Cristina M Gago,Matthew M Lee,Nour M Hammad,Jhordan O Wynne,Mary Kathryn Poole,Meghan Zimmer,Rebecca S Mozaffarian,Rachel Colchamiro,Kelley May,Eric B Rimm,Erica L Kenney
{"title":"\"I Didn't Have to Struggle\": Caregivers' Perspectives on the Synergistic Interplay of WIC and SNAP on Family Health.","authors":"Cristina M Gago,Matthew M Lee,Nour M Hammad,Jhordan O Wynne,Mary Kathryn Poole,Meghan Zimmer,Rebecca S Mozaffarian,Rachel Colchamiro,Kelley May,Eric B Rimm,Erica L Kenney","doi":"10.2105/ajph.2025.308259","DOIUrl":"https://doi.org/10.2105/ajph.2025.308259","url":null,"abstract":"We explored how increased Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and Supplemental Nutrition Assistance Program (SNAP) benefits interacted for dually enrolled households. Twenty-five parents dually enrolled in WIC and SNAP in the spring of 2020 shared perceptions of expanded benefits and reduced administrative requirements via semistructured interviews. Specifically, parents shared that benefit increases minimized monthly cycles of limited or uncertain access to food, barriers to WIC redemption led many to prioritize SNAP benefits, reduced administrative requirements facilitated staying enrolled in both programs, and administrative flexibilities and benefit increases supported WIC and SNAP utilization. (Am J Public Health. Published online ahead of print September 25, 2025:e1-e6. https://doi.org/10.2105/AJPH.2025.308259).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"94 1","pages":"e1-e6"},"PeriodicalIF":12.7,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140045","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}
Alexandra J White,Jaime E Hart,Sabah M Quraishi,Deborah B Bookwalter,Marina R Sweeney,Elizabeth W Spalt,Michael S Hendryx,Veronica L Irvin,Dorothy S Lane,Aladdin H Shadyab,Shawnita Sealy-Jefferson,Marian L Neuhouser,Eric A Whitsel,Joel D Kaufman,Francine Laden,Dale P Sandler
{"title":"Air Pollutants and Breast Cancer Risk: A Parallel Analysis of Five Large US Prospective Cohorts.","authors":"Alexandra J White,Jaime E Hart,Sabah M Quraishi,Deborah B Bookwalter,Marina R Sweeney,Elizabeth W Spalt,Michael S Hendryx,Veronica L Irvin,Dorothy S Lane,Aladdin H Shadyab,Shawnita Sealy-Jefferson,Marian L Neuhouser,Eric A Whitsel,Joel D Kaufman,Francine Laden,Dale P Sandler","doi":"10.2105/ajph.2025.308247","DOIUrl":"https://doi.org/10.2105/ajph.2025.308247","url":null,"abstract":"Objectives. To determine whether outdoor air pollution exposure is associated with breast cancer incidence. Methods. Residential-level concentrations of nitrogen dioxide (NO2, parts per billion [ppb]), fine particulate matter (PM2.5; ≤ 2.5 μ/m3) and ozone (ppb) in the United States were estimated for participants of the Nurses' Health Studies, Women's Health Initiative Clinical Trials and Observational Study Cohort, and Sister Study using high-resolution spatiotemporal models. Cox proportional hazards regression estimated cohort-specific hazard ratios (HRs) and 95% confidence intervals (CIs), and a random effects model determined summary HRs, overall and by estrogen receptor (ER)/progesterone receptor (PR) subtype and census region. Results. NO2 was positively associated with overall breast cancer incidence (n = 28 811 cases; HR = 1.03; 95% CI = 1.00, 1.05), with little variation by subgroups. PM2.5 was associated with higher incidence of ER-/PR- tumors (n = 2367 cases; HR = 1.14; 95% CI = 1.04, 1.24; P-heterogeneity < .001) and with higher overall incidence in the Midwest (HR = 1.15; 95% CI = 1.01, 1.32; P-heterogeneity = .01). Ozone was not associated with overall incidence, but was associated with ER-/PR- tumors (n = 3406 cases; HR = 1.10; 95% CI = 1.00, 1.21; P-heterogeneity = .03). Conclusions. In this largest US study to date, we confirmed an association between NO2 and breast cancer, and we present novel associations of PM2.5 and ozone with ER-/PR- tumors. (Am J Public Health. Published online ahead of print September 25, 2025:e1-e14. https://doi.org/10.2105/AJPH.2025.308247).