American journal of public health最新文献_第8页

Long-Term Patterns in Diabetes, Prediabetes, and Obesity in US Adults: Age-Adjusted Joinpoint Analyses of the National Health and Nutrition Examination Survey 1999-2023. 美国成年人糖尿病、前驱糖尿病和肥胖的长期模式：1999-2023年国家健康与营养调查的年龄调整连接点分析

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-17 DOI: 10.2105/AJPH.2026.308703

Shams Rahman

{"title":"Long-Term Patterns in Diabetes, Prediabetes, and Obesity in US Adults: Age-Adjusted Joinpoint Analyses of the National Health and Nutrition Examination Survey 1999-2023.","authors":"Shams Rahman","doi":"10.2105/AJPH.2026.308703","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308703","url":null,"abstract":"Objectives. I used nationally representative data from 1999 to 2023 in the United States to examine long-term trends and inflection points in diabetes, prediabetes, and obesity. Methods. I analyzed National Health and Nutrition Examination Survey 1999-2000 to 2021-2023 data. Diabetes and prediabetes were defined by hemoblogin A1c and obesity by anthropometrics. Survey-weighted models estimated age-adjusted prevalence; Joinpoint regression identified temporal inflection points, and multivariable models assessed sociodemographic associations. Results. Among 62 615 US adults, age-adjusted diabetes prevalence increased from 1999-2000 to 2021-2023 (annual percent change [APC] = 2.49%; P < .001), as did obesity (APC = 1.67%; P < .001). Prediabetes rose through 2009-2010 (APC = 8.61%; P < .001) before stabilizing. Adults aged 65 years or older had higher odds of diabetes (adjusted odds ratio [AOR] = 7.8) and prediabetes (AOR = 9.0) than those aged 18 to 44 years. Non-Hispanic Blacks had nearly 2-fold higher odds of diabetes and obesity than non-Hispanic Whites. Lower income and education were associated with higher odds of all outcomes. Uninsurance was associated with lower observed diabetes but similar prediabetes prevalence, consistent with underdiagnosis. Housing tenure was not independently associated with diabetes. Conclusions. Diabetes, prediabetes, and obesity increased over 2 decades. Persistent disparities underscore the need for equity-focused prevention. (Am J Public Health. Published online ahead of print September 17, 2026:e1-e11. https://doi.org/10.2105/AJPH.2026.308703).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e11"},"PeriodicalIF":7.8,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987825","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

Reuniting Families With Their Dead: Repurposing the Sierra Leone Ebola Database as a Bereavement Intervention, 2018-2026. 与死者团聚的家庭：重新利用塞拉利昂埃博拉数据库作为丧亲干预，2018-2026。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-17 DOI: 10.2105/AJPH.2026.308743

Eric N Ikoona, Brima Bangura, Jadnah D Harding, Mohamed A M Kamara, Mohamed A Vandi, Foday Sahr

引用次数: 0

A Novel Approach to Distributing COVID-19 Oral Antivirals During a Public Health Emergency in New York City, 2022. 2022年纽约市突发公共卫生事件期间分发COVID-19口服抗病毒药物的新方法

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-10 DOI: 10.2105/AJPH.2026.308690

Nang Thu Thu Kyaw, Elizabeth Diago-Navarro, Matthew Silverstein, Niroshan Shanmugarajah, Meredith Eddy, Ramona Lall, Pierre J Amiel, Joseph Kennedy, Hiu Tai Chan, Mary M K Foote

引用次数: 0

A Mixed-Methods Study Examining Impact of 2025 Federal Actions on US Science: "People Are Going to Die". 一项考察2025年联邦行动对美国科学影响的混合方法研究：“人们将会死亡”。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-10 DOI: 10.2105/AJPH.2026.308695

Mandi L Pratt-Chapman, Dana C Rosenberg, Alexis R Long, Beck O Gold, Clair Kronk

{"title":"A Mixed-Methods Study Examining Impact of 2025 Federal Actions on US Science: \"People Are Going to Die\".","authors":"Mandi L Pratt-Chapman, Dana C Rosenberg, Alexis R Long, Beck O Gold, Clair Kronk","doi":"10.2105/AJPH.2026.308695","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308695","url":null,"abstract":"Objectives. To describe the impact of federal actions in 2025 on US science. Methods. We conducted a cross-sectional survey of scientists between April 1 and May 2, 2025, exploring impact of recent federal actions (n = 158). We used descriptive statistics to summarize data. From May 19 to July 14, 2025, we conducted interviews (n = 22) using a semistructured interview guide informed by the Social Ecological Model. We used constructivist grounded theory to inductively identify themes. We transcribed interviews using Rev.com and coded in NVivo 1.72 and Excel. Repeat interviews (n = 15) were conducted from February 18 to March 31, 2026, for member-checking. Results. Of 158 respondents from 35 US states, the majority were White (73%), women (66%), and faculty (63%). Federal actions disrupted scientific work broadly, and negative psychological impacts were substantial. Themes from interviews (n = 22) included American culture shifts, impacts on scientists, impacts on public health, responses to federal actions, and lessons learned. A conceptual framework of adaptation in response to abrupt cultural disruption emerged from the data. Conclusions. Federal actions in 2025 created major disruptions to US academic institutions, science, and public health with long-term and far-reaching consequences anticipated. (Am J Public Health. Published online ahead of print September 10, 2026:e1-e11. https://doi.org/10.2105/AJPH.2026.308695).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e11"},"PeriodicalIF":7.8,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148928878","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

