 DOI: 10.2105/AJPH.2024.307913

Ben C D Weideman, Alexandra M Ecklund, Rhea Alley, B R Simon Rosser, G Nic Rider

{"title":"Research Funded by National Institutes of Health Concerning Sexual and Gender Minoritized Populations: A Tracking Update for 2012 to 2022.","authors":"Ben C D Weideman, Alexandra M Ecklund, Rhea Alley, B R Simon Rosser, G Nic Rider","doi":"10.2105/AJPH.2024.307913","DOIUrl":"10.2105/AJPH.2024.307913","url":null,"abstract":"Objectives. To investigate trends in awards funded by the National Institutes of Health (NIH) focusing on sexual and gender minoritized (SGM) populations from 2012 to 2022 in the United States. Methods. Replicating the method of Coulter et al., we identified NIH-funded awards for SGM research from 2012 to 2022 using the NIH RePORTER (Research Portfolio Online Reporting Tools Expenditures and Results) system. We coded for SGM subpopulations, demographics, and health content areas. We also inflation adjusted awards to 2022 dollar values. Results. NIH funded 1093 unique awards concerning SGM health, which totaled $491.7 million in first-year funding and made up 0.8% of the NIH portfolio. Frequency of awards nearly tripled over our study period. Most awards focused on HIV/AIDS (65.5%), mental health (29.5%), illicit drug use (19.9%), or sexual health issues (17.0%). We found funding differences across subpopulations: sexually minoritized men (67.8%; $357.9 million), transgender women (18.1%; $77.6 million), sexually minoritized women (13.9%; $57.6 million), transgender men (8.2%; $37.6 million), and nonbinary people (4.4%; $17.6 million). Only 42.2% of awards explicitly examined racial/ethnic identities of participants. Conclusions. Although NIH funding for SGM-related research has increased, persistent inequities indicate the need for systemic changes to advance health equity. (Am J Public Health. Published online ahead of print January 23, 2025:e1-e13. https://doi.org/10.2105/AJPH.2024.307913).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e13"},"PeriodicalIF":9.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027892","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

Increasing Access Through Integration: Behavioral Health Services and Beyond.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-01-23 DOI: 10.2105/AJPH.2024.307939

Della Hughes Carter, Mary Claire Meimers, Emily Fowler Bemben

引用次数: 0

Uptake of Recommended Vaccines During Pregnancy Among Publicly and Privately Insured People in the United States, December 2020-September 2022.

IF 9.6 1区医学

American journal of public health Pub Date : 2025-01-23 DOI: 10.2105/AJPH.2024.307899

Stacey L Rowe, Sheena G Sullivan, Flor M Munoz, Matthew M Coates, Onyebuchi A Arah, Annette K Regan

{"title":"Uptake of Recommended Vaccines During Pregnancy Among Publicly and Privately Insured People in the United States, December 2020-September 2022.","authors":"Stacey L Rowe, Sheena G Sullivan, Flor M Munoz, Matthew M Coates, Onyebuchi A Arah, Annette K Regan","doi":"10.2105/AJPH.2024.307899","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307899","url":null,"abstract":"Objectives. To estimate maternal COVID-19, influenza, and pertussis vaccine uptake during pregnancy by insurance type and identify factors characterizing those vaccinated and unvaccinated. Methods. We conducted a US cohort study of pregnant individuals (for pregnancies ending December 11, 2020-September 30, 2022) using insurance claims data. We calculated vaccination probability using Kaplan-Meier methods and identified factors associated with vaccination through binomial regression with inverse probability weights. Results. Among 695 887 pregnant individuals (median age = 32 years for privately and 27 years for publicly insured), the cumulative probability of COVID-19 vaccination was 43.0% (privately insured) and 11.8% (publicly insured). We observed marked disparities between influenza (33.2% vs 14.2%) and pertussis (70.3% vs 42.8%) vaccination. Only 6.8% (privately insured) and 1.1% (publicly insured) received all 3 vaccines. COVID-19 and influenza vaccination odds were lower among drug and tobacco users. People with high-risk medical conditions, particularly the publicly insured, commonly were vaccinated. Conclusions. Marked vaccine uptake disparities exist between privately and publicly insured pregnant people. Understanding structural barriers, particularly for Medicaid enrollees, is critical to improving maternal vaccine access. (Am J Public Health. Published online ahead of print January 23, 2025:e1-e10. https://doi.org/10.2105/AJPH.2024.307899).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e10"},"PeriodicalIF":9.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027895","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