{"title":"The Imperative Link Between Civic Engagement and Public Health: Insights From a Former US Surgeon General.","authors":"Jerome Adams","doi":"10.2105/AJPH.2024.307995","DOIUrl":"10.2105/AJPH.2024.307995","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"115 3","pages":"313-315"},"PeriodicalIF":9.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405343","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}
{"title":"Immigrant Inequities in Uninsurance and Postpartum Medicaid Extension: A Quasi-Experimental Study in New York City, 2016-2021.","authors":"Teresa Janevic, Lauren Birnie, Kizzi Belfon, Lily Glenn, Sheela Maru, Simone Reynolds, Folake Eniola, Heeun Kim, Frances M Howell, Ashley Fox, Ellerie Weber","doi":"10.2105/AJPH.2024.307968","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307968","url":null,"abstract":"<p><p><b>Objectives.</b> To determine if de facto postpartum Medicaid extension during the Families First Coronavirus Response Act (FFCRA) reduced immigrant versus US-born inequities in uninsurance. <b>Methods.</b> We assessed self-reported uninsurance at 2 to 6 months postpartum among people with Medicaid-paid births using the New York City Pregnancy Risk Assessment Monitoring System (PRAMS), comparing immigrant and US-born people. We created a pre-FFCRA cohort of 2611 births from 2016 to 2019 and a post-FFCRA implementation cohort of 1197 births from 2020 to 2021. We calculated risk differences using log binomial regression. <b>Results.</b> Self-reported postpartum uninsurance among immigrants decreased from 13.6% to 9.3% after FFCRA (adjusted risk difference = -4.9%; 95% confidence interval = -7.8%, -2.0%). Immigrant versus US-born inequities in postpartum uninsurance decreased except among Hispanic birthing people, among whom 1 in 6 reported they were uninsured during FFCRA, despite continued eligibility. <b>Conclusions.</b> De facto postpartum Medicaid extension decreased immigrant inequities in insurance coverage, but Hispanic immigrants may have been unaware of continued coverage. <b>Public Health Implications.</b> Postpartum Medicaid extension policies that are inclusive of all immigrants may decrease inequities, but community-integrated implementation is needed to raise awareness of coverage and advance postpartum maternal health equity. (<i>Am J Public Health</i>. Published online ahead of print February 27, 2025:e1-e4. https://doi.org/10.2105/AJPH.2024.307968).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e4"},"PeriodicalIF":9.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522238","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":"Health Care, Mortality, and Declining Occupancy Rates in California Prisons, 2013-2023.","authors":"Jessica L Adler, Weiwei Chen","doi":"10.2105/AJPH.2025.308011","DOIUrl":"https://doi.org/10.2105/AJPH.2025.308011","url":null,"abstract":"<p><p><b>Objectives.</b> To assess relationships between changes in population levels, health care access, health care grievances, and mortality in California prisons. <b>Methods.</b> We examined 30 California prisons using June 2013 to May 2023 data from California Correctional Health Care Services and the California Department of Justice. Associations between prison occupancy rates and care access, health care grievances, and mortality were estimated in linear or generalized linear models controlling for staff vacancies and the characteristics of incarcerated people. Because of the prevalence of COVID-19-specific dynamics in prisons in 2020-2021, baseline models included data up to December 2019; data from January 2022 through May 2023 were added as a robustness check. <b>Results.</b> Reductions in prison occupancy rates were associated with increased access to care. Associations were more pronounced when postpandemic data were added. However, decreasing occupancy rates were not associated with declines in health care grievances or mortality. <b>Conclusions.</b> Lowering prison occupancy rates could help ensure better access to care, but it is not a panacea for alleviating varied health-related problems and dangers inside carceral facilities. (<i>Am J Public Health</i>. Published online ahead of print February 27, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308011).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e9"},"PeriodicalIF":9.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522105","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}
Elexis C Kierstead, Stephanie N Yoon, Madison L Iskra, Barbara A Schillo, Jennifer M Kreslake
