American journal of public health最新文献_第7页

Disability Dream Work for the Public's Health. 残疾梦想为公众健康工作。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-07-01 DOI: 10.2105/AJPH.2024.307972

Vishal Sivamani, Stacy V Lu

引用次数: 0

Translating Health Equity Research Findings Into Meaningful Community- and Systems-Level Change, Little Rock, Arkansas, 2022-2023. 将健康公平研究成果转化为有意义的社区和系统层面的变化，小石城，阿肯色州，2022-2023。

IF 12.7 1区医学

American journal of public health Pub Date : 2025-07-01 DOI: 10.2105/ajph.2025.308145

Eric K Soule,Dina M Jones,Molly Heym,Anne Marie Coffey,Mignonne C Guy,Carol E Cornell,Pebbles Fagan

引用次数: 0

The Citizens Air Complaint Program: Laypeople Reporting Air Pollution Violations in New York City. 市民空气投诉计划：外行人报告纽约市空气污染违规行为。

IF 12.7 1区医学

American journal of public health Pub Date : 2025-06-26 DOI: 10.2105/ajph.2025.308137

Chris Hartmann

引用次数: 0

Cost-Effectiveness of an Economic Empowerment and Family Intervention on Mental Health Among School-Going Adolescent Girls in Uganda, 2017‒2022. 2017-2022年乌干达学龄少女心理健康经济赋权和家庭干预的成本效益

IF 9.6 1区医学

American journal of public health Pub Date : 2025-06-26 DOI: 10.2105/AJPH.2025.308135

Fred M Ssewamala, Yesim Tozan, Rachel Brathwaite, Joshua Kiyingi, Phionah Namatovu, Ozge Sensoy Bahar, Proscovia Nabunya, Portia B Nartey, Torsten B Neilands

{"title":"Cost-Effectiveness of an Economic Empowerment and Family Intervention on Mental Health Among School-Going Adolescent Girls in Uganda, 2017‒2022.","authors":"Fred M Ssewamala, Yesim Tozan, Rachel Brathwaite, Joshua Kiyingi, Phionah Namatovu, Ozge Sensoy Bahar, Proscovia Nabunya, Portia B Nartey, Torsten B Neilands","doi":"10.2105/AJPH.2025.308135","DOIUrl":"https://doi.org/10.2105/AJPH.2025.308135","url":null,"abstract":"Objectives. To assess the cost-effectiveness of an economic empowerment and family intervention on mental health outcomes among school-going adolescent girls in Uganda from 2017 to 2022. Methods. We randomized adolescent girls aged 14 to 17 years into 3 arms: (1) health and sex education (usual care; n = 408), (2) youth development accounts (YDAs; n = 471), and (3) a combination intervention (YDA plus multiple family group [MFG]; n = 381). We fitted mixed-effects models and estimated intervention costs prospectively using the microcosting approach. Results. The combination intervention had a statistically significant impact on mental health outcomes (depressive symptoms, hopelessness, self-concept) at 12 and 24 months, except self-esteem at 24 months, relative to usual care, with incremental cost‒effectiveness ratios ranging from $51 to $100 per 0.2-SD change at 12 months, and $53 to $157 at 24 months per 0.2-SD change. Conclusions. The combination intervention positively and significantly impacted a higher number of mental health outcomes among school-going adolescent girls compared with YDA alone. The benefits were sustained in the short and long term, with the incremental cost-per-unit effect remaining comparable. Findings support the integration of combination interventions in school settings to promote adolescent girls' positive mental health functioning. Trial Registration. ClinicalTrials.gov registration no. NCT03307226. (Am J Public Health. Published online ahead of print June 26, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308135).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e9"},"PeriodicalIF":9.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504506","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

Effects of Medicaid Expansion on HPV Vaccination Uptake Among Adolescents in the United States: Difference-in-Differences Analyses From 2011 to 2022. 医疗补助扩大对美国青少年HPV疫苗接种的影响：2011年至2022年的差异分析

IF 12.7 1区医学

American journal of public health Pub Date : 2025-06-26 DOI: 10.2105/ajph.2025.308165

