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

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 : 2025-09-01 Epub 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":"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. 2025;115(9):1408-1416. https://doi.org/10.2105/AJPH.2025.308135).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1408-1416"},"PeriodicalIF":9.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332307/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gun-Free Zones in Sensitive Places. 敏感场所的无枪区。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-09-01 DOI: 10.2105/AJPH.2025.308203

Louis Klarevas

引用次数: 0

School Nurses: An Upstream Investment for Achieving Menstrual Equity. 学校护士：实现月经公平的上游投资。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-09-01 Epub Date: 2025-07-03 DOI: 10.2105/AJPH.2025.308183

Sadie Bergen, Erin D Maughan, Molly Secor, Karen E Johnson, Robin Cogan, Marni Sommer

引用次数: 0

Critical Reflections From the Black Women First Initiative. 黑人妇女优先运动的批判性反思。

IF 9.6 1区医学

American journal of public health Pub Date : 2025-09-01 Epub Date: 2025-07-03 DOI: 10.2105/AJPH.2025.308138

Linda S Sprague Martinez, Judith C Scott, Melanie Rocco, Masill Miranda, Cynthia Tucker, Angela Wangari Walter

{"title":"Critical Reflections From the Black Women First Initiative.","authors":"Linda S Sprague Martinez, Judith C Scott, Melanie Rocco, Masill Miranda, Cynthia Tucker, Angela Wangari Walter","doi":"10.2105/AJPH.2025.308138","DOIUrl":"10.2105/AJPH.2025.308138","url":null,"abstract":"In 2020, the Health Resources and Services Administration launched the first initiative focused on Black women in nearly 40 years of the HIV epidemic: the Black Women First initiative. A critical step toward advancing racial equity, the initiative addressed the health and social needs of diverse Black women in HIV care and treatment. In this essay, we posit that the disproportionate burden of HIV/AIDS experienced by Black women is rooted in racism, not race. Using critical reflexivity and the Public Health Critical Race praxis, we critically discuss the Black Women First initiative's framing and components, the factors contributing to successes and challenges, opportunities to deepen efforts, and recommendations to focus on dismantling racism in future efforts addressing care and treatment for Black women with HIV. We reflect on how racism was challenged through the involvement of Black women with lived experiences and racial justice organizations, although racism was not a focus of the initiative. Advancing the health of Black women with HIV needs a comprehensive and critical approach that addresses racism by changing intervention funding, service delivery, and the measurement of success. (Am J Public Health. 2025;115(9):1500-1507. https://doi.org/10.2105/AJPH.2025.308138).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1500-1507"},"PeriodicalIF":9.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558818","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

Violence and Depression Among Adolescent Boys in Soweto, South Africa, 2020‒2023. 2020-2023年南非索韦托青少年男孩的暴力和抑郁

IF 9.6 1区医学

American journal of public health Pub Date : 2025-09-01 Epub Date: 2025-07-03 DOI: 10.2105/AJPH.2025.308164

Elizabeth M Inman, Given Leshabane, Alisa Kalegina, Avy Violari, Rachel Kidman

{"title":"Violence and Depression Among Adolescent Boys in Soweto, South Africa, 2020‒2023.","authors":"Elizabeth M Inman, Given Leshabane, Alisa Kalegina, Avy Violari, Rachel Kidman","doi":"10.2105/AJPH.2025.308164","DOIUrl":"10.2105/AJPH.2025.308164","url":null,"abstract":"Objectives. To identify if violence is associated with adolescent depression by leveraging data from a longitudinal, repeated measures study among adolescent boys from an underrepresented context. Methods. South African adolescent boys (n = 498) enrolled between 2020 and 2023. Participants reported lifetime violence exposure and depression symptoms at baseline and 1-year follow-up. Over the study year, participants reported past-week violence exposure and past-24-hour psychological distress in weekly mobile surveys. We used 4 sets of longitudinal analyses to test associations between violence and depression symptoms, examining the influence of violence type and timing. Results. Participants reported high levels of violence and distress. Lifetime violence exposure was associated with increased distress over the study year. Ongoing, cumulative exposure to violence was associated with distress over time and depression at follow-up. Past-week victimization was associated with immediate increases in distress. Emotional victimization demonstrated particularly strong associations with mental health. Conclusions. We found evidence of a relationship between violence exposure and depression in adolescent boys. Multilayered interventions to reduce violence in the lives of boys and young men are necessary to address the mental health crisis. (Am J Public Health. 2025;115(9):1445-1453. https://doi.org/10.2105/AJPH.2025.308164).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"1445-1453"},"PeriodicalIF":9.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558821","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