{"title":"Cigarette and E-Cigarette Use Among LGBT+ Youths and Young Adults According to Strength of State-Level LGBT+ Equality Protections.","authors":"Elexis C Kierstead, Stephanie N Yoon, Madison L Iskra, Barbara A Schillo, Jennifer M Kreslake","doi":"10.2105/AJPH.2025.308008","DOIUrl":"https://doi.org/10.2105/AJPH.2025.308008","url":null,"abstract":"<p><p><b>Objectives.</b> To examine whether the state-level LGBT+ (lesbian, gay, bisexual, transgender, and other identities) legal protections where LGBT+ youths and young adults reside are associated with cigarette and e-cigarette use. <b>Methods.</b> We drew LGBT+ respondents (aged 15-31 years; n = 1255) from a national, probability-based survey conducted from August to December 2023. We scored each state for LGBT+ equality on a scale from restrictive to protective based on the Movement Advancement Project's 2023 policy environment. Using weighted logistic regression models, we examined the relationship between current (past 30-day) cigarette and e-cigarette use and state LGBT+ equality protections, controlling for demographics and state tobacco control expenditure. <b>Results.</b> LGBT+ individuals in protective policy states had 65% lower odds (odds ratio [OR] = 0.35; 95% confidence interval [CI] = 0.16, 0.78) of current cigarette use, and 56% lower odds (OR = 0.44; 95% CI = 0.25, 0.79) of current e-cigarette use compared with those in restrictive policy states. <b>Conclusions.</b> LGBT+ individuals living in protective policy environments had lower odds of current cigarette and e-cigarette use, consistent with theoretical relationships between stress, discrimination, and harmful health behaviors. <b>Public Health Implications.</b> Protective policies may alleviate tobacco use disparities among the LGBT+ community. (<i>Am J Public Health</i>. Published online ahead of print February 27, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308008).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e9"},"PeriodicalIF":9.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522141","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}
Veronica Garrison, Peter J Ashley, Alyssa J Moran, Thomas K M Cudjoe, Eliana M Perrin, Craig Evan Pollack
{"title":"Housing Quality Metric (HQM): Neighborhood-Level Data, Housing Quality, and Population Health.","authors":"Veronica Garrison, Peter J Ashley, Alyssa J Moran, Thomas K M Cudjoe, Eliana M Perrin, Craig Evan Pollack","doi":"10.2105/AJPH.2024.307962","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307962","url":null,"abstract":"<p><p><b>Objectives.</b> To develop a national, tract-level measure of neighborhood housing quality and test its validity by examining associations with population health metrics. <b>Methods.</b> Using microdata from the 2021 American Housing Survey postfit to the 2018-2022 American Community Survey, we developed the Housing Quality Metric (HQM), which predicts the likelihood that a US census tract contains a large share of poor-quality housing units across 3 domains: physical inadequacy, housing cost burden, and poor neighborhood perception. We then used regression models to assess the ecological association between HQM and area-level measures of adult population health (fair or poor general health, poor mental health, and poor physical health) from the PLACES data set. <b>Results.</b> Census tract HQM score was significantly associated with a higher predicted proportion of adults self-reporting all 3 examined negative health status outcomes in both unadjusted and adjusted models. <b>Conclusions.</b> HQM presents the first national, tract-level measure of poor housing quality that has significant associations with adult population health status. <b>Public Health Implications.</b> HQM can be used to target resources and interventions in ways that may better capture the complex relationship between housing quality and population health than existing measures of housing quality. (<i>Am J Public Health</i>. Published online ahead of print February 21, 2025:e1-e9. https://doi.org/10.2105/AJPH.2024.307962).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e9"},"PeriodicalIF":9.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466730","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}
Catherine C Pollack, Georgia H Redd, Collin M Timm, Yukari C Manabe
