American journal of public health最新文献_第5页

How US Grassroots Organizations Confront the Global Anti-LGBTQ+ Crisis and Support LGBTQ+ Asylum Seekers. 美国草根组织如何应对全球反LGBTQ危机并支持LGBTQ+寻求庇护者。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-04-01 DOI: 10.2105/AJPH.2024.307949

Chioma Nnaji, Al Green, Nathalie J Weeks

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Mastheads. 报头。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-04-01 DOI: 10.2105/AJPH.2025.115.4.441-442

引用次数: 0

Using Bundled Interventions to Improve Health Outcomes for Black Cisgender and Transgender Women: Findings From the Black Women First Initiative. 使用捆绑干预措施改善黑人顺性和变性妇女的健康结果：来自黑人妇女优先倡议的发现

IF 9.6 1区医学

American journal of public health Pub Date : 2025-04-01 DOI: 10.2105/AJPH.2025.308019

Serena Rajabiun, Corliss D Heath, LaShonda Y Spencer, Tracy L McClair, Howard J Cabral, Clara A Chen, Julianne N Dugas, Andrea Dakin, Alicia Downes, Erin McKinney-Prupis, Jennifer Scott, Shakeila Lewis-Chery, Angela Wangari Walter, Yvette P Cuca

{"title":"Using Bundled Interventions to Improve Health Outcomes for Black Cisgender and Transgender Women: Findings From the Black Women First Initiative.","authors":"Serena Rajabiun, Corliss D Heath, LaShonda Y Spencer, Tracy L McClair, Howard J Cabral, Clara A Chen, Julianne N Dugas, Andrea Dakin, Alicia Downes, Erin McKinney-Prupis, Jennifer Scott, Shakeila Lewis-Chery, Angela Wangari Walter, Yvette P Cuca","doi":"10.2105/AJPH.2025.308019","DOIUrl":"10.2105/AJPH.2025.308019","url":null,"abstract":"Objectives. To examine the effects of replicating a bundled package of evidence-informed interventions on social determinants, HIV health outcomes, and health-related quality of life (HRQoL) for 697 Black cisgender and transgender women with HIV across 12 US sites from 2021 to 2023. Methods. Women participated in a minimum of 2 interventions. We collected self-reported HRQoL and social determinants via interview at baseline, 6 months, and 12 months. We collected retention in care and viral suppression via medical chart review. We examined effects by gender identity and type and number of bundled interventions received. Results. In the 12-month postenrollment period, 85.0% of women reached viral suppression and 74.3% were retained in care. Social determinants and HRQoL improved over time. Transgender women had significantly lower odds of retention in care compared with cisgender women (adjusted odds ratio = 0.85; 95% confidence interval = 0.77, 0.93) but an overall higher physical HRQoL score (46.8 vs 40.8). Viral suppression and mental HRQoL did not differ by gender identity. Conclusions. Using a bundled intervention is a promising approach to reach and provide culturally relevant care for Black women with HIV. (Am J Public Health. 2025;115(S1):S46-S56. https://doi.org/10.2105/AJPH.2025.308019).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"115 S1","pages":"S46-S56"},"PeriodicalIF":9.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727353","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

Distribution and Specialties of Broadly Versus Narrowly Defined Public Health Nurses Working in Government Settings in the United States, 2022. 在美国政府机构工作的广义与狭义公共卫生护士的分布和专业，2022。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI: 10.2105/AJPH.2024.307950

Betty Bekemeier, Paula M Kett, Greg Whitman, Kelly Chadwick, Joyce K Edmonds

{"title":"Distribution and Specialties of Broadly Versus Narrowly Defined Public Health Nurses Working in Government Settings in the United States, 2022.","authors":"Betty Bekemeier, Paula M Kett, Greg Whitman, Kelly Chadwick, Joyce K Edmonds","doi":"10.2105/AJPH.2024.307950","DOIUrl":"10.2105/AJPH.2024.307950","url":null,"abstract":"Objectives. To estimate the size of the US governmental public health nurse (PHN) workforce by setting and specialty, including those working outside of health departments. Methods. We used 2022 data from the National Council of State Boards of Nursing, representing 2846 registered nurses (RNs) in almost all states, with weights applied. We examined \"setting\" and \"specialty\" of PHNs according to broad and more restricted definitions. Results. Using a broad definition, PHNs in government settings made up 3.7% of the RN workforce, and 1.8% when specialty areas were narrowly defined. These percentages varied by state. PHNs working in public health, school health, and correctional health settings largely indicated their specialty practice areas as public health, school health, and \"unspecified\" rather than more narrow specialty areas. Conclusions. PHNs are a small proportion of the RN workforce. They consider themselves generalists and can be identified by specialty and when working in governmental settings outside of health departments. Public Health Implications. States with few PHNs may be underserving their communities. Better data are needed to understand specific functions and activities of the PHN workforce. (Am J Public Health. 2025;115(4):536-545. https://doi.org/10.2105/AJPH.2024.307950).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"536-545"},"PeriodicalIF":9.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412787","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

Gendered Racism: "A Different Interpretation of the Same Facts" About the HIV Epidemic Among Black Women in the United States. 性别种族主义：关于美国黑人妇女艾滋病流行的“同一事实的不同解释”。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-04-01 DOI: 10.2105/AJPH.2025.308063

Lisa Bowleg

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. 泰国曼谷大都会区2021年疫情危机期间COVID-19患者家庭隔离护理的结果

