American journal of public health最新文献_第6页

Examining Trends in Substance Use Behaviors Among Women With Primary and Secondary Syphilis: United States, 2018-2023. 2018-2023年美国原发性和继发性梅毒女性药物使用行为趋势研究

IF 12.7 1区医学

American journal of public health Pub Date : 2025-09-11 DOI: 10.2105/ajph.2025.308254

Julie Rushmore,David A Jackson,Jeremy A Grey,Elizabeth A Torrone,Emily R Learner

{"title":"Examining Trends in Substance Use Behaviors Among Women With Primary and Secondary Syphilis: United States, 2018-2023.","authors":"Julie Rushmore,David A Jackson,Jeremy A Grey,Elizabeth A Torrone,Emily R Learner","doi":"10.2105/ajph.2025.308254","DOIUrl":"https://doi.org/10.2105/ajph.2025.308254","url":null,"abstract":"Objectives. To examine recent trends in substance use among women with primary and secondary (P&S) syphilis in the United States. Methods. We reviewed case notifications sent to the Centers for Disease Control and Prevention via the National Notifiable Diseases Surveillance System for women and girls aged 15 years and older with P&S syphilis from 2018 to 2023. We calculated percentages of behaviors associated with substance use during the past year (having sex while intoxicated or high, having sex with a person who injects drugs, or methamphetamine use) by year, race/ethnicity, and region. Results. Our analysis included 51 209 P&S syphilis cases. Most women and girls (86%) were of reproductive age. Behaviors were stable temporally and regionally, but methamphetamine use was highest in the West (30%). All behaviors were reported more frequently among non-Hispanic White women than non-Hispanic Black or Hispanic women. Conclusions. Although substance use behaviors were frequently reported, trends were stable, indicating that the proportion of women reporting these behaviors did not scale with recent national increases in P&S syphilis among women. Universal syphilis screening of reproductive age women and girls could be evaluated as an option to reduce syphilis among them along with adverse outcomes, including congenital syphilis. (Am J Public Health. Published online ahead of print September 11, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308254).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"33 1","pages":"e1-e9"},"PeriodicalIF":12.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145036007","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

Blood Transfusions for Pregnancy Loss in Texas Before and After Abortion Bans, 2017‒2023. 2017-2023年德克萨斯州堕胎禁令前后的流产输血情况。

IF 12.7 1区医学

American journal of public health Pub Date : 2025-09-11 DOI: 10.2105/ajph.2025.308224

Amanda Nagle,Goleen Samari,Lauren Thaxton,Alison Gemmill

{"title":"Blood Transfusions for Pregnancy Loss in Texas Before and After Abortion Bans, 2017‒2023.","authors":"Amanda Nagle,Goleen Samari,Lauren Thaxton,Alison Gemmill","doi":"10.2105/ajph.2025.308224","DOIUrl":"https://doi.org/10.2105/ajph.2025.308224","url":null,"abstract":"Objectives. To measure changes in blood transfusion related to pregnancy loss in Texas after the 2021 Senate Bill 8 (SB8), which banned abortion after the detection of fetal cardiac activity (6-week ban), and the ban that was enforced after the 2022 Dobbs v Jackson Supreme Court decision, which banned abortion at all gestational durations (total ban). Methods. We used administrative data from all Texas hospital, emergency, and ambulatory surgical facilities from January 2017 through September 2023. Using time series analysis, we assessed if the number of pregnancy loss encounters that received blood transfusions, an indicator of severe morbidity, was different than expected after the 6-week and total bans. Results. We identified 320 696 pregnancy loss encounters and 7408 related blood transfusions. During the 6-week ban, transfusion numbers were similar to expected. During the total ban, the quarterly mean number of pregnancy loss encounters that received blood transfusions was 385.8, which was 50.7 more transfusions (15.1%) than the 335.1 expected based on historical data (2-sample t test P = .03). Conclusions. Texas's total abortion ban was associated with an increase in severe morbidity among people experiencing pregnancy loss. (Am J Public Health. Published online ahead of print September 11, 2025:e1-e8. https://doi.org/10.2105/AJPH.2025.308224).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"67 1","pages":"e1-e8"},"PeriodicalIF":12.7,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145036002","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

Social-Ecological Correlates of Involvement in Firearm-Related Violence in a Nationally Representative Survey of Adults. 在一项具有全国代表性的成年人调查中，涉及枪支相关暴力的社会-生态关联。

IF 12.7 1区医学

American journal of public health Pub Date : 2025-09-11 DOI: 10.2105/ajph.2025.308213

Krista R Mehari,Jasmine N Coleman,L Taylor Stevens,Albert D Farrell,Phillip N Smith