Angela W Chen,Taryn L Amberson,Harriet Fridah Adhiambo,Bradley H Wagenaar

{"title":"Effects of Medicaid Expansion on HPV Vaccination Uptake Among Adolescents in the United States: Difference-in-Differences Analyses From 2011 to 2022.","authors":"Angela W Chen,Taryn L Amberson,Harriet Fridah Adhiambo,Bradley H Wagenaar","doi":"10.2105/ajph.2025.308165","DOIUrl":"https://doi.org/10.2105/ajph.2025.308165","url":null,"abstract":"Objectives. To determine if Medicaid expansion was associated with increased human papillomavirus (HPV) vaccination among adolescents in the United States. Methods. We conducted a quasi-experimental study using generalized difference-in-differences on National Immunization Survey‒Teen data from 2011 to 2022 among adolescents aged 13 to 17 years, comparing HPV vaccination in Medicaid expansion states to nonexpansion states by sex and race/ethnicity subgroups. Results. There was a significant 10.1-percentage-point increase in HPV vaccination among male adolescents in expansion states (95% confidence interval [CI] = 8.9, 12.4; P < .001). Significant increases in HPV vaccination were observed among all male racial subgroups, with largest effects among Black, Latino, and other or multiple races. No effect was observed among female adolescents or any racial subgroup. Conclusions. Medicaid expansion was associated with significant increases in HPV vaccination among male adolescents, with no effects observed among female adolescents. All male race/ethnicity subgroups showed increases, with Black, Latino, and other or multiple race/ethnicity male adolescents having the largest effect. Public Health Implications. Medicaid expansion is an appropriate and effective policy for increasing HPV vaccination uptake for priority populations, including historically marginalized racial/ethnic groups and male adolescents. (Am J Public Health. Published online ahead of print June 26, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308165).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"27 1","pages":"e1-e9"},"PeriodicalIF":12.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504569","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 Citizens Air Complaint Program: Laypeople Reporting Air Pollution Violations in New York City. 市民空气投诉计划：外行人报告纽约市空气污染违规行为。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-06-26 DOI: 10.2105/AJPH.2025.308137

Chris Hartmann

引用次数: 0

Effects of Medicaid Expansion on HPV Vaccination Uptake Among Adolescents in the United States: Difference-in-Differences Analyses From 2011 to 2022. 医疗补助扩大对美国青少年HPV疫苗接种的影响：2011年至2022年的差异分析

IF 9.6 1区医学

American journal of public health Pub Date : 2025-06-26 DOI: 10.2105/AJPH.2025.308165

Angela W Chen, Taryn L Amberson, Harriet Fridah Adhiambo, Bradley H Wagenaar

{"title":"Effects of Medicaid Expansion on HPV Vaccination Uptake Among Adolescents in the United States: Difference-in-Differences Analyses From 2011 to 2022.","authors":"Angela W Chen, Taryn L Amberson, Harriet Fridah Adhiambo, Bradley H Wagenaar","doi":"10.2105/AJPH.2025.308165","DOIUrl":"https://doi.org/10.2105/AJPH.2025.308165","url":null,"abstract":"Objectives. To determine if Medicaid expansion was associated with increased human papillomavirus (HPV) vaccination among adolescents in the United States. Methods. We conducted a quasi-experimental study using generalized difference-in-differences on National Immunization Survey‒Teen data from 2011 to 2022 among adolescents aged 13 to 17 years, comparing HPV vaccination in Medicaid expansion states to nonexpansion states by sex and race/ethnicity subgroups. Results. There was a significant 10.1-percentage-point increase in HPV vaccination among male adolescents in expansion states (95% confidence interval [CI] = 8.9, 12.4; P < .001). Significant increases in HPV vaccination were observed among all male racial subgroups, with largest effects among Black, Latino, and other or multiple races. No effect was observed among female adolescents or any racial subgroup. Conclusions. Medicaid expansion was associated with significant increases in HPV vaccination among male adolescents, with no effects observed among female adolescents. All male race/ethnicity subgroups showed increases, with Black, Latino, and other or multiple race/ethnicity male adolescents having the largest effect. Public Health Implications. Medicaid expansion is an appropriate and effective policy for increasing HPV vaccination uptake for priority populations, including historically marginalized racial/ethnic groups and male adolescents. (Am J Public Health. Published online ahead of print June 26, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308165).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e9"},"PeriodicalIF":9.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504507","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

Cost-Effectiveness of an Economic Empowerment and Family Intervention on Mental Health Among School-Going Adolescent Girls in Uganda, 2017‒2022. 2017-2022年乌干达学龄少女心理健康经济赋权和家庭干预的成本效益

IF 12.7 1区医学

American journal of public health Pub Date : 2025-06-26 DOI: 10.2105/ajph.2025.308135

Fred M Ssewamala,Yesim Tozan,Rachel Brathwaite,Joshua Kiyingi,Phionah Namatovu,Ozge Sensoy Bahar,Proscovia Nabunya,Portia B Nartey,Torsten B Neilands

{"title":"Cost-Effectiveness of an Economic Empowerment and Family Intervention on Mental Health Among School-Going Adolescent Girls in Uganda, 2017‒2022.","authors":"Fred M Ssewamala,Yesim Tozan,Rachel Brathwaite,Joshua Kiyingi,Phionah Namatovu,Ozge Sensoy Bahar,Proscovia Nabunya,Portia B Nartey,Torsten B Neilands","doi":"10.2105/ajph.2025.308135","DOIUrl":"https://doi.org/10.2105/ajph.2025.308135","url":null,"abstract":"Objectives. To assess the cost-effectiveness of an economic empowerment and family intervention on mental health outcomes among school-going adolescent girls in Uganda from 2017 to 2022. Methods. We randomized adolescent girls aged 14 to 17 years into 3 arms: (1) health and sex education (usual care; n = 408), (2) youth development accounts (YDAs; n = 471), and (3) a combination intervention (YDA plus multiple family group [MFG]; n = 381). We fitted mixed-effects models and estimated intervention costs prospectively using the microcosting approach. Results. The combination intervention had a statistically significant impact on mental health outcomes (depressive symptoms, hopelessness, self-concept) at 12 and 24 months, except self-esteem at 24 months, relative to usual care, with incremental cost‒effectiveness ratios ranging from $51 to $100 per 0.2-SD change at 12 months, and $53 to $157 at 24 months per 0.2-SD change. Conclusions. The combination intervention positively and significantly impacted a higher number of mental health outcomes among school-going adolescent girls compared with YDA alone. The benefits were sustained in the short and long term, with the incremental cost-per-unit effect remaining comparable. Findings support the integration of combination interventions in school settings to promote adolescent girls' positive mental health functioning. Trial Registration. ClinicalTrials.gov registration no. NCT03307226. (Am J Public Health. Published online ahead of print June 26, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308135).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"35 1","pages":"e1-e9"},"PeriodicalIF":12.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504568","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

