American journal of public health最新文献_第4页

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":"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

Impact of Gender Identity Field in the Veterans Health Administration Electronic Health Record, 2016‒2023. 2016-2023年退伍军人健康管理局电子病历中性别认同字段的影响

IF 12.7 1区医学

American journal of public health Pub Date : 2025-01-16 DOI: 10.2105/ajph.2024.307920

Sarah M Leder,A Alex McConnell,Shane Lamba,Chava Sonnier,Alexis R Matza,Wyatt E Meriwether,George R Brown,Jillian C Shipherd,Michael R Kauth,Kenneth T Jones

{"title":"Impact of Gender Identity Field in the Veterans Health Administration Electronic Health Record, 2016‒2023.","authors":"Sarah M Leder,A Alex McConnell,Shane Lamba,Chava Sonnier,Alexis R Matza,Wyatt E Meriwether,George R Brown,Jillian C Shipherd,Michael R Kauth,Kenneth T Jones","doi":"10.2105/ajph.2024.307920","DOIUrl":"https://doi.org/10.2105/ajph.2024.307920","url":null,"abstract":"Objectives. To distinguish differences in physical and mental health between transgender and gender-diverse (TGD) veterans identified via diagnostic codes, self-identification, and their combination. Methods. We used sociodemographic characteristics and physical and mental health diagnoses for TGD veterans receiving care in Veterans Health Administration (VHA). Results. Among the cohort of 12 745 TGD veterans, 69.3% were identified solely using self-reported gender identity data, 23.4% were identified using only TGD-related diagnostic codes, and 7.2% had both TGD-related diagnostic codes and gender identity data in their medical record. TGD veterans identified using self-reported gender identity data were younger and more racially and ethnically diverse compared with those identified with only diagnostic codes. Across nearly all independently examined health conditions, TGD veterans identified via self-reported gender identity were at lower risk compared with those identified via diagnostic codes. Conclusions. Inferences drawn from studies of TGD veteran health may be significantly impacted by choice of methodology for defining the TGD veteran cohort. New analyses using self-reported gender identity data, as opposed to diagnostic codes, are critical to understand the health of this population within VHA. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e11. https://doi.org/10.2105/AJPH.2024.307920).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"30 1","pages":"e1-e11"},"PeriodicalIF":12.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988678","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

Health Care Stereotype Threat During the COVID-19 Pandemic Among Sexual and Gender Minority Individuals. COVID-19大流行期间性和性别少数群体中医疗保健刻板印象的威胁

IF 12.7 1区医学

American journal of public health Pub Date : 2025-01-16 DOI: 10.2105/ajph.2024.307926

Wendy D Manning,Claire Kamp Dush,Kristen Gustafson

{"title":"Health Care Stereotype Threat During the COVID-19 Pandemic Among Sexual and Gender Minority Individuals.","authors":"Wendy D Manning,Claire Kamp Dush,Kristen Gustafson","doi":"10.2105/ajph.2024.307926","DOIUrl":"https://doi.org/10.2105/ajph.2024.307926","url":null,"abstract":"Objectives. To determine the levels and differentials in health care stereotype threat experienced during the COVID-19 pandemic by individuals with sexual or gender minority identities. Methods. The National Couples' Health and Time Use Study is a national cross-sectional US population‒ based sample of partnered individuals interviewed during the pandemic between September 2020 and April 2021 with oversamples of sexual and gender minority individuals. The analytic sample consisted of 3614 individuals (n = 2043 heterosexual and n = 1571 sexual minority individuals along with 3489 cisgender and 125 noncisgender people). Results. Individuals with sexual minority identities experienced significantly more health care stereotype threat than heterosexual people. Cisgender women and those with another gender identity experienced significantly more health care stereotype threat than cisgender men. These results persisted after the inclusion of indicators of health conditions, insurance, COVID-19 experience, and sociodemographic factors. Conclusions. Gender and sexual minority‒identifying people reported high levels of worries about health discrimination. Our work suggests that providing positive health care experiences may reduce these worries and offer a potential antidote to sexual and gender minority health disparities that are driven by structural and interpersonal discrimination. These findings support calls for the further education and transformation of health care provision and systems. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e9. https://doi.org/10.2105/AJPH.2024.307926).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"37 1","pages":"e1-e9"},"PeriodicalIF":12.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988676","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

Health Care Facility Characteristics Associated With Providing Telehealth HIV Care Services During the COVID-19 Pandemic. 与COVID-19大流行期间提供远程艾滋病毒护理服务相关的卫生保健机构特征