{"title":"Social-Ecological Correlates of Involvement in Firearm-Related Violence in a Nationally Representative Survey of Adults.","authors":"Krista R Mehari,Jasmine N Coleman,L Taylor Stevens,Albert D Farrell,Phillip N Smith","doi":"10.2105/ajph.2025.308213","DOIUrl":"https://doi.org/10.2105/ajph.2025.308213","url":null,"abstract":"Objectives. To examine social-ecological correlates of firearm-related violence involvement among adults. Methods. Cross-sectional surveys were collected in the United States between August 2023 and September 2023 through an AmeriSpeak Panel (n = 1681), weighted to be nationally representative. Measures included self-reported involvement in firearm-related violence victimization and perpetration and hypothesized social-ecological risk factors. Results. About 5.9% reported ever perpetrating firearm-related violence; 6.9% reported experiencing firearm-related victimization. In a fully adjusted model, factors associated with perpetration were greater traumatic stress symptoms, beliefs about gun use to enforce respect, positive attitudes about firearms, and firearm-related victimization. Factors associated with victimization were adverse childhood experiences, family and friends' histories of violence and suicide, traumatic stress symptoms, witnessing community violence, firearm-related perpetration, male sex, and lower income. Conclusions. A range of factors across social-ecological domains were associated with firearm-related violence, emphasizing the need for a contextualized approach to understand firearm-related injuries and deaths. Posttraumatic stress and exposure to violence may be particularly important to understanding the cycle of firearm violence. Intervention strategies should be expanded to include individuals vicariously exposed to violence, not just those directly victimized. (Am J Public Health. Published online ahead of print September 11, 2025:e1-e10. https://doi.org/10.2105/AJPH.2025.308213).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"29 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":"145036003","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

IF 12.7 1区医学

American journal of public health Pub Date : 2025-09-04 DOI: 10.2105/ajph.2025.308154

Alana M W LeBrón,Melina Michelen,Patricia J Cantero,Gloria Itzel Montiel,Loreta Ruiz,Kory Razaghi,Laura Pantoja,Josefina Jimenez,Marisela Ramirez,America Bracho,John Billimek

{"title":"Pandemic-Related Funding Termination and Structural Drivers of Inequities: A Case Study of a Promotores/as-Focused Community-Based Organization.","authors":"Alana M W LeBrón,Melina Michelen,Patricia J Cantero,Gloria Itzel Montiel,Loreta Ruiz,Kory Razaghi,Laura Pantoja,Josefina Jimenez,Marisela Ramirez,America Bracho,John Billimek","doi":"10.2105/ajph.2025.308154","DOIUrl":"https://doi.org/10.2105/ajph.2025.308154","url":null,"abstract":"During the COVID-19 pandemic, governmental agencies expanded safety net programs to ameliorate profound economic suffering. However, structural challenges excluded many low-income, immigrant, and racially minoritized communities, deepening inequities. Promotores/as and community-based organizations (CBOs), whose models focus on addressing structural drivers of inequities, were vital to communities navigating these challenges. This analytic essay examines how terminating pandemic-related funding strained CBOs and the communities they serve. Through a case study of a midsized promotores/as model CBO, we analyze practice-based qualitative and quantitative data, alongside a qualitative study of COVID-19 promotores/as models. Findings illuminate a dual postpandemic benefits cliff. As pandemic benefits expired, individuals once again faced the economic hardships that had been temporarily alleviated. Simultaneously, heightened demands on CBOs, along with reduced funding and resources, threatened their ability to meet community needs. Findings indicate the importance of coalition-building for structural transformation and governmental and nongovernmental support of promotores/as models and CBOs to promote health equity. (Am J Public Health. Published online ahead of print September 4, 2025:e1-e12. https://doi.org/10.2105/AJPH.2025.308154).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"38 1","pages":"e1-e12"},"PeriodicalIF":12.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144995819","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

Temporal Trends in Sexual Identity and Sociodemographic Disparities in Stockholm, Sweden, 2010-2021. 2010-2021年瑞典斯德哥尔摩性别认同和社会人口差异的时间趋势。

IF 12.7 1区医学

American journal of public health Pub Date : 2025-09-04 DOI: 10.2105/ajph.2025.308202

Willi Zhang,Per Tynelius,Maya B Mathur,Matteo Quartagno,Gunnar Brandén,Fredrik Liljeros,Kyriaki Kosidou