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"95 1","pages":"e1-e14"},"PeriodicalIF":12.7,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140041","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":"Integration of Health Care, Public Health, and Communities: A New Model for Rural Public Health.","authors":"Dora Anne Mills","doi":"10.2105/ajph.2025.308233","DOIUrl":"https://doi.org/10.2105/ajph.2025.308233","url":null,"abstract":"Rural public health has been hit with a triple set of challenges: overstretched health care, poor health status, and limited public health capacities. MaineHealth, a nonprofit integrated 10-hospital health system, serves a mostly rural area with no local public health departments in its rural communities. By integrating primary care with public health and partnering with communities, MaineHealth has developed an infrastructure to successfully address these challenges. We believe this approach is worthy of consideration in other rural areas. (Am J Public Health. Published online ahead of print September 25, 2025:e1-e4. https://doi.org/10.2105/AJPH.2025.308233).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"20 1","pages":"e1-e4"},"PeriodicalIF":12.7,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140046","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}
Weichen Yao,Feng Wu,Jingzhen Yang,Yueliang Chen,Ziyue Tan,Liping Li
{"title":"An Individualized TTM-Based Intervention Promotes Child Safety Seat Purchase Among Pregnant Women: A Randomized Controlled Trial in Shantou, China.","authors":"Weichen Yao,Feng Wu,Jingzhen Yang,Yueliang Chen,Ziyue Tan,Liping Li","doi":"10.2105/ajph.2025.308248","DOIUrl":"https://doi.org/10.2105/ajph.2025.308248","url":null,"abstract":"This study evaluated a transtheoretical model (TTM)-based intervention's effectiveness in improving child safety seat (CSS) purchasing behaviors. A randomized controlled trial assigned 414 pregnant women to TTM, child passenger safety education, and control groups. At three, six, and 12 months after the intervention, the intervention groups showed significant improvements in CSS purchase rates and behavioral stage progression from baseline compared with the control group, with the TTM group showing the greatest effect. These findings may inform future efforts to promote CSS use and behavioral change. (Am J Public Health. Published online ahead of print September 25, 2025:e1-e4. https://doi.org/10.2105/AJPH.2025.308248).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"41 1","pages":"e1-e4"},"PeriodicalIF":12.7,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140054","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}
Yangyang Cheng,Carmen C W Lim,Rodrigo Martin Carrillo-Larco,Xiaolin Xu
{"title":"Multiple Social Demographics and Disparities in Smoking Cessation During Pregnancy in the United States, 2016-2022: An Intersectional Analytic Framework.","authors":"Yangyang Cheng,Carmen C W Lim,Rodrigo Martin Carrillo-Larco,Xiaolin Xu","doi":"10.2105/ajph.2025.308237","DOIUrl":"https://doi.org/10.2105/ajph.2025.308237","url":null,"abstract":"Objectives. To examine how multiple social demographics shape disparities in smoking cessation during pregnancy in an intersectional analytic framework. Methods. We analyzed US National Vital Statistics System (2016-2022) data on 588 435 primiparous women with prepregnancy smoking. We constructed 192 intersectional strata to represent contexts defined by race/ethnicity, education, marital status, insurance status, and immigration status. We conducted a multilevel analysis of individual heterogeneity and discriminatory accuracy to estimate intersectional inequities in smoking cessation during pregnancy, predict cessation prevalence across strata, and assess the extent to which disparities were attributable to additive or interaction effects. Results. Smoking cessation during pregnancy prevalence ranged from 27.2% to 89.4% across strata. Differences between intersectional strata explained 11.9% of the variation in smoking cessation, with educational level contributing most. Of the between-strata variation, 93.9% was explained by additive effects, whereas 6.1% was attributable to interaction effects. Conclusions. Significant disparities in pregnancy smoking cessation are linked to multiple social demographics, highlighting the need for universal interventions paired with tailored support for disadvantaged groups to advance maternal health equity. (Am J Public Health. Published online ahead of print September 18, 2025:e1-e11. https://doi.org/10.2105/AJPH.2025.308237).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"68 1","pages":"e1-e11"},"PeriodicalIF":12.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145083622","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}
David C Schwebel,D Leann Long,Anna Johnston,Yefei He,Casie H Morgan,Joan Severson,Gregory Taylor,Katelyn Trullinger