Promoting Informed Medication Use Through Balanced and Clear Drug Fact Boxes. 通过平衡和清晰的药物情况说明促进知情用药。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-10 DOI: 10.2105/AJPH.2026.308693

Catherine S Hwang, S Sean Tu, Martha S Gerrity

引用次数: 0

Landscapes of Care: What Public Health Can Learn From Rural Immigrant Communities. 护理景观：公共卫生可以从农村移民社区学到什么。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-10 DOI: 10.2105/AJPH.2026.308694

Thurka Sangaramoorthy, Justin Perkins, Paco Alvarez

引用次数: 0

Digital MAHA: Online Influence in the Rise of Official Antiscience. 数字马哈：官方反科学兴起中的网络影响。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-10 DOI: 10.2105/AJPH.2026.308682

Martha L Lincoln

{"title":"Digital MAHA: Online Influence in the Rise of Official Antiscience.","authors":"Martha L Lincoln","doi":"10.2105/AJPH.2026.308682","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308682","url":null,"abstract":"At the same time that it has touted the promise to \"Make America Healthy Again\" (MAHA), the second Trump administration is promoting a health policy agenda that is largely divorced from scientific evidence, standards, and professional norms. In communicating MAHA priorities and messages to the US public, federal health leaders and agencies have also made extensive use of social media platforms and digital channels, appropriating the techniques of online health and wellness influencers and emphasizing viral messaging instead of scientific accuracy. Reviewing federal agencies' health communication practices under MAHA leaders, I critically assess the ascent of what I call \"digital MAHA\" and describe its potential consequences. A rising convergence between national public health institutions and online health-influencing practices may lead to a federal health apparatus that is deregulatory, commercialized, and open to conflicts of interest. It may also negatively affect public health outcomes, reduce levels of health literacy and trust in public health institutions, and increase health disparities. I propose a research agenda to investigate this emerging public health concern and develop interventions. (Am J Public Health. Published online ahead of print September 10, 2026:e1-e8. https://doi.org/10.2105/AJPH.2026.308682).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e8"},"PeriodicalIF":7.8,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148928801","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

Prenatal Care and Congenital Syphilis in the United States: Characterizing Screening and Treatment. 产前护理和先天性梅毒在美国：特征筛选和治疗。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308657

Elizabeth A Suarez, Phoebe Thorpe, John Christian Hague, H June O'Neill, Katherine E Round, David Cole, Sarah K Dutcher, David Moeny, Lucia Menegussi, Terrence Lee, Jamal T Jones, Rose Radin, Nahida Chakhtoura, Juanita J Chinn, Alexander C Ewing, Elizabeth B Gray, Catherine J Vladutiu, Rachel L Abbey, Judith C Maro

{"title":"Prenatal Care and Congenital Syphilis in the United States: Characterizing Screening and Treatment.","authors":"Elizabeth A Suarez, Phoebe Thorpe, John Christian Hague, H June O'Neill, Katherine E Round, David Cole, Sarah K Dutcher, David Moeny, Lucia Menegussi, Terrence Lee, Jamal T Jones, Rose Radin, Nahida Chakhtoura, Juanita J Chinn, Alexander C Ewing, Elizabeth B Gray, Catherine J Vladutiu, Rachel L Abbey, Judith C Maro","doi":"10.2105/AJPH.2026.308657","DOIUrl":"https://doi.org/10.2105/AJPH.2026.308657","url":null,"abstract":"Objectives. To assess trends in prenatal syphilis screening and treatment in the United States and evaluate newborn syphilis screening. Methods. We conducted a retrospective cohort study using Medicaid (2014-2021) and commercial insurance claims (2010-2023). We assessed syphilis screening by trimester, repeat screening (> 1 trimester), temporal trends, treatment with benzathine penicillin G or nonrecommended antibiotics, and screening of infants born to pregnancies diagnosed with syphilis within 30 days of birth. Results. Syphilis screening occurred in 75.2% of Medicaid-insured and 92.8% of commercially insured pregnancies; 51.8% and 81.7%, respectively, were screened in the first trimester. Screening increased in Medicaid (67.6% to 80.5%) and remained high in the commercially insured cohort (91.0% to 94.0%). Repeat screening more than doubled in both cohorts. Approximately half of pregnancies diagnosed with syphilis had evidence of benzathine penicillin G treatment, whereas 5% to 6% had evidence of nonrecommended antibiotics. Infant screening was rarely identified, likely reflecting incomplete capture in claims data. Conclusions. Prenatal syphilis screening in the United States may fall short of recommendations, although increasing repeat screening is encouraging progress. (Am J Public Health. Published online ahead of print September 3, 2026:e1-e10. https://doi.org/10.2105/AJPH.2026.308657).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"e1-e10"},"PeriodicalIF":7.8,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886203","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 Antiscience Moment Is a Trust Crisis. 反科学时刻是信任危机。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308674

Nia N Maye

引用次数: 0

Protecting Health Equity Science in Our Time. 在我们的时代保护健康公平科学。

IF 7.8 1区医学

American journal of public health Pub Date : 2026-09-03 DOI: 10.2105/AJPH.2026.308681

Ana Penman-Aguilar

引用次数: 0