{"title":"Temporal Trends in Sexual Identity and Sociodemographic Disparities in Stockholm, Sweden, 2010-2021.","authors":"Willi Zhang,Per Tynelius,Maya B Mathur,Matteo Quartagno,Gunnar Brandén,Fredrik Liljeros,Kyriaki Kosidou","doi":"10.2105/ajph.2025.308202","DOIUrl":"https://doi.org/10.2105/ajph.2025.308202","url":null,"abstract":"Objectives. To examine temporal trends in sexual identity and sociodemographic disparities in Sweden after gender-neutral marriage legislation in 2009. Methods. We analyzed 3 cross-sectional surveys from the Stockholm Public Health Cohort (2010, 2014, 2021) that included 76 083 participants 16 years or older. Weighted Poisson regression was used to estimate associations between sexual identity and sociodemographic covariates. Survey weights and multiple imputation addressed sampling design and nonresponse. Results. Bisexual identity doubled between 2010 and 2021, from 2.1% (95% confidence interval [CI] = 1.8%, 2.4%) to 4.3% (95% CI = 3.8%, 4.7%) among females and from 1.0% (95% CI = 0.8%, 1.2%) to 1.9% (95% CI = 1.6%, 2.3%) among males. In 2021, 15.1% (95% CI = 12.5%, 17.7%) of Generation Z (1997-2012) females and 6.9% (95% CI = 5.8%, 8.0%) of Millennials (1981-1996) identified as bisexual; the figures for males were 4.2% (95% CI = 2.8%, 5.7%) and 2.4% (95% CI = 1.7%, 3.1%). Bisexual identity was associated with lower income and never-married status, although the strength of the associations decreased over time. Conclusions. The rise in bisexual identity, particularly among younger generations, likely reflects shifting societal and cultural norms. Income and marital disparities persist but have narrowed. Public Health Implications. Public health should support bisexual individuals as part of broader efforts to promote equity amid evolving norms. (Am J Public Health. Published online ahead of print September 4, 2025:e1-e10. https://doi.org/10.2105/AJPH.2025.308202).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"2010 1","pages":"e1-e10"},"PeriodicalIF":12.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144995821","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

Silicosis Surveillance in California, 2019-2024: Tracking an Epidemic. 加州矽肺监测，2019-2024：追踪流行病。

IF 12.7 1区医学

American journal of public health Pub Date : 2025-09-04 DOI: 10.2105/ajph.2025.308225

Jennifer Flattery,Chelsea Woolsey,Jane C Fazio,Sheiphali A Gandhi,Amy Heinzerling,Robert J Harrison,Kristin J Cummings

{"title":"Silicosis Surveillance in California, 2019-2024: Tracking an Epidemic.","authors":"Jennifer Flattery,Chelsea Woolsey,Jane C Fazio,Sheiphali A Gandhi,Amy Heinzerling,Robert J Harrison,Kristin J Cummings","doi":"10.2105/ajph.2025.308225","DOIUrl":"https://doi.org/10.2105/ajph.2025.308225","url":null,"abstract":"Objectives. To characterize the nature, burden, and trends of silicosis among California workers, including workers with engineered stone exposures. Methods. We conducted multisource public health surveillance and generated descriptive statistics, compared engineered stone cases to cases with other silica exposures, and examined the utility of various data sources for silicosis surveillance. Results. We received 1817 reports of possible silicosis for 648 individuals from 2019 to 2024 and confirmed 296 (46%) cases, including 243 (82%) associated with engineered stone exposures. Engineered stone cases were more likely to be younger, men, Latino, and from Los Angeles County than were non-engineered stone cases. Of engineered stone cases, at least 15 (6%) were known to have died, and 60 (25%) were referred for lung transplant, including 30 (12%) who received transplants. There was limited overlap between reporting mechanisms. Conclusions. Multisource surveillance was effective for identifying a large number of individuals with silicosis, including people exposed to engineered stone. Outcomes were severe, and many patients had advanced disease. Results illustrate that worker screening and silica exposure mitigation are essential to prevent morbidity and mortality in the engineered stone countertop fabrication industry. (Am J Public Health. Published online ahead of print September 4, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308225).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"63 1","pages":"e1-e9"},"PeriodicalIF":12.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144995818","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

How Anti-Immigrant Policies Impact Research Among Latinx and Undocumented People Who Use Drugs. 反移民政策如何影响拉丁裔和无证吸毒者的研究。

IF 12.7 1区医学

American journal of public health Pub Date : 2025-09-04 DOI: 10.2105/ajph.2025.308234

Zena K Coronado,Sedona L Koenders,Kelly R Knight,Julia Lechuga,Andrea M López,Carlos Martinez

