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

Equities and Inequities Inherent in Wastewater Surveillance Systems for Public Health: New York State, 2020-2024. 公共卫生废水监测系统中固有的公平和不公平：纽约州，2020-2024。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-10-01 Epub Date: 2026-05-21 DOI: 10.2105/AJPH.2026.308472

Milagros Neyra Blatz, Nicole Pulido, Michelle Asiedu-Danso, Dustin T Hill, Margaret G Rose, Yifan Zhu, Keshia M Pollack Porter, David A Larsen

{"title":"Equities and Inequities Inherent in Wastewater Surveillance Systems for Public Health: New York State, 2020-2024.","authors":"Milagros Neyra Blatz, Nicole Pulido, Michelle Asiedu-Danso, Dustin T Hill, Margaret G Rose, Yifan Zhu, Keshia M Pollack Porter, David A Larsen","doi":"10.2105/AJPH.2026.308472","DOIUrl":"10.2105/AJPH.2026.308472","url":null,"abstract":"Objectives. To evaluate equity in wastewater-based infectious disease surveillance, including equity of inclusion, outbreak detection, and disease forecasting. Methods. We assessed New York State's wastewater surveillance network using census tract-level data to compare social vulnerability and environmental burden across included, sewered but excluded, and unsewered communities during the scale-up of the network (2020-2024) and under changing coverage scenarios. We modeled outbreak detection equity by estimating outbreak sizes required for 95% confidence in the detection of hypothetical pathogens and assessed forecasting equity using county-level COVID-19 hospitalization predictions in relation to population size, coverage, and vulnerability. Results. We found similar vulnerability distributions between included and sewered but excluded communities. The 25% most vulnerable communities required median outbreak sizes 3.45 times larger for detection than did the 25% least vulnerable. At medium sensitivity, more than 80% of individuals living in poverty and minoritized populations lived in areas where outbreaks exceeded 10 infections before detection. Forecasting accuracy was lower in smaller (< 20%) than in larger urban (> 60%) counties and increased with population size and network coverage (P < .001). Conclusions. Wastewater surveillance was equitable in population coverage but not in outbreak detection and forecasting performance. Public Health Implications. Strategies such as upstream sampling, expanded wastewater treatment plant participation in smaller communities, and improved modeling for low-population areas may reduce inequities and enhance the utility of wastewater surveillance. (Am J Public Health. 2026;116(10):1595-1603. https://doi.org/10.2105/AJPH.2026.308472).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1595-1603"},"PeriodicalIF":7.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147986181","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

Erratum In: "Displaced Workers and Poor Health Outcomes: A Continuing Challenge for US Population Health". 《流离失所工人和不良健康结果：美国人口健康面临的持续挑战》中的勘误。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-10-01 Epub Date: 2026-08-13 DOI: 10.2105/AJPH.2026.308582e

引用次数: 0

Reimagining Governmental State and Local Public Health Practice in the Era of Artificial Intelligence: Why Public Health Must Engage With AI Now. 在人工智能时代重新构想政府、州和地方公共卫生实践：为什么公共卫生现在必须参与人工智能。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-10-01 Epub Date: 2026-08-13 DOI: 10.2105/AJPH.2026.308567

Jennifer E Layden, John Auerbach

引用次数: 0

Describing Utilization of Health Care and Diagnoses Before Deaths in Homelessness: Leveraging Health Information Exchange and Medicolegal Partnerships, Harris County, Texas, 2021-2023. 描述无家可归者死亡前医疗保健和诊断的利用：利用健康信息交换和医疗法律伙伴关系，哈里斯县，德克萨斯州，2021-2023。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-10-01 DOI: 10.2105/AJPH.2026.308630

Lucas Lin, Mahvish Kazmi, Carlie Stratemann, Shriya Swamy, Jennifer Mikhail, Li Gai, Ben King