{"title":"Evaluation of ShootSafe, an Interactive, Sequential Website to Teach Youths Firearms Safety: A Randomized Clinical Trial.","authors":"David C Schwebel,D Leann Long,Anna Johnston,Yefei He,Casie H Morgan,Joan Severson,Gregory Taylor,Katelyn Trullinger","doi":"10.2105/ajph.2025.308267","DOIUrl":"https://doi.org/10.2105/ajph.2025.308267","url":null,"abstract":"This randomized trial evaluated ShootSafe, a theory-based website using a graphic novel storyline, educational and testimonial videos, and games, to teach firearms safety to children aged 10 to 12 years. A total of 163 youths participated. Linear mixed models found that youths randomized to ShootSafe demonstrated greater knowledge, safer behavioral intentions, and safer simulated hunting behaviors following training and at four-month follow-up compared with the control condition. Broad dissemination could reduce risk of unintentional pediatric firearms injury and death. Trial Registration. ClinicalTrials.gov identifier: NCT4622943. (Am J Public Health. Published online ahead of print September 18, 2025:e1-e7. https://doi.org/10.2105/AJPH.2025.308267).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"6 1","pages":"e1-e7"},"PeriodicalIF":12.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145083620","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}
Kai Cao,Qiushi Feng,Wenxin Tian,Minhui Liu,Daisheng Tang,Taojin Feng,Xinyu Sun,Yi Zeng,Zhenglian Wang
{"title":"The Prevalence of Chronic Diseases Among Older Chinese Adults in the Past 2 Decades: A Study Based on the Chinese Longitudinal Healthy Longevity Survey, 2002‒2022.","authors":"Kai Cao,Qiushi Feng,Wenxin Tian,Minhui Liu,Daisheng Tang,Taojin Feng,Xinyu Sun,Yi Zeng,Zhenglian Wang","doi":"10.2105/ajph.2025.308245","DOIUrl":"https://doi.org/10.2105/ajph.2025.308245","url":null,"abstract":"Objectives. To comprehensively analyze the prevalence of chronic diseases (hypertension, lung disease, diabetes, stroke, cancer, and heart disease) among older Chinese people. Methods. This study utilized data from 5 waves (2002, 2005, 2008, 2018, and 2022) of the Chinese Longitudinal Healthy Longevity Survey. We estimated prevalence rates using Poisson regression and Bayesian models from the DemoRates R-package and weighted according to the China population censuses. Results. The prevalence of most chronic diseases decreased in the first period and then increased substantially in the second period. Interestingly, the COVID-19 pandemic saw a decrease in the prevalence of most chronic diseases. Notably, hypertension was the most prevalent chronic condition among older adults, with a prevalence rate as high as 45.27% in 2018, and cancer exhibited the most significant increase in prevalence during the second period, with an average annual increase of 11.03%. Conclusions. Chronic disease prevalence among older Chinese adults exhibited dynamic and complex trends, influenced by socioeconomic factors, health care access, and public health emergencies. These findings highlight the importance of targeted interventions tailored to specific diseases, demographics, and regions. (Am J Public Health. Published online ahead of print September 18, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308245).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"72 1","pages":"e1-e9"},"PeriodicalIF":12.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145083621","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}
Samuel R Friedman,Suzan M Walters,Ashly E Jordan,David C Perlman,Georgios K Nikolopoulos,Pedro Mateu-Gelabert,Diana Rossi,Jerzy Eisenberg-Guyot
{"title":"Dialectical Processes of Health Framework as an Alternative to Social Determinants of Health Framework.","authors":"Samuel R Friedman,Suzan M Walters,Ashly E Jordan,David C Perlman,Georgios K Nikolopoulos,Pedro Mateu-Gelabert,Diana Rossi,Jerzy Eisenberg-Guyot","doi":"10.2105/ajph.2025.308239","DOIUrl":"https://doi.org/10.2105/ajph.2025.308239","url":null,"abstract":"The social determinants of health (SDOH) framework has proven useful for research and practice in addressing the social causes of many health outcomes. However, its limitations may restrict its value as the world undergoes rapid ecological and social change. We argue that SDOH does not adequately incorporate rapidly changing or \"far upstream\" social processes (particularly social movements), the dialectics of social conflict and creative social innovation, or bidirectional causation. Ecosocial theory addresses some of these issues, yet dialectical frameworks offer additional insights during periods of rapid social change and disruption. The implications for research methods and practice are discussed. (Am J Public Health. Published online ahead of print September 18, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308239).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"37 1","pages":"e1-e9"},"PeriodicalIF":12.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145083619","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}