Changes in Abortion Access, Travel, and Costs Since the Implementation of State Abortion Bans, 2022-2024. 自实施国家堕胎禁令以来，堕胎途径、旅行和成本的变化，2022-2024。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-06-26 DOI: 10.2105/AJPH.2025.308191

Nancy F Berglas, Jessica T Barnes, Elizabeth Gonzalez Ba, Lisa Peters, Diana Greene Foster

{"title":"Changes in Abortion Access, Travel, and Costs Since the Implementation of State Abortion Bans, 2022-2024.","authors":"Nancy F Berglas, Jessica T Barnes, Elizabeth Gonzalez Ba, Lisa Peters, Diana Greene Foster","doi":"10.2105/AJPH.2025.308191","DOIUrl":"https://doi.org/10.2105/AJPH.2025.308191","url":null,"abstract":"Objectives. To compare the experiences of people who obtained abortions before the implementation of a state abortion ban with those seeking abortion after a ban. Methods. Using self-administered surveys (n = 855), we examined the abortion-seeking experiences of individuals recruited from clinics and call centers in 14 US states that implemented bans on abortion at all gestations, June 2022 to June 2024. We used bivariate analyses to compare differences in travel by ban status. Results. Most people (81%) who contacted a clinic or call center after a ban reported traveling to another state for an abortion; few (3%) continued their pregnancy to birth. Compared with those who accessed abortion in their state before a ban, postban travelers were less likely to drive and more likely to travel by bus, train, or airplane. Mean travel time (2.8 vs 11.3 hours), overnight stays (5% vs 58%), and mean travel costs ($179 vs $372) increased, as did mean pregnancy duration (7.7 vs 8.8 weeks) and the proportion occurring at 13 weeks or more duration (8% vs 17%). Conclusions. Travel burdens, costs, and delays in abortion have increased since the implementation of state abortion bans. (Am J Public Health. Published online ahead of print June 26, 2025:e1-e10. https://doi.org/10.2105/AJPH.2025.308191).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e10"},"PeriodicalIF":9.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504505","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

Changes in Abortion Access, Travel, and Costs Since the Implementation of State Abortion Bans, 2022-2024. 自实施国家堕胎禁令以来，堕胎途径、旅行和成本的变化，2022-2024。

IF 12.7 1区医学

American journal of public health Pub Date : 2025-06-26 DOI: 10.2105/ajph.2025.308191

Nancy F Berglas,Jessica T Barnes,Elizabeth Gonzalez Ba,Lisa Peters,Diana Greene Foster

{"title":"Changes in Abortion Access, Travel, and Costs Since the Implementation of State Abortion Bans, 2022-2024.","authors":"Nancy F Berglas,Jessica T Barnes,Elizabeth Gonzalez Ba,Lisa Peters,Diana Greene Foster","doi":"10.2105/ajph.2025.308191","DOIUrl":"https://doi.org/10.2105/ajph.2025.308191","url":null,"abstract":"Objectives. To compare the experiences of people who obtained abortions before the implementation of a state abortion ban with those seeking abortion after a ban. Methods. Using self-administered surveys (n = 855), we examined the abortion-seeking experiences of individuals recruited from clinics and call centers in 14 US states that implemented bans on abortion at all gestations, June 2022 to June 2024. We used bivariate analyses to compare differences in travel by ban status. Results. Most people (81%) who contacted a clinic or call center after a ban reported traveling to another state for an abortion; few (3%) continued their pregnancy to birth. Compared with those who accessed abortion in their state before a ban, postban travelers were less likely to drive and more likely to travel by bus, train, or airplane. Mean travel time (2.8 vs 11.3 hours), overnight stays (5% vs 58%), and mean travel costs ($179 vs $372) increased, as did mean pregnancy duration (7.7 vs 8.8 weeks) and the proportion occurring at 13 weeks or more duration (8% vs 17%). Conclusions. Travel burdens, costs, and delays in abortion have increased since the implementation of state abortion bans. (Am J Public Health. Published online ahead of print June 26, 2025:e1-e10. https://doi.org/10.2105/AJPH.2025.308191).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"2 3 1","pages":"e1-e10"},"PeriodicalIF":12.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504567","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