{"title":"How Anti-Immigrant Policies Impact Research Among Latinx and Undocumented People Who Use Drugs.","authors":"Zena K Coronado,Sedona L Koenders,Kelly R Knight,Julia Lechuga,Andrea M López,Carlos Martinez","doi":"10.2105/ajph.2025.308234","DOIUrl":"https://doi.org/10.2105/ajph.2025.308234","url":null,"abstract":"Since January 2025, anti-immigrant policies, criminalization, and xenophobic rhetoric have rapidly intensified, threatening the health and well-being of Latinx communities. Under new executive orders, funding and research related to racial health disparities and equity is being scaled back or halted. The negative effects of immigration enforcement on the health of Latinx communities have been well documented. Less is known about how the implementation of these policies and associated anti-immigrant rhetoric impacts researchers' ability to conduct health equity science among vulnerable Latinx communities. The current anti-immigrant political climate is likely to have detrimental effects on health equity research and lead to increases in morbidity and mortality among Latinx people who use drugs (PWUD). This analytic essay draws on data from 4 case studies of research with Latinx PWUD residing in 3 US states. We discuss how anti-immigration policies and xenophobic rhetoric affect the ability to conduct research with Latinx PWUD. We offer strategies to support the continuation of health equity research in the context of an increasingly hostile sociopolitical landscape. (Am J Public Health. Published online ahead of print September 4, 2025:e1-e10. https://doi.org/10.2105/AJPH.2025.308234).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"28 1","pages":"e1-e10"},"PeriodicalIF":12.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144995862","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

Classical Syndromes in Occupational Medicine: Dimethylaminopropionitrile Excerpted from: James P. Keogh, "Classical Syndromes in Occupational Medicine: Dimethylaminopropionitrile," American Journal of Industrial Medicine 4, no. 3 (1983): 479-481, https://doi.org/10.1002/ajim.4700040309. 摘自：James P. Keogh，“职业医学中的经典综合症：二甲氨基丙腈”，《美国工业医学杂志》第4期，第2期。3 (1983): 479-481, https://doi.org/10.1002/ajim.4700040309。

IF 12.7 1区医学

American journal of public health Pub Date : 2025-09-01 DOI: 10.2105/ajph.2025.308215

引用次数: 0

Did COVID-19 Slow Our Progress Toward Ending the HIV Epidemic? COVID-19是否减缓了我们终结艾滋病毒流行的进程？

IF 12.7 1区医学

American journal of public health Pub Date : 2025-09-01 DOI: 10.2105/ajph.2025.308198

Ank E Nijhawan

引用次数: 0

HIV Care Linkage and Initial Viral Suppression Among Persons Newly Diagnosed With HIV in North Carolina Before and After the Start of the COVID-19 Pandemic. 在COVID-19大流行开始前后，北卡罗来纳州新诊断的艾滋病毒感染者的艾滋病毒护理联系和初始病毒抑制

IF 9.6 1区医学

American journal of public health Pub Date : 2025-09-01 Epub Date: 2025-05-29 DOI: 10.2105/AJPH.2025.308108

Courtney N Maierhofer, Brian W Pence, Erika Samoff, Abigail N Turner, Victoria Mobley, Jason Maxwell, William C Miller, Kimberly A Powers

{"title":"HIV Care Linkage and Initial Viral Suppression Among Persons Newly Diagnosed With HIV in North Carolina Before and After the Start of the COVID-19 Pandemic.","authors":"Courtney N Maierhofer, Brian W Pence, Erika Samoff, Abigail N Turner, Victoria Mobley, Jason Maxwell, William C Miller, Kimberly A Powers","doi":"10.2105/AJPH.2025.308108","DOIUrl":"10.2105/AJPH.2025.308108","url":null,"abstract":"Objectives. To examine changes to HIV care outcomes during the COVID-19 pandemic. Methods. We used North Carolina HIV surveillance data between 2018 and 2022 to calculate cumulative incidence differences (CIDs) and subdistribution hazard ratios (sdHRs) for (1) 30-day initial HIV care linkage, (2) 150-day stable linkage, and (3) 180-day viral suppression, comparing persons diagnosed with HIV during (starting March 1, 2020) versus before the pandemic. We defined a notable decrease as CID of -0.05 or less or an sdHR of 0.95 or less. Results. Overall, there were no notable decreases in linkage and viral suppression during the pandemic. In subgroup analyses, Black, Hispanic, and transgender persons had higher rates of initial linkage and unchanged or lower rates of stable linkage during versus before the pandemic. Hispanic persons had progressively lower viral suppression incidence during the pandemic. Conclusions. The North Carolina HIV care system appeared robust to pandemic harms overall; however, we observed notable differences in some subpopulations and pandemic subintervals. Public Health Implications. Statewide programs will need to build on past successes while strengthening current efforts to meet national HIV goals, particularly in groups experiencing pandemic harms to care. (Am J Public Health. 2025;115(9):1480-1489. https://doi.org/10.2105/AJPH.2025.308108).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1480-1489"},"PeriodicalIF":9.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144179574","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