Mona Hanna,H Luke Shaefer,Eric Finegood,Sumit Agarwal,Yasamean Zamani-Hank,Jenny LaChance
{"title":"Hardship and Hope: The Relationship Between Unconditional Prenatal and Infant Cash Transfers, Economic Stability, and Maternal Mental Health and Well-Being.","authors":"Mona Hanna,H Luke Shaefer,Eric Finegood,Sumit Agarwal,Yasamean Zamani-Hank,Jenny LaChance","doi":"10.2105/ajph.2025.308244","DOIUrl":"https://doi.org/10.2105/ajph.2025.308244","url":null,"abstract":"Objectives. To examine the impact of Rx Kids-a community-wide and unconditional prenatal and infant cash transfer program in Flint, Michigan-on economic stability, maternal mental health, and well-being. Methods. Using a difference-in-differences framework, we compared outcomes for surveyed Flint mothers who gave birth before and after Rx Kids implementation to those outside the city. Results. Relative to comparisons, mothers exposed to Rx Kids saw improvements in hardship, mental health, and well-being-notably, a 4.2-percentage-point reduction in the risk of eviction (P < .05) and a 14.0-percentage-point reduction in screening positive for postpartum depression (P < .05). Program exposure was associated with increased trust in institutions and feeling loved, hopeful, respected, and valued. Conclusions. Rx Kids, the United States' first, to our knowledge, community-wide prenatal and infant cash transfer program, is associated with improved economic stability, mental health, and well-being. Rx Kids' place-based scale provides a replicable model for efficiently addressing perinatal poverty and improving health. (Am J Public Health. Published online ahead of print September 11, 2025:e1-e10. https://doi.org/10.2105/AJPH.2025.308244).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"52 1","pages":"e1-e10"},"PeriodicalIF":12.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145036004","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":"Differences in Breastfeeding Rates Among African Americans, Black Immigrants, and Hispanic Black Individuals Compared to Other Race/Ethnicity Groups for Infants Born Between 2011 and 2022, United States.","authors":"Amira A Roess,Rebecca C Robert","doi":"10.2105/ajph.2025.308242","DOIUrl":"https://doi.org/10.2105/ajph.2025.308242","url":null,"abstract":"Objectives. To compare breastfeeding initiation (BFI), breastfeeding duration, and exclusive breastfeeding (EBF) of Black subgroups and other race groups in the United States. Methods. We analyzed National Survey of Child Health data for infants born between 2011 and 2022 (n = 89 067). Multivariable generalized linear models identified determinants of BFI, duration, and EBF (6 months). Results. African Americans (i.e., non-Hispanic Black Americans) had significantly lower breastfeeding rates compared with other race/ethnicity groups; Black immigrants had among the highest rates. BFI was significantly lower for African Americans (58.5%) and Hispanic Black (78.5%) individuals, and significantly higher for Black immigrants (88.8%) compared with non-Hispanic White persons (84.1%). Among those who initiated, African Americans and Hispanic Black individuals had lower duration rates. Conclusions. African Americans were the only group with BFI rates below the Healthy People 2020 goal; Black immigrants were above the goal. That Hispanic Black individuals had lower rates compared with Hispanic persons who are not Black suggests the potential impact of structural and medical racism on health behaviors. The results underscore the importance of differentiating Black subgroups in public health practice and research. (Am J Public Health. Published online ahead of print September 4, 2025:e1-e4. https://doi.org/10.2105/AJPH.2025.308242).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"51 1","pages":"e1-e4"},"PeriodicalIF":12.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145036005","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}