Promulgating Joy and Expiating Guilt: Camp and LGBTQ+ Health Education in the History of The Sisters of Perpetual Indulgence. 传播快乐与赎罪：永放纵姐妹会历史中的营地与LGBTQ+健康教育。

IF 12.7 1区医学

American journal of public health Pub Date : 2025-09-01 DOI: 10.2105/ajph.2025.308112

Tyler J Fuller

引用次数: 0

Primary Prevention of Drug Overdoses in Rural Low-Resource and Tribal Communities: A Cluster Randomized Trial. 农村低资源和部落社区药物过量的初级预防：一项集群随机试验。

IF 12.7 1区医学

American journal of public health Pub Date : 2025-09-01 DOI: 10.2105/ajph.2025.308205

Kelli A Komro,Melvin D Livingston,Juli R Skinner,Bethany J Livingston,Terrence K Kominsky,Ashna Jagtiani,Caroline M Barry,Alexander C Wagenaar,Hannah L F Cooper,Megan Harmon,Emily Ivanich,Hannah LaBounty,Ashley N Gassaway,Sierra L Talavera-Brown

{"title":"Primary Prevention of Drug Overdoses in Rural Low-Resource and Tribal Communities: A Cluster Randomized Trial.","authors":"Kelli A Komro,Melvin D Livingston,Juli R Skinner,Bethany J Livingston,Terrence K Kominsky,Ashna Jagtiani,Caroline M Barry,Alexander C Wagenaar,Hannah L F Cooper,Megan Harmon,Emily Ivanich,Hannah LaBounty,Ashley N Gassaway,Sierra L Talavera-Brown","doi":"10.2105/ajph.2025.308205","DOIUrl":"https://doi.org/10.2105/ajph.2025.308205","url":null,"abstract":"Objectives. To determine the Connect intervention's effectiveness in reducing substance use among rural and tribal adolescents in northeastern Oklahoma. Methods. We conducted a 2-arm cluster randomized trial from 2021 to 2024, with 10 high schools per condition. Results. At baseline, 919 students were enrolled (mean age = 15 years), and the majority were American Indian or White. Alcohol-use days during the past 30 days was reduced by 18% per survey wave in the intervention compared with the control condition (rate ratio [RR] = 0.82; 95% confidence interval [CI] = 0.72, 0.93; t = -3.02; P = .003), binge drinking was reduced by 26% (RR = 0.74; 95% CI = 0.64, 0.86; t = -3.90; P < .001), cannabis use was reduced by 11% (RR = 0.89; 95% CI = 0.80, 1.00; t = -2.03; P = .04), and prescription opioid misuse was reduced by 40% (RR = 0.60; 95% CI = 0.43, 0.85; t = -2.86; P = .004). Model-predicted means revealed the control condition followed the expected developmental trajectory of increased substance use and the intervention condition showed a flat or decreasing use pattern. Conclusions. The Connect intervention prevented the typical escalation of substance use during adolescence. Trial Registration. ClinicalTrials.gov NCT04839978. Registered on April 9, 2021. Version 10, April 30, 2025. (Am J Public Health. 2025;115(9):1508-1517. https://doi.org/10.2105/AJPH.2025.308205).","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":"16 1","pages":"1508-1517"},"PeriodicalIF":12.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144792122","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

Hidden in Plain Sight: The Case for Disaggregated HIV Data and Tailored Interventions for African Immigrants. 隐藏在显而易见的地方：对非洲移民的艾滋病毒数据分类和量身定制的干预。

IF 12.7 1区医学

American journal of public health Pub Date : 2025-09-01 DOI: 10.2105/ajph.2025.308206

Olihe Okoro

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 : 2025-09-01 Epub Date: 2025-06-26 DOI: 10.2105/AJPH.2025.308137

Chris Hartmann

引用次数: 0

A Measure Aligned With Reproductive Justice, Human Rights, and Sexual Well-Being…? Yes Please, and Here's Why. 一项与生殖正义、人权和性健康相一致的措施……？是的，请告诉我原因。