{"title":"Describing Utilization of Health Care and Diagnoses Before Deaths in Homelessness: Leveraging Health Information Exchange and Medicolegal Partnerships, Harris County, Texas, 2021-2023.","authors":"Lucas Lin, Mahvish Kazmi, Carlie Stratemann, Shriya Swamy, Jennifer Mikhail, Li Gai, Ben King","doi":"10.2105/AJPH.2026.308630","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308630","url":null,"abstract":"Objectives. To describe health care utilization and diagnostic patterns among adults who died while experiencing homelessness in Harris County, Texas, using linked medicolegal and health information exchange (HIE) data. Methods. Decedent records from the medical examiner (2021-2023) were linked to data from the regional HIE. Demographics, causes of death, health care encounters within 12 months of death, and diagnoses were summarized descriptively. Results. Among 659 decedents, deaths rose from 179 in 2021 to 242 in 2023, despite stable point-in-time counts of homelessness. More than half (58%) had recent health care encounters, with utilization rising sharply in the final 3 months of life. Outpatient visits were the most common, and mental and behavioral disorders predominated across all settings. Toxicity and cardiovascular disease were the leading causes of death. Conclusions. Deaths among people experiencing homelessness rose despite continual and escalating health care contacts before death, providing context for identifying potential prevention strategies. Linking medicolegal and clinical data offers a replicable model for local surveillance and supports targeted interventions integrating harm reduction, behavioral health, and continuity of care. (Am J Public Health. Published online ahead of print October 1, 2026:e1-e9. https://doi.org/10.2105/AJPH.2026.308630).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e9"},"PeriodicalIF":7.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102777","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

Trends and Inflection Points in Poor Mental Health Among US Adults, 1993‒2024. 1993-2024年美国成年人心理健康状况不佳的趋势和拐点

IF 7.8 1区医学

American journal of public health Pub Date : 2026-10-01 DOI: 10.2105/AJPH.2026.308732

Mark Lee, Anton Kvit, Michael Van Skiba

{"title":"Trends and Inflection Points in Poor Mental Health Among US Adults, 1993‒2024.","authors":"Mark Lee, Anton Kvit, Michael Van Skiba","doi":"10.2105/AJPH.2026.308732","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308732","url":null,"abstract":"Objectives. To describe long-term trends and inflection points in adult mental health in the United States. Methods. We estimated the annual prevalence of frequent mental distress (≥ 14 poor mental health days during the past 30 days) from more than 10 million US adults in the Behavioral Risk Factor Surveillance System survey between 1993 and 2024. We estimated trends and inflection points using joinpoint regression. We analyzed trends overall and for groups defined by sex, age, race/ethnicity, education, and income. Results. Age-adjusted prevalence of frequent mental distress doubled from 8.3% in 1993 to 16.4% in 2024. Annual increases in poor mental health were steeper from 2016 to 2024 than they had been in previous decades. Patterns varied across demographic groups, but we consistently observed that the mid-2010s was an inflection point marking the acceleration of poor mental health. Conclusions. While increasing poor mental health has been a persistent problem among American adults since at least 1993, this trend accelerated during the last decade. This inflection point preceded the COVID-19 pandemic. Health researchers should investigate the fundamental causes of this worsening trend. (Am J Public Health. Published online ahead of print October 1, 2026:e1-e8. https://doi.org/10.2105/AJPH.2026.308732).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e8"},"PeriodicalIF":7.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102870","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

When HIV Misinformation Is No Longer About HIV: Rethinking Counterstrategy in the Antivaccine Era. 当艾滋病毒的错误信息不再是关于艾滋病毒：重新思考反疫苗时代的对策。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-10-01 DOI: 10.2105/AJPH.2026.308721

Xiangming Zhan

引用次数: 0

Designed to Please, Not to Protect: The Public Health Cost of Generative Artificial Intelligence Sycophancy. 设计是为了取悦，而不是为了保护：生成式人工智能谄媚的公共卫生成本。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-10-01 Epub Date: 2026-08-20 DOI: 10.2105/AJPH.2026.308715

Yulin Hswen

引用次数: 0

The Trouble With "Antiscience": Regulatory Science, Politics, and the COVID-19 Pandemic. “反科学”的麻烦：监管科学、政治和COVID-19大流行。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-10-01 DOI: 10.2105/AJPH.2026.308749