{"title":"COVID-19 Policies and Sexually Transmitted Infections in 22 US States, January 2020-December 2021.","authors":"Catherine C Pollack, Georgia H Redd, Collin M Timm, Yukari C Manabe","doi":"10.2105/AJPH.2024.307957","DOIUrl":"https://doi.org/10.2105/AJPH.2024.307957","url":null,"abstract":"<p><p><b>Objectives.</b> To quantify the effects of 5 jurisdiction-level COVID-19 policies on chlamydia, gonorrhea, and syphilis rates in 22 US jurisdictions between January 2020 and December 2021. <b>Methods.</b> We applied a mixed-effects, negative binomial, interrupted time series model to estimate the impact that each policy of interest had on reported cases. <b>Results.</b> Mandatory stay-at-home periods were associated with a decrease in reported chlamydia (incident rate ratio [IRR] = 0.75; 95% confidence interval [CI] = 0.71, 0.80) and gonorrhea (IRR = 0.85; 95% CI = 0.78, 0.94) cases. We also observed decreased chlamydia case reporting when gatherings were restricted to 10 people (IRR = 0.88; 95% CI = 0.85, 0.92), masking was recommended (IRR = 0.90; 95% CI = 0.85, 0.97), or polymerase chain reaction testing was limited to symptomatic individuals (IRR = 0.72; 95% CI = 0.67, 0.77). Universal vaccine access corresponded to decreases in reported gonorrhea (IRR = 0.83; 95% CI = 0.75, 0.92) but increases in syphilis (IRR = 1.33; 95% CI = 1.04, 1.70) cases. We also observed effects by sex, race, and ethnicity. <b>Conclusions.</b> COVID-19 policies had disparate effects on sexually transmitted infection rates that varied across demographic groups. Overall results were attenuated after the first lockdown period (March-May 2020), but demographic variations persisted. (<i>Am J Public Health</i>. Published online ahead of print February 21, 2025:e1-e10. https://doi.org/10.2105/AJPH.2024.307957).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e10"},"PeriodicalIF":9.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466727","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":"Street Trees and Public Health.","authors":"Alistair Woodward, Kirsty Wild","doi":"10.2105/AJPH.2024.307931","DOIUrl":"10.2105/AJPH.2024.307931","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"119-120"},"PeriodicalIF":9.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783953","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}
{"title":"Mastheads.","authors":"","doi":"10.2105/AJPH.2025.115.2.105-106","DOIUrl":"10.2105/AJPH.2025.115.2.105-106","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"115 2","pages":"105-106"},"PeriodicalIF":9.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942597","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}
{"title":"HIV Trends in Metropolitan US Cities From 2014 to 2021: Baseline Data for the Ending the HIV Epidemic Initiative.","authors":"Ribhav Gupta, Sten H Vermund","doi":"10.2105/AJPH.2024.307890","DOIUrl":"10.2105/AJPH.2024.307890","url":null,"abstract":"<p><p><b>Objective.</b> To examine baseline trends for the 2019 Ending the HIV Epidemic in the United States (EHE), which aims to reduce HIV incidence by 90% by 2030 in the 57 counties and states responsible for half of incident infections, and to provide a counterfactual comparator for future evaluation of the initiative's midpoint. <b>Methods.</b> We used 2014‒2021 metropolitan statistical area (MSA) data to compare HIV diagnostic rate trends between MSAs subsuming EHE regions (n = 46) and other MSAs (n = 76). A difference-in-difference analysis illustrated potential early-stage programmatic effects. <b>Results.</b> From 2014 to 2021 across 122 MSAs, 305 413 HIV cases were diagnosed with a mean annual MSA-level diagnostic rate change of ‒6.7% (range = ‒66.1‒466.7%). MSA-level diagnostic rate changed by ‒21.3% (range = ‒50.8%‒14.8%) amongst MSAs including EHE regions and by 2.1% (range = ‒66.1%‒466.7%) in other MSAs. In a difference-in-difference analysis, the HIV diagnostic rate change from 2020 to 2021 was 3.1 cases per 100 000 people-years (<i>P</i> = .03) greater in EHE regions compared to the baseline HIV diagnostic rate change of ‒0.8 cases per 100 000 people-years (<i>P</i> < .01) across all MSAs. <b>Conclusions.</b> Although MSAs including EHE regions experienced greater reductions in HIV diagnoses from 2014 to 2021, high interregional variability requires exploration. These trends provide a baseline for subsequent EHE programmatic evaluations. (<i>Am J Public Health</i>. 2025;115(2):217-220. https://doi.org/10.2105/AJPH.2024.307890).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"115 2","pages":"217-220"},"PeriodicalIF":9.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942595","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}
{"title":"The Supplemental Nutrition Assistance Program (SNAP) Ban and Perpetual Punishment for Justice-Affected Populations.","authors":"Kimberly R Dong","doi":"10.2105/AJPH.2024.307943","DOIUrl":"10.2105/AJPH.2024.307943","url":null,"abstract":"","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"113-115"},"PeriodicalIF":9.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142816892","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}