IF 9.6 1区医学

American journal of public health Pub Date : 2025-04-01 Epub 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":"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. 2025;115(4):605-616. https://doi.org/10.2105/AJPH.2024.307922).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"605-616"},"PeriodicalIF":9.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903064/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

State Child Abuse and Mandated Reporting Policies for Prenatal Substance Use and Congenital Syphilis Case Rates: United States, 2018-2022. 国家虐待儿童和产前药物使用和先天性梅毒病例率的强制性报告政策：美国，2018-2022。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI: 10.2105/AJPH.2024.307951

Anna E Austin, Kevin O'Callaghan, Julie Rushmore, Ryan Cramer, Robert McDonald, Emily R Learner

{"title":"State Child Abuse and Mandated Reporting Policies for Prenatal Substance Use and Congenital Syphilis Case Rates: United States, 2018-2022.","authors":"Anna E Austin, Kevin O'Callaghan, Julie Rushmore, Ryan Cramer, Robert McDonald, Emily R Learner","doi":"10.2105/AJPH.2024.307951","DOIUrl":"10.2105/AJPH.2024.307951","url":null,"abstract":"Objectives. To estimate the association of state policies that define prenatal substance use as child abuse and mandate that health care professionals report prenatal substance use to child protective services with congenital syphilis case rates. Methods. We used 2018 to 2022 US data on congenital syphilis case notifications to the National Notifiable Diseases Surveillance System. We conducted linear regression with a generalized estimating equation approach to compare congenital syphilis case rates in states with a child abuse policy only, a mandated reporting policy only, and both polices to rates in states with neither policy. Results. After adjustment for confounders, the rate of congenital syphilis cases was, on average, 23.5 (95% confidence interval = 2.2, 44.8) cases per 100 000 live births higher in states with both a child abuse policy and a mandated reporting policy for prenatal substance use than in states with neither policy. Rates were similar in states with a child abuse policy only and a mandated reporting policy only compared to states with neither policy. Conclusions. The combination of state child abuse policies and mandated reporting policies for prenatal substance use potentially contributes to higher congenital syphilis case rates. (Am J Public Health. 2025;115(4):566-574. https://doi.org/10.2105/AJPH.2024.307951).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"566-574"},"PeriodicalIF":9.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412791","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

Black Women With HIV: Ongoing Challenges and New Strategies to Improve Health Outcomes. 感染艾滋病毒的黑人妇女：持续的挑战和改善健康结果的新战略。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-04-01 DOI: 10.2105/AJPH.2025.308040

Bisola O Ojikutu, Stewart Landers

引用次数: 0

CONFLICTS OF INTEREST. 利益冲突。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-04-01 DOI: 10.2105/AJPH.2025.308115

引用次数: 0

Differences in HIV Outcomes and Quality of Life Between Older and Younger Black Women With HIV in the United States, 2021-2023. 2021-2023年美国老年和年轻黑人女性HIV预后和生活质量的差异

IF 9.6 1区医学

American journal of public health Pub Date : 2025-04-01 DOI: 10.2105/AJPH.2025.308021

LaShonda Y Spencer, Yvette P Cuca, Katy Davis, Vanessa Ayafor, Shakeila Lewis-Chery, Clara A Chen, Howard J Cabral, Lindsey Furton, Rahab Goodwin, Natalie Solomon-Brimage, Serena Rajabiun

{"title":"Differences in HIV Outcomes and Quality of Life Between Older and Younger Black Women With HIV in the United States, 2021-2023.","authors":"LaShonda Y Spencer, Yvette P Cuca, Katy Davis, Vanessa Ayafor, Shakeila Lewis-Chery, Clara A Chen, Howard J Cabral, Lindsey Furton, Rahab Goodwin, Natalie Solomon-Brimage, Serena Rajabiun","doi":"10.2105/AJPH.2025.308021","DOIUrl":"10.2105/AJPH.2025.308021","url":null,"abstract":"Objectives. To characterize differences in outcomes of 733 Black women aged 50 years and older compared with younger women with HIV engaged in bundled interventions across 12 US sites from 2021 to 2023. Methods. We examined age differences in physical component score (PCS) and mental component score (MCS) for health-related quality of life, stigma, and viral suppression over 12 months. We examined outcome effects by age and intervention. We collected comorbidities and preventive health screenings. Results. Lower PCS was associated with each year with HIV for older women (b = -0.13; 95% confidence interval [CI] = -0.25, -0.02) and for younger women in the stigma reduction intervention (b = -3.36; 95% CI = -5.88, -0.84). Younger women in the intimate partner violence intervention demonstrated a decrease in MCS quality of life (b = -3.07; 95% CI = -5.16, -0.98). Stigma scores were increased for younger women in the Red Carpet Experience (b = 2.70; 95% CI = 0.07, 5.33) but lower for older women in the self-efficacy intervention (b = -1.41; 95% CI = -2.24, -0.57). Viral load suppression was associated with peer-patient navigation for older women (adjusted odds ratio [AOR] = 4.73; 95% CI = 1.51, 14.81) and the intimate partner violence intervention for younger women (AOR = 3.83; 95% CI = 2.15, 6.82). Health screenings were low. Conclusions. Interventions that center Black women beyond traditional HIV treatment are needed with a focus on health screenings to improve the quality of life of older women. (Am J Public Health. 2025;115(S1):S57-S67. https://doi.org/10.2105/AJPH.2025.308021).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"115 S1","pages":"S57-S67"},"PeriodicalIF":9.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727165","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