Gil Eyal, Ilana Löwy

{"title":"The Trouble With \"Antiscience\": Regulatory Science, Politics, and the COVID-19 Pandemic.","authors":"Gil Eyal, Ilana Löwy","doi":"10.2105/AJPH.2026.308749","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308749","url":null,"abstract":"We argue that the label \"antiscience\" is inaccurate and counterproductive and that its use may hamper the implementation of public health goals. The current crisis is the result of a complex dynamic of loss of trust, rooted in the very real limitations of regulatory science and the inevitable tensions of the relations between science and politics. These have created a political opportunity structure for interested actors to construct mistrust in expertise relating to the production, authorization, and dissemination of scientific facts. We illustrate these dynamics through 3 brief case studies of debates about what constitutes \"correct\" science in France, Brazil, and the United States during and after the COVID-19 pandemic. The case studies show the decisive role played by political factors in determining how these struggles were concluded. We argue, therefore, that \"antiscience\" is not a quality inherent to a particular policy or claim but is a selectively applied and context-dependent label, shaped by political authority, institutional trust, and discursive framing. (Am J Public Health. Published online ahead of print October 1, 2026:e1-e6. https://doi.org/10.2105/AJPH.2026.308749).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e6"},"PeriodicalIF":7.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102886","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 Medicaid Policies for Mobile Crisis Services: A National Policy Mapping Study, August-November 2024. 移动危机服务的国家医疗补助政策：国家政策地图研究，2024年8月至11月。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-10-01 Epub Date: 2026-05-08 DOI: 10.2105/AJPH.2026.308471

Andrew Anderson, Jacob Jorem, Eyra Dordi, Julia Wang, Rajesh Satpathy-Horton, Alene Kennedy-Hendricks

{"title":"State Medicaid Policies for Mobile Crisis Services: A National Policy Mapping Study, August-November 2024.","authors":"Andrew Anderson, Jacob Jorem, Eyra Dordi, Julia Wang, Rajesh Satpathy-Horton, Alene Kennedy-Hendricks","doi":"10.2105/AJPH.2026.308471","DOIUrl":"10.2105/AJPH.2026.308471","url":null,"abstract":"Objectives. To assess the specificity of Medicaid policy guidance for mobile crisis teams across all 50 US states and the District of Columbia. Methods. We conducted a national policy mapping study (August-November 2024), reviewing publicly available Medicaid documents, including state plan amendments, waivers, provider manuals, and billing guidance. We extracted 53 policy features and grouped them into 15 domains. Domains included mobile crisis team-specific billing codes, age-inclusive eligibility, licensed provider requirements, and follow-up or documentation expectations, as well as defined response time frames. We coded each feature as present or absent by state. We also reviewed state appropriations for mobile crisis teams, 988 integration in Medicaid behavioral health policy, and Medicaid expansion status. Results. Most states required licensed provider involvement (96.1%) and follow-up or documentation protocols (74.5%); fewer specified billing mechanisms (68.6%) or age-inclusive eligibility (70.6%). Only 6 (11.8%) states defined response time standards. States varied widely in the number of policy supports documented. Conclusions. The specificity of Medicaid policy guidance varies widely, with gaps in billing, eligibility, and timeliness. Public Health Implications. Differences in Medicaid policy specificity may influence how mobile crisis services are implemented across states. (Am J Public Health. 2026;116(10):1586-1594. https://doi.org/10.2105/AJPH.2026.308471).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1586-1594"},"PeriodicalIF":7.8,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832374","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

The Artificial Intelligence Divide: A Call to Action for State and Territorial Public Health. 人工智能鸿沟：呼吁各州和地区公共卫生采取行动。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-10-01 Epub Date: 2026-08-13 DOI: 10.2105/AJPH.2026.308668

Ari Whiteman, Hamsa Subramaniam, Greg Papillon, Madoc Marshall, Colten Strickland, Tabatha Offutt-Powell, Jen Layden, Monica Bharel

引用次数: 0