IF 12.7 1区医学

American journal of public health Pub Date : 2025-01-16 DOI: 10.2105/ajph.2024.307908

Eduardo E Valverde,Linda Beer,Dawn Pepin,Stacy Crim,John Weiser

{"title":"Health Care Facility Characteristics Associated With Providing Telehealth HIV Care Services During the COVID-19 Pandemic.","authors":"Eduardo E Valverde,Linda Beer,Dawn Pepin,Stacy Crim,John Weiser","doi":"10.2105/ajph.2024.307908","DOIUrl":"https://doi.org/10.2105/ajph.2024.307908","url":null,"abstract":"Objectives. To describe provision of HIV telehealth services during the COVID-19 pandemic using data from the Centers for Disease Control and Prevention (CDC) Medical Monitoring Project Facility Survey for the Ending the HIV Epidemic in the United States initiative, which aims to achieve an at least 90% reduction in new HIV infections by 2030 and highlights telehealth as an important strategy. Methods. During 2021, we surveyed 1023 facilities providing HIV care to a nationally representative sample of US adults with diagnosed HIV, of which 45% responded. We calculated weighted percentages with 95% confidence intervals comparing the characteristics of facilities providing telehealth services. Results. Overall, 83.4% of facilities provided HIV care telehealth services by the facility's own providers (82.0%) or by outside providers through remote conferencing (27.0%). Gaps in coverage were identified in smaller facilities and in facilities in rural and primary care health professional shortage areas. Conclusions. Although most HIV care facilities provided telehealth services during the COVID-19 pandemic, gaps were identified, which must be addressed to meet Ending the HIV Epidemic in the United States goals and better prepare for future health emergencies. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e5. https://doi.org/10.2105/AJPH.2024.307908).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"119 1","pages":"e1-e5"},"PeriodicalIF":12.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988675","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

Parental Factors Associated With Measles-Mumps-Rubella Vaccination in US Children Younger Than 5 Years. 父母因素与美国5岁以下儿童麻疹-腮腺炎-风疹疫苗接种相关

IF 12.7 1区医学

American journal of public health Pub Date : 2025-01-16 DOI: 10.2105/ajph.2024.307912

Eric Geng Zhou,Jonathan Cantor,Autumn Gertz,Brian Elbel,John S Brownstein,Benjamin Rader

{"title":"Parental Factors Associated With Measles-Mumps-Rubella Vaccination in US Children Younger Than 5 Years.","authors":"Eric Geng Zhou,Jonathan Cantor,Autumn Gertz,Brian Elbel,John S Brownstein,Benjamin Rader","doi":"10.2105/ajph.2024.307912","DOIUrl":"https://doi.org/10.2105/ajph.2024.307912","url":null,"abstract":"Objectives. To determine the association between parental characteristics and MMR (measles-mumps- rubella) vaccination status of children in the United States. Methods. We conducted a cross-sectional study from July 2023 to April 2024 using a digital health survey via OutbreaksNearMe, weighted to target national population characteristics. We analyzed the responses of 19 892 parents of children younger than 5 years to examine the association between self-reported parental characteristics (i.e., sociodemographics, politics, COVID-19 vaccination status) and children's MMR vaccination rates using logistic regression. Results. Children of parents who received at least 1 dose of the COVID-19 vaccine had higher MMR vaccination rates (80.8%) than did children of unvaccinated parents (60.9%; odds ratio [OR] = 1.84; 95% confidence interval [CI] = 1.68, 2.00). We observed lower MMR vaccination rates among children of parents who identified as Republican versus Democratic (OR = 0.73; 95% CI = 0.64, 0.82), parents on Medicaid or Medicare versus private insurance (OR = 0.85; 95% CI = 0.76, 0.95), and minority (OR = 0.44) versus White (OR = 0.71) parents. We found higher MMR vaccination rates in the Northeast and Midwest United States. Conclusions. Early data indicate that parental sociodemographic characteristics and COVID-19 vaccine status are associated with children's MMR vaccine uptake, emphasizing the need for further investigations into multipronged public health interventions. (Am J Public Health. Published online ahead of print January 16, 2025:e1-e5. https://doi.org/10.2105/AJPH.2024.307912).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"3 1","pages":"e1-e5"},"PeriodicalIF":12.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988674","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

Don't Forget Fido: A Call to Include Pets in Public Health Research and Policy to Support Families and Communities. 不要忘记宠物：呼吁将宠物纳入公共卫生研究和政策，以支持家庭和社区。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-01-01 DOI: 10.2105/AJPH.2024.307879

Emily D Dolan, Brett Wyker, Elizabeth A Berliner, Matt Goldweber, Ana Hernandez